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黎巴嫩贝鲁特大都会地区叙利亚难民母亲及其五岁以下儿童的贫血症和营养状况。

Anemia and Nutritional Status of Syrian Refugee Mothers and Their Children under Five Years in Greater Beirut, Lebanon.

机构信息

Institute of Nutritional Sciences (140), University of Hohenheim, 70599 Stuttgart, Germany.

Department of Nutrition and Food Sciences, American University of Beirut, Beirut 11-0236, Lebanon.

出版信息

Int J Environ Res Public Health. 2021 Jun 27;18(13):6894. doi: 10.3390/ijerph18136894.

Abstract

The objective was to assess the prevalence of anemia and nutritional status of mothers and children under five years among Syrian refugees in Lebanon and to identify nutritional deficiencies among pregnant, lactating, and non-pregnant non-lactating (NPNLM) mothers. A cross-sectional study was conducted among Syrian refugee mothers with children under five years in Greater Beirut, Lebanon ( = 433). Data on socio-economic status, maternal health, lifestyle characteristics, dietary intake, anthropometric measurements, and hemoglobin concentrations were collected. The prevalence of anemia was 21.7% among mothers and 30.5% among children. NPNLM with overweight/obesity and an at-risk waist circumference (WC) had 14.7-times and 10.9-times higher odds of anemia than mothers with normal WC and weight. Children of anemic mothers had 2.7-times and 4.4-times higher odds of total and mild anemia than those of non-anemic. Higher odds of mild anemia were found among children of lactating mothers than of NPNLM. A high percent energy intake of total fat and sugar was found among all mothers. Nutritional inadequacy was identified in higher proportions of lactating and pregnant mothers than NPNLM. Our findings highlighted the co-existence of overnutrition and anemia among Syrian refugee mothers and undernutrition among children from the same household. Culture-specific interventions are needed to support maternal nutrition, to ensure the health and wellbeing of their offspring.

摘要

目的是评估黎巴嫩叙利亚难民中母亲和五岁以下儿童的贫血患病率和营养状况,并确定孕妇、哺乳期和非孕妇非哺乳期(NPNLM)母亲的营养不足情况。在黎巴嫩大贝鲁特地区对有五岁以下儿童的叙利亚难民母亲进行了横断面研究(=433)。收集了社会经济状况、孕产妇健康、生活方式特征、饮食摄入、人体测量学测量和血红蛋白浓度的数据。母亲贫血患病率为 21.7%,儿童贫血患病率为 30.5%。超重/肥胖和有风险腰围(WC)的 NPNLM 母亲贫血的几率是正常 WC 和体重母亲的 14.7 倍和 10.9 倍。贫血母亲的孩子发生总贫血和轻度贫血的几率分别是非贫血母亲的 2.7 倍和 4.4 倍。哺乳期母亲的孩子发生总贫血和轻度贫血的几率均高于 NPNLM。所有母亲的总脂肪和糖的能量摄入百分比都很高。与 NPNLM 相比,哺乳期和孕妇母亲的营养不足比例更高。我们的研究结果强调了叙利亚难民母亲中存在营养过剩和贫血,以及来自同一家庭的儿童存在营养不良的情况。需要采取特定于文化的干预措施来支持孕产妇营养,以确保其后代的健康和福祉。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad13/8297067/ca3e1cfd4a9d/ijerph-18-06894-g001.jpg

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