The nutrition transition in Colombia over a decade: a novel household classification system of anthropometric measures.
The nutrition transition in Colombia over a decade: a novel household classification system of anthropometric measures.
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DOI：
10.1186/s13690-014-0057-5
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发表时间：
2015
期刊：
影响因子：
--
通讯作者：
Brownson RC
中科院分区：
文献类型：
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作者：
Parra DC;Iannotti L;Gomez LF;Pachón H;Haire-Joshu D;Sarmiento OL;Kuhlmann AS;Brownson RC
超重和体重不足会增加代谢障碍和慢性病的风险。家庭层面的干预措施需要诊断家庭成员的营养状况。本研究的目的是使用一种考虑到家庭中所有儿童以及母亲的新颖方法来描述哥伦比亚十年来各种人体测量类型的流行程度和模式。这种方法还可以识别家庭内营养不良的双重负担，其中一个孩子可能超重，另一个孩子营养不良。本研究使用的数据来自人口与健康调查和哥伦比亚国家营养调查[2000 年 n = 2,876、2005 年 n = 8,598 和 2010 年 n = 11,349]。创建了四种相互排斥的家庭（HH）人体测量类型——正常、营养不良、超重/肥胖和双重负担。使用了 5 岁以下儿童的年龄别身高 Z 得分 (HAZ) 和年龄体重指数 Z 得分 (BMIz) 以及 18-49 岁母亲的体重指数 (BMI) 的人体测量信息。 2000 年 (38.2%) 至 2010 年 (43.1%) 期间，超重/肥胖家庭的患病率有所增加 (p< 0.05)，而营养不良和双重负担家庭的患病率在 2005 年（分别为 13.7% 和 10.6%）和 2010 年（分别为 3.5% 和 5.1%）之间显着下降（p < 0.05）。财富指数 (WI) 最低五分位数的超重/肥胖增加幅度更大，2000 年至 2010 年间几乎增加了 10%，而第四和最高 WI 的超重/肥胖率分别增加了 2% 和 4%。尽管2010年城市地区超重/肥胖家庭的患病率仍然较高（43.7%），但农村地区超重/肥胖家庭的患病率在2000年（34.3%）至2010年（41.6%）之间急剧上升（p＜＜0.05）。观察到的双重负担家庭的患病率与预期的患病率没有不同。这项研究的结果表明，尽管超重/肥胖在哥伦比亚高收入家庭中仍然更为普遍，但在经济最弱势群体中，超重/肥胖的增长速度更快。本文的在线版本 (doi:10.1186/s13690-014-0057-5) 包含补充材料，可供授权用户使用。
Overweight and underweight increase the risk of metabolic impairments and chronic disease. Interventions at the household level require the diagnosis of nutritional status among family members. The aim of this study was to describe the prevalence and patterns of various anthropometric typologies over a decade in Colombia using a novel approach that considers all children in the household as well as the mother. This approach also allows identifying a dual burden of malnutrition within a household, where one child may be overweight and another one undernourished. This study used data from the Demographic and Health Survey and the Colombian National Nutrition Survey [2000 n = 2,876, 2005 n = 8,598, and 2010 n = 11,349]. Four mutually exclusive household (HH) anthropometric typologies - normal, undernourished, overweight/obese, and dual burden - were created. Anthropometric information of height-for-age Z-scores (HAZ) and body-mass-index-for-age Z-scores (BMIz) in children under the age of 5 y, and on body mass index (BMI) in mothers, 18–49 y was used. Prevalence of overweight/obese HHs increased between 2000 (38.2%) and 2010 (43.1%) (p < 0.05), while undernourished and dual burden HHs significantly decreased between 2005 (13.7% and 10.6%, respectively) and 2010 (3.5% and 5.1%, respectively) (p < 0.05). A greater increase of overweight/obesity was observed for the lowest quintile of wealth index (WI), with an increase of almost 10% between 2000 and 2010, compared to 2% and 4% for the fourth and highest WI, respectively. Although in 2010 there is still a higher prevalence of overweight/obesity HHs in urban areas (43.7%), the prevalence of overweight/obesity HHs in rural areas increased sharply between 2000 (34.3%) and 2010 (41.6%) (p < 0.05). The observed prevalence of dual burden households was not different from the expected prevalence. Results from this study indicate that although overweight/obesity continues to be more prevalent among high-income Colombian households, it is growing at a faster pace among the most economically disadvantaged. The online version of this article (doi:10.1186/s13690-014-0057-5) contains supplementary material, which is available to authorized users.