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Guinea 育龄妇女超重/肥胖与贫血共存的发生率及相关因素。

Prevalence and factors associated with the coexistence of overweight/obesity and anaemia among women of reproductive age in Guinea.

机构信息

Gamal Abdel Nasser University of Conakry, Conakry, Guinea.

CEA-PCMT_Faculty of Sciences and Health Techniques, Gamal Abdel Nasser University of Conakry, Conakry, Guinea.

出版信息

Public Health Nutr. 2023 Dec;26(12):2748-2757. doi: 10.1017/S1368980023002197. Epub 2023 Oct 19.

DOI:10.1017/S1368980023002197
PMID:37855236
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10755430/
Abstract

OBJECTIVE

To determine the prevalence and associated factors of the coexistence of overweight or obesity (OWOB) and anaemia among non-pregnant Guinean women aged 15-49 years.

DESIGN

The analysis was performed using data from the 2018 Guinean Demographic and Health Survey. Multivariate logistic regression was used to identify factors associated with the coexistence of OWOB and anaemia (OWOB + anaemia) among non-pregnant Guinean women.

SETTING

Guinea.

PARTICIPANTS

A total of 4783 non-pregnant women aged 15-49 years with valid data on the nutritional status (BMI and Hb level) were included in the analysis.

RESULTS

The prevalence of coexistence of OWOB and anaemia among non-pregnant women was 11·16 % (95% CI: 10·05, 12·37). The following variables were associated with OWOB + anaemia in multivariate models (adjusted OR (AOR) 95% CI): higher wealth index (AOR = 4·69; 95% CI: 2·62, 8·39), middle wealth index (AOR = 1·96; 95% CI: 1·31, 2·93), four or more antenatal visits (AOR = 1·62; CI: 1·16, 2·28), having four or more children (AOR = 2·47; 95% CI: 1·37, 4·43) and the rural areas (AOR = 0·59; 95% CI: 0·37, 0·95).

CONCLUSION

The current study's findings reveal that OWOB + anaemia concerned one-tenth of non-pregnant women. Associated factors were household wealth index, multiparity, antenatal visits and rural areas. Thus, there is a need to design specific interventions to prevent the double burden of malnutrition among women of reproductive age. Interventions should include promoting physical exercise, family planning, healthy eating and raising awareness of behavioural change.

摘要

目的

确定 15-49 岁非妊娠几内亚女性超重或肥胖(OWOB)与贫血共存的流行情况及其相关因素。

设计

使用 2018 年几内亚人口与健康调查的数据进行分析。采用多变量逻辑回归分析识别与非妊娠几内亚女性 OWOB 与贫血共存(OWOB+贫血)相关的因素。

地点

几内亚。

参与者

共纳入 4783 名 15-49 岁有营养状况(BMI 和 Hb 水平)有效数据的非妊娠女性进行分析。

结果

非妊娠女性 OWOB+贫血的患病率为 11.16%(95%CI:10.05,12.37)。以下变量在多变量模型中与 OWOB+贫血相关(调整后的 OR(95%CI)):较高的财富指数(OR=4.69;95%CI:2.62,8.39)、中等财富指数(OR=1.96;95%CI:1.31,2.93)、四次或以上产前检查(OR=1.62;95%CI:1.16,2.28)、生育四个或以上子女(OR=2.47;95%CI:1.37,4.43)和农村地区(OR=0.59;95%CI:0.37,0.95)。

结论

本研究结果显示,OWOB+贫血占非妊娠女性的十分之一。相关因素包括家庭财富指数、多胎妊娠、产前检查和农村地区。因此,有必要设计专门的干预措施来预防育龄妇女营养不良的双重负担。干预措施应包括促进体育锻炼、计划生育、健康饮食和提高行为改变意识。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b6c/10755430/6a655cd40ab4/S1368980023002197_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b6c/10755430/6a655cd40ab4/S1368980023002197_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b6c/10755430/6a655cd40ab4/S1368980023002197_fig1.jpg

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本文引用的文献

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分析撒哈拉以南非洲家庭营养不良的双重和三重负担:流行程度和影响家庭的因素。
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The Processed food revolution in African food systems and the Double Burden of Malnutrition.非洲粮食系统中的加工食品革命与营养不良双重负担
Glob Food Sec. 2021 Mar;28. doi: 10.1016/j.gfs.2020.100466. Epub 2020 Dec 2.
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The prevalence and correlates of the double burden of malnutrition among women in Ghana.加纳妇女营养不良双重负担的流行情况及其相关因素。
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The Co-Occurrence of Overweight and Micronutrient Deficiencies or Anemia among Women of Reproductive Age in Malawi.马拉维育龄妇女超重与微量营养素缺乏或贫血并存的情况。
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