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首页> 外文期刊>Public Health Nutrition >Prevalence and public health relevance of micronutrient deficiencies and undernutrition in pre-school children and women of reproductive age in C?te d'Ivoire, West Africa
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Prevalence and public health relevance of micronutrient deficiencies and undernutrition in pre-school children and women of reproductive age in C?te d'Ivoire, West Africa

机译：西非科特迪瓦的学龄前儿童和育龄妇女微量营养素缺乏和营养不良的患病率与公共卫生的相关性

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Abstract Objective To provide nationally representative data on the prevalence of anaemia, vitamin A and Fe deficiencies among pre-school age children (pre-SAC) and non-pregnant women of reproductive age (WRA), and on vitamin B12 and folate deficiencies in WRA, and the influence of inflammation on their interpretation. Design A cross-sectional survey to measure anthropometry, malaria parasitaemia and micronutrient status. Specifically, blood samples were analysed for Hb, plasma ferritin, soluble transferrin receptors, C-reactive protein, ?±1-acid glycoprotein, retinol-binding protein, vitamin B12 and folate. Setting C?′te d'Ivoire in 2007. Subjects Nine hundred and twenty-eight WRA and 879 pre-SAC. Results In WRA, prevalence of Plasmodium parasitaemia (5 %) was low, but inflammation (34 %) was higher. Anaemia was a severe public health problem and prevalence differed by residency and eco-region. Inflammation-adjusted Fe deficiency was highest in urban areas (20 %). Nationally, folate deficiency was 86 %, higher in urban areas and varied by eco-region. Prevalence of vitamin B12 deficiency was low but higher in the rural areas and the north. Inflammation-adjusted vitamin A deficiency was very low (1 %). In pre-SAC, prevalence of inflammation (67 %) and Plasmodium parasites (25 %) was high; the latter was associated with poverty, rural residency and higher ferritin concentrations. Anaemia was classified as a severe public health problem (72 %), and was higher in rural areas (76 %) and the north (87 %). A quarter of pre-SAC suffered from vitamin A deficiency (inflammation-adjusted) and prevalence of undernutrition was high. Conclusions Prevalence of inflammation, Plasmodium parasitaemia and micronutrient deficiencies were high in C?′te d'Ivoire, particularly in pre-SAC. Nutritional interventions should be accompanied by strategies to reduce exposure to infections.
机译：摘要目的提供全国性的代表性数据，以说明学龄前儿童（pre-SAC）和未怀孕育龄妇女（WRA）中贫血，维生素A和Fe缺乏症的发生率以及WRA中维生素B12和叶酸缺乏症的发生率以及炎症对其解释的影响。设计一项横断面调查，以测量人体测量学，疟疾寄生虫血症和微量营养素状况。具体地，分析血样中的Hb，血浆铁蛋白，可溶性转铁蛋白受体，C反应蛋白，α±1-酸糖蛋白，视黄醇结合蛋白，维生素B12和叶酸。科特迪瓦于2007年成立。受试者928名WRA和879 SAC前。结果在WRA中，寄生性疟原虫的患病率较低（5％），但炎症较高（34％）。贫血是一个严重的公共卫生问题，居住地区和生态区域的患病率不同。经炎症调节的铁缺乏症在城市地区最高（20％）。在全国范围内，叶酸缺乏症占86％，在城市地区较高，并且因生态区域而异。维生素B12缺乏症的患病率较低，但在农村地区和北部较高。经炎症调节的维生素A缺乏症非常少（1％）。在SAC之前，发炎率（67％）和疟原虫寄生虫（25％）很高;后者与贫困，农村居住和铁蛋白浓度升高有关。贫血被列为严重的公共卫生问题（72％），在农村地区（76％）和北部（87％）更高。 SAC前四分之一患有维生素A缺乏症（经炎症调整），营养不良发生率很高。结论在科特迪瓦，特别是在SAC之前，炎症，寄生性疟原虫血症和微量营养素缺乏症的发生率很高。营养干预措施应辅之以减少感染的策略。

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