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加纳学龄前儿童的饮食多样性与血液学状况有何关联?

How is dietary diversity related to haematological status of preschool children in Ghana?

作者信息

Saaka Mahama, Galaa Sylvester Zakaria

机构信息

School of Allied Health Sciences, University for Development Studies, Tamale, Ghana.

Faculty of Integrated Development Studies, University for Development Studies, Tamale, Ghana.

出版信息

Food Nutr Res. 2017 Jun 14;61(1):1333389. doi: 10.1080/16546628.2017.1333389. eCollection 2017.

Abstract

The role of dietary diversity on blood biomarkers may be significant, but the evidence is limited. This study assessed the association between dietary diversity and haematological status of children aged 6-59 months controlling for various known confounders. The analysis in this study is based on the 2014 Ghana Demographic and Health survey data.The study involved 2,388 pre-school children aged 6-59 months who constituted the sub-sample for anaemia assessment. The mean haemoglobin concentration (Hb) was 10.2 g/dl ± 1.50 (95 % CI: 10.1 to 10.3), and anaemia prevalence (Hb < 11 g/dl) among children aged 6-59 months was 66.8 % (CI: 63.7 to 69.8). In multivariable logistic regression analysis,continued breastfeeding [Adjusted odds ratio (AOR) = 1.9 (95% CI: 1.19-2.91], 12-23 months of age (AOR = 2.4 (95% CI: 1.40-3.98), having fever in last two weeks (AOR = 1.7 (95% CI: 1.20-2.45, birth interval ≤ 24 months (AOR = 1.9 (1.20-2.84), and poorest wealth quintile (AOR = 2.6 (95% CI: 1.48-4.48) were positively associated with anaemia. The current study showed that factors other than poor dietary diversity predicted anaemia among children aged 6-59 months in Ghana.

摘要

饮食多样性对血液生物标志物的作用可能很大,但证据有限。本研究评估了6至59个月大儿童的饮食多样性与血液学状况之间的关联,并控制了各种已知的混杂因素。本研究的分析基于2014年加纳人口与健康调查数据。该研究涉及2388名6至59个月大的学龄前儿童,他们构成了贫血评估的子样本。平均血红蛋白浓度(Hb)为10.2 g/dl±1.50(95%置信区间:10.1至10.3),6至59个月大儿童的贫血患病率(Hb<11 g/dl)为66.8%(置信区间:63.7至69.8)。在多变量逻辑回归分析中,持续母乳喂养[调整后的优势比(AOR)=1.9(95%置信区间:1.19 - 2.91)]、12至23个月龄(AOR = 2.4(95%置信区间:1.40 - 3.98))、过去两周内发烧(AOR = 1.7(95%置信区间:1.20 - 2.45))、生育间隔≤24个月(AOR = 1.9(1.20 - 2.84))以及最贫困财富五分位数(AOR = 2.6(95%置信区间:1.48 - 4.48))与贫血呈正相关。当前研究表明,在加纳,除了饮食多样性差之外,其他因素也可预测6至59个月大儿童的贫血情况。

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