| 安徽农村学龄前儿童缺铁性贫血及膳食营养相关因素分析 |
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| 引用本文： | 束莉,李梦瑶,李晓璐,邱孟庭,韩子妍. 安徽农村学龄前儿童缺铁性贫血及膳食营养相关因素分析[J]. 中国学校卫生, 2021, 42(12): 1793-1797. DOI: 10.16835/j.cnki.1000-9817.2021.12.009 |
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| 作者姓名： | 束莉 李梦瑶 李晓璐 邱孟庭 韩子妍 |
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| 作者单位： | 蚌埠医学院公共卫生学院,安徽 233030 |
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| 基金项目： | 安徽省哲学社科规划项目AHSKQ2018D49蚌埠医学院“512”人才培育计划项目by51202301 |
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| 摘 要： | 目的 运用学龄前儿童膳食平衡指数(DBI_C)评价安徽省部分学龄前儿童的膳食质量,为科学指导该人群合理膳食和防治IDA提供实证依据.方法 2018年9-12月,选择安徽省有完整膳食调查资料的3～6岁留守儿童306名和非留守儿童598名作为研究对象,利用DBI_C的总分(TS)、负端分(LBS)、正端分(HBS)和膳食质...
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| 关 键 词： | 贫血,缺铁性 膳食 营养状况 回归分析 儿童 学龄前 农村人口 |
| 收稿时间： | 2021-03-26 |
Prevalence of iron deficiency anemia and the association with dietary nutrition factors of preschool children in rural Anhui Province |
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| Affiliation: | School of Public Health, Bengbu Medical College, Bengbu(233030), Anhui Province, China |
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| Abstract: | Objective To evaluate the dietary quality for preschool children by diet balance index(DBI_C), and to provide an empirical reference for scientific guidance for a reasonable diet and controlling and preventing iron deficiency anemia(IDA). Methods During September to December of 2018, 306 left-behind children and 598 non left-behind children aged 3-6 years old of Anhui Province were selected. Four scoring methods (TS-Total Score, LBS-Low Bound Score, HBS-High Bound Score, DQD-Diet Quality Distance) were used to evaluate the dietary quality by DBI_C, and multivariate Logistic regression was used to assess the relationship between DBI_C and IDA. Results The anemia prevalence (AP) was 13.3% among the 3-6-year-old children in Anhui rural area, whereas the left-behind children (LBC) was 16.7% and the non left-behind children was 10.9%, and there was statistical significance of the differences (χ2=8.8, P < 0.05). There were significant differences of TS[-18.3(25.2, -12.7), -15.2(-19.8, -8.6)], LBS[25.4(18.3, 32.5), 22.7(16.5, 30.6)] and DQD[36.8(23.9, 43.4), 34.1(27.5, 41.0)] in DBI_C scores between anemia group and non-anemia group (P < 0.05). There were significant differences of milk and beans [-5.9(-10.7, -0.4), -5.0(-8.7, 0.2)], animal food [-2.4(-5.6, 0.8), -0.6(3.5, 1.9)], food species [-7.5(-9.1, -4.8), -6.3(-8.0, -2.9)] in food intake scores between anemia group and non-anemia group (P < 0.05). Left behind children (OR=1.27, 95%CI=1.15-1.49) had higher proportions of getting anemia. Meat consumption >3 times per week (OR=0.81, 95%CI=0.68-0.94) and ≥two types of fresh vegetable consumption every day (OR=0.84, 95%CI=0.73-0.95) were associated with lower rate of anemia(P < 0.05). Conclusion The AP was relatively high in 3-6-year-old children in Anhui rural area, especially in those LBC. Anemia should be reduced by improving the caregivers' dietary literacy, increasing intakes of animal foods and fresh vegetables. |
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