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6 至 23 个月大儿童贫血与儿童、母亲、家庭和喂养指标的关系。

Association between Anaemia in Children 6 to 23 Months Old and Child, Mother, Household and Feeding Indicators.

机构信息

Nestlé Research Center, Vers-Chez-les-Blanc, Route du Jorat 57, Case Postale 44, 1000 Lausanne-26, Switzerland.

Division of Nutrition and Dietetics, Department of Health Professions, Bern University of Applied Sciences, Murtenstrasse 10, CH-3008 Bern, Switzerland.

出版信息

Nutrients. 2018 Sep 8;10(9):1269. doi: 10.3390/nu10091269.

Abstract

In Low and Lower-Middle-Income countries, the prevalence of anaemia in infancy remains high. In early childhood anaemia cause irreversible cognitive deficits and represents a higher risk of child mortality. The consequences of anaemia in infancy are a major barrier to overcome poverty traps. The aim of this study was to analyse, based on a multi-level approach, different factors associated with anaemia in children 6⁻23 months old based on recent available Standard Demographic Health Surveys (S-DHS). We identified 52 S-DHS that had complete information in all covariates of interest in our analysis between 2005 and 2015. We performed traditional logistic regressions and multilevel logistic regression analyses to study the association between haemoglobin concentrations and household, child, maternal, socio-demographic variables. In our sample, 70% of the 6⁻23 months-old children were anaemic. Child anaemia was strongly associated with maternal anaemia, household wealth, maternal education and low birth weight. Children fed with fortified foods, potatoes and other tubers had significantly lower rates of anaemia. Improving overall household living conditions, increasing maternal education, delaying childbearing and introducing iron rich foods at six months of age may reduce the likelihood of anaemia in toddlerhood.

摘要

在低收入和中低收入国家,婴儿贫血的患病率仍然很高。在幼儿期,贫血会导致不可逆转的认知缺陷,并代表更高的儿童死亡率风险。婴儿期贫血的后果是克服贫困陷阱的主要障碍。本研究的目的是基于多水平方法,分析基于最近可用的标准人口健康调查(S-DHS)的 6-23 个月大儿童贫血的相关因素。我们确定了 52 项 S-DHS,这些调查在 2005 年至 2015 年期间的分析中包含了所有感兴趣的协变量的完整信息。我们进行了传统的逻辑回归和多水平逻辑回归分析,以研究血红蛋白浓度与家庭、儿童、产妇、社会人口变量之间的关系。在我们的样本中,70%的 6-23 个月大的儿童贫血。儿童贫血与母亲贫血、家庭财富、母亲教育程度和低出生体重密切相关。食用强化食品、土豆和其他块茎的儿童贫血发生率显著降低。改善家庭整体生活条件、提高母亲教育水平、延迟生育年龄以及在 6 个月大时引入富含铁的食物,可能会降低幼儿期贫血的可能性。

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