GroundWork, 7306 Fläsch, Switzerland.
UNICEF, 1095 Baku, Azerbaijan.
Nutrients. 2018 Oct 11;10(10):1483. doi: 10.3390/nu10101483.
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.
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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