在低资源环境中出生低出生体重的幼儿的营养状况:一项观察性研究
Flaviah B Namiiro1, Anthony Batte2, Joseph Rujumba3
1Department of Paediatrics & Child Health, Mulago National Referral Hospital, Kampala, Uganda. bnflaviah@gmail.com.
BMC pediatrics
|October 19, 2023
概括
低出生体重的幸存者面临着严重的营养不良风险. 在乌干达研究的40%以上的儿童患有发育不良,这凸显了针对低出生体重婴儿进行有针对性的干预的必要性.
科学领域:
- 儿科 儿科 儿科
- 公共卫生 公共卫生
- 营养科学 营养科学
背景情况:
- 在全球范围内,每年有超过2000万名婴儿出生时体重低,这一趋势正在增加.
- 低出生体重的幸存者容易出现长期的健康问题,包括慢性营养不良.
- 儿童早期的营养状况对于发展和长期健康结果至关重要.
研究的目的:
- 评估出生时体重低的儿童的生长和营养状况.
- 为了确定这种脆弱人群中消耗,衰老和体重不足的患病率.
- 为改善低出生体重婴儿的健康结果提供有针对性的干预措施.
主要方法:
- 进行了一项横截面研究,251名22-38个月的儿童出生时体重≤2000克.
- 使用了人类测量方法 (体重与身高,身高与年龄,体重与年龄的z-scores).
- 应用了世卫组织的标准来定义消耗,衰老和体重不足;数据使用STATA 14进行分析.
主要成果:
- 40.2%的儿童营养状况正常.
- 发病率为:3.2%的浪费,14.4%的体重不足,和42.2%的衰退.
- 发育迟缓和体重不足的患病率超过了国家平均水平,这表明存在重大营养挑战.
结论:
- 高比例 (60%) 的低出生体重儿童在幼儿时期面临营养不良的风险.
- 衰退和体重不足是普遍存在的问题,超过了国家数据.
- 对于出生时体重非常低的儿童来说,迫切的,有针对性的干预措施是必要的,以减轻终身疾病.
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