Objective To investigate the nutritional status of infants aged 6 to 24 months in Xinjiang areas,in order to provide scientific reference for taking nutritional measures.Method Totally 3 837 infants aged 6 to 24 months were selected from 13 poverty-stricken counties by stratified cluster sampling,and their hemoglobin and physique were measured from March to May 2018. Results The detection rates of underweight,growth retardation,wasting and obesity were 13.5%,23.5%,10.5%,7.8% and 45.0%,respectively,which were significant different among children at different age groups(χ2=20.969,80.878,31.540,11.912,P＜0.01).The rate of growth retardation between male and female infants was significantly different(χ2=8.806,P＜0.05).Caregiver′s knowledge on nutrition and feeding was poor,and it was better in non-anemia group (P<0.01). Conclusions There is still a large gap between the nutritional status of infants and young children in poverty-stricken areas of Xinjiang and the average level the whole nation.In detail,the main nutritional problems faced by infants and young children aged 6-24 months in poverty-stricken areas of Xinjiang are growth retardation and anemia.Therefore,the key to reduce malnutrition and anemia is increasing the propaganda of infant feeding knowledge,taking nutritional supplementation in time and adding supplementary food reasonably.
Key words
poverty-stricken areas /
malnutrition /
anemia
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
References
[1] Christcrain M,Fenske W.Copeptin in the diagnosis of vaso-pressin-dependent disorders of fluid homeostasis[J].Nat Rev Endocrinol,2016,12(3):91-102.
[2] UNICEF.The state of the world′s children 2016:Executive summary[R].Reimagine the future:Innovation for every child.UNICEF,2016.
[3] 李廷玉.中国儿童营养面临的双重负担一营养不良和超重肥胖[J].中华实用儿科学杂志,2015,30(12):881-883.
[4] Word Health Organization.Iron deficiencyanaemia:assessme nt,prevention and control:a guide for programme managers[R].WHO.2001.
[5] Dirren H,Logman M,Barclay D,et al.Altitude correction for hemoglobin[J].Eur J Clin Nutr,1994,48(9):625-632.
[6] 国务院.中国儿童发展纲要 (2011-2020年)[EB/OL].2011-05-22.http://www.gov.cn/gongbao/content/2011/content-1927200.htm.
[7] 中华人民共和国国家卫生健康委员会.中国妇幼健康事业发展报告[R].北京:中华人民共和国国家卫生健康委员会,2019.
[8] 李娟娟,张强,王晓雯,等.2009年云南贫困农村6岁以下儿童营养不良的影响因素[J].卫生研究,2015,44(6):993-995,1000.
[9] 陈瑞,杨海霞,王文龙,等.甘肃贫困农村地区0～6岁儿童营养状况及影响因素分析[J].卫生研究,2014,43(4):590-593.
[10] 李宁,李玲,张艳卿.济南市5岁以下儿童营养状况的十年变化[J].中国儿童保健杂志,2014,22(5):482-483,487.
[11] 刘晓莉,席卫平,杨建平,等.山西省贫困地区6～24个月儿童营养现状的调查研究[J].中国生育健康杂志,2014,25(6):495-498.
[12] 张亚南,张本忠.甘肃省农村地区6～24月龄婴幼儿营养状况及其影响因素分析[J].中国儿童保健杂志,2016,24(7):756-759.
[13] 佐日汗·艾依萨,李树芬,黄亚玲.阿勒泰市哈萨克族小儿贫血与饮食习惯的关系研究[J].中国妇幼健,2016,31(15):3128-3131.
[14] 朱曦,田新梅,赵映光,等.新疆阿合奇县3岁以下儿童缺铁性贫血的发病因素分析[J].山东医药,2013,53(37):40-42.
[15] Lee JA,Hwang JS,Hwang IT,et a1.Low vitamin D levels are associated with both iron deficiency and anemia in children and adolescents[J].Pediatr Hematol Oncol,2015,32(2):99-108.
[16] 郑小璇,熊超,刘娜,等.中国西部五省农村婴幼儿营养不良及影响因素分析[J].中国公共卫生,2013,29(1):19-22.
[17] 蔡佳音.我国5岁以下儿童营养问题及影响因素研究[D].北京:北京协和医学院.2013.
[18] 孙芃睿.浅析小儿贫血程度与小儿营养不良类型的关系研究[J].中国保健营养,2019,29(1):64.
[19] 龙志文,汪晓语,段若男,等.贵州省农村5～6岁学龄前儿童贫血状况及其与体格发育的关系研究[J].现代预防医学,2019,46(13):2355-2358,2369.
[20] 中国营养学会膳食指南修订专家委员会妇幼人群指南修订专家工作组.7～24月龄婴幼儿喂养指南[J].临床儿科杂志,2016,34(5):381-387.
PDF(678 KB)
