Has the double burden of malnutrition reached pupils in rural western Kenya?

Has the double burden of malnutrition reached pupils in rural western Kenya?
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营养不良的双重负担在肯尼亚西部农村增加了学生吗?

DOI:
10.1111/ped.14729
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发表时间:
2022-01
影响因子:
1.4
通讯作者:
Kobayashi, Jun
Kobayashi, Jun
中科院分区:
医学4区
文献类型:
--
作者:
Takeuchi, Rie;Njomo, Doris W.;Njenga, Sammy M.;Tomokawa, Sachi;Mutua, Alex;Kazama, Haruki;Walema, Barnett;Akiyama, Takeshi;Asakura, Takashi;Kamiya, Yasuhiko;Kobayashi, Jun

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营养不足和营养过剩被认为是由不同环境中的不同因素引起的不同挑战。营养不良的双重负担被定义为营养不足和营养过剩并存,目前已在全球蔓延,特别是在低收入和中等收入国家。在肯尼亚,首都存在营养不良的双重负担,但农村地区的情况目前仍不明朗。因此,本研究的目的是分析肯尼亚农村地区的营养状况。 2013 年第三学年教师测量身高和体重的数据来自小学。在开始测量之前,教师们接受了专家的培训。使用 AnthroPlus 计算年龄别身高、年龄别体重和年龄别体重指数的 Z 分数,并根据世界卫生组织指南定义营养状况。对 7,447 名小学生(3,763 名男孩和 3,684 名女孩)的数据分析显示,≤120 个月大的学生中有 12.4% 发育迟缓,7.8% 体重不足,> 120 个月大的学生中有 11.7% 瘦弱。男孩比女孩更容易发育迟缓。在较大年龄组中,男孩体重不足的可能性更大,女孩体重超重的可能性更大。未发现营养不良的双重负担,研究区学童营养不良现象仍普遍存在。然而,由于快速城市化的不利影响,监测营养状况非常重要。学校的身高和体重测量可能有助于监测学童的营养状况。
Undernutrition and overnutrition have been considered separate challenges caused by the distinct factors in distinct settings. The double burden of malnutrition is defined as the coexistence of both undernutrition and overnutrition, which has now spread globally, especially in low‐ and middle‐income countries. In Kenya, the double burden of malnutrition is present in the capital city but the situation in rural areas currently remains unknown. The aim of this study was therefore to analyze nutritional status in rural Kenya. Data from height and weight measurements conducted by teachers in the third term of school year 2013 were collected from primary schools. Teachers were trained by experts before starting the measurements. The Z‐scores of height‐for‐age, weight‐for‐age, and body mass index‐for‐age were calculated using AnthroPlus, and nutritional status was defined according to the World Health Organization guidelines. Data analyzed from 7,447 pupils (3,763 boys and 3,684 girls) showed that 12.4% were stunted and 7.8% were underweight among those ≤120 months old, and 11.7% were thin among those >120 months old. Boys were more likely to be stunted than girls. Boys were more likely to be underweight and girls were more likely to be overweight in the older age group. The double burden of malnutrition was not found, and undernutrition was still common among schoolchildren in the study area. However, it is important to monitor nutritional status due to adverse effects of rapid urbanization. Height and weight measurements in schools may be useful for monitoring the nutritional status of schoolchildren.
DOI: 10.1186/s13690-018-0320-2
发表时间: 2018-12-10
影响因子: 3.3
作者:
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通讯作者: NCD Risk Factor Collaboration (NCD-RisC)
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