Childhood overweight and obesity among Kenyan pre-school children: association with maternal and early child nutritional factors

Childhood overweight and obesity among Kenyan pre-school children: association with maternal and early child nutritional factors
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DOI:
10.1017/s136898000999187x
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发表时间:
2010-04-01
影响因子:
3.2
通讯作者:
Gewa, Constance A.
Gewa, Constance A.
中科院分区:
医学3区
文献类型:
--
作者:
Gewa, Constance A.

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目的:报告在肯尼亚学龄前儿童超重和肥胖的患病率,并研究儿童超重和选定的孕产妇和儿童相关factors.Design之间的关联:人口健康调查数据,多级分层整群抽样方法。主题:结果:超过30%的儿童发育不良,约16%体重不足,4%消瘦,约18%超重,4%肥胖,8%超重/肥胖和发育不良。母亲超重和肥胖,母亲教育水平较高,出生时是一个大的或非常大的孩子,以及发育迟缓,都与肯尼亚儿童超重和肥胖的几率较高有关。年龄较大的儿童和大的家庭规模都与较低的超重和肥胖的几率在Kenyanchild.Conclusions:分析表明,存在的不足和营养过剩的肯尼亚学龄前儿童和重点扩大努力,以预防和治疗营养不良的重要性,在这个人口。它还确定了在这些努力中可以针对的一些可改变的因素。
Objective: To report on the prevalence of overweight and obesity among preschool children in Kenya and examine the associations between childhood overweight and selected maternal and child-related factors.Design: Demographic Health Survey data, multistage stratified cluster sampling methodology.Setting: Rural and urban areas of Kenya. Subjects: A total of 1495 children between the ages of 3 and 5 years in Kenya.Results: Over 30% of the children were stunted, approximately 16% were underweight, 4% were wasted, approximately 18% were overweight and 4% were obese; 8% were both overweight/obese and stunted. Maternal overweight and obesity, higher levels of maternal education, being a large or very large child at birth, and being stunted were each associated with higher odds of overweight and obesity among Kenyan children. Older children and large household size were each associated with lower odds of overweight and obesity among Kenyan children.Conclusions: The analysis demonstrates the presence of under- and overnutrition among Kenyan pre-school children and the importance of focusing on expanding efforts to prevent and treat malnutrition within this population. It also identifies some of the modifiable factors that can be targeted in these efforts.