Systematic review and Meta-analysis of the prevalence of stunting among children in China

GUO Bing-bing; JIANG Xin-ye; WEI Ya-rong; PEI Jing-jing; XU Yin

doi:10.11852/zgetbjzz2020-0215

PDF(1367 KB)

Chinese Journal of Child Health Care ›› 2021, Vol. 29 ›› Issue (3) : 296-300. DOI: 10.11852/zgetbjzz2020-0215

Meta Analysis

Systematic review and Meta-analysis of the prevalence of stunting among children in China

GUO Bing-bing, JIANG Xin-ye, WEI Ya-rong, PEI Jing-jing, XU Yin

Author information +

History +

Abstract

Objective To understand the prevalence of growth retardation among children and adolescents in China through Meta analysis, in order to provide scientific basis for early prevention and treatment of growth retardation in children. Methods Literatures about the prevalence of growth retardation among children in China were retrieved from CNKI, Wanfang data, CBM, VIP and PubMed databases up to March 30th, 2020.Literature quality was evaluated according to the cross-sectional study evaluation criteria in STROBE statement.The prevalence rate was combined with Stata 12.0 software.Subgroup analysis was carried out on factors such as gender, age, regional distribution, year of investigation and residence.Egger test and funnel plot were used to evaluate the publication bias of each literature.The sensitivity analysis was completed by eliminating any one of low-quality articles. Results A total of 23 articles were included, with a total sample size of 699 974, ranging from 6 082 to 99 542(M=17 329).The overall prevalence of growth retardation in Chinese children was 6.0% (95%CI:5.0%-7.0%).Subgroup analysis showed that the prevalence rates of growth retardation in children aged 0-7 years and 7-18 years were 8.1%(95%CI:6.0%-10.2%) and 3.3%(95%CI:2.7%-3.9%), and the difference was significant(t＝4.12,P<0.05).The prevalence rate of growth retardation was 9.9%(95%CI:7.5%-12.2%) in 2005—2010, and 3.0%(95%CI:2.2%-3.7%) in 2011-2019, the difference was significant (t＝6.49,P<0.05).The prevalence rate of growth retardation was 4.5% (95%CI:3.4%-5.7%) in rural area and 2.5%(95%CI:1.9%-3.1%) in urban area,the defference was significant(t＝2.94,P<0.05).But the difference was not significant between different genders and regional distribution. Conclusion The prevalence rate of children's growth retardation is decreasing in China, and there are differences among different age groups and residence.

Key words

stunting / children / Meta-analysis

Cite this article

EndNote

Ris (Procite)

Bibtex

Download Citations

GUO Bing-bing, JIANG Xin-ye, WEI Ya-rong, PEI Jing-jing, XU Yin. Systematic review and Meta-analysis of the prevalence of stunting among children in China[J]. Chinese Journal of Child Health Care. 2021, 29(3): 296-300 https://doi.org/10.11852/zgetbjzz2020-0215

