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埃塞俄比亚中部锡尔蒂地区在校青春期女孩的动物源食物消费与贫血:公共卫生视角

Animal source food consumption and anaemia among school adolescent girls in Silti District, Central Ethiopia: a public health perspective.

作者信息

Kedir Shemsu, Hassen Abate Kalkidan, Mohammed Bekri, Lemnuro Kemal, Kemal Abdurezak, Khelil Geda Sherif, Yassin Zeyne, Jemal Musa, Ademe Beyene Wondafrash

机构信息

Department of Public Health, College of Medicine and Health Sciences, Werabe University, Werabe, Ethiopia.

Department of Nutrition and Dietetics, Institute of Health, Jimma University, Jimma, Ethiopia.

出版信息

J Nutr Sci. 2024 Dec 5;13:e89. doi: 10.1017/jns.2024.76. eCollection 2024.

Abstract

Animal source foods (ASFs) are diverse and heterogeneous, including unprocessed red meat, processed meat, poultry, eggs, seafood, milk, cheese, and yoghurt. It is essential for preventing malnutrition and its consequences among vulnerable populations, including infants, young children, adolescents, women of reproductive age, and pregnant and lactating women. Understanding the intakes of ASF among adolescents and associated factors is critical for establishing priorities to promote its consumption and enhance growth and development during this period. Consequently, the purpose of the current study is to examine the current levels of not consuming ASF among school-aged adolescent girls and the relationship between anaemia and not consuming ASF. A facility-based cross-sectional study design was conducted among 516 school adolescent girls in Silti District, Central Ethiopia, spanning from October 2 to 20, 2023. Data were entered into Epi-data 3.1 and exported to SPSS version 25 for further analysis. Adjusted odds ratios, along with their corresponding 95% confidence intervals, were calculated to examine the association between not consuming ASF and anaemia status after adjusting for age, residence, menstrual status, and morbidity. Statistical significance was defined as a p-value less than 0.05 in the final model. In this study, the prevalence of not consuming any form of ASF was 51.1% (95 CI: 44.6%-53.2%) and the prevalence of anaemia was 29% (95% CI: 25.2, 33.3). Moreover, unlikely consumption of ASF was significantly associated with anaemia (AOR = 3.2, 95% CI:2, 5.1) after adjusting for age, place of residence, experience of morbidity symptoms and menstrual status. The current study found a significant prevalence of adolescent girls in the area not consuming ASF while attending school. Moreover, the prevalence of anaemia was moderate. Unlikely consumption of ASF was significantly associated with anaemia. Hence, enhancing ASF consumption is one of the key actions to fight against anaemia.

摘要

动物源食品种类繁多且各异,包括未加工的红肉、加工肉类、家禽、蛋类、海鲜、牛奶、奶酪和酸奶。它对于预防包括婴儿、幼儿、青少年、育龄妇女以及孕妇和哺乳期妇女在内的弱势群体中的营养不良及其后果至关重要。了解青少年动物源食品的摄入量及其相关因素对于确定促进其消费的优先事项以及在此期间促进生长发育至关重要。因此,本研究的目的是调查学龄期少女不食用动物源食品的现状以及贫血与不食用动物源食品之间的关系。2023年10月2日至20日,在埃塞俄比亚中部锡尔蒂区对516名在校青春期女孩进行了一项基于机构的横断面研究设计。数据录入Epi-data 3.1并导出到SPSS 25版进行进一步分析。在调整年龄、居住地、月经状况和发病率后,计算调整后的比值比及其相应的95%置信区间,以检验不食用动物源食品与贫血状况之间的关联。最终模型中,统计学显著性定义为p值小于0.05。在本研究中,不食用任何形式动物源食品的患病率为51.1%(95%CI:44.6%-53.2%),贫血患病率为29%(95%CI:25.2, 33.3)。此外,在调整年龄、居住地、发病症状经历和月经状况后,不食用动物源食品与贫血显著相关(AOR = 3.2,95%CI:2, 5.1)。本研究发现该地区在校青春期女孩不食用动物源食品的患病率很高且贫血患病率处于中等水平。不食用动物源食品与贫血显著相关。因此增加动物源食品的摄入量是对抗贫血的关键行动之一。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa61/11658937/83b46e30aa71/S2048679024000764_fig1.jpg

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