Badiane Abdou, Diouf Adama, Sylla Papa M D D, Cissé Ndeye S, Idohou-Dossou Nicole, Dramaix Michèle, Wade Salimata, Donnen Philippe
Laboratoire de Recherche en Nutrition et Alimentation Humaine (LARNAH), Département de Biologie Animale, Faculté des Sciences et Techniques, Université Cheikh Anta Diop (UCAD), Dakar, Senegal.
Laboratoire de Botanique et Biodiversité, Département de Biologie Végétale, Faculté des Sciences et Techniques, Université Cheikh Anta Diop (UCAD), Dakar, Senegal.
Matern Child Nutr. 2021 Jul;17(3):e13174. doi: 10.1111/mcn.13174. Epub 2021 Mar 14.
This cross-sectional study was conducted to determine the association between selected characteristics and body composition of mothers and children in early life. This study included 213 mother-child pairs 6 to 8 months involving in the cohort study of the Research and Development Project conducted in Kaffrine district. The main outcomes were fat-free mass (FFM) and body fat (BF), measured using deuterium dilution method and anthropometry. Independent variables were sociodemographic, dietary diversity and health characteristics. Descriptive, correlation, bivariate and multiple regression analyses were conducted. According to body mass index (BMI), 23% of mothers were underweight, 12% were overweight/obese and 11% had excess BF. Four per cent of children were below -2 weight-for-length z-score (WLZ), 10% were below -2 length-for-age z-score (LAZ) and 40% had excess BF. Maternal FFM was positively correlated with child FFM (r = 0.25, P = 0.002). Similarly, mothers' BMI, FFM and BF were significantly and positively correlated with children's LAZ. Stepwise regression showed an increased association between minimum dietary diversity (MDD) and WLZ score, FFM and BF of children. Among mothers, being employee and doing reproductive health care were determinants of higher BMI, FFM and BF. This study found a strong association between maternal and child body composition in early life. Adequate diet is the main determinant of children nutritional status. Among the mothers, having a job and doing primary health care seem to be beneficial for the nutritional status. Improvement of women's empowerment, quality of health care and dietary diversity could have a positive impact on maternal and child nutrition.
本横断面研究旨在确定早期生活中母亲和儿童的选定特征与身体组成之间的关联。本研究纳入了213对6至8个月大的母婴，这些母婴参与了在卡菲林地区开展的研发项目队列研究。主要结局指标为去脂体重（FFM）和体脂（BF），采用氘稀释法和人体测量法进行测量。自变量为社会人口统计学、饮食多样性和健康特征。进行了描述性、相关性、双变量和多元回归分析。根据体重指数（BMI），23%的母亲体重过轻，12%超重/肥胖，11%体脂超标。4%的儿童体重低于身长Z评分（WLZ）-2，10%的儿童身高低于年龄Z评分（LAZ）-2，40%的儿童体脂超标。母亲的去脂体重与儿童的去脂体重呈正相关（r = 0.25，P = 0.002）。同样，母亲的BMI、去脂体重和体脂与儿童的身高年龄Z评分显著正相关。逐步回归显示，最低饮食多样性（MDD）与儿童的WLZ评分、去脂体重和体脂之间的关联增加。在母亲中，就业和从事生殖健康护理是BMI、去脂体重和体脂较高的决定因素。本研究发现早期生活中母婴身体组成之间存在密切关联。充足的饮食是儿童营养状况的主要决定因素。在母亲中，有工作和从事初级卫生保健似乎对营养状况有益。提高妇女赋权、医疗保健质量和饮食多样性可能会对母婴营养产生积极影响。
