Changes in nutritional status of children who lived in temporary shelters in Bhaktapur municipality after the 2015 Nepal earthquake
Changes in nutritional status of children who lived in temporary shelters in Bhaktapur municipality after the 2015 Nepal earthquake
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DOI：
10.1186/s41182-020-00225-8
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发表时间：
2020-06-28
影响因子：
4.5
通讯作者：
Parry, Christopher M.
中科院分区：
文献类型：
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作者：
Dhoubhadel, Bhim Gopal;Raya, Ganendra Bhakta;Parry, Christopher M.
地震等自然灾害发生后，儿童的营养状况可能会恶化。2015年，尼泊尔发生里氏7.8级地震，波及110万儿童。房屋被毁而不得不住在临时避难所的儿童面临营养不良的危险。在长崎大学热带医学与全球卫生学院（TMGH）和Siddhi纪念医院（SMH）的支持下，我们于2015年地震发生后立即对巴克塔普尔市临时避难所的5岁以下儿童进行了营养调查，并于2017年进行了后续调查。结果2015年共有591名5岁以下儿童生活在22个临时避难所。2017年共对285名儿童进行了随访和重新评估。在配对分析（n= 285）中，体重不足儿童的患病率从2015年的10.9%上升到2017年的14.0% (P< 0.001)，发育迟缓从26.7%上升到31.9% (P= 0.07)，消瘦从4.2%下降到2.5% （P= 0.19）。结论：2015年尼泊尔地震后居住在临时避难所的儿童营养状况恶化的风险可能会增加。
Background The nutritional status of children may deteriorate after natural disasters such as earthquakes. A 7.8 Richter scale earthquake struck Nepal in 2015 that affected 1.1 million children. Children whose homes were destroyed and had to live in temporary shelters were at risk of malnutrition. With the support of Nagasaki University School of Tropical Medicine and Global Health (TMGH) and Siddhi Memorial Hospital (SMH), we conducted a nutritional survey of under-5 children living in temporary shelters in Bhaktapur Municipality in 2015 immediately after the earthquake and a follow-up survey in 2017. Results We found 591 under-5 children living in 22 temporary shelters in 2015. A total of 285 children were followed up and re-assessed in 2017. In a paired analysis (n= 285), the prevalence of underweight children increased from 10.9% in 2015 to 14.0% in 2017 (P< 0.001), stunting increased from 26.7 to 31.9% (P= 0.07), and wasting decreased from 4.2 to 2.5% (P= 0.19). Conclusions Children who lived in temporary shelters after the 2015 Nepal earthquake might be at increased risk of a deterioration in nutritional status.