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阿斯木古丽·克力木, 阿迪拉·阿不来提, 努尔妮赛姆·塔什, 张羽珊, 阿比达·阿不来提. 艾滋病致孤儿童膳食营养状况[J]. 中国学校卫生, 2021, 42(11): 1624-1628. doi: 10.16835/j.cnki.1000-9817.2021.11.007
引用本文: 阿斯木古丽·克力木, 阿迪拉·阿不来提, 努尔妮赛姆·塔什, 张羽珊, 阿比达·阿不来提. 艾滋病致孤儿童膳食营养状况[J]. 中国学校卫生, 2021, 42(11): 1624-1628. doi: 10.16835/j.cnki.1000-9817.2021.11.007
KELIMU Asimuguli, ABULAITI Adila, TASHI Nuernisaimu, ZHANG Yushan, ABULAITI Abida. Dietary nutritional status of AIDS orphans[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2021, 42(11): 1624-1628. doi: 10.16835/j.cnki.1000-9817.2021.11.007
Citation: KELIMU Asimuguli, ABULAITI Adila, TASHI Nuernisaimu, ZHANG Yushan, ABULAITI Abida. Dietary nutritional status of AIDS orphans[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2021, 42(11): 1624-1628. doi: 10.16835/j.cnki.1000-9817.2021.11.007

艾滋病致孤儿童膳食营养状况

doi: 10.16835/j.cnki.1000-9817.2021.11.007
基金项目: 

新疆维吾尔自治区自然科学基金项目 2017D01C225

详细信息
    作者简介:

    阿斯木古丽·克力木(1973-), 女, 新疆人, 博士, 副教授, 主要研究方向为儿童心理与健康

  • 中图分类号: R153.2 R151 R512.91

Dietary nutritional status of AIDS orphans

  • 摘要:   目的  了解乌鲁木齐市7~12岁艾滋病致孤儿童(艾滋孤儿)膳食营养状况,为促进其生长发育与健康状况提供科学依据。  方法  采用单纯随机抽样方法,抽取乌鲁木齐市7~12岁艾滋孤儿(98名)和同龄普通孤儿(66名)及一般儿童(145名)共309名进行营养状况调查。采用24 h膳食回顾法记录3组儿童一日三餐的饮食情况,按中国居民每日膳食营养素推荐摄入量(recommended nutrient intake, RNI)分析儿童能量及营养素摄入及达标情况。  结果  艾滋孤儿组消瘦检出率为44.9%,高于普通孤儿组(40.9%)和一般儿童组(28.2%);艾滋孤儿组和普通孤儿组超重率分别为3.1%,3.0%,均低于一般儿童组(8.3%);艾滋孤儿组能量及膳食营养素的每日平均摄入量低于其余两组,且钙、铁、锌和维生素A、维生素B2、维生素B6、叶酸以及维生素C、维生素D摄入量均未达标;艾滋孤儿组粮谷类、蔬菜类、水果类、蛋类、奶类、油类的日均摄入量均低于一般儿童组和普通孤儿组,除粮谷类、蛋类外,其余3组间差异均有统计学意义(F值分别为3.02,5.23,27.86,16.59,P值均<0.05),而艾滋孤儿组和普通孤儿组儿童蔬菜类、水产类、蛋类、奶类的摄入均低于推荐摄入量。  结论  乌鲁木齐市7~12岁艾滋孤儿消瘦检出率较高,膳食营养摄入不均衡、营养状况欠佳。应改善艾滋孤儿的膳食结构以满足儿童青少年生长发育和健康的需要。
  • 表  1  不同性别不同年龄儿童BMI各组间比较(x±s, kg/m2, n=309)

    Table  1.   Comparison of Body Mass Index (BMI) of children of different sexes and different ages among each group (x±s, kg/m2, n=309)

    性别 年龄/岁 艾滋孤儿组 普通孤儿组 一般儿童组 F P
    7 15.00±1.37 14.19±1.66 15.89±2.87 1.99 0.19
    8 14.86±0.71 15.82±1.64 15.32±1.61 0.33 0.72
    9 14.11±10.20 15.59±1.58 15.80±1.80 2.32 0.12
    10 15.89±1.51 15.09±2.08 15.12±1.50 0.64 0.54
    11 15.95±2.07 16.65±2.01 17.69±2.87 1.38 0.27
    12 16.67±1.67a 17.03±1.70 18.01±1.66 2.39 0.11
    小计 15.85±1.66a 15.94±1.94a 17.19±2.38 6.94 < 0.01
    7 14.15±7.37 13.98±0.98 15.20±1.29 2.92 0.08
    8 15.04±1.09a 15.26±1.08 16.57±1.41 3.57 0.05
    9 15.69±1.34 15.88±0.91 16.38±2.02 0.29 0.75
    10 15.82±1.29 17.80±1.46 17.65±2.42 2.25 0.14
    11 16.88±3.05 17.43±2.17 17.88±2.87 0.45 0.64
    12 15.80±1.17a 17.10±1.30 17.28±1.91 2.27 0.11
    小计 15.67±1.91a 16.32±1.93 17.09±2.22 7.06 < 0.01
    注: a表示与一般儿童组比较,P < 0.05。
    下载: 导出CSV

    表  2  3组儿童主要营养素日均摄入量比较(x±s)

