尼日利亚拉各斯州索莫卢地方政府地区学龄儿童的人体测量和铁状况评估

A. Ifebajo, W. Afolabi, S. Sanni, O. Onabanjo, A. Ariyo
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引用次数: 0

摘要

铁元素对儿童的认知能力至关重要,因为它能提高行为和智力表现,增强身体对感染的抵抗力。然而,缺铁的风险在快速增长期间增加,特别是在发展中国家的学龄儿童中。本研究评估了拉各斯州索莫卢地方政府地区学龄儿童的人体测量和铁含量状况。采用有目的抽样的方法选取索莫鲁地方政府。采用多阶段抽样方法,从3所小学选取了140名8-12岁的小学生。采用结构化问卷法收集社会经济数据。采用人体测量法评估小学生的营养状况,同时采用血清铁蛋白(SF)、堆积细胞体积(PCV)和血红蛋白(H-B)的生化分析来确定铁状态。社会经济数据用描述性统计(频率、平均值和百分比)进行分析。采用卡方相关和皮尔逊积矩相关建立变量间的关系。采用食物频率问卷法确定调查对象的膳食铁源摄入模式。结果显示,体重、身高、血红蛋白、堆积细胞体积和铁蛋白的平均值分别为43.82kg、141.67cm、11.50g/dl、33.91%和49.10ng/l。人体测量评估结果显示,18.2%的女性和12.7%的男性发育不良;15.6%的女性和14.30%的男性消瘦,27.3%的女性和23.0%的男性体重过轻。67%的受试者铁蛋白正常(15 ~ 100ng/l), 19.0%的受试者铁蛋白低(100ng/l)。铁蛋白水平极高(>100ng/l)的应答者(14.3%)属于AC(4.7%)、SC(3.5%)和SS(6.1%)基因型血型。调查结果还显示,24.2%的男性和33.0%的女性受访者贫血(Hb 0.05)。男性被调查者PCV与BMI呈正相关(r = 0.209)。, p < 0.05)。此外,男性和女性受访者血中Ferriftin与基因型的关系分别为(r = 0.276, P < 0.05)和(r = 0.341, P < 0.05)。受访女性铁蛋白与食物摄入方式呈正相关(r = 0.288, P < 0.05)。铁含量与父母收入呈负相关(r = 0.276, P < 0.05)。总之,本研究确定了拉各斯州索莫卢地方政府区的学龄儿童存在发育迟缓、消瘦、体重不足和缺铁等问题。建议采取适当的干预措施,降低索摩路地区学龄儿童缺铁的发生率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
ASSESSMENT OF ANTHROPOMETRIC AND IRON STATUS OF SCHOOL CHILDREN IN SOMOLU LOCAL GOVERNMENT AREA OF LAGOS STATE, NIGERIA
Iron is essential for children's cognition because it enhances behavioural and intellectual performance and promotes the body's resistance to infections. However, the risk of iron deficiency increases during period of rapid growth notably among school aged children in developing countries. This study assessed the anthropometric and iron status of school children in Somolu Local Government Area of Lagos State. Somolu Local Government was selected using purposive sampling. One hundred and forty school children (8-12 years) were selected from 3 primary schools using multistage sampling technique. Socio economic data were collected using structured questionnaire. Nutritional status of pupils were assessed using anthropometric measurements while iron status was determined using biochemical analyses of serum ferritin (SF), packed cell volume (PCV) and haemoglobin (H-B). Socio economic data were analysed with descriptive statistic (frequency, mean and percentages). While Chi-square and Pearson product moment correlation were used to establish relationship between variables. Pattern of dietary iron sources intake of the respondents were determined using food frequency questionnaire. Result showed that mean values of weight, height, haemoglobin, packed cell volume and ferritin were 43.82kg, 141.67cm, 11.50g/dl, 33.91% and 49.10ng/l respectively. Results of Anthropometric assessment indicated that 18.2% of female and 12.7% male were stunted; 15.6% of female and 14.30% of male were wasted, while 27.3% of the female and 23.0% of the male were underweight. 67% of the subjects had normal ferritin (15-100ng/l), 19.0% had low ferritin (<15ng/l) while 14.3% had abnormal high ferritin (>100ng/l). The respondents (14.3%) whose ferritin level were exceedingly high (>100ng/l) belong to AC (4.7%), SC (3.5%), and SS (6.1%) genotype blood groups. Findings also revealed that 24.2% of the male and 33.0% of female respondents were anaemic (Hb <11g/dl). 81.43% of the respondents consume less of iron rich food. The haemoglobin levels of the male respondents were found to be positively correlated with their BMI. (r = 0.289, P > 0.05). There was a positive correlation between PCV and BMI of male respondents (r = 0.209., P < 0.05). Furthermore, there was a relationship between blood Ferriftin and genotype of both male and female respondents respectively (r = 0.276, P < 0.05), (r = 0.341, P < 0.05). A positive correlation existed between ferritin and food intake pattern of female respondents (r = 0.288, P < 0.05). There was a negative correlation between iron status and income of the respondents' parents, (r = 0.276, P < 0.05). In conclusion, this study has ascertained that there is stunting, wasting, underweight and iron deficiency among school children in Somolu Local Government Area of Lagos State. It is recommended that appropriate intervention should be introduced to reduce the prevalence of iron deficiency among school aged children in Somolu Local Government Area.
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