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兰晓霞, 颜虹. 46个农村贫困县婴幼儿辅食添加现状[J]. 中国公共卫生, 2003, 19(8): 918-921.
引用本文: 兰晓霞, 颜虹. 46个农村贫困县婴幼儿辅食添加现状[J]. 中国公共卫生, 2003, 19(8): 918-921.
LAN Xiao-xia, YAN Hong. Infant's food complementary status in 46 poor rural areas[J]. Chinese Journal of Public Health, 2003, 19(8): 918-921.
Citation: LAN Xiao-xia, YAN Hong. Infant's food complementary status in 46 poor rural areas[J]. Chinese Journal of Public Health, 2003, 19(8): 918-921.

46个农村贫困县婴幼儿辅食添加现状

Infant's food complementary status in 46 poor rural areas

  • 摘要:
      目的   分析我国西部农村地区3岁以下儿童辅食添加现状, 为政府制定相应的政策提供理论依据。
      方法   采用分层多阶段抽样的方法, 进行横断面调查, 以辅食添加率、辅食添加时间和辅食添加频率来分析辅食添加状况, 用年龄别身高Z值(HAZ)和年龄别体重Z值(WAZ)判断婴幼儿生长发育水平。
      结果   所调查婴幼儿谷类辅食的添加率88%, 植物蛋白添加率最低为44.7%。五大类辅食的添加率都随着婴幼儿年龄的增加而增加, 每一个月龄段各类辅食的添加率都以谷类最高, 依次为蔬菜, 动物蛋白, 蛋类和奶类, 植物蛋白最低。辅食开始添加较迟, 平均时间在6个月以后, 鸡蛋、肉类和蔬菜在8个月左右, 豆制品最晚, 平均为10个月。4~6月龄每天吃鸡蛋和肉类的比例分别只有16.6%和15.4%, 12个月龄以后每天能吃到鸡蛋的比例不到60%, 肉类则更低不到50%, 6个月龄以后五大类辅食添加组生长迟缓和低体重的发病率都低于未添加, 12~24月龄段这种差别最大。
      结论   我国西部农村婴幼儿辅食添加存在的主要问题是添加时间不合理, 品种单一和实际摄入量低。应该多渠道进行营养知识宣传, 大力提倡添加鸡蛋, 植物蛋白如豆制品以及蔬菜等, 农村地区容易获取的营养丰富的食品, 以满足婴幼儿生长发育对蛋白质和多种维生素的需求, 进而改善农村地区婴幼儿营养状况。

     

    Abstract:
      Objective   To analyze food complementary status of children under 3 years in poor rural area of Western China, and to provide a scientific evidence for Ministry of Health of China to develop a regulation and policy regarding to child nutrition improvement and child health care.
      Methods   According to the design of cross-sectional study and stratified randomly sampling, the status of food supplement was described by rate, time and frequency, Z score of height for age(HAZ)and Z score of weight for age(WAZ) were used as measurement of nutrition status of children.
      Results   The complementary rate of grain food among the infants was 88%, which of vegetable protein was lowest(44.7%).The rates of five kinds of complementary food increased with the infants aging, and at month-age stage, the rate of grain food was highest, rates of vegetable, animal protein, eggs and milk were ordered by descendent turn.It was late to supply food for infants, the median age of feeding complements was 6 months, which of eggs, vegetables and animal protein was about 8 months, vegetable protein's introduced time was at 10 months.The proportion of eating eggs and meat everyday was only 161 6% and 15.4% respectively during the first period of 4-6 months, and less 60% and 50% separately in 12 months of birthing.The prevalences of stunting(Height for Age Z-score < -2)and underweight(Weight for Age Z-score < -2)in the group of introduced complementary food were lower than that in the group without introduced complementary food after 6 months, and the big difference occured in the children aged among 12-24 months.
      Conclusion   The main problems of the food complementary in poor rural area of Westem China were that the first supplement time was delayed, the categories of complementary food was single, and the taking amount was low.To improve the nutrition status of children less than 3 years old in rural area, an imporant strategy was to launch nutrition education program particular for mothers.Another specific suggestion was to make good use of the local nutrition resources, as were instanced by eggs, vegetable protein such as legume and vegetables.

     

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