首页> 美国卫生研究院文献>International Journal of Environmental Research and Public Health >Nutritional Status of Children 24–60 Months Attending Early Child Development Centres in a Semi-Rural Community in South Africa
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Nutritional Status of Children 24–60 Months Attending Early Child Development Centres in a Semi-Rural Community in South Africa

机译:24-60个月儿童营养状况在南非半乡社区参加早期儿童发展中心

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摘要

Despite the numerous efforts to improve the nutritional status of children, a high prevalence of malnutrition still exists in South Africa. This study aimed to determine the nutritional status of children attending Early Child Development centres in South Africa. In this baseline study, we randomly selected two Early Child Development centres comprising 116 children aged 24–60 months, separated into two cohorts, of 24–47 months and 48–60 months. Dietary intake was measured through the 24 hDR and analysed using Food Finder software. The food frequency questionnaire was used to calculate the food variety and food group diversity scores. Anthropometric measurements were taken and the WHO Anthro software was used to convert it to nutritional data indices. Blood samples were collected through dried blood spot cards in order to determine serum retinol and haemoglobin levels and they were assessed using WHO indicators. The findings showed that participants between 24 and 47 months had a high mean energy intake (4906.2 kJ and 4997.9 kJ for girls and boys, respectively). For the 48–60 months age group, energy intake was lower than the EER (5936.4 kJ and 5621.2 kJ; p = 0.038). There was low fruit and vegetable consumption (24–47 months; 63.8 g and 69.5 g (p = 0.037), 48–60 months; 68.3 g and 74.4 g (p = 0.038) and the top five foods consumed were carbohydrate rich foods for girls and boys, respectively. Stunting was noted in 7% and 20% (48–60 months) (p = 0.012) and overweight in 8% and 17% (24–47 months) and 17% and 13% (48–60 months) (p = 0.041) in girls and boys, respectively. Low serum retinol levels (<0.070 µmol/L) were found in 9.1% of boys (24–47 months), and 8% and 7.4% of girls and boys (48–60 months), respectively. Low haemoglobin levels (<11.0 g/dL) were found in 50.0% and 30.4% (24–47 months) and 8.6% and 39.3% (48–60 months) of girls and boys, respectively. Malnutrition, despite many national and provincial initiatives, still exists in Early Childhood Development centres in South Africa, calling for the application of contextualized nutrition interventions to suit resource-poor settings.
机译:尽管众多努力提高了儿童的营养状况,但南非仍存在营养不良的高度普遍存在。本研究旨在确定参加南非早期儿童发展中心的儿童的营养状况。在这项基线研究中,我们随机选择了24-60个月的116例儿童的早期儿童开发中心,分为24-47个月和48-60个月的两份队列。通过24 HDR测量膳食摄入并使用食品发现软件进行分析。食品频率调查表用于计算食品品种和食物组多样性分数。采取了人体测量测量,使用WHO Anthro软件将其转换为营养数据指数。通过干血液点卡收集血液样品,以确定血清视黄醇和血红蛋白水平,并使用WHO指标进行评估。调查结果表明,24至47个月之间的参与者分别具有高平均能量摄入(分别为女孩和男孩4906.2 KJ和4997.9 kJ)。对于48-60个月的年龄组,能量摄入量低于eer(5936.4 kJ和5621.2 kj; p = 0.038)。水果和蔬菜消耗量低(24-47个月; 63.8克和69.5克(P = 0.037),48-60个月; 68.3克和74.4克(P = 0.038),消耗的五大食物是碳水化合物丰富的食物女孩和男孩分别在7%和20%(48-60个月)中注意到眩晕(P = 0.012),超重8%和17%(24-47个月)和17%和13%(48-60)几个月)(p = 0.041)分别在女孩和男孩中。在9.1%的男孩(24-47个月)中发现了低血清视黄醇水平(<0.070μmol/ l),8%和7.4%的女孩和男孩(分别为48-60个月。分别在50.0%和30.4%(24-47个月)中发现了低血红蛋白水平(<11.0g / dl)分别为8.6%和39.3%(48-60个月)的女孩和男孩。营养不良,尽管有许多国家和省级的举措,仍然存在于南非的早期儿童开发中心,呼吁在适用上下文化的营养干预以适应资源差的环境。

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