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The Dual Burden of Malnutrition and Associated Dietary and Lifestyle Habits among Lebanese School Age Children Living in Orphanages in North Lebanon

机译:黎巴嫩北部孤儿院中黎巴嫩学龄儿童营养不良的双重负担以及相关的饮食和生活方式习惯

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摘要

Childhood is a crucial period affecting physical and intellectual development. Although children living in orphanages are among the most vulnerable groups at risk of malnutrition, there is scarcity of data concerning their nutritional status in Lebanon. To investigate these data, a cross-sectional survey was conducted including a sample of 153 institutionalized children aged 5–14 years from all orphanages in Tripoli. Nutritional status was assessed using anthropometric, clinical, and dietary tools. Interpretation of anthropometric data showed that 13.8% were stunted while the prevalence of overweight/obesity was 9.2% according to the World Health Organization (WHO) reference criteria. Physical signs suggesting nutritional deficiencies were detected in about 25% of the sample. Dietary intake evaluation showed that about half of the participants had inadequate dietary intakes of proteins, fruits, and vegetables and 92% had inadequate milk and dairy intakes recommended for their age specific needs. Multivariate regression analysis revealed statistically significant positive association of age, skipping breakfast, and increased screen time with stunting while it showed statistically significant negative association of inadequate protein intake with overweight/obesity. The coexistence of under- and overnutrition among institutionalized children calls for implementation of comprehensive intervention strategies committed to reducing undernutrition while simultaneously preventing overnutrition through improving diet quality and physical activity of these children.
机译:童年是影响身体和智力发展的关键时期。尽管住在孤儿院的儿童是最容易遭受营养不良的脆弱群体之一,但关于黎巴嫩儿童营养状况的数据很少。为了调查这些数据,进行了横断面调查,包括的黎波里所有孤儿中的153名5-14岁的收容儿童。使用人体测量,临床和饮食工具评估营养状况。人体测量数据的解释显示,根据世界卫生组织(WHO)参考标准,发育迟缓的比例为13.8%,而超重/肥胖的患病率为9.2%。在大约25%的样本中检测到表明营养缺乏的体征。饮食摄入量评估显示,约有一半的参与者饮食中蛋白质,水果和蔬菜的摄入量不足,而92%的参与者根据其特定年龄的需求建议摄入的牛奶和乳制品摄入量不足。多元回归分析显示年龄,不吃早餐和发育迟缓的筛查时间在统计学上呈显着正相关,而蛋白质摄入不足与超重/肥胖在统计学上呈显着负相关。营养不足和营养过剩并存的儿童需要实施综合干预策略,以减少营养不足,同时通过改善这些儿童的饮食质量和体育锻炼来防止营养过度。

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