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马尔代夫儿科人群的健康状况和营养习惯:一项横断面研究。

Health Status and Nutritional Habits in Maldives Pediatric Population: A Cross-Sectional Study.

机构信息

School of Medicine and Surgery, University of Milano-Bicocca, 20126 Monza, Italy.

Bicocca Center of Science and Technology for Food, University of Milano-Bicocca, Piazza della Scienza, 2, 20126 Milano, Italy.

出版信息

Int J Environ Res Public Health. 2022 Nov 25;19(23):15728. doi: 10.3390/ijerph192315728.

Abstract

Chronic noncommunicable diseases (NCDs) have become the major cause of morbidity and mortality in the Maldives, triggered by the nutrition transition to a "Western diet" that dramatically increases the prevalence of excess weight and hypertension. Our study aimed to evaluate dietary habits, blood pressure (BP) and body mass index in Maghoodoo Public School's students. A sample of 145 students (72 males and 73 females, age 9.37 ± 2.97 years) was enrolled. Factors causing excess weight were investigated through descriptive statistics. The relationship between blood pressure percentiles and possible influencing factors was investigated by a linear regression model.. Excess weight was present in 15.07% and 12.5% females and males, respectively. 15.18% of the subjects had elevated BP, with a significant difference according to gender detected only in the PAS -score. Eating habits were investigated through a parent-filled questionnaire; 70.15% of the students consumed less than two portions of fruit per day, with a significant difference between gender (84.06% and 55.38% for boys and girls, respectively, < 0.0001) and 71.64% ate less than two servings of vegetables per day. An alarming finding emerged for sweet snacks (30.6% of the students consumed 2-3 servings per day) and sugary drinks (2-3 servings per day for 32.84% of students) consumption. Our findings suggest that excess weight and hypertension in this population could be due to energy-rich, packaged-foods consumption. A nutrition education approach might thus help to reduce cardiovascular risk.

摘要

慢性非传染性疾病(NCD)已成为马尔代夫发病率和死亡率的主要原因,这是由于营养模式向“西方饮食”转变所致,这种饮食模式显著增加了超重和高血压的患病率。我们的研究旨在评估 Maghoodoo 公立学校学生的饮食习惯、血压(BP)和体重指数。共招募了 145 名学生(72 名男性和 73 名女性,年龄 9.37 ± 2.97 岁)。通过描述性统计方法研究导致超重的因素。通过线性回归模型研究血压百分位数与可能的影响因素之间的关系。分别有 15.07%和 12.5%的女性和男性超重。15.18%的受试者血压升高,仅在 PAS 评分中检测到性别差异有统计学意义。通过家长填写的问卷调查饮食习惯;70.15%的学生每天摄入的水果少于两份,且在性别上有显著差异(男生为 84.06%,女生为 55.38%,<0.0001),每天摄入的蔬菜少于两份的学生比例为 71.64%。令人震惊的是,学生中甜食(30.6%的学生每天食用 2-3 份)和含糖饮料(32.84%的学生每天饮用 2-3 份)的摄入量也很高。我们的研究结果表明,该人群的超重和高血压可能是由于摄入高热量、包装食品所致。因此,营养教育方法可能有助于降低心血管风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3cfb/9740220/76e74df5427a/ijerph-19-15728-g001.jpg

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