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伊朗营养不良的患病率及原因调查:一篇综述文章与荟萃分析

An Investigation of the Prevalence and Causes of Malnutrition in Iran: a Review Article and Meta-analysis.

作者信息

Motedayen Morteza, Dousti Majid, Sayehmiri Fatemeh, Pourmahmoudi Aziz A

机构信息

Department of Cardiology, Faculty of Medicine, Zanjan University of Medical Sciences, Zanjan 45156-13191, Iran.

Department of Parasitology, Faculty of Medicine, Shiraz University of Medical Sciences, Fars 71348-14336, Iran.

出版信息

Clin Nutr Res. 2019 Apr 3;8(2):101-118. doi: 10.7762/cnr.2019.8.2.101. eCollection 2019 Apr.

Abstract

Malnutrition is one of the most important health issues in developing countries, which might have adverse effects on the physical and intellectual health of children. The search process was started to find Persian and English articles published until September 2017 regarding the prevalence of malnutrition in children under the age of six in Iran using national and international databases including SID, Magiran, Irandoc, IranMedex, PubMed, Medline, Scopus, and ISI Web of Science. The data were analyzed using meta-analysis methods and the random effects model. The heterogeneity of studies was analyzed using the I index. The data were analyzed using R and STATA software (ver. 11.2). Twenty seven articles conducted from 2002 to 2016 were collected to be included in the meta-analysis process. The total sample size was 161,941 patients in an age range of 0-6 years. The final estimate of the prevalence of different forms of malnutrition through meta-analysis of data extracted from studies in Iran was as follows: severe underweight (1%; 95% confidence interval [CI], 1-1), moderate underweight (6%; 95% CI, 5-7), mild underweight (25%; 95% CI, 21-28), severe short stature (3%; 95% CI, 2-3), moderate short stature (8%; 95% CI, 6-9), mild short stature (21%; 95% CI, 17-24), severe slimness (1%; 95% CI, 1-1), moderate slimness (5%; 95% CI, 4-5) and mild slimness (20%; 95% CI, 17-24). Considering that the prevalence of malnutrition is relatively high in Iran, health authorities should plan to improve the nutritional status of children.

摘要

营养不良是发展中国家最重要的健康问题之一,可能会对儿童的身心健康产生不利影响。研究人员利用包括SID、Magiran、Irandoc、IranMedex、PubMed、Medline、Scopus和ISI Web of Science在内的国内外数据库,开展检索,以查找截至2017年9月发表的关于伊朗6岁以下儿童营养不良患病率的波斯语和英语文章。采用荟萃分析方法和随机效应模型对数据进行分析。使用I指数分析研究的异质性。使用R和STATA软件(版本11.2)对数据进行分析。收集了2002年至2016年开展的27篇文章纳入荟萃分析过程。总样本量为161,941名年龄在0至6岁之间的患者。通过对伊朗研究中提取的数据进行荟萃分析,得出不同形式营养不良患病率的最终估计值如下:重度体重不足(1%;95%置信区间[CI],1 - 1)、中度体重不足(6%;95% CI,5 - 7)、轻度体重不足(25%;95% CI,21 - 28)、重度身材矮小(3%;95% CI,2 - 3)、中度身材矮小(8%;95% CI,6 - 9)、轻度身材矮小(21%;95% CI,17 - 24)、重度消瘦(1%;95% CI,1 - 1)、中度消瘦(5%;95% CI, 4 - 5)和轻度消瘦(20%;95% CI,17 - 24)。鉴于伊朗营养不良的患病率相对较高,卫生当局应制定计划改善儿童的营养状况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c756/6494749/eed59a450873/cnr-8-101-g001.jpg

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