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黄永玲, 张唯敏, 方亮. 安徽贫困地区6~24月龄婴幼儿营养干预效果评价[J]. 中国公共卫生, 2020, 36(11): 1582-1585. DOI: 10.11847/zgggws1120879
引用本文: 黄永玲, 张唯敏, 方亮. 安徽贫困地区6~24月龄婴幼儿营养干预效果评价[J]. 中国公共卫生, 2020, 36(11): 1582-1585. DOI: 10.11847/zgggws1120879
HUANG Yong-ling, ZHANG Wei-min, FANG Liang. Effect of nutritional intervention among 6 – 24 months old infants in poverty-stricken areas in Anhui province[J]. Chinese Journal of Public Health, 2020, 36(11): 1582-1585. DOI: 10.11847/zgggws1120879
Citation: HUANG Yong-ling, ZHANG Wei-min, FANG Liang. Effect of nutritional intervention among 6 – 24 months old infants in poverty-stricken areas in Anhui province[J]. Chinese Journal of Public Health, 2020, 36(11): 1582-1585. DOI: 10.11847/zgggws1120879

安徽贫困地区6~24月龄婴幼儿营养干预效果评价

Effect of nutritional intervention among 6 – 24 months old infants in poverty-stricken areas in Anhui province

  • 摘要:
      目的  了解安徽省贫困地区6~24月龄婴幼儿营养健康状况,并评价贫困地区儿童营养改善项目的改善效果。
      方法  采用多阶段抽样、概率比例规模抽样(PPS)和随机等距抽样相结合的方法,在营养干预前、干预1年后及干预2年后抽取有代表性的3 859名6~24月龄婴幼儿进行体格发育测量和末梢血血红蛋白检测,评价营养干预效果。
      结果  营养干预2年后婴幼儿体重平均值增加0.33 kg,身长平均值增加0.94 cm,年龄别体重Z评分(WAZ)平均值增加0.11,身高别体重Z评分(WHZ)平均值增加0.13;平均血红蛋白含量由项目实施前的114.86 g/L提高到118.13 g/L,贫血检出率由29.04 %下降至19.71 %。6~11月龄婴儿贫血率显著高于其他年龄组,营养干预2年后由41.81 %下降为33.07 %,仍高于2010年全国平均水平。
      结论  通过实施贫困地区儿童营养改善项目,安徽省贫困地区婴幼儿营养状况得到了显著改善,项目取得了预期效果。

     

    Abstract:
      Objective  To examine nutrition status and intervention effect of nutrition improvement program among infants aged 6 – 24 months in poverty-stricken areas of Anhui province.
      Methods  We conducted three waves of survey in four poverty-stricken counties with National Nutrition Improvement Program which supplemented a nutrition package to all 6 – 24 months old children in the counties from 2014. Using multi-stage probability proportionate to size sampling combined with equidistance sampling, we selected 1 314, 1 245, and 1 297 infants aged 6 – 24 months in the four counties before, one year after, and two years after the implementation of the program and performed physical development and peripheral blood hemoglobin measurement to evaluate the effect of the nutrition intervention among the infants.
      Results  Compared to those before the implementation of the program, the mean weight increased by 0.33 kilogram; the mean height increased by 0.94 centimeter; the weight-for-age Z-score (WAZ) increased by 0.11; the weight-for-height Z-score (WHZ) increased by 0.13; the mean concentration of hemoglobin increased from 114.86 g/L to 118.13 g/L; the detection rate of anemia decreased from 29.04% to 19.71% one year after the implementation of the program among the infants. The anemia rate of infants aged 6 – 11 months was significantly higher than that of other age groups; although dropped from 41.81% to 33.07% two years after the nutrition intervention, the rate was still higher than that of national average in 2010.
      Conclusion  The nutrition status was improved markedly after the implementation of National Nutrition Improvement Program among the 6 – 24 infants in poverty-stricken areas of Anhui province, indicating that the program achieved desired result.

     

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