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李强, 颜虹, 王全丽, 康轶君, 曾令霞. 西北贫困县儿童群体营养状况分析[J]. 中国公共卫生, 2003, 19(10): 1232-1234.
引用本文: 李强, 颜虹, 王全丽, 康轶君, 曾令霞. 西北贫困县儿童群体营养状况分析[J]. 中国公共卫生, 2003, 19(10): 1232-1234.
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LI Qiang, YAN Hong, WANG Quan-li, . Analysis on nutritional status of children in poor counties of the northwest[J]. Chinese Journal of Public Health, 2003, 19(10): 1232-1234.
Citation: LI Qiang, YAN Hong, WANG Quan-li, . Analysis on nutritional status of children in poor counties of the northwest[J]. Chinese Journal of Public Health, 2003, 19(10): 1232-1234.
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西北贫困县儿童群体营养状况分析

Analysis on nutritional status of children in poor counties of the northwest

    摘要
  • 摘要:
      目的   了解西北农村3岁以下儿童的群体营养和生长发育状况及其关系, 比较几年来的变化, 对整体干预的效果进行评价。
      方法   从1999~2001年对西部16个贫困县进行多阶段随机抽样的横断面调查, 以身高和体重作为衡量儿童营养状况的指标。
      结果   1999年西部地区3岁以下儿童生长迟缓(HAZ <-2)、低体重(WAZ <-2)和消瘦(WHZ <-2)的总患病率分别为19.4%, 18.2%和5.8%, 2001年分别为18.2%, 15.1%和4.2%, 地区间有显著性差异, 与美国国家卫生统计中心(NCHS)/WHO标准分布比较, 西部儿童HAZ和WAZ的分布显著左移, 提示西部16个县3岁以下儿童整体的营养状况仍然较差, 但逐年改善。
      结论   应更加深入全面地开展营养健康教育, 提高家长的喂养保健知识, 加强儿童常见病的防治; 在儿童的营养状况整体监护的同时, 重点监护问题儿童是改善儿童群体营养状况的有效途径。

     

    Abstract:
      Objective   To find out the public nutritional status of children under 3 years old in northwest China, compare the difference between different year and evaluate the effect of the public nutritional intervention.
      Methods   Under design of cross-sectional study and randomly sampling a survey was conducted every year for three times, height and weight were used as measurement of nutrition condition of children.
      Results   The prevalences of stunting (Height for Age Z-score <-2), Underweight (Weight for Age Z-score <-2) and wasting (Weight for Height Z-score <-2) were 19.4%, 18.2%, 5.8% respectively in 1999 and 18.2%, 15.1%, 4.2% in 2001.Compared with reference distribution of NCHS/WHO, the distribution of HAZ and WAZ shifted left significantly, which indicated that the nutrition status of the entire children was poor and prevalence of malnutrition was higher in the area.
      Conclusion   The health education of nutrition should be intensified, woman's knowledge about health care and prevention should be improved and the common diseases for children should be controlled. In addition, it should be noticed that an intervention is required for the nutrition status of the entire children and it is an efficient way to pay much attention to those with severely nutritional deficiency.

     

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