流动父母留守儿童的营养状况:来自中国东部安徽农村的调查证据。

IF 2.7 4区 医学 Q3 NUTRITION & DIETETICS
Nutrition Bulletin Pub Date : 2024-06-01 Epub Date: 2024-02-16 DOI:10.1111/nbu.12666
Li Shu, Hao Zhu, Li Zhang, Linlin Jia, Jiaye Zhang, Liying Wang
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引用次数: 0

摘要

我们旨在探索和分析中国东部安徽农村地区 3-6 岁父母一方或双方为留守儿童的膳食摄入模式,并评估其与体质指数(BMI)和儿童贫血患病率的关系。我们采用随机分组抽样的方法,在安徽省的两个农村地区招募了 3-6 岁的农村儿童。通过自我报告问卷收集了社会人口学信息和饮食摄入量。身高、体重和贫血患病率由受过培训的护士进行测量,护士对父母的迁移状况保持盲视。采用因子分析确定主要膳食模式,二元逻辑回归和广义线性回归探讨贫血和体重指数 Z 值与膳食模式之间的关系。在 1720 名 3-6 岁的儿童中,有 236 名儿童是父母双方都离开的,388 名儿童是单亲离开的。父母双亡的留守儿童(BLBC)发育迟缓和体重不足的发生率明显高于非留守儿童(NLBC)。我们的研究确定了三种膳食模式--"谷物-蔬菜"、"肉-蛋 "和 "快餐-甜食",解释的总方差为 46.9%。在调整了父母双方均外出务工的留守儿童(BLBC)、单亲外出务工的留守儿童(SLBC)和非留守儿童(NLBC)组的混杂因素后,肉蛋饮食模式与贫血风险降低有关。在对混杂因素进行调整后,发现快餐-甜食饮食模式与贫血风险增加有关(OR [95% CI]:Q4 : 2.21 [1.14, 4.57],p = 0.034)。此外,与体重正常的儿童相比,肥胖儿童的蔬菜和水果摄入量较低(β = -0.08,95% CI:-0.13,-0.02)。总之,安徽农村地区不同类型的父母迁移与儿童营养状况之间存在相关性。与其他膳食模式相比,肉蛋膳食模式可能对贫血有预防作用,无论儿童是否留守。与体重指数正常的儿童相比,超重和肥胖儿童的猪肉、红肉和零食摄入量更高。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Nutritional status of children left behind by migrant parents: Evidence from a survey in rural Anhui, eastern China.

We aimed to explore and analyse the dietary intake patterns of 3-6 year-old children left behind by one or both parents and to assess their associations with body mass index (BMI) and the prevalence of childhood anaemia in rural Anhui, eastern China. We used random cluster sampling to recruit rural children aged 3-6 years in two rural areas in Anhui province. Sociodemographic information and dietary intake were collected by self-reported questionnaires. Height, weight and prevalence of anaemia were measured by trained nurses blinded to parental migration status. Factor analysis was applied to determine that major dietary patterns, binary logistic regression and generalised linear regression were used to explore the associations between anaemia and BMI Z-score with dietary patterns. Of 1720 children aged 3-6 years, 236 were left by both parents and 388 were left by a single parent. The prevalence of stunting and underweight among left-behind children with migration of both parents (BLBC) was significantly higher than that of non-left-behind children (NLBC). Three dietary patterns-"grain-vegetable," "meat-egg" and "fast food-sweet"-were identified in our study, and the total variance explained was 46.9%. The meat-egg dietary pattern was associated with a decreased risk of anaemia after adjustment for confounding factors in the left-behind children with migration of both parents (BLBC), left-behind children with single parent migration (SLBC) and non-left-behind children (NLBC) groups. After adjusting for confounding factors, the fast food-sweet dietary pattern was found to be associated with an increased risk of anaemia (OR [95% CI]: Q4: 2.21 [1.14, 4.57], p = 0.034). In addition, children with obesity had a lower intake of vegetables and fruits (β = -0.08, 95% CI: -0.13, -0.02) compared with children with a normal weight. In conclusion, there are correlations between different types of parental migration and children's nutritional status in rural Anhui. The meat-egg dietary pattern may have a preventive effect on anaemia in comparison with other dietary patterns, irrespective of whether children are left behind or not. Children with overweight and obesity had a higher intake of pork and red meat and snacks compared with children with normal BMI.

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来源期刊
Nutrition Bulletin
Nutrition Bulletin NUTRITION & DIETETICS-
CiteScore
4.50
自引率
12.10%
发文量
58
期刊介绍: The Nutrition Bulletin provides accessible reviews at the cutting edge of research. Read by researchers and nutritionists working in universities and research institutes; public health nutritionists, dieticians and other health professionals; nutritionists, technologists and others in the food industry; those engaged in higher education including students; and journalists with an interest in nutrition.
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