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土耳其乔鲁姆市学童的营养状况及相关因素

Nutritional status and related factors of schoolchildren in Çorum, Turkey.

作者信息

Comba Atakan, Demir Emre, Barış Eren Nadiye

机构信息

Hitit University Faculty of Medicine Training and Research Hospital Department of Pediatrics, Çepni Mahallesi, İnönü Cd. No. 176, 19040, Çorum, Turkey.

Hitit University Faculty of Medicine, Department of Biostatistics, ÇorumTurkey.

出版信息

Public Health Nutr. 2019 Jan;22(1):122-131. doi: 10.1017/S1368980018002938. Epub 2018 Nov 8.

Abstract

OBJECTIVE

We aimed to determine nutritional status and related factors among schoolchildren in Çorum, Central Anatolia, Turkey.

DESIGN

Schoolchildren's height and weight were measured to calculate BMI and BMI Z-scores. Height, weight and BMI Z-scores were analysed and nutritional status classified according to the WHO.

SETTING

Central Anatolia, Turkey.ParticipantsSchoolchildren aged 5-17 years (n 1684) participated in study.

RESULTS

Of children, 4·2% were stunted, 6·9% thin, 13·8% overweight and 6·6% were obese. Proportions of stunting, thinness and overweight/obesity were significantly higher in children aged >10 years (78·6, 75·0 and 64·9%, respectively) than in those aged ≤10 years (21·4, 25·0 and 35·1%, respectively; all P <0·001). Median (range) birth weight and breast-feeding duration in children with stunting (2750 (1400-3600)g; 10 (0-36) months) were significantly lower and shorter, respectively, than those of normal height (3200 (750-5500)g; 15 (0-72) months) and tall children (3500 (2500-4900)g; 18 (0-36) months; P <0·001, <0·001, 0·011 and 0·016, respectively). The same relationship was observed in thin children (3000 (1000-4500)g; 12 (0-36) months) compared with normal-weight (3200 (750-5500)g; 15 (0-72) months) and overweight/obese children (3300 (1200-5500)g; 16 (0-48) months; P=0·026, <0·001, 0·045 and 0·011, respectively).

CONCLUSIONS

Overweight and obesity are health problems that must be addressed in schoolchildren. Adolescents also have a risk of double malnutrition. Promoting normal birth weight and encouraging long duration of breast-feeding are important to support normal growth in children.

摘要

目的

我们旨在确定土耳其安纳托利亚中部乔鲁姆地区学童的营养状况及相关因素。

设计

测量学童的身高和体重以计算体重指数(BMI)及BMI标准分。分析身高、体重和BMI标准分,并根据世界卫生组织的标准对营养状况进行分类。

地点

土耳其安纳托利亚中部。参与者5至17岁的学童(n = 1684)参与了本研究。

结果

在儿童中,4.2%发育迟缓,6.9%消瘦,13.8%超重,6.6%肥胖。10岁以上儿童的发育迟缓、消瘦及超重/肥胖比例(分别为78.6%、75.0%和64.9%)显著高于10岁及以下儿童(分别为21.4%、25.0%和35.1%;所有P<0.001)。发育迟缓儿童的出生体重中位数(范围)和母乳喂养持续时间(2750(1400 - 3600)g;10(0 - 36)个月)分别显著低于正常身高儿童(3200(750 - 5500)g;15(0 - 72)个月)和高个子儿童(3500(2500 - 4900)g;18(0 - 36)个月;P分别为<0.001、<0. <001、0.011和0.016)。消瘦儿童(3000(1000 - 4500)g;12(0 - 36)个月)与正常体重儿童(3200(750 - 5500)g;15(0 - 72)个月)和超重/肥胖儿童(3300(1200 - 5500)g;16(0 - 48)个月)相比,也观察到相同的关系(P分别为0.026、<0.001、0.045和0.011)。

结论

超重和肥胖是学童必须解决的健康问题。青少年也有双重营养不良的风险。促进正常出生体重并鼓励延长母乳喂养时间对支持儿童正常生长很重要。

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