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151例儿童营养不良的病例对照研究 被引量:13

A case-control study on malnutrition in 151 children.
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摘要 【目的】探讨儿童营养不良的危险因素,为预防儿童营养不良的发生提供科学依据。【方法】按1∶2配对原则,以统一的调查表和调查方式对151例病例组患儿和302例对照组儿童进行调查。应用SPSS 10.0软件对调查因素进行单因素和多因素Logistic回归分析。【结果】单因素分析表明母亲文化程度、家庭经济收入低、家庭不和睦、父母离异、母亲不知道合理营养、常吃水果、蔬菜、常吃豆制品和肉蛋奶类食品、偏食、常吃零食、食量小、近2个月内患严重疾病、经常患病等14项因素与营养不良发生有关。多因素条件Logistic回归分析发现家庭收入低(OR=3.0419)、家庭不和睦(OR=2.6347)、母亲不知道合理营养(OR=3.2851)、偏食(OR=4.5821)、经常患病(OR=2.1632)是儿童营养不良的危险因素;而母亲文化程度高(OR=0.5162)、经常吃蔬菜(OR=0.4794)、常吃肉蛋奶类(OR=0.2319)是保护因素。【结论】儿童营养不良是多因素综合作用的结果,应采取综合干预措施来控制儿童营养不良的发生。 [Objectives] To investigate the risk factors of malnutrition in children and to provide scientific evidence for prevention of malnutrition. [Methods] 1 : 2 casecontrol study was conducted. 151cases and 302 controls were interviewed with an uniformed questionnaire and the relationship between risk factors and malnutrition were analyzed by conditional univariate and multivariate logistic regression analysis. [Results] Fourteen factors associated with malnutrition were identified in one-way variance model as follows: level of mothers' education, low family income, inharmonious family, divorce of parents, absence of mothers' nutrition knowledge, well done intake of fruit, eating vegetable frequently, adequate soybean food, eating meal or/and egg or/and milk frequently, food preference, poor appetite, eating much more snacks, serious disease in the last two months, falling sick frequently. Multivariate conditional logistic regression analysis showed that the risk factors of malnutrition would involve low family income(OR=3. 0419), inharmonious family(OR=2.6347), absence of mother's nutrition knowledge( OR= 3. 2851 ), food preference (OR=4. 5821 ), falling sick frequently (OR=2. 1632). Factors as high education level of mother (OR=0. 5162), well-done intake of vegetable (OR=0. 4794), eating meal or/and egg or/and milk frequently (OR=0. 2319)were protective factors for malnutrition. [Conclusion] The malnutrition of children were caused by multiple factors, so comprehensive intervention measures should he carried our.
作者 蒋汝刚
出处 《中国儿童保健杂志》 CAS 2006年第1期73-75,共3页 Chinese Journal of Child Health Care
关键词 营养不良 危险因素 病例对照研究 malnutrition risk factor case-control study
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参考文献7

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