尼日利亚乔斯地区孕妇超重/肥胖特征与儿童人体测量状况

Maternal overweight/obesity characteristics and child anthropometric status in Jos, Nigeria.

作者信息

John Collins, Ichikawa Tomo, Abdu Halima, Ocheke Isaac, Diala Udochukwu, Modise-Letsatsi Virginia, Wada Takayuki, Okolo Seline, Yamamoto Taro

机构信息

Department of International Health, Institute of Tropical Medicine, Nagasaki University, Nagasaki, Japan; Department of Paediatrics, University of Jos, Jos, Nigeria.

Department of International Health, Institute of Tropical Medicine, Nagasaki University, Nagasaki, Japan.

出版信息

Niger Med J. 2015 Jul-Aug;56(4):236-9. doi: 10.4103/0300-1652.165031.

DOI:10.4103/0300-1652.165031

PMID:26759505

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4697208/

Abstract

OBJECTIVE

This study is to determine the pattern of overweight and obesity and its relationship with childhood anthropometric status in Nigeria.

MATERIALS AND METHODS

This cross-sectional study was conducted in Jos, Nigeria. Interviewer administered questionnaire was used in data collection. Maternal and child anthropometric measurements were obtained using standard WHO methods. Child anthropometric Z scores were obtained from WHO Anthroplus while BMI of mothers were also determined. Totally, 262 mother-child pairs were recruited.

RESULTS

Mean maternal age and mean child age were 30.8 ± 6.3 yrs (15-47 yrs) and 22.3 ± 18.7 months (3-72 months). Prevalence of maternal underweight, overweight and obesity was 4.2% (11/262), 29.4% (77/262) and 25.9% (68/262), respectively. Child overweight/obesity was 5.4% (14/262), severe under-nutrition 5.7% (15/262). Mean maternal BMI was higher in the older, more educated and higher socioeconomic status (SES). Child mean birth-weight, weight-for-age Z-score and BMI-for-age Z-score (BAZ) were higher among mothers with BMI ≥ 25 kg/m(2). All large-for-age babies were in mothers with maternal BMI ≥ 25 kg/m(2). Childhood over-nutrition was more common in maternal BMI of ≥25 kg/m(2). Overall, BAZ was directly related with maternal BMI, maternal age and birth-weight, although it was inversely related with maternal BM I ≥ 25 kg/m(2).

CONCLUSION

Higher BMI is seen in educated and higher SES mothers and this impact on childhood anthropometry.

摘要

目的

本研究旨在确定尼日利亚超重和肥胖的模式及其与儿童人体测量状况的关系。

材料与方法

本横断面研究在尼日利亚乔斯进行。通过访谈员管理的问卷进行数据收集。使用世界卫生组织的标准方法进行母婴人体测量。儿童人体测量Z评分通过WHO Anthroplus获得，同时也测定母亲的BMI。共招募了262对母婴。

结果

母亲的平均年龄和孩子的平均年龄分别为30.8±6.3岁（15 - 47岁）和22.3±18.7个月（3 - 72个月）。母亲体重过轻、超重和肥胖的患病率分别为4.2%（11/262）、29.4%（77/262）和25.9%（68/262）。儿童超重/肥胖率为5.4%（14/262），重度营养不良率为5.7%（15/262）。年龄较大、受教育程度较高且社会经济地位（SES）较高的母亲平均BMI更高。BMI≥25 kg/m²的母亲所生儿童的平均出生体重、年龄别体重Z评分和年龄别BMI Z评分（BAZ）更高。所有大于胎龄儿均出生于BMI≥25 kg/m²的母亲。母亲BMI≥25 kg/m²时，儿童期营养过剩更为常见。总体而言，BAZ与母亲BMI、母亲年龄和出生体重呈正相关，尽管与母亲BMI≥25 kg/m²呈负相关。