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评估巴勒斯坦学龄前儿童营养不良的无声流行。

Assessing the silent epidemic of malnutrition in Palestinian preschool children.

机构信息

Department of Human Nutrition and Dietetics, Alexander Technological Educational Institute, Thessaloniki, Greece.

出版信息

J Epidemiol Glob Health. 2012 Dec;2(4):181-91. doi: 10.1016/j.jegh.2012.12.002. Epub 2013 Jan 12.

Abstract

BACKGROUND

The nutritional status of children living under conflict is an important issue. The aim of the present study is to review all available data on malnutrition in preschool Palestinian children and provide objective results concerning the epidemic of malnutrition.

METHODS

The literature for all research on the prevalence of malnutrition on Palestinian children with data collected during the period 1998-2007 was reviewed. Der Simonian-Laird Random effects model for meta-analysis was applied and cumulative analyses were performed to determine time-trends for each outcome measure (iron deficiency anemia [IDA], wasting, underweight and stunting).

FINDINGS

The results showed that 39.5% of the children suffered from IDA, 2.9% from wasting, 4.7% were underweight and 10.9% stunted. The cumulative analyses showed a peak in the prevalence of IDA during 1999, followed by an irregular decrease afterward. The proportion of wasted and underweight children peaked during 2002 and 2004, respectively, both showing a gradual decline afterward. Chronic malnutrition appears to be almost similar during the decade 1998-2007, by demonstrating small, irregular oscillations.

CONCLUSIONS

Although the prevalence of malnutrition among Palestinian preschool children has been improved during the studied period, it still remains high. Additionally, the results show that interventions/aid have acute effects on the health of children.

FUNDING

None.

摘要

背景

生活在冲突环境下的儿童的营养状况是一个重要问题。本研究旨在回顾所有关于巴勒斯坦学龄前儿童营养不良的现有数据,并提供有关营养不良流行情况的客观结果。

方法

对 1998 年至 2007 年间收集的关于巴勒斯坦儿童营养不良患病率的所有研究文献进行了回顾。应用 Der Simonian-Laird 随机效应模型进行荟萃分析,并进行累积分析,以确定每个结局指标(缺铁性贫血[IDA]、消瘦、体重不足和发育迟缓)的时间趋势。

结果

结果显示,39.5%的儿童患有 IDA,2.9%患有消瘦,4.7%体重不足,10.9%发育迟缓。累积分析显示,IDA 的患病率在 1999 年达到峰值,之后呈不规则下降。消瘦和体重不足儿童的比例在 2002 年和 2004 年分别达到峰值,之后均呈逐渐下降趋势。在 1998 年至 2007 年的十年间,慢性营养不良似乎几乎相似,表现为小而不规则的波动。

结论

尽管巴勒斯坦学龄前儿童的营养不良患病率在研究期间有所改善,但仍居高不下。此外,研究结果表明,干预措施/援助对儿童的健康有急性影响。

资金来源

无。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1e2/7320322/cc0163189b19/JEGH-2-4-181-g001.jpg

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