Consumption of animal source foods and dietary diversity reduce stunting in children in Cambodia.
Consumption of animal source foods and dietary diversity reduce stunting in children in Cambodia.
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DOI：
10.1186/1755-7682-6-29
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发表时间：
2013
期刊：
影响因子：
--
通讯作者：
Seino K
中科院分区：
文献类型：
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作者：
Darapheak C;Takano T;Kizuki M;Nakamura K;Seino K
儿童营养不良是一个主要的公共卫生问题。本研究旨在确定饮食多样性与发育迟缓、体重不足、消瘦和腹泻之间的关系，以及每种特定食物组的消费与儿童这些营养和健康结果之间的关系。在柬埔寨对6209名12至59个月的儿童进行了具有全国代表性的家庭调查。我们检查了调查前24小时内的食物摄入量，以及前2周内发生的发育迟缓、体重不足、消瘦和腹泻。计算食物种类得分（范围从0到9）来代表饮食多样性。在调整社会经济和地理因素后，发育迟缓与饮食多样性呈负相关（调整奇数比[ORadj] 0.95, 95%可信区间[CI] 0.91-0.99, P = 0.01）。食用动物源食品与发育迟缓（ORadj 0.69, 95% CI 0.54-0.89, P < 0.01）和体重不足（ORadj 0.74, 95% CI 0.57-0.96, P = 0.03）的风险降低相关。另一方面，较高的腹泻风险与乳制品的消费显著相关（ORadj 1.46, 95% CI 1.10-1.92, P = 0.02），并且在较贫困家庭的儿童中显著（ORadj 1.85, 95% CI 1.17-2.93, P < 0.01）。饮食多样化与减少发育迟缓有关。除了饮食多样性外，动物源食物也是发育迟缓和体重不足的保护因素。牛奶制品的消费与腹泻风险的增加有关，特别是在较贫穷的家庭中。饮食多样性和特定食物类型都是饮食推荐的重要考虑因素。
Malnutrition in children is a major public health concern. This study aimed to determine the association between dietary diversity and stunting, underweight, wasting, and diarrhea and that between consumption of each specific food group and these nutritional and health outcomes among children. A nationally representative household survey of 6209 children aged 12 to 59 months was conducted in Cambodia. We examined the consumption of food in the 24 hours before the survey and stunting, underweight, wasting, and diarrhea that had occurred in the preceding 2 weeks. A food variety score (ranging from 0 to 9) was calculated to represent dietary diversity. Stunting was negatively associated with dietary diversity (adjusted odd ratios [ORadj] 0.95, 95% confident interval [CI] 0.91-0.99, P = 0.01) after adjusting for socioeconomic and geographical factors. Consumption of animal source foods was associated with reduced risk of stunting (ORadj 0.69, 95% CI 0.54-0.89, P < 0.01) and underweight (ORadj 0.74, 95% CI 0.57-0.96, P = 0.03). On the other hand, the higher risk of diarrhea was significantly associated with consumption of milk products (ORadj 1.46, 95% CI 1.10-1.92, P = 0.02) and it was significantly pronounced among children from the poorer households (ORadj 1.85, 95% CI 1.17-2.93, P < 0.01). Consumption of a diverse diet was associated with a reduction in stunting. In addition to dietary diversity, animal source food was a protective factor of stunting and underweight. Consumption of milk products was associated with an increase in the risk of diarrhea, particularly among the poorer households. Both dietary diversity and specific food types are important considerations of dietary recommendation.