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资源匮乏环境下低出生体重儿的幼儿营养状况:一项观察性研究。

Nutritional status of young children born with low birthweight in a low resource setting: an observational study.

机构信息

Department of Paediatrics & Child Health, Mulago National Referral Hospital, Kampala, Uganda.

Child Health and Development Center, College of Health Sciences, Makerere University, Kampala, Uganda.

出版信息

BMC Pediatr. 2023 Oct 19;23(1):520. doi: 10.1186/s12887-023-04356-9.

Abstract

OBJECTIVE

Every year, an estimated 20 million babies are born with low birthweight and this number is increasing globally. Survivors are at risk of lifelong morbidities like undernutrition. We assessed the growth and nutritional status for children born with low birthweight at Mulago Hospital, Uganda.

METHODS

We conducted a cross sectional study to describe the nutritional status of children aged between 22 and 38 months and born weighing ≤ 2000 g. Anthropometric measurements; weight for height, height for age and weight for age z-scores were generated based on the World Health Organization standards to define wasting, stunting and underweight respectively. Data was collected using a structured questionnaire and analysis was done using STATA version 14.

RESULTS

Of the 251 children, 129 (51.4%) were male, mean age was 29.7 months SD 4.5) and maternal mean age was 29.9 (SD 5.3). A total of 101(40.2%) had normal nutritional status. The prevalence of wasting, underweight and stunting were: 8 (3.2%), 36 (14.4%) and 106 (42.2%) respectively.

CONCLUSION

Six of ten children born with low birthweight were at risk of undernutrition in early childhood: underweight and stunting were higher than the national prevalence. Targeted interventions are needed for children with very low birth weight.

摘要

目的

全球每年约有 2000 万婴儿出生体重偏低,且这一数字还在不断增加。存活下来的婴儿面临终生营养不良等疾病的风险。我们评估了乌干达穆拉戈医院出生体重偏低的婴儿的生长和营养状况。

方法

我们进行了一项横断面研究,描述了 22 至 38 个月大、出生体重≤2000 克的儿童的营养状况。基于世界卫生组织的标准,生成了体重与身高的比值、身高与年龄的比值和体重与年龄的 z 评分,以分别定义消瘦、发育迟缓、体重不足。使用结构化问卷收集数据,并使用 STATA 版本 14 进行分析。

结果

在 251 名儿童中,129 名(51.4%)为男性,平均年龄为 29.7 个月,标准差为 4.5,母亲平均年龄为 29.9 岁,标准差为 5.3。共有 101 名(40.2%)儿童营养状况正常。消瘦、体重不足和发育迟缓的患病率分别为:8 名(3.2%)、36 名(14.4%)和 106 名(42.2%)。

结论

十分之六的出生体重偏低的儿童在幼儿期有营养不良的风险:体重不足和发育迟缓的比例高于全国平均水平。需要针对极低出生体重的儿童采取有针对性的干预措施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/95a2/10585881/1e96441f10d9/12887_2023_4356_Fig1_HTML.jpg

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