Effects of parental feeding practices on children's anemia in plateau area

HUANG Lei; YUE Li; HE Li; LI Jiayue; NAN Nan; WEI Chunping; SONG Wenwen; CHEN Yiming

doi:10.16835/j.cnki.1000-9817.2021.01.028

Volume 42 Issue 1

Apr. 2021

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HUANG Lei, YUE Li, HE Li, LI Jiayue, NAN Nan, WEI Chunping, SONG Wenwen, CHEN Yiming. Effects of parental feeding practices on children's anemia in plateau area[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2021, 42(1): 116-119. doi: 10.16835/j.cnki.1000-9817.2021.01.028

Citation:

HUANG Lei, YUE Li, HE Li, LI Jiayue, NAN Nan, WEI Chunping, SONG Wenwen, CHEN Yiming. Effects of parental feeding practices on children's anemia in plateau area[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2021, 42(1): 116-119. doi: 10.16835/j.cnki.1000-9817.2021.01.028

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Effects of parental feeding practices on children's anemia in plateau area

doi: 10.16835/j.cnki.1000-9817.2021.01.028

1.
Children's Health Care Department, Gansu Provincial Maternity and Child-care Hospital, Lanzhou(730050), China

Received Date: 2020-07-09
Rev Recd Date: 2020-09-04

Available Online: 2021-04-01

Publish Date: 2021-01-25

Abstract

Abstract

Objective To investigate the effects of parental feeding practices on anemia in children aged 0-6 years in the minority area of the plateau, and to provide evidence for anemia intervention. Methods A total of 1 726 children aged 0-6 years in 4 counties of Gannan Tibetan Autonomous Prefecture were selected by stratified random cluster sampling to measure hemoglobin level. Parental feeding practices were evaluated. Results The anemia prevalence rate among children aged 0-6 years was 50.3%. The prevalence of anemia was higher in those with younger age, Tibetan ethnic, rural residence, low parents' education level and family income(χ²=156.95, 899.51, 148.17, 8.18, 16.36, 11.03, P < 0.05). Parentl awareness rates on feeding knowledge were 10.0%-53.7%. The report rates of distraction and force-feeding were 51.4% and 36.1%, respectively. Logistic regression analysis showed that parents' incorrect feeding knowledge and compulsive feeding behaviors were positively associated with anemia in children(P < 0.05). Conclusion Improvement of parents' health literacy and feeding behavior is an important intervention to reduce anemia in children aged 0-6 years.
- Health knowledge, attitudes, practice,
- Anemia,
- Prevalence,
- Regression analysis,
- Child

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References(19)

