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营养不良的双重负担:来自尼日利亚部分人群的证据。

Double Burden of Malnutrition: Evidence from a Selected Nigerian Population.

作者信息

Alamu Emmanuel O, Eyinla Toluwalope E, Sanusi Rasaki A, Maziya-Dixon Busie

机构信息

Food and Nutrition Sciences Laboratory, International Institute of Tropical Agriculture (IITA), Southern Africa Hub, P.O. Box 310142, Chelston, Lusaka, Zambia.

Food and Nutrition Sciences Laboratory, International Institute of Tropical Agriculture (IITA), PMB 5320, Oyo Road, Ibadan, Oyo State, Nigeria.

出版信息

J Nutr Metab. 2020 Sep 1;2020:5674279. doi: 10.1155/2020/5674279. eCollection 2020.

Abstract

Indices reflecting the double burden of malnutrition in sub-Saharan Africa are increasing. Evidence to support this claim in households of Africa's most populous country-Nigeria-is scant. This study, therefore, presents results from a study of mother-child pairs sampled from Akwa Ibom State in the southern region of Nigeria. Anthropometric measures for 660 mother-child pairs were collected according to standard procedures. Indices were expressed as the standard deviation of units from the median for the reference group. Chi-square analysis was used to test significant differences in proportion, and < 0.05 was taken as significant. A total of 37.4% of the children were stunted out of which 19.8% were moderately stunted, and 17.6% were severely stunted. Prevalence of wasting was 13.1%, 6.2% were moderately wasted, and 6.9% were severely wasted. Mean maternal body mass index was (23.54 ± 4.60) kgm. 9.0% were underweight mothers, 23.2% were overweight, and 9.3% were obese. The co-existence of undernutrition among children and overnutrition in women of child-bearing age is prevalent in this population. We recommend that more effort be placed on active nutrition surveillance to ascertain malnutrition prevalence and periodically reassess priority challenges.

摘要

反映撒哈拉以南非洲营养不良双重负担的指标正在上升。在非洲人口最多的国家——尼日利亚的家庭中,支持这一说法的证据很少。因此,本研究展示了从尼日利亚南部阿夸伊博姆州抽取的母婴对研究结果。按照标准程序收集了660对母婴的人体测量数据。指标表示为相对于参考组中位数的标准差单位。采用卡方分析检验比例的显著差异,P<0.05被视为具有显著性。共有37.4%的儿童发育迟缓,其中19.8%为中度发育迟缓,17.6%为重度发育迟缓。消瘦患病率为13.1%,6.2%为中度消瘦,6.9%为重度消瘦。孕产妇平均体重指数为(23.54±4.60)kg/m²。9.0%的母亲体重过轻,23.2%超重,9.3%肥胖。在这一人群中,儿童营养不良与育龄妇女营养过剩并存的情况很普遍。我们建议加大力度进行积极的营养监测,以确定营养不良患病率,并定期重新评估优先挑战。

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