Low intake of vitamin A-rich foods among children, aged 12-35 months, in India: association with malnutrition, anemia, and missed child survival interventions
Low intake of vitamin A-rich foods among children, aged 12-35 months, in India: association with malnutrition, anemia, and missed child survival interventions
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DOI：
10.1016/j.nut.2009.08.010
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发表时间：
2010-10-01
期刊：
影响因子：
4.4
通讯作者：
Raju, V. K.
中科院分区：
文献类型：
--
作者：
Semba, Richard D.;de Pee, Saskia;Raju, V. K.
目的：为了确定在印度的儿童谁有一个低摄入量的维生素A丰富的食物是在营养不良的风险较高，贫血，而不是接受儿童健康interventions.Methods：我们分析了数据从印度全国家庭健康调查，2005- 2006. Results：17 847名儿童（41.9%），年龄在12-35个月，7020没有接受富含维生素A的食物，基于24小时回忆。在接受和未接受富含维生素A食物的儿童中，发育迟缓、严重发育迟缓、体重不足和严重体重不足的患病率分别为52.5%和59.0%、26.7%和32.9%、43.8%和48.5%以及17.9%和21.6%（均P < 0.0001）。没有接受富含维生素A食物的儿童更容易贫血，没有完成儿童免疫接种，并且在过去6个月内没有接受维生素A补充剂（所有P < 0.0001）。母亲受教育≥ 10年、7-9年和1-6年分别与未接受正规教育的儿童接受富含维生素A的食物有关（比值比1.41，95%可信区间1.20-1.67，P < 0.0001）：比值比1.20，95%可信区间1.04-1.37，P=0.01;优势比1.16，95%可信区间1.02-1.32，P = 0.02）在校正母亲年龄、家庭规模、社会经济地位和位置的多变量logistic回归模型中。得不到富含维生素A的食物的儿童更有可能营养不良，错过基本的儿童保健干预措施，包括维生素A补充剂。如果母亲以前受过较高的小学或中学教育，儿童更有可能获得富含维生素A的食物。(C)2010年爱思唯尔公司All rights reserved.
Objective: To determine whether children in India who have a low intake of vitamin A-rich foods are at higher risk of malnutrition, anemia, and not receiving child health interventions.Methods: We analyzed data from the India National Family Health Survey, 2005-2006.Results: Of 17 847 children (41.9%), aged 12-35 months, 7020 did not receive vitamin A-rich foods, based on 24-h recall. The prevalence of stunting, severe stunting, underweight, and severe underweight among children who did and did not receive vitamin A-rich foods was, respectively, 52.5% versus 59.0%, 26.7% versus 32.9%, 43.8% versus 48.5%, and 17.9% versus 21.6% (all P < 0.0001). Children who did not receive vitamin A-rich foods were more likely to be anemic, not have completed childhood immunizations, and not to have received vitamin A supplementation in the previous 6 mo (all P < 0.0001). Maternal education of >= 10, 7-9, and 1-6 y, respectively, compared with no formal education was associated with the child receiving vitamin A-rich foods (odds ratio 1.41, 95% confidence interval 1.20-1.67, P < 0.0001: odds ratio 1.20, 95% confidence interval 1.04-1.37, P=0.01; odds ratio 1.16, 95% confidence interval 1.02-1.32, P = 0.02) in a multivariate logistic regression model adjusting for maternal age, household size, socioeconomic status, and location.Conclusion: Children who did not receive vitamin A-rich foods were more likely to be malnourished and to have missed basic child health interventions, including vitamin A supplementation. Children were more likely to receive vitamin A-rich foods if their mothers had previously achieved higher primary or secondary education levels. (C) 2010 Elsevier Inc. All rights reserved.