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提供当地食物结合营养教育和咨询对柬埔寨幼儿营养状况的影响减轻。

Mitigated Impact of Provision of Local Foods Combined with Nutrition Education and Counseling on Young Child Nutritional Status in Cambodia.

机构信息

École des sciences des aliments, de nutrition et d'étude familiale, Université de Moncton, Moncton, NB E1A 3E9, Canada.

International Programs, World Vision Canada, 1 World Drive, Mississauga, ON L5T 2Y4, Canada.

出版信息

Nutrients. 2018 Oct 6;10(10):1450. doi: 10.3390/nu10101450.

Abstract

BACKGROUND

In Cambodia, stunting and wasting affect, respectively, 32% and 10% of children 0⁻59 months while 55% are anemic. Our research aims to assess the efficiency of two local foods combined with nutritional education and counseling (CEN) activities as compared to CEN alone on improving child nutritional status and dietary intake.

METHODS

A cluster-randomized controlled trial was conducted in Soth Nikum area over a six-month period among children 6⁻23 months ( = 360) assigned to receive either moringa +CEN, cricket +CEN or CEN alone. Anthropometric measurements were performed and hemoglobin and ferritin levels assessed.

RESULTS

Overall, no significant increase in the mean length/height-for-age -score was observed, although a small increase of the weight-for-length/height was noted in intervention groups. Hemoglobin and ferritin mean values increased in all groups. The degree of satisfaction of energy, proteins, iron, and zinc requirements improved in all groups, but to a greater extent in the intervention groups and more children were healthy.

CONCLUSION

Our research shows no significant impact of the provision of two local foods combined with CEN on the improvement of child nutritional status as compared to CEN alone. However, children consuming them better fulfilled their energy, iron, and zinc requirements and were healthier.

摘要

背景

在柬埔寨,0⁻59 月龄儿童分别有 32%和 10%发育迟缓,10%消瘦,55%贫血。我们的研究旨在评估与单纯营养教育和咨询(CEN)相比,两种当地食物结合 CEN 对改善儿童营养状况和饮食摄入的效果。

方法

在 Soth Nikum 地区进行了为期六个月的群组随机对照试验,共有 360 名 6⁻23 月龄儿童被分配接受辣木+ CEN、蟋蟀+ CEN 或单纯 CEN。进行了人体测量学测量,并评估了血红蛋白和铁蛋白水平。

结果

总体而言,平均年龄-身高得分没有显著增加,尽管干预组的体重-身高有所增加。所有组的血红蛋白和铁蛋白平均值均增加。所有组的能量、蛋白质、铁和锌需求的满足程度都有所改善,但干预组改善程度更大,更多儿童更健康。

结论

与单纯 CEN 相比,提供两种当地食物结合 CEN 对改善儿童营养状况没有显著影响。然而,食用这些食物的儿童更好地满足了他们的能量、铁和锌需求,并且更健康。

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