[阿勒泰农牧区哈萨克族孕产妇及婴幼儿全程覆盖综合营养干预效果提升]

[Improved effect of comprehensive nutritional intervention of whole covering for Kazak's pregnant women, lactating women and infants in Altay farming and stockbreeding region].

作者信息

Yin Jiyong, Huo Junsheng, Sun Jing, Xu Ping, Fang Zheng, Wei Yanli, Zhang Yiping, Li Xiaojuan, Aryinuer Tuohetahan, Zhang Dongying, Xin Chunxia

机构信息

National Institute for Nutrition and Health, Chinese Center for Disease Control and Prevention, Beijing 100050, China.

Jeminay County Health and Family Planning Commission, Jeminay 836899, China.

出版信息

Wei Sheng Yan Jiu. 2019 Jan;48(1):49-55.

PMID:31032767

Abstract

OBJECTIVE

To study the effect of nutritional intervention for Kazak's pregnant women, lactating women and infants in farming and stockbreeding region of Jeminay County, Altay City.

METHODS

24 h record method was conducted to implement dietary survey, and results were used to analyze dietary structure and nutrient intake level of pregnant women, lactating women and infants. Pregnant women, lactating women and infants over 6 months were intervened with iron fortified soy sauce nutrients supplement and Yingyangbao(YYB) for 2. 4 years. Hemoglobin was detected for pregnant women, lactating women and infants by using HemoCue analyzer.

RESULTS

The nutrient intakes of the pregnant women, lactating women and infants were averagely lower than that of the recommended levels. In these infants who received breast feeding, the least acceptability diet quality rate was 42. 1%, and in other infants who didn't receive breast feeding, the rate was 25%. After intervention, anemia prevalence of pregnant women, lactating women and infants were significantly reduced compared with the base line levels at 2 survey time points(2014:pregnant women χ~~2=26. 27, lactating women χ~~2=18. 06, infants χ~~2=44. 46, 2015:pregnant women χ~~2=35. 62, lactating women χ~~2=25. 05, infants χ~~2=39. 61;all P<0. 001).

CONCLUSION

The nutrition intervention of whole covering could improve nutrition status of Kazak's pregnant women, lactating women and infants.

摘要

目的

研究阿勒泰市吉木乃县农牧区哈萨克族孕妇、哺乳期妇女及婴幼儿营养干预效果。

方法

采用24小时回顾法进行膳食调查，分析孕妇、哺乳期妇女及婴幼儿的膳食结构和营养素摄入水平。对孕妇、哺乳期妇女及6个月以上婴幼儿采用铁强化酱油营养素补充及营养包（YYB）进行2.4年干预。采用HemoCue分析仪检测孕妇、哺乳期妇女及婴幼儿血红蛋白。

结果

孕妇、哺乳期妇女及婴幼儿营养素摄入量平均低于推荐水平。母乳喂养婴幼儿中，饮食质量可接受率最低为42.1%，非母乳喂养婴幼儿中该率为25%。干预后，在2个调查时间点与基线水平相比，孕妇、哺乳期妇女及婴幼儿贫血患病率显著降低（2014年：孕妇χ² = 26.27，哺乳期妇女χ² = 18.06，婴幼儿χ² = 44.46；2015年：孕妇χ² = 35.62，哺乳期妇女χ² = 25.05，婴幼儿χ² = 39.61；均P < 0.001）。