Guelain J, Delolme H
Med Trop (Mars). 1985 Apr-Jun;45(2):123-33.
The authors briefly describe some anthropometric, biologic and clinical nutrition indicators used to assess the severity of malnutrition. Problems related to selection of population samples and framework for possible action against malnutrition are also indicated. For transverse evaluation, they suggest to utilize the cluster sampling method recommended by W.H.O. for studying vaccine coverage. The main indicator of nutritional status is then the brachial perimeter qualitatively evaluated with Shakir's strip. To monitor epidemiological importance of malnutrition, they suggest to take into account: the figures indicated by the maternities (birth weight), the figures indicated by M.C.H. and school health (ratio of malnourished children--weight average by age and sex), the figures indicated by specialized hospital departments such as pediatrics, nurseries... They insist upon seasonal factors and evaluation of the rate of coverage of the target population by maternities, M.C.H. and school health, in order to correctly read the declared figures.
作者简要描述了一些用于评估营养不良严重程度的人体测量、生物学和临床营养指标。还指出了与人群样本选择以及应对营养不良可能采取的行动框架相关的问题。对于横向评估，他们建议采用世界卫生组织推荐的整群抽样方法来研究疫苗接种覆盖率。营养状况的主要指标是用沙基尔带进行定性评估的臂围。为监测营养不良的流行病学重要性，他们建议考虑：产科提供的数据（出生体重）、妇幼保健和学校卫生提供的数据（营养不良儿童比例——按年龄和性别计算的体重平均值）、儿科、托儿所等专科医院科室提供的数据……他们强调季节因素以及产科、妇幼保健和学校卫生对目标人群的覆盖率评估，以便正确解读所公布的数据。
