Malnutrition in young children of rural Burkina Faso: comparison of survey data from 1999 with 2009
Malnutrition in young children of rural Burkina Faso: comparison of survey data from 1999 with 2009
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DOI：
10.1111/j.1365-3156.2012.02985.x
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发表时间：
2012-06-01
影响因子：
3.3
通讯作者：
Mueller, O.
中科院分区：
文献类型：
--
作者：
Beiersmann, C.;Bountogo, M.;Mueller, O.
为衡量实现千年发展目标1的进展情况，关于具体国家营养指标的可靠数据至关重要。营养不良也是儿童死亡的主要决定因素，千年发展目标4涉及这一问题。方法在布基纳法索西北部科西省的健康和人口监测区，比较了来自8个村庄的同龄幼儿的两个队列的营养参数。1999年和2009年的6月和12月进行了调查。使用多变量模型控制混杂变量。结果在1999年的研究中，分别分析了179名和197名儿童的数据，他们分别参加了6月和12月的调查。2009年，对460名和409名儿童的相应数据进行了分析。体重不足的发生率在1999年12月最高（42.6%），在2009年12月最低（34.1%）。调整年龄、性别和村庄后，随着时间的推移，年龄别体重、身高别体重、年龄别身高和中臂围的z评分略有改善，但并不总是显著改善。结论：本研究的结果证实了撒哈拉以南非洲农村地区幼儿营养不良的高患病率仍然是不可接受的。非洲大陆在减少营养不良方面的进展仍然缓慢，因此很难实现相应的千年发展目标。迫切需要大规模的多部门社区干预措施，以持续改善撒南非洲的儿童健康。
Objective For measurement of progress towards the Millennium Development Goal (MDG) 1, reliable data on nutrition indicators of specific countries are essential. Malnutrition is also the main determinant for childhood mortality, which is addressed in MDG 4. Methods In the health and demographic surveillance area of Kossi Province in north-western Burkina Faso, nutritional parameters were compared in two cohorts of young children of the same age range from eight villages. Surveys took place in June and December of the year 1999 and 2009. A multivariate model was used to control for confounding variables. Results For the 1999 study, data were analysed for 179 and 197 children who took part in the June and December survey respectively. In 2009, corresponding data were analysed for 460 and 409 children. Prevalence of underweight was highest in December 1999 (42.6%) and lowest in December 2009 (34.1%). After adjustment for age, sex and village, there was a slight but not always significant improvement in the z-scores of weight-for-age, weight-for-length, length-for-age, and mid-arm circumference over time. Conclusions The findings from this study confirm the still unacceptable high prevalence of malnutrition in young children of rural sub-Saharan Africa (SSA). Progress in the reduction of malnutrition remains slow on this continent making it rather unlikely that the corresponding MDGs will be achieved. Large-scale multi-sectoral community-based interventions are urgently needed for a sustainable improvement of child health in SSA.