Liao Minghui, Feng Binbin, Huang Qun, Li Huixia, Tan Danfeng, Fang Hualing, Liao Yi, Huang Guangwen
Hunan Provincial Maternal and Child Health Care Hospital, Changsha 410078, China.
Wei Sheng Yan Jiu. 2023 Nov;52(6):972-978. doi: 10.19813/j.cnki.weishengyanjiu.2023.06.018.
To estimate the status of complementary feeding among infants and young children aged 6-23 months in rural areas of Hunan Province. The association between infant and young child feeding indicators and child undernutrition were assessed.
A total of 1220 infants and young children aged 6-23 months from 24 investigated places of 6 cities in Hunan Province were selected by multi-stage stratified sampling for physical measurement, hemoglobin(Hb) test and caregiver interview. Complementary diet was analyzed according to the World Health Organization's definition of infant and young child feeding indicators. Z-scores were used to elevate nutrition status. Logistic regression models were used to explore the influencing factors of the nutritional status.
The prevalence rates of underweight, stunting, wasting, overweight, obesity and anemia were 3.6%, 4.8%, 2.7%, 10.5%, 2.0% and 16.3%. The percentage of infants and young children aged 6-23 months in rural areas of Hunan Province who get minimum dietary diversity, minimum meal frequency, and minimum acceptable diet was 43.3%, 68.5% and 28.1%. None of the individual infant and young child feeding indicators showed significant association with undernutrition, except minimum meal frequency for obesity and anemia.
The nutritional status of infants and young children in rural areas of Hunan Province has improved, but the anemia problem is still serious. Complementary feeding frequency is closely associated with anemia for infants and young children.
评估湖南省农村地区6 - 23个月婴幼儿的辅食喂养状况。评估婴幼儿喂养指标与儿童营养不良之间的关联。
通过多阶段分层抽样，从湖南省6个市的24个调查点选取了1220名6 - 23个月的婴幼儿进行体格测量、血红蛋白（Hb）检测和对照顾者的访谈。根据世界卫生组织对婴幼儿喂养指标的定义分析辅食情况。采用Z评分评估营养状况。使用逻辑回归模型探讨营养状况的影响因素。
体重不足、发育迟缓、消瘦、超重、肥胖和贫血的患病率分别为3.6%、4.8%、2.7%、10.5%、2.0%和16.3%。湖南省农村地区6 - 23个月婴幼儿达到最低饮食多样性、最低进餐频率和最低可接受饮食的比例分别为43.3%、68.5%和28.1%。除肥胖和贫血的最低进餐频率外，没有单个婴幼儿喂养指标与营养不良有显著关联。
湖南省农村地区婴幼儿的营养状况有所改善，但贫血问题仍然严重。辅食喂养频率与婴幼儿贫血密切相关。
