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印度哈里亚纳邦农村地区1至5岁儿童的营养不良及相关因素:一项基于社区的横断面研究。

Undernutrition and associated factors among children 1-5 years of age in rural area of Haryana, India: A community based cross-sectional study.

作者信息

Chawla Suraj, Gupta Vikas, Singh Abhishek, Grover Kashish, Panika Ram Kumar, Kaushal Pankaj, Kumar Anil

机构信息

Department of Community Medicine, SHKM Government Medical College, Nalhar, Haryana, India.

Department of Community Medicine, Government Medical College, Shahdol, Madhya Pradesh, India.

出版信息

J Family Med Prim Care. 2020 Aug 25;9(8):4240-4246. doi: 10.4103/jfmpc.jfmpc_766_20. eCollection 2020 Aug.

Abstract

BACKGROUND

Children under five years of age are most vulnerable to the vicious cycles of malnutrition, disease/infection and resultant disability all of which influence the present condition of a child at the microlevel and the future human resource development of the nation at the macrolevel.

AIM

The present study was conducted to estimate the prevalence of undernutrition among under-five children; and to determine the associated factors.

METHODS

All 112 Anganwadi Centres in block Lakhan Majra were enlisted and 30 Anganwadi Centres were selected by adopting systematic random sampling. From each selected Anganwadi Centre, 20 children of 15 years of age group were selected by simple random sampling, thus, a sample of 600 children was included in the study.

RESULTS

Overall prevalence of undernutrition in our study was found as follows: wasted 18.4%; underweight 38.3%; stunted 41.3%. Mothers who had four or more ANC visits and IFA intake for 100 or more days had lower prevalence of wasting, stunting, and underweight than the mothers with three or less ANC visits and inadequate IFA intake. Children with a history of pre-lacteal feeding had higher prevalence of stunting, underweight, and wasting than the children with no history of pre-lacteal feeding.

CONCLUSION

Every endeavor should be made to combat the outcomes of undernutrition through multipronged approach such as growth monitoring, nutritional supplementation, etc., Also, present study findings reinforce the importance of proper infant and child feeding practices and appropriate maternal care in prevention of childhood undernutrition.

摘要

背景

五岁以下儿童最容易受到营养不良、疾病/感染以及由此导致的残疾等恶性循环的影响,所有这些都会在微观层面影响儿童的现状,并在宏观层面影响国家未来的人力资源发展。

目的

本研究旨在估计五岁以下儿童营养不良的患病率,并确定相关因素。

方法

将拉克汉马杰拉街区的所有112个安纳瓦迪中心登记在册,并采用系统随机抽样法选取30个安纳瓦迪中心。从每个选定的安纳瓦迪中心,通过简单随机抽样选取20名15岁年龄组的儿童,因此,本研究纳入了600名儿童的样本。

结果

本研究中营养不良的总体患病率如下:消瘦18.4%;体重不足38.3%;发育迟缓41.3%。进行过四次或更多次产前检查且服用铁剂叶酸片100天或更长时间的母亲,其消瘦、发育迟缓和体重不足的患病率低于产前检查三次或更少且铁剂叶酸片摄入不足的母亲。有开奶前喂养史的儿童,其发育迟缓、体重不足和消瘦的患病率高于无开奶前喂养史的儿童。

结论

应通过多方面的方法,如生长监测、营养补充等,尽一切努力对抗营养不良的后果。此外,本研究结果强化了正确的婴幼儿喂养方法和适当的孕产妇护理在预防儿童营养不良方面的重要性。

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