Gholampour Tooba, Noroozi Mostafa, Zavoshy Rosa, Mohammadpoorasl Asghar, Ezzeddin Neda
Department of Human Nutrition, School of Health, Qazvin University of Medical Sciences, Qazvin, Iran.
Children Growth Research Center, Qazvin University of Medical Sciences, Qazvin, Iran.
Pediatr Gastroenterol Hepatol Nutr. 2020 Sep;23(5):447-456. doi: 10.5223/pghn.2020.23.5.447. Epub 2020 Aug 27.
Food insecurity, which is the inability to obtain food or inadequate food consumption in terms of quality and quantity, has physical and psychological consequences on children's health. This study aimed to investigate the relationship between children's growth disorders and food insecurity in Qazvin city, Iran.
A case-control study was conducted on 177 cases and 355 controls of children aged 3 to 6 years, who were referred to health centers in Qazvin city. The case group consisted of children with growth disorders. Data were obtained with the 18-item US Department of Agriculture questionnaire, a household socioeconomic questionnaire, a and growth monitoring card. The data were analyzed with using IBM SPSS Version 22.0, by independent sample -test, chi-square test, and logistic regression.
A significant relationship was found between children's growth disorders and household food insecurity with (<0.05, odds ratio [OR]=17.0, confidence interval [CI]=5.9, 48.8) and without hunger (<0.05, OR=2.69, CI=1.4, 4.9). There were also significant relationships between children's growth disorders and socioeconomic status (<0.05, OR=3.4, CI=1.4, 8.5), the duration of breastfeeding (<0.05, OR=0.94, CI=0.9, 0.98), and children's ages (<0.05, OR=0.94, CI=0.92, 0.96). Sex and birth order, and the age of the parents was not found to be significantly related with growth disorders.
Lower socioeconomic status and household food insecurity were the important predictors of children's growth disorders. Policymakers should focus more on promoting steady employment and income among family members. Nutritional education for mothers is also recommended, in order to better meet the nutritional needs of the children.
粮食不安全指无法获取食物或在质量和数量上食物消费不足,会对儿童健康产生生理和心理影响。本研究旨在调查伊朗加兹温市儿童生长发育障碍与粮食不安全之间的关系。
对转诊至加兹温市健康中心的177例3至6岁儿童病例和355例对照儿童进行了病例对照研究。病例组为患有生长发育障碍的儿童。数据通过美国农业部的18项问卷、家庭社会经济问卷和生长监测卡获取。使用IBM SPSS 22.0版本对数据进行独立样本t检验、卡方检验和逻辑回归分析。
发现儿童生长发育障碍与家庭粮食不安全(有饥饿情况,P<0.05,优势比[OR]=17.0,置信区间[CI]=5.9, 48.8)和无饥饿情况(P<0.05,OR=2.69,CI=1.4, 4.9)之间存在显著关系。儿童生长发育障碍与社会经济地位(P<0.05,OR=3.4,CI=1.4, 8.5)、母乳喂养持续时间(P<0.05,OR=0.94,CI=0.9, 0.98)以及儿童年龄(P<0.05,OR=0.94,CI=0.92, 0.96)之间也存在显著关系。未发现性别、出生顺序和父母年龄与生长发育障碍有显著关联。
较低的社会经济地位和家庭粮食不安全是儿童生长发育障碍的重要预测因素。政策制定者应更多地关注促进家庭成员稳定就业和收入。还建议对母亲进行营养教育,以便更好地满足儿童的营养需求。