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肯尼亚农村地区农业生物多样性、饮食多样性、家庭粮食安全与儿童发育迟缓之间的关系。

The relationship between agricultural biodiversity, dietary diversity, household food security, and stunting of children in rural Kenya.

作者信息

M'Kaibi Florence K, Steyn Nelia P, Ochola Sophie A, Du Plessis Lissane

机构信息

Stellenbosch University Cape Town South Africa; Present address: Kenya Technical Trainers College Nairobi Kenya.

Division of Human Nutrition Department of Human Biology University of Cape Town Anzio Road Cape Town South Africa.

出版信息

Food Sci Nutr. 2016 May 20;5(2):243-254. doi: 10.1002/fsn3.387. eCollection 2017 Mar.

Abstract

The study was to determine the role of Dietary diversity (DD), household food security (HFS), and agricultural biodiversity (AB) on stunted growth in children. Two cross-sectional studies were undertaken 6 months apart. Interviews were done with mothers/caregivers and anthropometric measurements of children 24-59 months old. HFS was assessed by household food insecurity access scale (HFIAS). A repeated 24-h recall was used to calculate a dietary diversity score (DDS). Agricultural biodiversity (AB) was calculated by counting the number of edible plants and animals. The study was undertaken in resource-poor households in two rural areas in Kenya. Mothers/Care givers and household with children of 24-59 months of age were the main subjects. The prevalence of underweight [WAZ <-2SD] ranged between 16.7% and 21.6% and stunting [HAZ <-2SD] from 26.3% to 34.7%. Mean DDS ranged from 2.9 to 3.7 and HFIAS ranged from 9.3 to 16.2. AB was between 6.6 and 7.2 items. Households with and without children with stunted growth were significantly different in DDS ( = 0.047) after the rainy season and HFIAS ( = 0.009) in the dry season, but not with AB score ( = 0.486). The mean AB for households with children with stunted growth were lower at 6.8, compared to 7.0 for those with normal growth, however, the difference was insignificant. Data indicate that households with children with stunted growth and those without are significantly different in DDS and HFIAS but not with AB. This suggests some potential in using DDS and HFIAS as proxy measures for stunting.

摘要

该研究旨在确定饮食多样性(DD)、家庭粮食安全(HFS)和农业生物多样性(AB)对儿童发育迟缓的作用。相隔6个月进行了两项横断面研究。对母亲/照料者进行了访谈,并对24至59个月大的儿童进行了人体测量。通过家庭粮食不安全获取量表(HFIAS)评估家庭粮食安全状况。采用重复24小时回忆法计算饮食多样性得分(DDS)。通过统计可食用植物和动物的数量来计算农业生物多样性(AB)。该研究在肯尼亚两个农村地区的资源匮乏家庭中进行。母亲/照料者以及有24至59个月大孩子的家庭是主要研究对象。体重不足[身高别体重(WAZ)<-2标准差]的患病率在16.7%至21.6%之间,发育迟缓[身高别年龄(HAZ)<-2标准差]的患病率在26.3%至34.7%之间。平均DDS在2.9至3.7之间,HFIAS在9.3至16.2之间。AB在6.6至7.2项之间。有发育迟缓儿童的家庭和没有发育迟缓儿童的家庭在雨季过后的DDS(P=0.047)和旱季的HFIAS(P=0.009)方面存在显著差异,但在AB得分方面没有差异(P=0.486)。有发育迟缓儿童的家庭的平均AB为6.8,低于生长正常儿童家庭的7.0,但差异不显著。数据表明,有发育迟缓儿童的家庭和没有发育迟缓儿童的家庭在DDS和HFIAS方面存在显著差异,但在AB方面没有差异。这表明将DDS和HFIAS用作发育迟缓的替代指标具有一定潜力。

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