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首页> 外文期刊>Infectious Diseases of Poverty >Prevalence and risk factors of undernutrition among schoolchildren in the Plateau Central and Centre-Ouest regions of Burkina Faso
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Prevalence and risk factors of undernutrition among schoolchildren in the Plateau Central and Centre-Ouest regions of Burkina Faso

机译：布基纳法索高原中部和西部沿海地区中小学生营养不足的普遍性和危险因素

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BackgroundMultiple factors determine children’s nutritional status, including energy and nutrient intake, recurrent infectious diseases, access (or lack thereof) to clean water and improved sanitation, and hygiene practices, among others. The “Vegetables go to School: improving nutrition through agricultural diversification” (VgtS) project implements an integrated school garden programme in five countries, including Burkina Faso. The aim of this study was to determine the prevalence of undernutrition and its risk factors among schoolchildren in Burkina Faso before the start of the project. MethodsIn February 2015, a cross-sectional survey was carried out among 455 randomly selected children, aged 8–14 years, in eight schools in the Plateau Central and Centre-Ouest regions of Burkina Faso. Nutritional status was determined by anthropometric assessment. Helminth and intestinal protozoa infections were assessed using the Kato-Katz and a formalin-ether concentration method. A urine filtration technique was used to identify Schistosoma haematobium eggs. Prevalence of anaemia was determined by measuring haemoglobin levels in finger-prick blood samples. Questionnaires were administered to children to determine their knowledge of nutrition and health and their related attitudes and practices (KAP). Questionnaires were also administered to the children’s caregivers to identify basic household socio-demographic and economic characteristics, and water, sanitation and hygiene (WASH) conditions. To determine the factors associated with schoolchildren’s nutritional status, mixed logistic regression models were used. Differences and associations were considered statistically significant if P -values were below 0.05. ResultsComplete datasets were available for 385 children. The prevalence of undernutrition, stunting and thinness were 35.1%, 29.4% and 11.2%, respectively. The multivariable analysis revealed that undernutrition was associated with older age (i.e. 12–14 years compared to OR )?=?3.45, 95% confidence interval ( CI ) 2.12–5.62, P OR =?1.87, 95% CI 1.02–3.43, P =?0.044) and with moderate and severe anaemia in children (a OR =?2.52, 95% CI 1.25–5.08, P =?0.010). ConclusionsWe found high prevalence of undernutrition among the children surveyed in the two study regions?of Burkina Faso. We further observed that undernutrition, anaemia and parasitic infections were strongly associated. In view of these findings, concerted efforts are needed to address undernutrition and associated risk factors among school-aged children. As part of the VgtS project, WASH, health education and nutritional interventions will be implemented with the goal to improve children’s health. Trial registration ISRCTN17968589 (date assigned: 17 July 2015).
机译：背景技术多种因素决定儿童的营养状况，其中包括能量和营养摄入，反复感染的疾病，获得（或缺乏）清洁水和改善的卫生条件以及卫生习惯等。 “蔬菜上学：通过农业多样化改善营养”（VgtS）项目在包括布基纳法索在内的五个国家实施了一项综合的学校花园计划。这项研究的目的是在项目开始之前确定布基纳法索学龄儿童的营养不足发生率及其危险因素。方法2015年2月，在布基纳法索高原中部和中西部地区的8所学校中，对455名8-14岁的随机选择的儿童进行了横断面调查。通过人体测量评估确定营养状况。使用Kato-Katz和福尔马林-醚浓缩法评估蠕虫和肠道原生动物感染。尿液过滤技术用于鉴定血吸虫血红蛋白卵。贫血的发生率通过测量手指刺血样中的血红蛋白水平来确定。对儿童进行问卷调查，以确定他们对营养和健康的了解以及他们有关的态度和做法（KAP）。还对儿童的照料者进行了问卷调查，以确定家庭的基本社会人口统计学和经济特征以及水，环境卫生和个人卫生（WASH）条件。为了确定与小学生营养状况有关的因素，使用了混合逻辑回归模型。如果P值低于0.05，则差异和关联被认为具有统计学意义。结果有385个儿童的完整数据集。营养不良，发育不良和瘦弱的患病率分别为35.1％，29.4％和11.2％。多变量分析显示，营养不足与年龄较大（即OR相比为12-14岁）≥3.45，95％置信区间（CI）为2.12-5.62，P OR = ≥1.87，95％CI为1.02-3.43， P = 0.044），并伴有中度和重度贫血的儿童（OR = 2.52，95％CI 1.25-5.08，P = 0.010）。结论我们发现，在布基纳法索的两个研究区域中，接受调查的儿童中营养不良发生率很高。我们进一步观察到营养不良，贫血和寄生虫感染密切相关。鉴于这些发现，需要采取协调一致的努力来解决学龄儿童营养不良和相关的危险因素。作为VgtS项目的一部分，将实施WASH，健康教育和营养干预措施，以改善儿童的健康。试用注册ISRCTN17968589（分配日期：2015年7月17日）。

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