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Prevalence and trends of stunting among pre-school children, 1990–2020

机译:1990-2020年学龄前儿童发育迟缓的患病率和趋势

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ObjectiveTo quantify the prevalence and trends of stunting among children using the WHO growth standards.DesignFive hundred and seventy-six nationally representative surveys, including anthropometric data, were analysed. Stunting was defined as the proportion of children below a?’2sd from the WHO length- or height-for-age standards median. Linear mixed-effects modelling was used to estimate rates and numbers of affected children from 1990 to 2010, and projections to 2020.SettingOne hundred and forty-eight developed and developing countries.SubjectsBoys and girls from birth to 60 months.ResultsIn 2010, it is estimated that 171 million children (167 million in developing countries) were stunted. Globally, childhood stunting decreased from 39?·7 (95 % CI 38?·1, 41?·4) % in 1990 to 26?·7 (95 % CI 24?·8, 28?·7) % in 2010. This trend is expected to reach 21?·8 (95 % CI 19?·8, 23?·8) %, or 142 million, in 2020. While in Africa stunting has stagnated since 1990 at about 40 % and little improvement is anticipated, Asia showed a dramatic decrease from 49 % in 1990 to 28 % in 2010, nearly halving the number of stunted children from 190 million to 100 million. It is anticipated that this trend will continue and that in 2020 Asia and Africa will have similar numbers of stunted children (68 million and 64 million, respectively). Rates are much lower (14 % or 7 million in 2010) in Latin America.ConclusionsDespite an overall decrease in developing countries, stunting remains a major public health problem in many of them. The data summarize progress achieved in the last two decades and help identify regions needing effective interventions.
机译:目的使用世界卫生组织(WHO)的生长标准量化儿童发育迟缓的患病率和趋势。分析了包括人体测量学数据在内的576项全国代表性调查。发育迟缓被定义为低于WHO WHO年龄上限或年龄上限标准中位数的a?’ssd 2以下的儿童比例。线性混合效应模型用于估计1990年至2010年受影响儿童的数量和比例以及至2020年的预测。设置了148个发达国家和发展中国家,对象是从出生到60个月的男孩和女孩。结果2010年是估计有1.71亿儿童(发展中国家1.67亿)发育不良。在全球范围内,儿童发育迟缓从1990年的39?·7%(95%CI 38?1、41?4)下降到2010年的26​​?7(95%CI 24?8、28?7)%。预计到2020年,这一趋势将达到21?8(95%CI 19?8、23?8)或1.42亿。而在非洲,自1990年以来发育迟缓一直停滞在40%左右,预计几乎没有改善亚洲的发育不良儿童数量从1990年的49%急剧下降到2010年的28%,几乎将发育不良儿童的数量从1.9亿减至1亿减半。预计这一趋势将继续下去,到2020年,亚洲和非洲的发育不良儿童数量将相近(分别为6800万和6400万)。拉丁美洲的发病率要低得多(2010年为14%,即700万)。结论尽管发展中国家总体上有所下降,但发育迟缓仍然是许多国家中的主要公共卫生问题。数据总结了过去二十年来取得的进展,并有助于确定需要有效干预的地区。

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