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微量营养素缺乏、营养过剩和不足以及它们对阿塞拜疆学龄前儿童和育龄非孕妇贫血的影响。

Micronutrient Deficiencies, Over- and Undernutrition, and Their Contribution to Anemia in Azerbaijani Preschool Children and Non-Pregnant Women of Reproductive Age.

机构信息

GroundWork, 7306 Fläsch, Switzerland.

UNICEF, 1095 Baku, Azerbaijan.

出版信息

Nutrients. 2018 Oct 11;10(10):1483. doi: 10.3390/nu10101483.


DOI:10.3390/nu10101483
PMID:30314363
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6213945/
Abstract

Data on the nutritional situation and prevalence of micronutrient deficiencies in Azerbaijan are scarce, and knowledge about anemia risk factors is needed for national and regional policymakers. A nationally representative cross-sectional survey was conducted to assess the prevalence of micronutrient deficiencies, over- and undernutrition, and to disentangle determinants of anemia in children and women in Azerbaijan. The survey generated estimates of micronutrient deficiency and growth indicators for children aged 0⁻59 months of age (6⁻59 months for blood biomarkers) and non-pregnant women 15⁻49 years of age. Questionnaire data, anthropometric measurements, and blood samples were collected to assess the prevalence of under- and over-nutrition, anemia, iron deficiency, and iron deficiency anemia, in both groups. In children only, vitamin A deficiency and zinc deficiency were also assessed. In women only, folate and vitamin B12 deficiencies and vitamin A insufficiency were assessed. In total, 3926 household interviews were successfully completed with a response rate of 80.6%. In the 1455 children, infant and young child feeding practices were relatively poor overall; the prevalence of wasting and stunting were 3.1% and 18.0%, respectively; and 14.1% of children were overweight or obese. The prevalence of anemia was 24.2% in 6⁻59 months old children, the prevalence of iron deficiency was 15.0% in this age group, and the prevalence of iron deficiency anemia was 6.5%. Vitamin A deficiency was found in 8.0% of children, and zinc deficiency was found in 10.7%. Data from 3089 non-pregnant women 15⁻49 years of age showed that while undernutrition was scarce, 53% were overweight or obese, with increasing prevalence with increasing age. Anemia affected 38.2% of the women, iron deficiency 34.1% and iron deficiency anemia 23.8%. Vitamin A insufficiency was found in 10.5% of women. Folate and vitamin B12 deficiency were somewhat more common, with prevalence rates of 35.0% and 19.7%, respectively. The main risk factors for anemia in children were recent lower respiratory infection, inflammation and iron deficiency. In women, the main risk factors for anemia were iron deficiency and vitamin A insufficiency. Anemia is a public health problem in Azerbaijani children and women, and additional efforts are needed to reduce anemia in both groups.

摘要

阿塞拜疆的营养状况和微量营养素缺乏流行数据稀缺,国家和地区政策制定者需要了解贫血的风险因素。本研究开展了一项全国代表性的横断面调查,以评估儿童和妇女的微量营养素缺乏、营养过剩和不足的流行情况,并阐明贫血的决定因素。该调查为 0⁻59 个月(6⁻59 个月用于血液生物标志物)儿童和 15⁻49 岁非孕妇的微量营养素缺乏和生长指标提供了估计。问卷调查数据、人体测量和血液样本的收集用于评估两组人群的营养不足和过剩、贫血、缺铁和缺铁性贫血的流行情况。仅在儿童中还评估了维生素 A 缺乏症和缺锌。仅在妇女中评估了叶酸和维生素 B12 缺乏症以及维生素 A 不足。共完成 3926 户家庭访谈,应答率为 80.6%。在 1455 名儿童中,婴幼儿喂养习惯总体上较差;消瘦和发育迟缓的发生率分别为 3.1%和 18.0%;14.1%的儿童超重或肥胖。6⁻59 个月儿童贫血患病率为 24.2%,该年龄段缺铁患病率为 15.0%,缺铁性贫血患病率为 6.5%。8.0%的儿童存在维生素 A 缺乏症,10.7%的儿童存在缺锌。15⁻49 岁 3089 名非孕妇的数据显示,虽然营养不良较为少见,但 53%的人超重或肥胖,且随着年龄的增长,患病率呈上升趋势。38.2%的妇女患有贫血,34.1%的妇女缺铁,23.8%的妇女缺铁性贫血。10.5%的妇女存在维生素 A 不足。叶酸和维生素 B12 缺乏症较为常见,患病率分别为 35.0%和 19.7%。儿童贫血的主要危险因素是近期下呼吸道感染、炎症和缺铁。妇女贫血的主要危险因素是缺铁和维生素 A 不足。贫血是阿塞拜疆儿童和妇女的公共卫生问题,需要进一步努力降低两组人群的贫血患病率。

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本文引用的文献

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