印度南部五岁以下儿童和老年人的营养不良负担:系统回顾和荟萃分析

IF 0.2 Q4 PHARMACOLOGY & PHARMACY Asian Journal of Pharmaceutical Research and Health Care Pub Date : 2023-04-01 DOI:10.4103/ajprhc.ajprhc_12_23
Lavanya Ayyasamy, PParameshwari Prahalad, S. Chinnaiyan, M. Azarudeen, Janani Kumaresan, Nivedhitha Sekar
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引用次数: 0

摘要

背景:营养不良仍然是婴儿死亡的主要原因,主要发生在印度等低收入和中等收入国家。目的:基于现有文献,我们的系统回顾和荟萃分析试图确定印度南部儿童和老年人营养不良的患病率。方法:根据系统评价和荟萃分析指南的首选报告项目,独立研究人员检索了PubMed, EMBASE和Web of Science,以获取印度南部儿童和老年人营养不良的研究。我们使用随机效应模型估计了95%置信区间(ci)的总患病率。结果:20项研究符合纳入标准并被纳入分析。共有11452名儿童和1108名老年人参与了这项研究。13项研究报告了营养不良的患病率,样本总数为8417。五岁以下儿童体重不足的比例为41% (95% CI: 36%-46%)。13项研究报告了消瘦,汇总样本量为9789。浪费的合并比例为25% (95% CI: 20%-31%)。14项研究报告了发育迟缓,汇总样本量为10,112。儿童发育迟缓的总比例为33%。四项研究报告了印度南部老年人营养不良或营养不足的情况。合并样本量为1108例,老年人营养不良的合并比例为12% (95% CI: 1%-22%)。结论:在印度解决儿童营养不良问题需要针对轻度营养不良病例和弱势群体采取公共卫生干预措施,实施和评估区域战略,调查超重、肥胖及其原因,以及社会经济发展。
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Burden of malnutrition among under-five children and elderly population in Southern India: A systematic review and meta-analysis
Background: Malnutrition remains a leading cause of infant mortality, primarily in low- and middle-income nations such as India. Aim: Based on the existing literature, our systematic review and meta-analysis sought to determine the prevalence of malnutrition among children and the elderly in Southern India. Methods: In accordance with Preferred Reporting Items for Systematic Review and Meta-analysis guidelines, independent researchers searched PubMed, EMBASE, and Web of Science for studies on malnutrition among children and the elderly in Southern India. We estimated the pooled prevalence with confidence intervals (CIs) of 95% using a random-effects model. Results: Twenty studies met the inclusion criteria and were included in the analysis. There were 11,452 children and 1108 elderly population participants included in the review. Thirteen studies reported the prevalence of undernutrition and the pooled number of samples was 8417. The proportion of underweight in under-five children was 41% (95% CI: 36%–46%). Thirteen studies reported wasting, and the pooled sample size was 9789. The pooled proportion of wasting was 25% (95% CI: 20%–31%). Fourteen studies reported stunting, and the pooled sample size was 10,112. The pooled proportion of stunting was 33% among children. Four studies reported malnourishment or undernutrition among the elderly population in southern India. The pooled sample size was 1108 and the pooled proportion of malnourishment among the elderly population was 12% (95% CI: 1%–22%). Conclusion: Combating child malnutrition in India requires public health interventions for cases of mild malnutrition and vulnerable populations, regional strategy implementation and evaluation, investigations on overweight, obesity, and its causes, and socioeconomic development.
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