Population Health Axis, Fundación Santa Fe de Bogotá, Carrera 7b # 123-90, 110111, Bogotá, Colombia.
Centre d'Estudis Demogràfics, Universitat Autònoma de Barcelona, Barcelona, Spain.
BMC Public Health. 2021 Apr 8;21(1):690. doi: 10.1186/s12889-021-10620-3.
According to the 2015 National Survey of the Nutritional Situation in Colombia the prevalence of stunting in children under 5 years of age was 10.8%. In terms of region, Bogotá, presented the highest prevalence rate (13%), a figure that exceeded national records. With the collaboration of local and national government, and nongovernmental it was decided to develop a pilot study involving a public health intervention with residents of Bogotá under 1 year of age with nutritional classification by anthropometry compatible with stunting risk or stunting.
Pre-experimental, before and after study that sought to determine the magnitude of the change in nutritional status through a 10 months public health nutrition intervention in children under one-year-old residing in 3 prioritized territories of Bogotá.
The intervention comprised 1126 children living in the following territories in Bogotá: Kennedy, San Cristóbal, and Engativá. A total of 43.3% children presented delay in height for age, and 56.7% presented risk of short stature. In the final measurement, data were obtained from 686 children, identifying that 17% of the children progressed from stunting to a stunting risk and that 4.5% recovered their growth trajectory, achieving an adequate length for their age.
That children classified as at risk or stunting at the beginning of the intervention showed an increased probability of approaching or being in the appropriate growth trajectory according to the length-for-age indicator after the intervention.
根据 2015 年哥伦比亚营养状况全国调查，5 岁以下儿童发育迟缓的患病率为 10.8%。就地区而言，波哥大的患病率最高（13%），这一数字超过了全国纪录。在地方和国家政府以及非政府组织的合作下，决定开展一项试点研究，涉及对波哥大 1 岁以下营养分类符合发育迟缓风险或发育迟缓的居民进行公共卫生干预。
这是一项预实验，前后研究旨在通过对居住在波哥大 3 个优先地区的 1 岁以下儿童进行为期 10 个月的公共卫生营养干预，来确定营养状况变化的幅度。
该干预措施涉及居住在波哥大以下地区的 1126 名儿童：肯尼迪、圣克里斯托瓦尔和恩加蒂瓦。共有 43.3%的儿童身高发育迟缓，56.7%的儿童有矮小症风险。在最终测量中，从 686 名儿童中获得了数据，发现 17%的儿童从发育迟缓进展为发育迟缓风险，4.5%的儿童恢复了生长轨迹，达到了与其年龄相称的身高。
在干预开始时被归类为有风险或发育迟缓的儿童，在干预后根据年龄别身高指标，更有可能接近或处于适当的生长轨迹。
