The seasonality of nutrition status in Shawi Indigenous children in the Peruvian Amazon

Andrea Valdivia-Gago, Carol Zavaleta-Cortijo, Cesar Carcamo, Lea Berrang-Ford, Guillermo Lancha, Pedro Pizango, Junior Chanchari, Alejandro Llanos-Cuentas, Patricia J. García, Walter Vílchez, Nia King, Rosa Silvera, Sherilee L. Harper
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Abstract

Research on the impact of seasonal and climatic variability on childhood nutritional status in the Amazon is limited. We examined how the nutritional status of Shawi children under five years changed seasonally and explored parental participation in food system activities (fishing, livestock, agriculture, hunting) as a potential influence. Using a community-based research approach with Indigenous Shawi Peoples, we conducted cross-sectional surveys in pre-harvest (July-August 2014) and post-harvest (November-December 2015) seasons. Sociodemographic data, parental participation, weight, height, and hemoglobin concentration were collected for childhood nutritional assessment. We employed bivariable linear regression to analyze associations between seasonal variations in children’s nutrition and parental food system engagement. The study took place across eleven Indigenous Shawi communities in Loreto, Peruvian Amazon. In total, 74 Shawi children and their parents were analyzed. Results indicated a decrease in childhood wasting (4.9% to 0.0%) and persistent anemia (66.2% to 66.2%), while stunting increased (39.2% to 41.9%) from pre-harvest to post-harvest. Parental participation in food activities varied seasonally, but its impact on childhood nutritional status was not statistically significant. Our findings highlight significant levels of undernutrition in Indigenous Shawi children, with slight seasonal variation. Future interventions must consider seasonal dynamics, and further exploration of parental roles in children’s diets is warranted.
秘鲁亚马逊地区Shawi土著儿童营养状况的季节性
关于季节和气候变化对亚马逊地区儿童营养状况影响的研究有限。我们研究了5岁以下Shawi儿童的营养状况是如何随季节变化的,并探讨了父母参与食物系统活动(捕鱼、畜牧、农业、狩猎)的潜在影响。采用以社区为基础的研究方法,我们在收获前(2014年7月至8月)和收获后(2015年11月至12月)季节进行了横断面调查。收集社会人口统计数据、父母参与、体重、身高和血红蛋白浓度用于儿童营养评估。我们采用双变量线性回归来分析儿童营养的季节变化与父母食物系统参与之间的关系。这项研究在秘鲁亚马逊地区洛雷托的11个土著Shawi社区进行。共对74名沙维儿童及其父母进行了分析。结果表明,采收前后儿童消瘦率(4.9% ~ 0.0%)和持续性贫血率(66.2% ~ 66.2%)下降,发育迟缓率(39.2% ~ 41.9%)上升。父母参与食物活动随季节而变化,但其对儿童营养状况的影响没有统计学意义。我们的研究结果突出了土著Shawi儿童营养不良的显著水平,并有轻微的季节变化。未来的干预措施必须考虑季节性动态,并进一步探索父母在儿童饮食中的作用是必要的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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