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首页> 外文期刊>BMC Public Health >Anemia, malnutrition and their correlations with socio-demographic characteristics and feeding practices among infants aged 0–18 months in rural areas of Shaanxi province in northwestern China: a cross-sectional study
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Anemia, malnutrition and their correlations with socio-demographic characteristics and feeding practices among infants aged 0–18 months in rural areas of Shaanxi province in northwestern China: a cross-sectional study

机译：陕西省农村地区0-18月龄婴儿的贫血，营养不良及其与社会人口学特征和喂养习惯的关系：一项横断面研究

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Background The first 18 months of life are the most important for long-term childhood well-being. Anemia and malnutrition occurring in this key period have serious implications for individuals and societies, especially in rural areas in developing country. We conducted a cross-sectional study as the baseline survey to provide data for developing a policy-based approach to controlling infant anemia and malnutrition in rural areas of Shaanxi province in northwestern China. Methods We randomly sampled 336 infants aged 0–18 months in 28 rural villages from 2 counties of Shaanxi province. Anthropometric measurements and household interviews were carried out by well-trained researchers. The hemoglobin concentration was measured for 336 infants and serum concentrations of iron, zinc, and retinol (vitamin A) were measured for a stratified subsample of 55 infants. Anemia was defined using World Health Organization (WHO) standards combined with the Chinese standard for infants Results We found that 35.12% of infants in rural Shaanxi suffered from anemia, and the malnutrition prevalence rates were 32.14% for underweight, 39.58% for stunting, and 11.31% for wasting. Anemia was significantly associated with malnutrition (underweight, OR: 2.42, 95%CI: 1.50-3.88; stunting, OR: 1.65, 95%CI: 1.05-2.61; wasting, OR: 2.89, 95%CI: 1.45-5.76). Low birth weight, more siblings, less maternal education, low family income, crowded living conditions, and inappropriate complementary food introduction significantly increased the risk for infant anemia. Serum concentrations of iron, zinc, and retinol (vitamin A) were significantly lower in anemic infants compared with non-anemic infants. Conclusions Specific socio-demographic characteristics and feeding patterns were highly associated with infant anemia in rural areas of Shaanxi province. Health education focusing on feeding practices and nutrition education could be a practical strategy for preventing anemia and malnutrition in young children.
机译：背景生命的头18个月对于儿童的长期健康至关重要。在这个关键时期发生的贫血和营养不良对个人和社会，特别是在发展中国家的农村地区，具有严重的影响。我们进行了一项横断面研究作为基线调查，以提供数据以开发一种基于政策的方法来控制中国西北地区陕西省农村地区的婴儿贫血和营养不良。方法我们从陕西省两个县的28个乡村中随机抽取了336名0-18个月的婴儿。训练有素的研究人员进行了人体测量和家庭访问。测量了336名婴儿的血红蛋白浓度，并测量了55名婴儿的分层子样本的铁，锌和视黄醇（维生素A）的血清浓度。使用世界卫生组织（WHO）标准和中国婴儿标准定义贫血。结果我们发现陕西农村地区35.12％的婴儿患有贫血，体重不足的营养不良率为32.14％，发育迟缓的营养率为39.58％，浪费的11.31％。贫血与营养不良显着相关（体重不足，OR：2.42，95％CI：1.50-3.88;发育迟缓，OR：1.65，95％CI：1.05-2.61;消瘦，OR：2.89，95％CI：1.45-5.76）。出生体重低，兄弟姐妹多，母亲的教育少，家庭收入低，生活条件拥挤以及不适当的补充食物的引入显着增加了婴儿贫血的风险。与非贫血婴儿相比，贫血婴儿的血清铁，锌和视黄醇（维生素A）浓度显着降低。结论陕西省农村地区婴儿贫血与特定的社会人口统计学特征和喂养方式有关。以喂养方法为重点的健康教育和营养教育可能是预防幼儿贫血和营养不良的实用策略。

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