The economic and nutrition transition in Equatorial Guinea coincided with a double burden of over- and under nutrition
The economic and nutrition transition in Equatorial Guinea coincided with a double burden of over- and under nutrition
复制标题
DOI：
10.1016/j.ehb.2009.10.001
复制
发表时间：
2010-03-01
影响因子：
2.5
通讯作者：
Baylin, Ana
中科院分区：
文献类型：
--
作者：
Custodio, Estefania;Angel Descalzo, Miguel;Baylin, Ana
我们评估赤道几内亚儿童营养状况的趋势，赤道几内亚是一个社会经济转型的国家。在全国范围内，分别于1997年和2004年进行了具有代表性的抽样调查，当时中国经济刚刚开始起飞。调查对象为0 ~ 60月龄儿童（N = 436, 552）。这两项调查都包括社会人口学、饮食和健康问卷，以及人体测量数据，其中年龄比身高（HAZ）；计算年龄体重（WAZ）和身高体重（WHZ） z分数。1997年至2004年期间，所有儿童的超重患病率从21.8%增加到31.7%，特别是在城市地区（从18.2%增加到29.4%,p=0.01）。2岁以下儿童发育迟缓率下降（从57.9%降至45.3%,p < 0.02），但所有年龄组的发育迟缓率仍然很高（2004年总体为34.7%，农村为46.5%，城市为28.5%）。赤道几内亚的经济腾飞似乎与儿童超重发生率的大幅上升同时发生，而发育迟缓的发生率虽然仍然很高，但却有所下降。结果表明，我国正处于营养转型阶段，同时面临营养不足和营养过剩的双重负担。(C) 2009 Elsevier B.V.版权所有
We assess trends in children's nutritional status in Equatorial Guinea, a country in socioeconomic transition. Nationally, representative samples were conducted in 1997, at the start of the economic take off, and again in 2004. Children aged 0-60 months were included in the Surveys (N = 436, 552). Both surveys included a sociodemographic, dietary and health questionnaire, and anthropometric measurements from which height-for-age (HAZ); weight-for-age (WAZ) and weight-for-height (WHZ) Z-scores were calculated. Between 1997 and 2004, the prevalence of child overweight for all children increased from 21.8% to 31.7%, especially in urban areas (from 18.2% to 29.4%, p=0.01). Stunting prevalence among children >= 2 years old decreased (from 57.9% to 45.3%, p < 0.02), but for all age groups remained very high (34.7% overall, 46.5% rural and 28.5% urban in 2004). The economic take off in Equatorial Guinea appeared to coincide with substantial increases in the prevalence of child overweight whereas the prevalence of stunting decreased even if it remained high. The results suggest that the country is undergoing a nutrition transition and acquiring the concomitant double burden of under and over nutrition. (C) 2009 Elsevier B.V. All rights reserved.