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首页> 外文期刊>BMC Public Health >Nutritional status among primary school children in rural Sri Lanka; a public health challenge for a country with high child health standards
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Nutritional status among primary school children in rural Sri Lanka; a public health challenge for a country with high child health standards

机译:斯里兰卡农村小学生的营养状况;儿童健康水平高的国家面临的公共卫生挑战

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Background Nutritional status of pre adolescent children is not widely studied in Sri Lanka. The purpose of this study was to determine the nutritional status among pre-adolescent school children in a rural province of Sri Lanka. Methods A school based cross sectional study was carried out in North Central Province in 100 rural schools, selected using multi stage cluster sampling with probability proportionate to size. Children in grade one to five were enrolled with a maximum cluster size of fifty. Anthropometric measurements were done by trained data collectors and venesection was done at site by trained nurses. WHO AnthoPlus was used to calculate the BMI, height for age and weight for age Z scores. Survey design adjusted prevalence estimates with linearized standard errors were generated using svy function of STATA. Mean haemoglobin concentration (Hb) was calculated using methaeamoglobin method. Screening for iron deficiency and thalassemia trait was done using peripheral blood films. Results Height and weight measurements were done for 4469 of children and the Hb data was available for 4398 children. Based on the survey design adjusted estimates, prevalence of severe thinness, thinness, overweight and obesity in this population was 8.60% (SE 0.94), 2.91%(SE 0.74), 2.95%(0.26) and 2.43%(SE 0.92) respectively. Similarly, survey design adjusted prevalence of underweight and stunting were, 25.93% (95% CI 24.07–27.89%) and 43.92%(95% CI 40.55–47.56%). Adjusted mean estimates for hemoglobin was 12.20 (95% CI 12.16–12.24) g/dL. Prevalence of anemia was 17.3% ( n =?749). Prevalence of mild and moderate anemia was 9.4 and 7.6% respectively. Conclusion This study confirms that malnutrition is still a major problem in North Central Province, Sri Lanka.
机译:背景技术斯里兰卡尚未对青春期前儿童的营养状况进行广泛研究。这项研究的目的是确定斯里兰卡农村省的青春期前学龄儿童的营养状况。方法在中北部省份的100所农村学校中进行了基于学校的横断面研究,采用概率与规模成比例的多阶段整群抽样方法进行选择。招收1至5年级的儿童,最多容纳50名儿童。人体测量是由训练有素的数据采集员完成的,而性腺切除术是由训练有素的护士在现场进行的。 WHO AnthoPlus用于计算BMI,年龄的身高和Z年龄的体重。使用STATA的svy函数生成具有线性标准误差的调查设计调整患病率估计值。平均血红蛋白浓度(Hb)使用高铁血红蛋白法计算。使用外周血膜筛查铁缺乏症和地中海贫血特征。结果对4469名儿童进行了身高和体重测量,并为4398名儿童提供了Hb数据。根据调查设计调整后的估计,该人群的严重瘦,瘦,超重和肥胖的患病率分别为8.60%(SE 0.94),2.91%(SE 0.74),2.95%(0.26)和2.43%(SE 0.92)。同样,调查设计调整后的体重不足和发育不良患病率分别为25.93%(95%CI为24.07–27.89%)和43.92%(95%CI为40.55-47.56%)。调整后的血红蛋白平均估计值为12.20(95%CI 12.16–12.24)g / dL。贫血患病率为17.3%(n =?749)。轻度和中度贫血的患病率分别为9.4%和7.6%。结论该研究证实营养不良仍然是斯里兰卡北部中部省的主要问题。

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