卡杜纳市孤儿院5岁以下儿童人体测量指标及微量营养素状况评估

Umar A.T, Anigo K.M, Nwajagu I.U, Okoye N.G, Kahu J.C, Hassan S.M
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摘要

孤儿面临着越来越大的营养不良风险,这是由于不良的喂养方式、食物供应不足、利用以及获得治疗设施的机会有限造成的。在这项研究中,评估了卡杜纳大都市孤儿院五岁以下儿童的人体测量指数和微量营养素状况。取样、人体测量和微量元素分析采用了一些标准方法。结果显示,孤儿的人口学特征以13 ~ 24月龄为主(37.93%),其中女性占52.87%,男性占47.13%;孤儿院儿童的人体测量结果显示,身高体重(WHZ/急性营养不良)的平均z分数为-1.74±1.84,年龄体重(WAZ/体重不足)的平均z分数为-2.59±1.65,年龄身高(HAZ/发育不良)的平均z分数为-2.32±2.23。其中,重度急性营养不良发生率为36%,重度体重不足发生率为36.1%,重度发育迟缓发生率为44.8%。5岁以下孤儿微量元素平均含量为维生素A (26.88ug/l±66.54)、铁(21.78ug/l±12.85)和锌(62.65±29.25 ug/dl)。孤儿微量元素状况和人体测量指标与铁和维生素A浓度、WHZ和WAZ之间(r = 0.681)、WAZ和HAZ之间(r = 0.467)呈显著相关。这项研究的结果将有助于改善卡杜纳大都市孤儿院孤儿的营养状况和解决微量营养素缺乏问题。
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Assessment of Anthropometric Indices and Micronutrient Status of Children under Five in Orphanages of Kaduna Metropolis
Children who are orphaned are faced with an increasing risk of malnutrition, which is attributed from poor feeding practices, inadequate food supply, utilization coupled with limited access to treatment facilities. In this study, the Anthropometric indices and Micronutrient status of children under five in orphanages of Kaduna metropolis, was assessed. Some standard methods were used for the sampling, anthropometric measurements and micronutrient analysis. Results revealed that the demographic characteristics of the orphan children were mostly aged between 13 to 24 months (37.93%) with the female (52.87%) and the male (47.13%). Anthropometric measurements of the children in the orphanages revealed mean z scores for Weight for Height (WHZ/Acute Malnutrition) as -1.74±1.84, -2.59±1.65 for Weight for Age (WAZ/Underweight) and -2.32±2.23 for Height for Age (HAZ/Stunting). Prevalence of Severe Acute Malnutrition among the orphans was (36%), Severe Underweight (36.1%) and severely stunted (44.8%). Micronutrient status of the under five orphan children indicate mean concentrations of Vitamin A (26.88ug/l ± 66.54), Iron (21.78ug/l ± 12.85) and Zinc (62.65 ± 29.25 ug/dl). The orphans’ micronutrient status and anthropometric indices showed significant association between the Iron and Vitamin A concentrations, WHZ and WAZ (r = 0.681) and between WAZ and HAZ (r = 0.467). The outcome of this research will contribute to improving the nutritional status and address micronutrient deficiencies among orphans in orphanages of Kaduna Metropolis.
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