Nutritional status and risk factors for stunting in preschool children in Bhutan
Nutritional status and risk factors for stunting in preschool children in Bhutan
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DOI：
10.1111/mcn.12653
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发表时间：
2018-11-01
影响因子：
3.4
通讯作者：
West, Keith P., Jr.
中科院分区：
文献类型：
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作者：
Kang, Yunhee;Aguayo, Victor M.;West, Keith P., Jr.
儿童营养不良仍然是南亚的一种流行病，尽管各国的负担各不相同。通过不丹2015年全国营养调查，我们检查了0-59个月儿童的人体测量状况和营养不良的危险因素。我们评估了1506名儿童的营养状况（通过年龄比身高（HAZ）、身高比体重（WHZ）和年龄比体重（WAZ）的z分数），估计了发育迟缓、消瘦、体重不足和超重（WHZ为2）的患病率，并根据调查设计进行了调整。儿童也被评估足部水肿。我们进行了多变量线性/逻辑回归分析，以确定儿童、母亲和家庭营养不良和超重的危险因素，排除水肿儿童（1.7%）。平均（SE） HAZ、WHZ和WAZ分别为-0.82（0.13）、0.10（0.04）和-0.42（0.05）。发育迟缓、消瘦、体重不足和超重的患病率分别为21.2%、2.6%、7.4%和2.6%。在多变量回归中，发育迟缓的风险随着年龄的增加而显著增加：在
Childhood malnutrition remains endemic in South Asia, although the burden varies by country. We examined the anthropometric status and risk factors for malnutrition among children aged 0-59 months through the 2015 National Nutrition Survey in Bhutan. We assessed in 1,506 children nutritional status (by z-scores of height-for-age [HAZ], weight-for-height [WHZ], and weight-for-age [WAZ]), estimating prevalence, adjusted for survey design, of stunting, wasting, underweight, and overweight (2 for WHZ). Children were also assessed for pedal oedema. We conducted multivariable linear/logistic regression analysis to identify child, maternal, and household risk factors for childhood undernutrition and overweight, excluding children with oedema (1.7%). Mean (SE) HAZ, WHZ, and WAZ were -0.82 (0.13), 0.10 (0.04), and -0.42 (0.05), respectively. Prevalence of stunting, wasting, underweight, and overweight were 21.2%, 2.6%, 7.4%, and 2.6%, respectively. In multivariable regressions, risk of stunting significantly increased by age: 5.3% at