Growth and anaemia among infants and young children for two years after the Wenchuan Earthquake
Growth and anaemia among infants and young children for two years after the Wenchuan Earthquake
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DOI：
10.6133/apjcn.2014.23.3.03
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发表时间：
2014-01-01
影响因子：
1.3
通讯作者：
Yin, Shi-an
中科院分区：
文献类型：
--
作者：
Dong, Caixia;Ge, Pengfei;Yin, Shi-an
背景资料：为监测汶川地震灾区农村婴幼儿营养不良、患病率和贫血患病率。研究方法：分别于震后3个月、1年和2年对77名、102名和307名6-23月龄婴幼儿进行营养与健康状况调查，并进行人体测量和血红蛋白浓度测定。结果如下：大多数家庭无法为孩子准备辅食，孩子只能吃与成人相同的食物，这导致婴幼儿辅食的数量和质量都很差。儿童营养问题主要是家长喂养知识缺乏，产后1小时内能进行母乳喂养的儿童仅占10%，基本纯母乳喂养率较低。超过90%的儿童从未接受过营养补充剂。地震后两年，营养不良患病率显著增加。体重迅速下降（体重不足的患病率从3个月时的0下降到2年后的5.9%），然后持续影响导致身长下降，表现为发育迟缓的患病率从3个月时的6.6%下降到2年后的10.8%，消瘦的患病率从3个月时的1.3%下降到2年后的4.0%。震后3个月~ 2年，贫血患病率由36.5%上升到67.5%，且女孩贫血患病率上升幅度大于男孩。结论：地震灾区儿童营养状况持续恶化，贫血患病率高。建议今后应立即开始营养干预。
Background: In order to monitor malnutrition morbidity and anaemic prevalence of infants and young children in rural disaster areas affected by Wenchuan earthquake. Methods: About three months, one year and two years after earthquake (including 77, 102 and 307 children, respectively), by using the questionnaires, information on nutritional and health status of infants and young children aged 6-23 months was collected and evaluated, and anthropometry and haemoglobin concentration were measured. Results: Most of families could not prepare complementary foods for their children so that the children only ate the same meals as adults which resulted in very poor situation in the quantity and quality of complementary food for infants and young children. The main nutritional problems in children included the lack of feeding knowledge in parents; only 10% children could have breast feeding within one hour after delivery, and the basic exclusive breastfeeding was lower. More than 90% children never received nutrient supplements. The malnutrition prevalence was significantly increased two years after the earthquake. The decrease of body weight was rapid (underweight prevalence from 0 at three months to 5.9% after two years), and then a lasting effect resulted in decrease of length shown by stunting prevalence from 6.6% at three months to 10.8% after two years and wasting prevalence from 1.3% at three months to 4.0% after two years. From three months to two years after earthquake, anaemic prevalence markedly increased from 36.5% to 67.5% and the increasing percentage of anaemia was more obvious in girls than boys. Conclusion: The child's nutritional status continuously worsened and anaemic prevalence was high in areas affected by the earthquake. It is recommended that in the future nutrition interventions should begin immediately.