Kenya Agricultural Research Institute, KARI Marsabit Research Centre, National Arid Land Research Centre, Department of Food and Postharvest, Box 147, 60500 Marsabit, Kenya.
Public Health Nutr. 2013 Sep;16(9):1622-30. doi: 10.1017/S136898001200496X. Epub 2012 Dec 7.
The objective of the present study was to evaluate the effect of settlement on the nutrition and health status of pastoral women of reproductive age.
A cross-sectional survey that included a 24 h dietary recall was administered to 224 randomly selected Gabra women. Height and weight were used to compute BMI. Whole capillary blood was used to measure Hb. Additional capillary blood was collected on filter paper and dried blood spots were analysed for transferritin receptor, C-reactive protein and a1-acid glycoprotein. Descriptive statistics were used to analyse population characteristics. The t test and the x2 test were used to determine population differences. Multiple criteria models were used to determine the prevalence of Fe deficiency, anaemia and inflammation.
Settled and semi-settled women in Kalacha Location in Marsabit County, Kenya.
Non-pregnant women aged 15–49 years.
Fe repletion was observed in 43% of settled and 40% of semi-settled women. Fe-deficiency erythropoiesis in was found in 18% of settled and 20% of semi-settled women, whereas 15% of settled compared with 25% of semi-settled women were suffering from Fe-deficiency anaemia. Anaemia due to chronic diseases was more prevalent in semi-settled women than in settled women, and more common than Fe-deficiency anaemia.
Settled women were significantly less anaemic than semi-settled women, but had similarly high levels of chronic energy deficiency. While anaemia and Fe deficiency were more pronounced in semi-settled than settled women, anaemia of chronic disease and chronic infection were highly prevalent in both communities. Policies should be put in place to improve overall nutrition among pastoral women.
本研究旨在评估定居对生育年龄牧区妇女营养和健康状况的影响。
对随机抽取的 224 名加布拉妇女进行了横断面调查，包括 24 小时膳食回顾。身高和体重用于计算 BMI。全毛细血管血用于测量 Hb。另外在滤纸上采集毛细血管血，对转铁蛋白受体、C 反应蛋白和 a1-酸性糖蛋白进行分析。采用描述性统计方法分析人口特征。采用 t 检验和 x2 检验确定人群差异。采用多标准模型确定缺铁、贫血和炎症的患病率。
肯尼亚马萨比特县卡拉查地区的定居点和半定居点。
年龄在 15-49 岁之间的非孕妇。
定居妇女中 43%和半定居妇女中 40%的铁补充充足。定居妇女中 18%和半定居妇女中 20%存在铁缺乏性红细胞生成，而定居妇女中 15%与半定居妇女中 25%患有缺铁性贫血。慢性病引起的贫血在半定居妇女中比在定居妇女中更为常见，比缺铁性贫血更为常见。
定居妇女的贫血发生率明显低于半定居妇女，但慢性能量缺乏的程度相似。虽然半定居妇女的贫血和缺铁比定居妇女更为明显，但慢性病和慢性感染引起的贫血在两个社区都很普遍。应制定政策改善牧民妇女的整体营养状况。
