Wemakor Anthony, Garti Humphrey, Azongo Thomas, Garti Helene, Atosona Ambrose
Department of Nutritional Sciences, School of Allied Health Sciences, University for Development Studies, P O Box TL 1883, Tamale, Ghana.
Department of Public Health, School of Allied Health Sciences, University for Development Studies, P O Box TL 1883, Tamale, Ghana.
BMC Res Notes. 2018 Dec 10;11(1):877. doi: 10.1186/s13104-018-3980-7.
Malnutrition is a common cause of morbidity and mortality in children. The aim of this study was to compare the nutritional status of children under 5 years of teenage and adult mothers in Tamale Metropolis, Ghana. A case-control study involving 300 (150 cases, 150 controls) mother-child pairs was carried out. A questionnaire was used to collect data on socio-demographic characteristics of mothers and children and anthropometry was used to assess the nutritional status of children. Anthropometric z-scores derived based on WHO Child Growth Standards were used to determine stunting, wasting and underweight statuses of children. Logistic regression analysis was used to compare the nutritional status of children of teenage and adult mothers.
Children of teenage mothers, compared to those of adult mothers, were 8 times more likely to be stunted [Adjusted Odds Ratio (AOR) = 7.56; 95% confidence interval (CI) 4.20-13.63], 3 times more likely to be wasted (AOR = 2.90; 95% CI 1.04-8.04), and 13 times more likely to be underweight (AOR = 12.78; 95% CI 4.69-34.81) after adjusting for potential confounders. The risk of child malnutrition increases with young maternal age; interventions should be targeted at teenage mothers and their children to reduce the risk of malnutrition.
营养不良是儿童发病和死亡的常见原因。本研究旨在比较加纳塔马利市青少年母亲和成年母亲5岁以下儿童的营养状况。开展了一项病例对照研究,涉及300对母婴(150例病例,150例对照)。使用问卷调查收集母亲和儿童的社会人口学特征数据,并使用人体测量学评估儿童的营养状况。根据世界卫生组织儿童生长标准得出的人体测量Z评分用于确定儿童的发育迟缓、消瘦和体重不足状况。采用逻辑回归分析比较青少年母亲和成年母亲的儿童营养状况。
与成年母亲的孩子相比,青少年母亲的孩子发育迟缓的可能性高8倍[调整优势比(AOR)=7.56;95%置信区间(CI)4.20 - 13.63],消瘦的可能性高3倍(AOR = 2.90;95%CI 1.04 - 8.04),体重不足的可能性高13倍(AOR = 12.78;95%CI 4.69 - 34.81),在调整潜在混杂因素后。儿童营养不良的风险随着母亲年龄的降低而增加;应针对青少年母亲及其子女进行干预,以降低营养不良的风险。