[Burden of nutritional deficiencies of children under 5 years old in China, 1990-2015]
Yuanyuan Xu1, Xinying Zeng2, Xiu Qiu3
1Department of International Cooperative Project, National Center for Women and Children's Health, China Center for Disease Control and Prevention, Beijing 100081, China.
Insights
The burden of nutritional deficiencies in Chinese children under 5 decreased significantly from 1990 to 2015. Despite this progress, regional disparities and specific deficiencies like iron deficiency anemia persist.
Area of Science:
- Pediatrics
- Public Health
- Epidemiology
Background:
- Nutritional deficiencies pose a significant threat to child health globally.
- Understanding the burden and trends of these deficiencies is crucial for effective public health interventions.
Purpose of the Study:
- To quantify and describe the distribution and trends of nutritional deficiency burden in Chinese children under 5 years old from 1990 to 2015.
Main Methods:
- Utilized subnational data from China (33 provinces) from the Global Burden of Disease Study 2015.
- Employed descriptive epidemiology to analyze prevalence, mortality, and disability-adjusted life year (DALY) rates by sex, time, and location.
- Examined temporal trends in nutritional deficiencies among children under 5 since 1990.
Main Results:
- In 2015, the prevalence of nutritional deficiencies was 17.26%, with a DALY rate of 776.26 per 100,000 children.
- The DALY rate declined by 71.42% from 1990 to 2015, with decreases observed across all regions (Eastern, Central, Western).
- Protein-energy malnutrition and iron deficiency anemia were the most significant deficiencies; iron deficiency anemia's DALY rate decreased by 15.68%.
Conclusions:
- The disease burden from nutritional deficiencies in Chinese children under 5 showed a downtrend between 1990 and 2015.
- Regional variations in disease burden distribution and common nutritional deficiencies persist.
- Targeted interventions are needed to address remaining disparities and specific deficiencies.
Objective:
To quantify and describe the distribution and trends of burden of nutritional deficiencies among children under 5 years old in China from 1990 to 2015.
Methods:
Subnational data of China on children under 5 years old in 33 provinces and autonomous regions, which including 31 mainland regions, Hong Kong and Macao Special Administrative Regions, were extracted from the result of Global Burden of Disease Study 2015(GBD 2015). Based on the method of descriptive epidemiology, we analyzed the prevalence, mortality as well as disability adjusted life year(DALY) rate of nutritional deficiencies among children under 5 years old by sex, time and locations in China, as well as its temporal trend since 1990.
Results:
In 2015, the prevalence of nutritional deficiencies among children under 5 years old was 17. 26%, and the DALY rate was 776. 26 person-years per 100000. Compared to 1990, the DALY rate of nutritional deficiencies declined by 71. 42%. The DALY rate of nutritional deficiencies decreased in the past 25 years in Eastern, Central and Western China. Meanwhile, the gap in disease burden between boys and girls declined. Among diseases caused by nutritional deficiencies, burden of protein-energy malnutrition and iron deficiency anemia among children under 5 years old were relatively higher. Compared to 1990, the DALY rate of iron deficiency anemia among children under 5 years old declined by 15. 68%, which was lower than other nutritional deficiencies among children in 2015.
Conclusion:
From 1990 to 2015, the disease burden caused by nutritional deficiencies among Chinese children under 5 years old showed downtrend. There were still differences of disease burden distributions between regions and common nutritional deficiencies.
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