林波波省图拉梅拉市0至36个月儿童的喂养习惯和微量营养素状况

Feeding practices and micronutrient status of children aged 0-36 months in Thulamela Municipality, Limpopo province.

作者信息

Mugware Anzani, Motadi Selekane A, Mushaphi Lindelani F

机构信息

Department of Nutrition, Faculty of Health Sciences, University of Venda, Thohoyandou, South Africa.

出版信息

Health SA. 2022 Oct 24;27:1973. doi: 10.4102/hsag.v27i0.1973. eCollection 2022.

DOI:10.4102/hsag.v27i0.1973

PMID:36337439

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9634681/

Abstract

BACKGROUND

Micronutrient deficiency continues to be a major public health problem affecting infants and young children under 5 years of age worldwide.

AIM

The study aims to investigate feeding practices and micronutrient status of children aged 0-36 months.

SETTING

The study was conducted at government clinics located in Thulamela Municipality, which is one of the local municipalities in Vhembe District, Limpopo province.

METHODS

A cross-sectional survey was conducted. A total of 250 mothers with children aged 0-36 months were enrolled. A structured questionnaire was used to interview the mothers. Biochemical measurements of children were assessed using standard procedures.

RESULTS

Only 7.6% of children were exclusively breastfed for 6 months. Majority (87.5%) of the children were introduced to complementary foods before 6 months and 98.8% of the children had a low dietary diversity score of less than four, while 9.2% had a dietary diversity score of more than four. The prevalence of vitamin A deficiency, anaemia and iron deficiency was 21.7%, 53.6% and 13.1%, respectively. For mothers who initiated breastfeeding immediately after delivery, the odds of children having low ferritin were 0.11 times, as compared to children who were initiated breastfeeding a day after delivery (odds ratio = 0.11; 95% confidence interval = 0.015-0.812).

CONCLUSION

Most of the children were introduced to complementary foods earlier than 6 months of age. Infant feeding practices were associated with micronutrients status.

CONTRIBUTION

The study contributes to the body of literature on feeding practices and the micronutrient status of children.

摘要

背景

微量营养素缺乏仍然是一个影响全球5岁以下婴幼儿的主要公共卫生问题。

目的

本研究旨在调查0至36个月儿童的喂养方式和微量营养素状况。

地点

该研究在位于林波波省韦姆贝区当地市镇之一的图拉梅拉市的政府诊所进行。

方法

开展了一项横断面调查。共纳入250名有0至36个月儿童的母亲。使用结构化问卷对母亲进行访谈。采用标准程序对儿童进行生化指标测定。

结果

只有7.6%的儿童纯母乳喂养6个月。大多数（87.5%）儿童在6个月前就开始添加辅食，98.8%的儿童饮食多样性得分低，低于4分，而9.2%的儿童饮食多样性得分高于4分。维生素A缺乏、贫血和缺铁的患病率分别为21.7%、53.6%和13.1%。对于产后立即开始母乳喂养的母亲，其孩子铁蛋白水平低的几率是产后一天开始母乳喂养的孩子的0.11倍（比值比=0.11；95%置信区间=0.015 - 0.812）。