Anthropometric indices for non-pregnant women of childbearing age differ widely among four low-middle income populations.

Anthropometric indices for non-pregnant women of childbearing age differ widely among four low-middle income populations.
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DOI:
10.1186/s12889-017-4509-z
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发表时间:
2017-07-24
期刊:
影响因子:
4.5
通讯作者:
Bauserman M
Bauserman M
中科院分区:
医学2区
文献类型:
--
作者:
Hambidge KM;Krebs NF;Garcés A;Westcott JE;Figueroa L;Goudar SS;Dhaded S;Pasha O;Aziz Ali S;Tshefu A;Lokangaka A;Thorsten VR;Das A;Stolka K;McClure EM;Lander RL;Bose CL;Derman RJ;Goldenberg RL;Bauserman M

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育龄非妊娠妇女的身高和体重指数(NPW)与母子健康相关。目的是比较低收入和中低收入国家(LMIC)四个农村社区的NPW人体测量指数。对参加妇女第一先入为主的母亲营养试验的NPW进行了人体测量和产妇特征/家庭财富问卷调查。计算体重指数(BMI,kg/m2)。Z分数是使用世卫组织参考数据确定的。在刚果民主共和国赤道(n=1 741人)、危地马拉奇马尔特南戈(n=1 695人)、印度北卡纳塔克邦(n=1 823人)和巴基斯坦信德省萨塔(n=1 0 0 9人)共有7 268名NPW参加。平均年龄23岁,平均胎次1.5。身高中位数(P25-P75)在危地马拉为145.5(142.2-148.9),在刚果民主共和国为156.0(152.0-160.0)。体重中位数(公斤)从印度的44.7(39.9-50.3)到危地马拉的52.7(46.9-59.8)不等。印度的BMI中位数为19.4(17.6-21.9),危地马拉为24.9(22.3-28.0)。发育迟缓百分比(−2SD身高与年龄z得分)从刚果民主共和国的13.9%到危地马拉的80.5%;体重不足百分比(体重指数和体重指数18.5)从危地马拉的1.2%到印度的37.1%;超重/肥胖百分比(OW,体重指数≥25.0)从刚果民主共和国的5.7%到危地马拉的49.3%。对于所有的站点,高SES和高年龄的指标与BMI相关。在所有地点,SES低的女性体重不足的频率更高,而SES高的女性OW的频率更高。年轻女性倾向于体重偏轻,而年长女性倾向于肥胖。在三个不同大陆的四个国家的低收入农村人口中,NPW的人体测量数据差别很大。使用标准参考数据对不同地点的人体测量进行全球比较,有助于突出低收入农村NPW人群之间的主要差异,并帮助评估最佳干预试验的理由和设计。ClinicalTrials.gov#NCT01883193(2013年6月18日,追溯注册)
Maternal stature and body mass indices (BMI) of non-pregnant women (NPW) of child bearing age are relevant to maternal and offspring health. The objective was to compare anthropometric indices of NPW in four rural communities in low- to low-middle income countries (LMIC). Anthropometry and maternal characteristics/household wealth questionnaires were obtained for NPW enrolled in the Women First Preconception Maternal Nutrition Trial. Body mass index (BMI, kg/m2) was calculated. Z-scores were determined using WHO reference data. A total of 7268 NPW participated in Equateur, DRC (n = 1741); Chimaltenango, Guatemala (n = 1695); North Karnataka, India (n = 1823); and Thatta, Sindh, Pakistan (n = 2009). Mean age was 23 y and mean parity 1.5. Median (P25-P75) height (cm) ranged from 145.5 (142.2–148.9) in Guatemala to 156.0 (152.0–160.0) in DRC. Median weight (kg) ranged from 44.7 (39.9–50.3) in India to 52.7 (46.9–59.8) in Guatemala. Median BMI ranged from 19.4 (17.6–21.9) in India to 24.9 (22.3–28.0) in Guatemala. Percent stunted (<−2SD height for age z-score) ranged from 13.9% in DRC to 80.5% in Guatemala; % underweight (BMI <18.5) ranged from 1.2% in Guatemala to 37.1% in India; % overweight/obese (OW, BMI ≥25.0) ranged from 5.7% in DRC to 49.3% in Guatemala. For all sites, indicators for higher SES and higher age were associated with BMI. Lower SES women were underweight more frequently and higher SES women were OW more frequently at all sites. Younger women tended to be underweight, while older women tended to be OW. Anthropometric data for NPW varied widely among low-income rural populations in four countries located on three different continents. Global comparisons of anthropometric measurements across sites using standard reference data serve to highlight major differences among populations of low-income rural NPW and assist in evaluating the rationale for and the design of optimal intervention trials. ClinicalTrials.gov #NCT01883193 (18 June 2013, retrospectively registered)
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期刊: Science (New York, N.Y.)
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