References

[1] UNICEF, WHO, World Bank.Levels and trends in child malnutrition:UNICEF/WHO/World Bank joint child malnutrition estimates[R].Key findings of the 2020 edition, UNICEF, New York; WHO, Geneva; World Bank, Washington DC; 2020.
[2] Sousa CP, Olinda RA, Pedraza DF.Prevalence of stunting and overweight/obesity among Brazilian children according to different epidemiological scenarios:systematic review and Meta-analysis[J].Sao Paulo Med J,2016,134(3):251-262.
[3] 余敏,何海燕,宁曼,等.2015年芜湖市城乡托幼机构儿童健康状况分析[J].中国妇幼卫生杂志,2017,8(3):76-83.
[4] Wang X,Höjer B, Guo S, et al.Stunting and "overweight" in the WHO child growth standards-malnutrition among children in a poor area of china[J].Public Health Nutr,2009, 12(11):1991-1998.
[5] von Elm E, Altman DG, Egger M, et al.The strengthening the reporting of observational studies in epidemiology (STROBE) statement:guidelines for reporting observational studies[J].Int J Surg,2014,12(12):1495-1459.
[6] 李世明, 冯为, 方芳,等.中国儿童注意缺陷多动障碍患病率Meta分析[J].中华流行病学杂志, 2018, 39(7):993-998.
[7] 丁文清, 董虹孛, 米杰.中国儿童青少年血脂异常流行现状Meta分析[J].中华流行病学杂志, 2015, 36(1):71-77.
[8] 陈扶持.晋江市0~7岁儿童营养状况的监测[J].现代预防医学,2005, 32(9):1152-1153.
[9] 党少农,颜虹,曾令霞,等.运用人体测量法评估中国西部40个县农村3岁以下儿童的营养状况[J].中华流行病学杂志,2005,26(3):177-181.
[10] 程若倩,沈水仙,屠月珍,等.上海市城郊两区整群抽样6~18岁儿童青少年身高分布特点及矮小症患病率调查[J].中国循证儿科杂志,2009, 4(1):5-11.
[11] 张秋韵.梅州市5岁以下儿童健康状况分析[J].中国医药导报,2011, 8(22):141-143.
[12] 王清霞,徐翠清,付婵荣,等.宁波市7岁以下儿童生长发育状况研究[J].浙江预防医学, 2013, 25(4):4-7.
[13] 刘敬涛, 蒋迎佳, 许跃忠,等.四川省5岁以下儿童营养现状分析[J].中国儿童保健杂志, 2013, 21(11):1126-1128.
[14] 向娟,刘维娟,罗涌,等.重庆市万州区中小学生身高标准及矮小症患病率调查研究[J].第三军医大学学报, 2014, 36(21):2221-2224.
[15] 李社莉,李霞,尹明萍,等.延安市7~13岁儿童身高分布特点调查[J].现代预防医学,2015, 42(21):70-72.
[16] Wu H, Li H,Zong X.The prevalence of overweight, obesity and stunting in school children aged 6-19 years in Beijing, China[J].Ann Hum Biol,2016,43(6):505-509.
[17] 陈金燕,李丽欢,黄婉君,等.2014年东莞市厚街镇幼儿园儿童体检结果分析[J].中国初级卫生保健, 2016, 30(5):33-34.
[18] 敬新苗,张莉梅,潘程程.托幼机构儿童健康体检状况分析及对策研究[J].中国儿童保健杂志, 2016,24(1):96-98.
[19] 陈显军,杨琍琦,刘德云,等.安徽省三个城市儿童矮小症患病率分析[J].中国儿童保健杂志, 2017,25(4):401-405.
[20] 刘思思,班博,潘慧,等.济宁地区6~16岁儿童青少年矮小症患病现况研究[J].中华诊断学电子杂志, 2017, 5(3):191-194.
[21] 徐俊杰.景德镇市小学生矮小症发生率及其原因调查分析[J].当代医学, 2017,23(20):1-3.
[22] 秦原,杨禄红.武汉市儿童矮小症患病率调查及病因分析[J].中国妇幼保健, 2017,32(14):3306-3310.
[23] 陶旭光,赵国华,高燕勤,等.仪征市小学生身高分布特点及矮小症影响因素分析[J].江苏医药,2017,43(10):703-705.
[24] 桑妙玉,李硕,杨小洁.大同市7～18岁人群身高分布特点及矮小症患病率调查[J].基础医学与临床, 2018, 38(11):85-86.
[25] 王丽芳,顾月琴, 贾立山,等.太仓市3～14岁儿童身材矮小发生率及其影响因素研究[J].儿科药学杂志,2018,24(3):20-24.
[26] 房玥晖,赵丽云,于冬梅,等.2010-2012年中国6～17岁儿童青少年生长迟缓和消瘦状况[J].卫生研究, 2018,47(1):27-31.
[27] 朱锡翔, 郑佳瑞,郑敏,等.云南省城乡2012-2018年5岁以下儿童营养与健康监测情况分析[J].中国儿童保健杂志, 2019, 27(5):571-580.
[28] 时金倩, 张杰.陕西省大荔县幼托儿童健康体检情况分析[J].中国保健营养, 2019, 29(20):254-255.
[29] Mansori K, Shadmani FK, Mirzaei H, et al.Prevalence of stunting in Iranian children under five years of age:Systematic review and meta-analysis[J].Med J Islam Repub Iran,2018,32:103.
[30] Sarma H, Khan JR, Asaduzzaman M, et al.Factors influencing the prevalence of stunting among children aged below five years in Bangladesh[J].Food Nutr Bull,2017,38(3):291-301.
[31] Boylan S, Mihrshahi S, Louie JCY, et al.Prevalence and risk of moderate stunting among a sample of children aged 0~24 months in brunei[J].Matern Child Health J,2017,21(12):2256-2266.
[32] El Taguri A, Betilmal I, Mahmud SM,et al.Risk factors for stunting among under-fives in Libya[J].Public Health Nutr,2009,12(8):1141-1149.
[33] Gupta A,Kapil U.Reduction in the prevalence of underweight, stunting and wasting in selected states of india[J].Indian J Pediatr,2016, 83(12-13):1488-1490.
[34] 魏惠兰, 宋振中, 穆可.陕西省农村学龄前留守儿童饮食行为特征及影响因素[J].公共卫生与预防医学, 2017,28(4):66-69.
[35] 雷园婷, 罗冬梅, 张京舒,等.中国26个少数民族7~18岁学生生长迟缓比较研究[J].中华流行病学杂志, 2019, 40(3):335-340.
[36] Jiang Y, Su X, Wang C, et al.Prevalence and risk factors for stunting and severe stunting among children under three years old in mid-western rural areas of China[J].Child Care Health Dev,2015, 41(1):45-51.