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[四川省北川和理县汶川地震三个月后6至23个月儿童的营养状况]

[The nutrition status of children aged 6-23 months after three months of Wenchuan Earthquake in Beichuan and Lixian, Sichuan Province].

作者信息

Wang Li-juan, Huo Jun-sheng, Sun Jing, Li Wen-xian, Huang Cheng-yu, Lai Shao-lin, Hu Ji-fang, Chen Chun-ming, Wang Yu-ying

机构信息

Institute of Nutrition and Food Safety, Chinese Center for Disease Control and Prevention, Beijing 100050, China.

出版信息

Zhonghua Yu Fang Yi Xue Za Zhi. 2010 Aug;44(8):696-700.

Abstract

OBJECTIVE

This project aims to investigate the nutrition status of children aged from 6 to 23 months living in Beichuan and Lixian where were seriously affected by the earthquake in 2008.

METHODS

The height, body weight and hemoglobin concentration were measured for 478 children from Leigu township, Qushan township in Beichuan county and Zagunao township, Xuecheng township and Putou township in Lixian county; the number of group 6 - 11, 12 - 17, 18 - 23 months were 190, 144, 144 respectively. The height for age (HAZ), the body weight for age (WAZ) and the weight for height (WHZ) were calculated respectively. The low weight, stunting, wasting prevalence, anemic rate were analyzed.

RESULTS

The WAZ scores of 6 - 23 months males and females in Beichuan county and Lixian county ranged from -0.97 to -0.13 and from -0.67 to -0.23, HAZ scores ranged from -1.23 to -0.31 and from -1.25 to -0.38, respectively. The WAZ (-0.89 ± 1.16) and HAZ (-1.20 ± 1.60) of 18 - 23 months infants in Beichuan county were significantly different from the WAZ and HAZ of 6 - 11 months (WAZ: -0.32 ± 0.92; HAZ: -0.58 ± 0.98) and 12 - 17 months (WAZ: -0.47 ± 1.00; HAZ: -0.68 ± 1.34) infants (F values were 7.161 and 4.584, respectively; all P values < 0.05). The WAZ (-0.63 ± 1.03) and HAZ (-1.11 ± 1.15) of 18 - 23 months in Lixian county infants were significantly different from the WAZ and HAZ of 6 - 11 months (WAZ: -0.23 ± 0.93; HAZ: -0.51 ± 1.55) infants and 12 - 17 months (WAZ: -0.58 ± 0.52; HAZ: -0.80 ± 1.19) (F values were 3.156, 4.345, all P values < 0.05). The prevalence of low weight infants (18 - 23 months) these two counties were 15.6% (12/77) and 9.1% (6/66), respectively. The prevalence of stunting in Beichuan and Lixian have reached 26% (20/77) and 24.2% (16/66), respectively. The wasting rate of 18 - 23 months infants had reached 9.1% (7/77) in Beichuan. The total anemia prevalence among infants reached 49.6% (123/248) and 78.8% (178/226) in Beichuan and Lixian, respectively. The prevalence of moderate anemia have reached 7.7% (19/248) and 19.9% (45/226), respectively.

CONCLUSION

After the earthquake in Beichuan, Lixian, the growth of infants aged 6 to 23 months old was below average. The prevalence of anemia was high. The malnutrition status of infant and young children aged from 18 to 23 months in Beichuan and Lixian was more serious, should be targeted of nutrition interventions.

摘要

目的

本项目旨在调查居住在北川和理县受2008年地震严重影响地区的6至23个月儿童的营养状况。

方法

对北川县擂鼓镇、曲山镇以及理县杂谷脑镇、薛城镇和蒲头乡的478名儿童测量身高、体重和血红蛋白浓度;6至11个月、12至17个月、18至23个月组的人数分别为190、144、144。分别计算年龄别身高(HAZ)、年龄别体重(WAZ)和身高别体重(WHZ)。分析低体重、发育迟缓、消瘦患病率、贫血率。

结果

北川县和理县6至23个月男性和女性的WAZ得分分别在-0.97至-0.13和-0.67至-0.23之间,HAZ得分分别在-1.23至-0.31和-1.25至-0.38之间。北川县18至23个月婴儿的WAZ(-0.89±1.16)和HAZ(-1.20±1.60)与6至11个月(WAZ:-0.32±0.92;HAZ:-0.58±0.98)和12至17个月(WAZ:-0.47±1.00;HAZ:-0.68±1.34)婴儿的WAZ和HAZ有显著差异(F值分别为7.161和4.584;所有P值<0.05)。理县18至23个月婴儿的WAZ(-0.63±1.03)和HAZ(-1.11±1.15)与6至11个月(WAZ:-0.23±0.93;HAZ:-0.51±1.55)婴儿以及12至17个月(WAZ:-0.58±0.52;HAZ:-0.80±1.19)婴儿的WAZ和HAZ有显著差异(F值分别为3.156、4.345,所有P值<0.05)。这两个县18至23个月低体重婴儿患病率分别为15.6%(12/77)和9.1%(6/66)。北川和理县发育迟缓患病率分别达到26%(20/77)和24.2%(16/66)。北川县18至23个月婴儿消瘦率达到9.1%(7/77)。北川县和理县婴儿贫血总患病率分别为49.6%(123/248)和78.8%(178/226)。中度贫血患病率分别达到7.7%(19/248)和19.9%(45/226)。

结论

北川、理县地震后,6至23个月婴儿生长低于平均水平。贫血患病率高。北川和理县18至23个月婴幼儿营养不良状况更严重,应作为营养干预目标。

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