Ergin Filiz, Okyay Pinar, Atasoylu Gonca, Beşer Erdal
Department of Public Health, Adnan Menderes University Faculty of Medicine, Aydin, Turkey.
Turk J Pediatr. 2007 Jul-Sep;49(3):283-9.
We aimed to assess the prevalence and risk factors of chronic malnutrition in children under five years old in Aydin province, Turkey. A cross-sectional design was used to study a group of 1,400 children. Multistage sampling, including cluster and random sampling, respectively, was used in the selection of the study group. Stunting, wasting and underweight were used as indicators of nutritional status for children. The prevalence of malnutrition in children under five years was found as 10.9% for stunting, 4.8% for underweight and 8.2% for wasted. Increased risk was found in families without social security by 2.071, with low birth weight by 2.516 and with giving no colostrum by 2.787 in stunted children. Improving social security coverage is essential. Mothers should be informed on the usefulness of breast-feeding at antenatal care services during their pregnancies and taught appropriate breast-feeding practices, including the importance of giving colostrum, at baby-friendly institutions after birth.
我们旨在评估土耳其艾登省5岁以下儿童慢性营养不良的患病率及风险因素。采用横断面设计对一组1400名儿童进行研究。在研究组的选择中分别使用了包括整群抽样和随机抽样在内的多阶段抽样方法。发育迟缓、消瘦和体重不足被用作儿童营养状况的指标。发现5岁以下儿童营养不良的患病率为:发育迟缓10.9%,体重不足4.8%,消瘦8.2%。发育迟缓儿童中,无社会保障的家庭风险增加2.071倍,低出生体重的风险增加2.516倍,未进行初乳喂养的风险增加2.787倍。提高社会保障覆盖率至关重要。应在孕期的产前护理服务中告知母亲母乳喂养的益处,并在产后在爱婴医院教授适当的母乳喂养方法,包括初乳喂养的重要性。