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Dietary and socio-economic correlates of nutritional status in a rural adult Kenyan population

机译:肯尼亚农村成年人口中营养状况的饮食和社会经济相关因素

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There is a lack of data on trends in body composition among developing countries and?the distribution of malnutrition among adults is poorly understood. Thus, the?objective was to establish nutritional status, demographic make-up, dietary habits, and?to determine if socioeconomic variables or dietary habits are associated withnutritional status in a rural adult Kenyan population. Five hundred Kenyan adults?ages 18-55 years were recruited from the Kombewa division, located 40 km west of?Kisumu, Kenya. The proportion of underweight and overweight adults is consistent?with developing countries in nutrition transition. Using standard body mass index?(BMI) classifications, 9.8% of the study population was underweight, 76.0% were?normal weight, and 14.2% were overweight or obese. Significantly more females?(20.7%) were overweight or obese than males (4.1%) (P=0.001). Iron deficiency was?a significant issue, with 21.4% of females classified as anemic (Hb<120g/l). Among?overweight females, anemia rates remained high (16.9%) and were greater than in?underweight females (10.8%). While 20% of subjects were HIV positive, their statusdid not affect BMI (P=0.230). The most significant correlation between dietary data?and BMI was french fry consumption (r = 0.167, P=0.001). Overweight or obese?subjects reported eating french fries more frequently than subjects who had an?underweight or normal range BMI (64.8% vs. 43.8%, P=0.002). Several other?socioeconomic and dietary variables had weak correlations with BMI. Similar to data?from developing countries in nutrition transition, it appears that the nutritional status?of this rural Kenyan population has been affected by shifts in dietary patterns. Based?on trends in other developing countries, it is likely that the incidence of overweight?will increase in Kenya while micronutrient deficiencies and underweight remain?concerns. Socioeconomic variables have been correlated with nutritional status in?other developing countries and should be examined further in conjunction with food?insecurity, so that culturally relevant and feasible interventions can be implemented.
机译:缺乏关于发展中国家人体组成趋势的数据,人们对营养不良在成年人中的分布知之甚少。因此,目的是建立营养状况,人口组成,饮食习惯,并确定社会经济变量或饮食习惯是否与肯尼亚农村成年人口的营养状况相关。 500名肯尼亚成年人(年龄在18-55岁之间)是从位于肯尼亚基苏木以西40公里处的Kombewa部招募来的。体重过轻和超重的成年人的比例与营养转型中的发展中国家一致。使用标准体重指数(BMI)分类,研究人群中9.8%的体重不足,76.0%的体重正常,14.2%的体重超重或肥胖。超重或肥胖的女性(20.7%)明显多于男性(4.1%)(P = 0.001)。缺铁是一个严重的问题,有21.4%的女性被归为贫血(Hb <120g / l)。在“超重”女性中,贫血发生率仍然很高(16.9%),高于“超重”女性(10.8%)。尽管20%的受试者为HIV阳性,但其身份并未影响BMI(P = 0.230)。饮食数据和BMI之间最显着的相关性是炸薯条的消费量(r = 0.167,P = 0.001)。据报道,超重或肥胖的人比那些体重不足或体重指数正常的受试者吃炸薯条的频率更高(64.8%vs. 43.8%,P = 0.002)。其他几个社会经济和饮食变量与BMI的相关性较弱。与发展中国家进行营养转型的数据类似,肯尼亚农村人口的营养状况似乎受到饮食结构变化的影响。根据其他发展中国家的趋势,肯尼亚的超重发生率可能会增加,而微量营养素缺乏和体重不足仍然令人担忧。社会经济变量已与其他发展中国家的营养状况相关联,应与粮食不安全状况一起进一步研究,以便可以实施与文化相关的可行干预措施。

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