2019年湖南省农村地区6~23月龄婴幼儿辅食喂养与营养状况  

Association between infant and young child feeding indicators and the nutritional status of children aged 6-23 months in rural areas of Hunan Province in 2019

作　　者：廖鸣慧 冯彬彬[1] 黄群[1] 李辉霞[1] 谭丹凤[1] 方华玲 廖翼[1] 黄广文[1] Liao Minghui;Feng Binbin;Huang Qun;Li Huixia;Tan Danfeng;Fang Hualing;Liao Yi;Huang Guangwen(Hunan Provincial Maternal and Child Health Care Hospital,Changsha 410078,China)

机构地区：[1]湖南省妇幼保健院(湖南省生殖医学研究院),长沙410078

出　　处：《卫生研究》2023年第6期972-978,共7页Journal of Hygiene Research

基　　金：湖南省卫生健康委科研计划项目(No.20201924)。

摘　　要：目的评估湖南省农村地区6~23月龄婴幼儿辅食喂养情况,并研究其与儿童营养状况的关系。方法采用多阶段分层整群随机抽样方法,对象为湖南省6个市州24个调查点6~23月龄婴幼儿1220名。内容包括问卷调查、膳食调查、体格测量和血红蛋白测量。根据WHO婴幼儿喂养指标中辅食喂养相关的指标分析婴幼儿喂养状况,以2006年WHO生长发育标准计算Z评分,分析婴幼儿营养状况。多因素分析采用非条件Logisitic回归分析。结果湖南省农村地区6~23月龄婴幼儿低体重、生长迟缓、消瘦、超重、肥胖、贫血发生率分别为3.6%、4.8%、2.7%、10.5%、2.0%、16.3%,辅食添加种类、辅食添加频次、最低可接受膳食合格率分别为43.3%、68.5%、28.1%。在调整了混杂因素后,WHO辅食喂养指标中仅有辅食添加频次是肥胖和贫血的显著影响因素。结论湖南省农村地区婴幼儿营养状况较前有明显改善,但贫血问题仍较突出,辅食添加频次与婴幼儿贫血存在显著关联。OBJECTIVE To estimate the status of complementary feeding among infants and young children aged 6-23 months in rural areas of Hunan Province.The association between infant and young child feeding indicators and child undernutrition were assessed.METHODS A total of 1220 infants and young children aged 6-23 months from 24 investigated places of 6 cities in Hunan Province were selected by multistage stratified sampling for physical measurement,hemoglobin(Hb)test and caregiver interview.Complementary diet was analyzed according to the World Health Organization’s definition of infant and young child feeding indicators.Z-scores were used to elevate nutrition status.Logistic regression models were used to explore the influencing factors of the nutritional status.RESULTS The prevalence rates of underweight,stunting,wasting,overweight,obesity and anemia were 3.6%,4.8%,2.7%,10.5%,2.0%and 16.3%.The percentage of infants and young children aged 6-23 months in rural areas of Hunan Province who get minimum dietary diversity,minimum meal frequency,and minimum acceptable diet was 43.3%,68.5%and 28.1%.None of the individual infant and young child feeding indicators showed significant association with undernutrition,except minimum meal frequency for obesity and anemia.CONCLUSION The nutritional status of infants and young children in rural areas of Hunan Province has improved,but the anemia problem is still serious.Complementary feeding frequency is closely associated with anemia for infants and young children.

关 键 词：婴幼儿 辅食喂养 营养状况 

分 类 号：R151[医药卫生—营养与食品卫生学] R153[医药卫生—公共卫生与预防医学]