居住在贾帕Kamal Gaupalika的五岁以下儿童营养不良的患病率

B. Kayastha, Soniya Rai, Dibyashwori Lakhe, Rubi Pradhan, Sapana Sainju
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摘要

五岁以下儿童营养不良是尼泊尔等发展中国家的一个主要全球健康问题。它直接或间接影响儿童健康的许多方面,对生长发育产生不利影响。此外,营养不良还会影响儿童学习和处理信息的能力以及成长。本研究评估了尼泊尔贾帕县Kamal Gaupalika五岁以下儿童营养不良的患病率。首先,对60名五岁以下儿童及其母亲进行了描述性横断面分析。访谈包括关于营养不良的社会人口统计和促成因素的半结构化和结构化问卷,以及用于数据收集的人体测量(模拟称重机、卷尺、上臂中围)。然后,使用SPSS-16对收集的数据进行分析,采用描述性统计(即百分比、频率、平均值和标准差)和推断统计(即卡方)。这项研究表明,41.67%的人营养不良。其中发育迟缓占20.0%,消瘦占25.0%,体重不足占31.7%。人体测量显示83.3%营养良好,11.7%有急性营养不良的风险,5%为中度急性营养不良。研究发现,家庭收入与营养不良显著相关(发育迟缓p=0.001,消瘦p=0.007,体重不足p=0.000)。相比之下,年龄、性别、种族、母亲的教育程度、父亲的教育程度和母亲的分娩年龄没有关联。我们的研究结果表明,营养不良在选定的研究区域很普遍。因此,社区营养意识和教育计划对于改善儿童的营养状况是必要的。
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Prevalence of malnutrition among under-five children residing in Kamal Gaupalika, Jhapa
Malnutrition among under-five is a major global health problem in developing countries like Nepal. It directly or indirectly affects many aspects of the child’s health, adversely affecting growth and development. Also, malnutrition affects the child’s ability to learn and process information and growth. This study assesses the prevalence of malnutrition among under-five children in Kamal Gaupalika, Jhapa, Nepal. First, a descriptive cross-sectional method was conducted among 60 under-five children and their mothers. The interview included semi-structured and structured questionnaires regarding socio-demographic and contributing factors of malnutrition and anthropometric measurement (analog weighing machine, measuring tape, mid-upper arm circumference) used for data collection. Then, the collected data were analyzed using SPSS-16, employing descriptive statistics (i.e. percentage, frequency, mean and standard deviation) and inferential statistics (i.e. chi-square). This study shows that 41.67% were malnourished. Among them, stunting was 20.0%, wasting was 25.0%, and underweight was 31.7%. Anthropometric measurement showed 83.3% were well-nourished, 11.7% were at risk for acute malnutrition, and 5% were moderate acute malnutrition. Family income was found to be significantly associated with malnutrition (stunting p = 0.001, wasting p = 0.007 and underweight p = 0.000). In contrast, there was no association in age, gender, ethnicity, mother’s education, father’s education, and mother’s age at childbirth. Our results showed that malnutrition is prevalent in the selected study area. Therefore, community-based nutrition awareness and education programs are necessary to improve the nutritional status of children.
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