Ohnishi Mayumi, Leshabari Sebalada, Ambikile Joel Seme, Oishi Kazuyo, Nakao Yuko, Nishihara Mika
Unit of Rehabilitation Sciences, Nagasaki University Graduate School of Biomedical Sciences, Japan.
School of Nursing, Muhimbili University of Health and Allied Sciences, Tanzania.
J Rural Med. 2017 May;12(1):38-45. doi: 10.2185/jrm.2924. Epub 2017 May 24.
The factors associated with quality of life (QOL) and anthropometric measurements as outcomes of food consumption were examined among school-age children in Tanzania. A cross-sectional study was undertaken in September 2013 in Tanzania. Anonymous self-administered questionnaire surveys were conducted in the Kiswahili language among primary school children in the fifth and/or sixth grade aged 10-14 years. The survey probed sociodemographic characteristics such as age, gender, living with family members, number of meals/snacks per day, food consumption in the previous 24 hours, and QOL, as well as anthropometric measurements (height and weight). The Rohrer index was calculated based on height and weight. After presenting the mean and standard deviation (SD) of height, weight, and the Rohrer index score by age and gender, the Rohrer index score was categorized into three groups (low weight, normal weight, and overweight) and analyzed according to sociodemographic characteristics and food consumption using the chi-square test. Furthermore, the QOL score was analyzed using the test. Multivariate linear regression analysis was used to analyze the associations between the QOL score and sociodemographic characteristics and food consumption. A total of 694 children (male: 312; female: 382) participated in this study. According to the Rohrer index, 273 (39.3%) children were classified as low weight, 353 (50.9%) were normal weight, and 68 (9.8%) were overweight. A total of 459 (66.1%) children reported having had three or more meals and/or snacks on the day before the study. In addition, 127 (18.3%) children had not eaten any protein-rich food on the day before the study, although almost all had eaten at least one carbohydrate-rich food per day. Regardless of region, location, gender, and age, living without parents was associated with short stature ( = 0.010). A high QOL score was associated with having three or more meals and/or snacks per day ( < 0.001). The security of physiological needs such as a guarantee of three meals per day could contribute to higher QOL among underserved children.
在坦桑尼亚的学龄儿童中,研究了与生活质量(QOL)相关的因素以及作为食物消费结果的人体测量指标。2013年9月在坦桑尼亚进行了一项横断面研究。用斯瓦希里语对10 - 14岁的小学五、六年级学生进行了匿名自填问卷调查。该调查探究了社会人口学特征,如年龄、性别、与家庭成员同住情况、每天的餐数/零食数、前24小时的食物消费情况以及生活质量,还有人体测量指标(身高和体重)。根据身高和体重计算罗勒指数。按年龄和性别呈现身高、体重及罗勒指数得分的均值和标准差(SD)后,将罗勒指数得分分为三组(低体重、正常体重和超重),并使用卡方检验根据社会人口学特征和食物消费情况进行分析。此外,使用t检验分析生活质量得分。多元线性回归分析用于分析生活质量得分与社会人口学特征及食物消费之间的关联。共有694名儿童(男:312名;女:382名)参与了本研究。根据罗勒指数,273名(39.3%)儿童被归类为低体重,353名(50.9%)为正常体重,68名(9.8%)为超重。共有459名(66.1%)儿童报告在研究前一天吃了三餐或更多餐和/或零食。此外,127名(18.3%)儿童在研究前一天没有吃任何富含蛋白质的食物,尽管几乎所有人每天至少吃了一种富含碳水化合物的食物。无论地区、地点、性别和年龄如何,没有父母陪伴生活与身材矮小有关(P = 0.010)。高生活质量得分与每天吃三餐或更多餐和/或零食有关(P < 0.001)。每天保证三餐等生理需求的保障可能有助于改善服务不足儿童的生活质量。