【作者】 刘志梅； 石庆香； 孙忠清； 钟春梅； 马爱勤； 汪之顼；

【Author】 LIU Zhi-mei,SHI Qing-xiang,SUN Zhong-qing,et al.Qingdao University Affiliated Municipal Hospital,Qingdao,266011

【机构】 青岛大学医学院附属市立医院； 山东省临沂市梅埠镇医院； 青岛大学医学院医学营养学研究所； 山东省临沂市人民医院营养科； 南京医科大学公共卫生学院营养系；

【摘要】 目的探讨喂养指数在评价农村婴幼儿生长发育状况中的应用效果。方法以文献提出的喂养指数评分体系为依据,评价临沂市梅埠镇206名6-24月龄婴幼儿的喂养指数评分;依据WHO参考标准计算该婴幼儿群体的五类Z评分(HAZ:height-for-age Z-score年龄别身高Z评分;WAZ:weight-for-age Z-score年龄别体重Z评分;HCZ:head circumference-for-age Z-score年龄别头围Z评分;BAZ:BMI-for-age Z-score年龄别体重指数Z评分;WHZ:weight-for-height Z-score身高别体重Z评分),分析喂养指数评分与各类Z评分的相关性。结果该研究样本的喂养指数平均值(8.26±1.90)高于全国二类农村喂养指数均值(5.5±2.6,P<0.05)。该婴幼儿群体的总喂养指数与其HAZ呈正相关性(P<0.05)。喂养指数合格组与不合格组间(喂养指数≥总分的70%为合格)HAZ、WAZ、HCZ的差别具有统计学意义(P<0.05)。该样本总的喂养及格率为72.33%,高于全国二类农村的合格率(20.8%),且差别具有统计学意义(P<0.05)。喂养指数评分与家长受教育的程度呈正相关,相关系数为0.167,P=0.012;与其在儿童身上的花费无相关性,与HAZ、WAZ、HCZ呈正相关性,相关系数分别为0.230、0.175、0.143,P值分别为0.01、0.013、0.043;与WHZ、BAZ无相关性,P值皆>0.05。结论喂养指数可反映出该婴幼儿群体的生长发育状况,并可用于婴幼儿喂养方法的综合评判,但其应用效度有待改善。更多还原

【Abstract】 Objective:To investigate the application result of Feeding Index in the evaluation of the growth of infants and young children in the rural area.Methods:Based on the Feeding Index Evaluation System which is set up by The Nutrition and Food Safety Institute of China Disease Control and Prevention Center,to evaluate the Feeding Index scores of 206 infants who are 6- 24 months in Meibu Town,Linyi city;On the basis of WHO Reference Standard calculating the Z-score of the infants group,analyzeing the relativity between the Feeding Index score and other various types of Z-score.To put the household income,the cost of infants,the education and vocation of parents,and other factors in the scope of investigation and analysis of its correlation with the Feeding Index. Results:The Feeding Index average value(8.26±1.90)of the specific research sample is higher than the value(5.5±2.6) of the national second-class rural areas,P<0.05. It indicates positively relativity between the overall Feeding Index and its HAZ(P<0.05 ) of the infants group. The HAZ、WAZ、HCZ have statistically significant difference(P<0.05) between the qualified group(Feeding Index≥70%of total scores) and the failed group.The general feeding qualified rate of the specific sample is 72.33%,higher than the rate(20.8%)[7]of the national second-class rural areas,which has significant statistically difference(P<0.05).The Feeding Index is positively correlated with the grade of education of parents, the Correlation Coefficient is 0.167,P 0.012;It isn’t correlated with the cost of infants,but is positively correlated with HAZ,WAZ and HCZ,the Correlation Coefficients are 0.230,0.175,0.143 and the P values are 0.01,0.013,0.043 respectively;Also it isn’t correlated with WHZ,BAZ,the P values are both higher than 0.05. Conclusion:The Feeding Index may reflect the growth situation of the infants group.And it also can be used in the comprehensive evaluation to the feeding method for infants and young children.But the validity of its application needs to be improved.更多还原