    Table  2.   Comparison of the average daily intake of major nutrients among 3 groups of children(x±s)

    组别 人数 能量/kcal 蛋白质/g 脂肪/g 碳水化合物/g 维生素A/μgRE 维生素B1/mg 维生素B2/mg 维生素B6/mg 维生素E/mg
    艾滋孤儿组 98 1 456.38±318.19ab 61.80±11.39a 42.26±20.32ab 254.45±51.26 127.20±118.47ab 1.38±0.49 0.59±0.37a 0.33±0.14 16.78±8.59ab
    普通孤儿组 66 1 724.30±411.44 60.70±20.89a 50.99±13.63 257.73±70.53 203.44±97.53 1.47±0.55 0.67±0.30 0.28±0.16a 21.35±9.16a
    一般儿童组 145 1 756.63±494.79 68.62±18.58 53.51±17.14 272.69±83.43 213.75±114.06 1.62±0.64 0.76±0.35 0.35±0.24 24.26±10.49
    F 14.40 6.92 12.34 2.18 18.64 5.16 7.02 3.23 17.59
    P <0.01 <0.01 <0.01 0.11 <0.01 0.01 <0.01 0.04 <0.01
    组别 人数 维生素C/mg 维生素D/μg 烟酸/mg 叶酸/mg 钙/mg 铁/mg 碘/μg 锌/mg 铜/mg
    艾滋孤儿组 98 25.94±16.55ab 0.28±0.41a 10.01±2.59ab 91.16±30.95a 258.55±112.18ab 9.34±3.99ab 17.57±2.14 4.04±2.09ab 0.98±0.84ab
    普通孤儿组 66 31.73±13.69 0.39±0.43 11.60±5.12 90.90±25.68a 344.38±271.16 13.62±10.76 16.01±8.01 5.40±2.91 1.18±0.55
    一般儿童组 145 34.36±15.56 0.50±0.82 12.19±4.51 102.28±32.38 372.41±213.64 14.87±11.91 20.45±4.85 5.48±2.45 1.21±0.50
    F 8.68 3.38 8.22 5.17 9.43 6.62 0.56 11.14 3.80
    P <0.01 0.04 <0.01 0.01 <0.01 <0.01 0.57 <0.01 0.02
    注: a表示与一般儿童组比较,P < 0.05;b表示与普通孤儿组比较,P < 0.05;1 kcal=4.18 kJ。
    下载: 导出CSV

    表  3  3组儿童主要营养素摄入量达标率比较

    Table  3.   Comparison of compliance rates of main nutrient intake among 3 groups of children

    组别 人数 能量 蛋白质 碳水化合物 维生素A 维生素B1 维生素B2 维生素B6 维生素E
    艾滋孤儿组 98 35(35.7) 62(62.8) 98(100.0) 8(8.2) 72(73.5) 17(17.3) 0 85(86.7)
    普通孤儿组 66 33(50.0) 49(74.2) 65(98.5) 6(9.1) 56(84.8) 22(33.3) 0 63(95.5)
    一般儿童组 145 65(44.8) 118(81.4) 140(96.6) 11(7.6) 133(91.7) 34(23.4) 0 134(92.4)
    χ2 3.94 10.54 5.32 1.39 13.33 7.64 4.22
    P 0.14 < 0.01 0.07 0.93 < 0.01 0.02 0.12
    组别 人数 维生素C 维生素D 烟酸 叶酸
    艾滋孤儿组 98 13(13.3) 0 59(60.0) 0 3(3.1) 22(22.4) 0 88(89.8)
    普通孤儿组 66 18(27.3) 0 49(74.2) 0 3(4.5) 17(25.8) 0 64(97.0)
    一般儿童组 145 22(15.2) 1(0.7) 104(71.7) 0 10(6.9) 61(42.1) 0 140(96.6)
    χ2 9.93 5.61 1.68 11.96 6.12
    P < 0.01 0.06 0.43 < 0.01 0.05
    注: ()内数字为达标率/%。
    下载: 导出CSV

    表  4  3组儿童各类食物日均摄入量比较(x±s,g)

    Table  4.   Comparison of the average daily intake of various foods among 3 groups of children(x±s, g)

    组别 人数 粮谷类 蔬菜类 水果类 畜禽肉类 水产类 蛋类 奶类 油类
    艾滋孤儿组 98 324.63±83.17 210.48±45.30 166.84±134.43 37.58±25.30 20.08±4.01 10.20±20.15 85.12±49.29 15.26±12.11
    普通孤儿组 66 338.59±107.33 219.86±48.74 220.91±137.26 43.06±35.69 21.58±3.93 15.76±22.05 154.55±112.58 23.48±11.73
    一般儿童组 145 360.45±117.83 229.98±73.89 230.90±176.62 46.41±33.37 22.49±3.06 16.62±32.23 160.00±140.63 24.69±13.96
    F 3.01 3.02 5.23 1.68 0.94 1.78 27.86 16.59
    P 0.05 < 0.05 0.01 0.19 0.39 0.17 <0.01 <0.01
    下载: 导出CSV
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出版历程
  • 收稿日期:  2021-02-23
  • 修回日期:  2021-06-08
  • 网络出版日期:  2021-12-01
  • 刊出日期:  2021-11-25

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