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[贝宁西南部家庭中母亲超重或肥胖与儿童发育迟缓并存的情况]

[Coexistence of maternal overweight or obesity and stunted children in south-western Benin households].

作者信息

Dembélé Bernard, Sossa Jérôme Charles, Saizonou Jacques, Makoutodé Patrick Charles, Mongbo Adé Virginie, Guedègbé Capo-Chichi Justine, Dona Ouendo Marius-Edgard

出版信息

Sante Publique. 2018 Jan-Feb;30(1):115-124. doi: 10.3917/spub.181.0115.

DOI:10.3917/spub.181.0115
PMID:29589683
Abstract

INTRODUCTION

To determine the prevalence and determinants of coexistence of maternal overweight or obesity and stunted children (DBM / SCOM) in south-western Benin households.

METHODS

This cross-sectional study was carried out in June 2015 on 357 mother-child pairs randomly selected by a two-stage sampling technique in the city of Comè and its surroundings. Data on socio-economic factors, family, health care, dietary quality were collected by questionnaires, observation and documentary review. Anthropometric measurements were performed in mothers and children. A logistic regression analysis model was used to search for determinants of the coexistence of the two aspects of malnutrition.

RESULTS

19.3% of mothers were overweight and 5.7% were obese. 46% of children were stunted. The prevalence of DBM / SCOM was 11.5%. The main factors associated with DBM/SCOM were the child's age, the mother's occupation, ethnicity, social status and educational level, and the size, economic level, transportation means and food insecurity of the household.

CONCLUSION

A high frequency of the coexistence of maternal overweight or obesity and stunting was observed in Comè households. Interventions based on the identified determinants are needed to act simultaneously on the double burden of malnutrition in Comè.

摘要

引言

确定贝宁西南部家庭中孕产妇超重或肥胖与儿童发育迟缓(DBM/SCOM)并存的患病率及决定因素。

方法

2015年6月,采用两阶段抽样技术在科梅市及其周边地区随机选取357对母婴进行了这项横断面研究。通过问卷调查、观察和文献回顾收集了社会经济因素、家庭、医疗保健、饮食质量等方面的数据。对母亲和儿童进行了人体测量。采用逻辑回归分析模型寻找营养不良这两个方面并存的决定因素。

结果

19.3%的母亲超重,5.7%的母亲肥胖。46%的儿童发育迟缓。DBM/SCOM的患病率为11.5%。与DBM/SCOM相关的主要因素包括儿童年龄、母亲职业、种族、社会地位和教育水平,以及家庭规模、经济水平、交通方式和粮食不安全状况。

结论

在科梅家庭中观察到孕产妇超重或肥胖与发育迟缓并存的高频率情况。需要基于已确定的决定因素进行干预,以同时应对科梅营养不良的双重负担。

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