Nutritional status and the characteristics related to malnutrition in children under five years of age in Nghean, Vietnam.

Nutritional status and the characteristics related to malnutrition in children under five years of age in Nghean, Vietnam.
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DOI:
10.3961/jpmph.2008.41.4.232
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发表时间:
2008-07-01
期刊:
Journal of preventive medicine and public health = Yebang Uihakhoe chi
影响因子:
--
通讯作者:
Kam, Sin
Kam, Sin
中科院分区:
其他
文献类型:
--
作者:
Hien, Nguyen Ngoc;Kam, Sin

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目的:本研究旨在评估越南义安省 5 岁以下儿童的营养状况和与营养不良相关的特征。 方法:本研究于 2007 年 11 月进行,采用两阶段整群抽样方法选择了 650 对母婴。然后,在母亲们的家中对她们进行了结构化调查问卷。然后根据国家卫生统计中心 (NCHS)/世界卫生组织 (WHO) 的参考数据,使用人体测量来确定儿童是否体重不足(年龄别体重)、消瘦(身高别体重)和发育迟缓(年龄别身高)。然后使用逻辑回归分析来描述潜在危险因素与营养不良之间的层次关系。 结果:年龄别体重、年龄别身高和身高别体重的平均 Z 分数分别为 -1.46 (95% CI=-1.57, -1.35)、-1.44 (95% CI=-1.56, -1.32) 和 -0.71 (95% CI) CI 分别=-0.82、-0.60)。在这项研究的儿童中,193 名(31.8%)体重不足,269 名(44.3%)发育迟缓,72 名(11.9%)消瘦。居住地区、母亲的教育水平和职业、家庭规模、家庭中的孩子数量、出生体重和纯母乳喂养时间与营养不良显着相关。 结论:本研究结果表明,营养不良仍然是越南义安省五岁以下儿童的一个重要问题。此外,母亲、社会经济和环境因素被发现是五岁以下儿童营养不良的重要因素。
OBJECTIVES: This study was conducted to assess the nutritional status and characteristics related to malnutrition in children less than five years of age in Nghean, Vietnam.METHODS: In this study, which was conducted in November 2007, 650 child-mother pairs were selected using a two-stage cluster sampling methodology. A structured questionnaire was then administered to the mothers in their home settings. Anthropometric measurement was then used to determine if children were underweight (weight-for-age), wasting (weight-for-height) and stunting (height-for-age) based on reference data from the National Center for Health Statistics (NCHS)/World Health Organization (WHO). Logistic regression analysis was then used to describe the hierarchical relationships between potential risk factors and malnutrition.RESULTS: The mean Z-scores for weight-for-age, height-for-age and weight-for-height were -1.46 (95% CI=-1.57, -1.35), -1.44 (95% CI=-1.56, -1.32) and -0.71 (95% CI=-0.82, -0.60), respectively. Of the children included in this study, 193 (31.8%) were underweight, 269 (44.3%) were stunting and 72 (11.9%) were wasting. Region of residence, the mother's level of education and occupation, household size, number of children in the family, weight at birth and duration of exclusive breastfeeding were found to be significantly related to malnutrition.CONCLUSIONS: The findings of this study indicate that malnutrition is still an important problem among children less than five years of age in Nghean, Vietnam. In addition, maternal, socio-economic and environment factors were found to be significant factors for malnutrition among children under five.