Department of Epidemiology, School of Public Health, Loma Linda University, Loma Linda, CA, USA.
J Trop Pediatr. 2013 Feb;59(1):3-9. doi: 10.1093/tropej/fms032. Epub 2012 Jul 2.
We assessed the nutritional status of children in Ecuador using anthropometric measurements and body composition.
To determine whether living in the highlands in Quito was a predisposing factor to poor nutrition in children.
We compared the children in highlands at 2772 m above sea level with their costal (605 m above sea level) counterparts at Santo Domingo de Los Colorados. By using the WHO standard reference 2007, we distinguished malnourished children from healthy children using Z-score of -2 as a cut-off point.
Mean Z-score indices for both height-for-age (HFA) and weight-for-age (WFA) were found to be significantly lower among urban children than for rural children (p < 0.001). Urban children were also four times more likely of becoming mildly stunted (OR = 3.95%, 95% confidence interval (CI): 1.818-8.448) and three times more likely of being mildly underweight (OR = 3.95%, 95% CI: 1.241-7.551).
Living in highland urban areas of Ecuador is a predisposing factor for poor nutrition among children.
评估厄瓜多尔儿童的营养状况，包括人体测量学指标和身体成分。
我们比较了海拔 2772 米的高地儿童与海拔 605 米的沿海（圣多明各德洛斯科罗拉多斯）儿童的营养状况。使用世卫组织 2007 年标准参考值，我们以 Z 分数-2 作为截断点，区分营养不良和健康儿童。
城市儿童的身高别年龄（HFA）和体重别年龄（WFA）的平均 Z 分数指数均明显低于农村儿童（p<0.001）。城市儿童轻度发育迟缓的可能性也高出四倍（OR=3.95%，95%置信区间[CI]：1.818-8.448），轻度体重不足的可能性高出三倍（OR=3.95%，95%CI：1.241-7.551）。
生活在厄瓜多尔高地城市地区是儿童营养状况不良的一个促成因素。
