Student Research Committee, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Nursing Department, Sulaimani Polytechnic University, Kurdistan region, Sulaimani, 460001, Iraq.
BMC Public Health. 2022 Sep 2;22(1):1668. doi: 10.1186/s12889-022-14071-2.
Nutritional problems in children cause major morbidity and mortality in the world. This study aimed to assess the nutritional status of under six years old children in Kalar city, Kurdistan Region, Iraq.
In this longitudinal study, data from 403 Iraqi Kurdish children aged 0-72 months and their mothers were extracted from Health Centre in Kalar city undertaken between 2013 and 2019. The children`s growth data were obtained at birth time, 6, 12, 24, and 72 months. Epi Info was used to classify the children of nutritional status by converting the anthropometric measurements into Z-scores. Data were analyzed using SPSS 25 software.
The prevalence of overweight and obesity rose from birth to age 6 years old, from 19.6% and 7.4% to 52.2% and 30.5%, respectively. At 24 month, children had the highest rates of being overweight (56.1%) and obesity (34%). At 6 month, the highest prevalence of wasting exists (9.5%). At 6 month boys and girls had the highest frequency of stunting, 17.2% and 7.2% respectively. Considering the association of all characteristic variables and growth data at birth time, only mothers with academic education had children with significantly higher BMI for age compared to illiterate mothers after adjusting for all potential confounders (β: 0.573, 95% CI: 0.105, 1.04, P: 0.017).
The study suggests that some analysed factors that accounted for malnutrition in Kalar city's children are preventable. Therefore, to reduce the burden of malnutrition, community-based education and targeted nutritional interventions are required.
儿童营养问题在全球范围内导致了大量的发病率和死亡率。本研究旨在评估伊拉克库尔德地区卡拉尔市 6 岁以下儿童的营养状况。
在这项纵向研究中,我们从 2013 年至 2019 年在卡拉尔市卫生中心对 403 名 0-72 月龄的伊拉克库尔德儿童及其母亲进行了数据提取。儿童的生长数据在出生时、6、12、24 和 72 月龄时获得。我们使用 Epi Info 将人体测量数据转换为 Z 分数,对儿童的营养状况进行分类。使用 SPSS 25 软件对数据进行分析。
超重和肥胖的患病率从出生到 6 岁时增加,分别从 19.6%和 7.4%上升到 52.2%和 30.5%。在 24 月龄时,儿童超重(56.1%)和肥胖(34%)的比例最高。在 6 月龄时,消瘦的发生率最高(9.5%)。在 6 月龄时,男孩和女孩的生长迟缓发生率最高,分别为 17.2%和 7.2%。考虑到所有特征变量与出生时生长数据的相关性,在校正所有潜在混杂因素后,只有受过学术教育的母亲的孩子与文盲母亲相比,其年龄别 BMI 显著更高(β:0.573,95%CI:0.105,1.04,P:0.017)。
研究表明,在卡拉尔市儿童营养不良的一些分析因素是可以预防的。因此,为了减轻营养不良的负担,需要开展以社区为基础的教育和有针对性的营养干预措施。