Jahanihashemi Hassan, Noroozi Mostafa, Zavoshy Roza, Afkhamrezaei Amir, Jalilolghadr Shabnam, Esmailzadehha Neda
Department of Biostatistics, Children Growth Research Center, Qazvin University of Medical Sciences, Qazvin, Iran.
Department of Nutrition, Children Growth Research Center, Qazvin University of Medical Sciences, Qazvin, Iran.
Eur J Public Health. 2017 Jun 1;27(3):559-562. doi: 10.1093/eurpub/ckx043.
Little is known about the effect of birth weight, birth order and number of siblings on the nutritional status in children in Iran, especially in Qazvin province. The aim of this study was to provide the current data on malnutrition and birth related determinants among children in Qazvin, Iran. This study was conducted in six cities of Qazvin province (Iran), during December 2009-December 2010. Data on age, weight and height were taken and birth weight, number of children in family, birth order, parental career and educational state and family caretaker were collected by a questionnaire that a trained team filled in. Sample size was1351, almost 225 children under 6-years-old from each city participated in the study (692 boys and 659 girls). In each city, subjects were randomly selected among children who had profiles at health centers. The overall prevalence of wasting, stunting and underweight was 10.3%, 5.8% and 4.8% respectively. There was association between 'birth weight' and wasting ( P = 0.022), stunting ( P = 0.032) and underweight ( P < 0.001). A non-significant association was obtained between factors 'number of children at home' and 'birth order' with wasting, stunting and underweight. These data suggest that birth weight can influence malnutrition indicators; therefore, knowing risk factors of malnutrition in population subgroups is important for planners in country because it helps the future studies concentrate on the most determining ones.
关于出生体重、出生顺序和兄弟姐妹数量对伊朗儿童营养状况的影响所知甚少，尤其是在加兹温省。本研究的目的是提供有关伊朗加兹温儿童营养不良及与出生相关的决定因素的当前数据。本研究于2009年12月至2010年12月在伊朗加兹温省的六个城市进行。收集了年龄、体重和身高数据，并通过一份由经过培训的团队填写的问卷收集了出生体重、家庭子女数量、出生顺序、父母职业和教育状况以及家庭照顾者等信息。样本量为1351，每个城市约有225名6岁以下儿童参与研究（692名男孩和659名女孩）。在每个城市，研究对象是从健康中心有记录的儿童中随机选取的。消瘦、发育迟缓及体重不足的总体患病率分别为10.3%、5.8%和4.8%。“出生体重”与消瘦（P = 0.022）、发育迟缓（P = 0.032）及体重不足（P < 未给出具体数值，原文为<0.001>）之间存在关联。“家中子女数量”和“出生顺序”这两个因素与消瘦、发育迟缓及体重不足之间的关联不显著。这些数据表明出生体重会影响营养不良指标；因此，了解人群亚组中营养不良的风险因素对国家规划者很重要，因为这有助于未来的研究聚焦于最具决定性的因素。
