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家庭粮食不安全、母亲的喂养方式与幼儿的铁营养状况

Household Food Insecurity, Mother's Feeding Practices, and the Early Childhood's Iron Status.

作者信息

Salarkia Nahid, Neyestani Tirang R, Omidvar Nasrin, Zayeri Farid

机构信息

Department of Food and Nutrition Policy and Planning Research, National Nutrition and Food Technology Research Institute, Faculty of Nutrition Sciences and Food Technology, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Department of Nutrition Research, National Nutrition and Food Technology Research Institute and Faculty of Nutrition Sciences and Food Technology, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

出版信息

Int J Prev Med. 2015 Sep 3;6:86. doi: 10.4103/2008-7802.164414. eCollection 2015.

Abstract

BACKGROUND

Health consequences of food insecurity among infants and toddlers have not been fully examined. The purpose of this study was to assess the relationship between household food insecurity, mother's infant feeding practices and iron status of 6-24 months children.

METHODS

In this cross-sectional study, 423 mother-child pairs were randomly selected by multistage sampling method. Children blood samples were analyzed for hemoglobin and serum ferritin concentrations. Household food security was evaluated using a validated Household Food Insecurity Access Scale. The mother's feeding practices were evaluated using Infant and Young Child Feeding practice variables including: The duration of breastfeeding and the time of introducing of complementary feeding.

RESULTS

Based on the results, of the studied households only 47.7% were food secure. Mild and moderate-severe household food insecurity was 39.5% and 12.8%, respectively. Anemia, iron deficiency (ID), and iron deficiency anemia were seen in 29.1%, 12.2%, and 4.8% of children, respectively. There was no significant association between household food insecurity; mother's feeding practices and child ID with or without anemia.

CONCLUSIONS

We found no association between household food insecurity and the occurrence of anemia in the 6-24 months children. However, these findings do not rule out the possibility of other micronutrient deficiencies among the food-insecure household children.

摘要

背景

婴幼儿粮食不安全对健康的影响尚未得到充分研究。本研究旨在评估家庭粮食不安全、母亲的婴儿喂养方式与6至24个月儿童铁状况之间的关系。

方法

在这项横断面研究中,采用多阶段抽样方法随机选取423对母婴。对儿童血样进行血红蛋白和血清铁蛋白浓度分析。使用经过验证的家庭粮食不安全获取量表评估家庭粮食安全状况。通过婴幼儿喂养实践变量评估母亲的喂养方式,这些变量包括:母乳喂养持续时间和引入辅食的时间。

结果

根据研究结果,在所研究的家庭中,只有47.7%的家庭粮食安全。轻度和中度 - 重度家庭粮食不安全分别为39.5%和12.8%。贫血、缺铁(ID)和缺铁性贫血在儿童中的发生率分别为29.1%、12.2%和4.8%。家庭粮食不安全、母亲的喂养方式与儿童ID(无论有无贫血)之间均无显著关联。

结论

我们发现家庭粮食不安全与6至24个月儿童贫血的发生之间没有关联。然而,这些发现并不排除粮食不安全家庭儿童存在其他微量营养素缺乏的可能性。

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