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社区营养教育对埃塞俄比亚西南部 Ilu Abba Bor 地区农村学龄前儿童饮食多样性和动物源食品消费的影响:准实验研究。

Effect of community-based nutritional education on dietary diversity and consumption of animal-source foods among rural preschool-aged children in the Ilu Abba Bor zone of southwest Ethiopia: Quasi-experimental study.

机构信息

Department of Nutrition and Dietetics, Institute of Health, Jimma University, Jimma, Ethiopia.

出版信息

Matern Child Nutr. 2022 Oct;18(4):e13394. doi: 10.1111/mcn.13394. Epub 2022 Jun 27.

Abstract

Dietary diversity (DD) is a concern for poor people in developing countries, particularly in Africa. Most people's diets consist primarily of monotonous carbohydrate staples, with little or no animal products and few fresh fruits and vegetables. The aim of this intervention was to see how nutrition education delivered by trained health professionals improved preschool-aged children's consumption of DD and animal-sourced foods. The study used a quasi-experimental design with 588 preschool-aged children. Researchers used a multistage sample technique followed by a systematic random sampling technique. A χ test was used to determine the baseline differences in demographic and socioeconomic factors between the two groups, as well as the relationship between predictors and child DD and animal-source foods (ASFs). The researchers used generalized estimating equations to assess the change in the difference in outcomes between the intervention and control groups, as well as the association between predictors and child DD and ASFs. The adjusted odds ratio with the corresponding 95% confidence intervals was reported to show the strength of the association. The findings of this study revealed that there was a highly significant difference in both DD scores (DDS) and ASFs between the control and intervention groups DDS (p < 0.003) and ASF (p < 0.001). According to the findings of this study, nutrition education can significantly improve DDS and ASF consumption among preschool-aged children.

摘要

饮食多样性(DD)是发展中国家贫困人口,特别是非洲地区人们关注的问题。大多数人的饮食主要由单调的碳水化合物主食组成,动物产品和新鲜水果、蔬菜的摄入量很少或没有。本干预研究旨在探讨经过培训的卫生专业人员提供的营养教育如何改善学龄前儿童的饮食多样性和动物源食品的摄入。该研究采用了准实验设计,涉及 588 名学龄前儿童。研究人员采用多阶段抽样技术,随后采用系统随机抽样技术。 χ 检验用于确定两组间人口统计学和社会经济因素的基线差异,以及预测因子与儿童饮食多样性和动物源食品(ASF)之间的关系。研究人员使用广义估计方程评估干预组和对照组之间结果差异的变化,以及预测因子与儿童饮食多样性和 ASF 之间的关联。报告了调整后的优势比及其相应的 95%置信区间,以显示关联的强度。本研究结果表明,对照组和干预组的饮食多样性评分(DDS)和 ASF 之间存在显著差异(DDS,p < 0.003;ASF,p < 0.001)。根据本研究的结果,营养教育可以显著改善学龄前儿童的 DDS 和 ASF 摄入。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/091d/9480921/329c06d19c3f/MCN-18-e13394-g001.jpg

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