Community Medicine and Family Health Department, Maharajgunj Campus, Institute of Medicine , Tribhuwan University
Community Medicine and Family Health Department, Maharajgunj Campus, Institute of Medicine , Tribhuwan University
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特里布万大学医学研究所 Maharajgunj 校区社区医学和家庭健康系
DOI：
10.3126/jnhrc.v7i2.3020
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发表时间：
2010
期刊：
影响因子：
--
通讯作者：
C. Gurung
中科院分区：
文献类型：
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作者：
V. Sapkota;C. Gurung
背景：营养不良是尼泊尔儿童发病率和死亡率的主要潜在原因。在过去的十年里，尼泊尔五岁以下儿童的营养状况没有任何显著的进步。在这种情况下，本研究确定了营养不良的流行率及其相关因素，帮助地区卫生管理人员监测营养不良并确定不同的相关因素，以便更好地设计和实施营养干预措施。方法：2008年，在贝拉哈拉VDC对150名5岁以下儿童进行了横断面比较研究。对初级照顾者进行访谈，了解不同的社会人口学和母婴健康相关因素。通过人体测量，确定体重不足、发育迟缓和消瘦的患病率。采用Logistic回归统计工具分析不同预测因素的影响。结果：体重不足、发育迟缓和消瘦的患病率分别为27%、37%和11%。在Logistic回归统计工具的最终模型中，发现男性对发育迟缓有保护作用。相比之下，社会经济地位较差的儿童体重不足的风险几乎是社会经济地位较高的儿童的四倍[OR=4.336(1.719<；OR<；10.936)]。来自共同家庭的儿童被发现比核心家庭的儿童对发育迟缓具有保护作用。其他协变量，如怀孕时的年龄和孩子的种族被发现仅在10%的显着水平上显着相关。结论：在全国范围内，VDC人群中急性营养不良的比例较高。应重视女童和弱势族裔群体的营养干预。这些干预措施应与创收和粮食生产活动相协调，以实现营养干预措施的可持续性。在非国大就诊期间，孕妇的孕龄决定了儿童的营养状况，应作为营养咨询的一部分。关键词：体重不足；发育迟缓；消瘦；预测因素；营养干预DOI：10.3126/jnhrc.v7i2.3020尼泊尔卫生研究理事会杂志2009年4月第7卷
Background: Malnutrition is a major underlying cause of the child morbidity and mortality in Nepal. In the past ten years there hasn't been any significant progress in the nutritional status of the under-fives in Nepal. In such situation this study determines the prevalence of undernutrition and the factors associated with it which helps district health managers monitor undernutrition and identify different associated factors essential in order to better design and implement the nutritional interventions. Methods: A cross-sectional comparative study was conducted in Belahara VDC among 150 underfive children in 2008. Primary caretakers were interviewed for different socio-demographic and maternal & child health related factors. Through anthropometry, prevalence of underweight, stunting and wasting was determined. Logistic regression statistical tool was used to analyze the influence of different predictors. Results: Prevalence of underweight, stunting and wasting was 27%, 37% and 11% respectively. In the final model of logistic regression statistical tool, male sex was found protective for stunting. Comparatively, the risk of being underweight in the children from the poor socioeconomic status is almost four times as much as in the children from the rich socioeconomic status [OR= 4.336 (1.719 <OR<10.936)]. Children from joint family were found protective against stunting than children in the nuclear family. Other covariates such as age at pregnancy and ethnicity of the child were found to be significantly associated only at 10% level of significance. Conclusion: Acute undernutrition was found more in the VDC as of national figure. Emphasis should be placed on the girl children and the disadvantaged ethnic groups for nutritional interventions. These interventions should be coordinated with income generation and food production activities for sustainability of nutritional interventions. Maternal age at pregnancy, as found determining the nutritional status of children, should be included as a part of nutrition counseling during ANC visits. Key words: Underweight; stunting; wasting; predictors; nutritional intervention DOI: 10.3126/jnhrc.v7i2.3020 Journal of Nepal Health Research Council Vol.7(2) Apr 2009 120-126