References

[1]	聂景春, 杨洁, 张立芳, 等. 中国农村贫困地区婴幼儿贫血现状及影响因素分析[J]. 华东师范大学学报(教育科学版), 2019, 37(3): 58-69. https://www.cnki.com.cn/Article/CJFDTOTAL-HDXK201903005.htm NIE J C, YANG J, ZHANG L F, et al. Current status and influencing factors of infant anemia in poor rural areas of western China[J]. J East China Norm Univ(Edu Sci), 2019, 37(3): 58-69. https://www.cnki.com.cn/Article/CJFDTOTAL-HDXK201903005.htm
[2]	GEORGIEFF M K. Long-term brain and behavioral consequences of early iron deficiency[J]. Nutr Rev, 2011, 69(Suppl 1): 43-48. http://www.springerlink.com/content/fulltext.pdf?id=doi:10.1007/978-3-319-22023-9_15
[3]	党少农, 颜虹, 王学良, 等. 西藏地区3岁以下儿童辅食添加状况调查[J]. 中华流行病学杂志, 2003, 24(8): 674-677. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHLX200308011.htm DAND S N, YAN H, WANG X L, et al. The introduction of complementary food of children under the age of three years in Tibet of China[J]. Chin J Epidemiol, 2003, 24(8): 674-677. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHLX200308011.htm
[4]	World Health Organization. Haemoglobin concentrations for the diagnosis of anaemia and assessment of severity[M]. Geneva: World Health Organization, 2011.
[5]	World Health Organization. Indicators for assessing infant and young child feeding practices part 2: measurement[M]. Geneva: World Health Organization, 2010.
[6]	中国营养学会膳食指南修订专家委员会妇幼人群指南修订专家工作组. 7~24月龄婴幼儿喂养指南[J]. 临床儿科杂志, 2016, 34(5): 381-387. https://www.cnki.com.cn/Article/CJFDTOTAL-LCAK201605020.htm Working Group of Experts on Revision of Guidelines for Women and Children of the Expert Committee of Revision of Dietary Guidelines of Chinese Nutrition Society. Guidelines for feeding infants 7 to 24 months of age[J]. J Clin Pediatr, 2016, 34(5): 381-387. https://www.cnki.com.cn/Article/CJFDTOTAL-LCAK201605020.htm
[7]	刘月芬, 黄蕾, 张玲, 等. 甘肃省贫困地区婴幼儿喂养与喂养困难状况分析[J]. 中国儿童保健杂志, 2014, 22(5): 530-533. https://www.cnki.com.cn/Article/CJFDTOTAL-ERTO201405029.htm LIU Y F, HUANG L, ZHANG L, et al. Feeding and feeding difficulties analysis of infants and young children in poor areas of Gansu Province[J]. Chin J Child Health Care, 2014, 22(5): 530-533. https://www.cnki.com.cn/Article/CJFDTOTAL-ERTO201405029.htm
[8]	董彩霞, 格鹏飞, 张丑吉, 等. 不同喂养方式和经济收入对婴幼儿贫血发生率的影响[J]. 卫生研究, 2013, 42(4): 596-599, 604. https://www.cnki.com.cn/Article/CJFDTOTAL-WSYJ201304017.htm DONG C X, GE P F, ZHANG C J, et al. Effects of different feeding practices at 0-6 months and living economic conditions on anemia prevalence of infants and young children[J]. J Hygi Res, 2013, 42(4): 596-599, 604. https://www.cnki.com.cn/Article/CJFDTOTAL-WSYJ201304017.htm
[9]	于春燕, 班文芬, 谢丽, 等. 贵州黔南地区农村少数民族6~23月龄儿童缺铁性贫血患病现状及其危险因素分析[J]. 中国公共卫生, 2018, 34(6): 812-816. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGGW201806008.htm YU C Y, BAN W F, XIE L, et al. Prevalence and influence factors of iron deficiency anemia among 6-23 months old children in Qiannan area of Guizhou Province[J]. Chin J Public Heal, 2018, 34(6): 812-816. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGGW201806008.htm
[10]	黄中炎, 潘群, 孙雅琴, 等. 武汉市婴幼儿缺铁性贫血与抚养人铁营养KAP的关系[J]. 重庆医学, 2017, 46(1): 94-96. https://www.cnki.com.cn/Article/CJFDTOTAL-CQYX201701024.htm HUANG Z Y, PAN Q, SUN Y Q, et al. The relationship between the infants' Iron-deficiency anemia and the dependents' KAP of Iron nutrition in Wuhan[J]. Chongqing Med, 2017, 46(1): 94-96. https://www.cnki.com.cn/Article/CJFDTOTAL-CQYX201701024.htm
[11]	周旭, 方俊群, 罗家有, 等. 贫困农村地区6~23月龄婴幼儿贫血现况及影响因素[J]. 中国公共卫生, 2017, 33(9): 1302-1305. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGGW201709003.htm ZHOU X, FANG J Q, LUO J Y, et al. Current status and influencing factors of anemia in infants aged 6 to 23 months in poor rural areas[J]. Chin J Public Health, 2017, 33(9): 1302-1305. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGGW201709003.htm
[12]	常胜杰. 高原地区藏族与回族儿童贫血状况比较[J]. 中国学校卫生, 2013, 34(2): 246. https://www.cnki.com.cn/Article/CJFDTOTAL-XIWS201302047.htm CHANG S J. The comparative study among Tibetan and Hui children anemia condition in plateau area [J]. Chin J Sch Health, 2013, 34 (2): 246. https://www.cnki.com.cn/Article/CJFDTOTAL-XIWS201302047.htm
[13]	连晓霞, 杨晓媛, 蒲小燕. 阿坝藏族羌族自治州7岁以下儿童贫血调查分析[J]. 中国妇幼保健, 2009, 24(1): 103-105. https://www.cnki.com.cn/Article/CJFDTOTAL-ZFYB200901052.htm LIAN X X, YANG X Y, PU X Y. Aba Tibetan and Qiang Autonomous Prefecture of anemia in children under the age of 7 survey analysis[J]. Matern Child Health Care China, 2009, 24 (1): 103-105. https://www.cnki.com.cn/Article/CJFDTOTAL-ZFYB200901052.htm
[14]	王治涛, 付晓荣, 黄中炎, 等. 母亲KAP模式干预对婴幼儿缺铁性贫血的影响研究[J]. 现代预防医学, 2015, 42(18): 3323-3325, 3335. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF201518019.htm WANG Z T, FU X R, HUANG Z Y, et al. The effects of mother's KAB on infants with iron deficiency anemia[J]. Modern Prevent Med, 2015, 42 (18) : 3323-3325, 3335. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF201518019.htm
[15]	邢远, 颜虹, 党少农. 拉萨农村藏族婴幼儿母亲喂养知识和行为调查[J]. 中国公共卫生, 2010, 26(8): 945-946. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGGW201008002.htm XING Y, YAN H, DANG S N. Knowledge and practice of child feeding among Tibet mothers with small children in Lhasa rural area[J]. Chin J Public Health, 2010, 26(8): 945-946. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGGW201008002.htm
[16]	徐康, 张翠梅, 黄连红, 等. 6~12月龄婴儿缺铁性贫血的危险因素分析及对神经心理发育的影响[J]. 中国当代儿科杂志, 2015, 17(8): 830-836. https://www.cnki.com.cn/Article/CJFDTOTAL-DDKZ201508016.htm XU K, ZHANG C M, HUANG L H, et al. Risk factors for iron deifciency anemia in infants aged 6 to 12 months and its effects on neuropsychological development[J]. Chin J Contemp Pediatr, 2015, 17(8): 830-836. https://www.cnki.com.cn/Article/CJFDTOTAL-DDKZ201508016.htm
[17]	叶天惠, 华丽, 秦秀丽, 等. 学龄前儿童饮食行为现状调查[J]. 护理学杂志, 2016, 31(5): 83-86. https://www.cnki.com.cn/Article/CJFDTOTAL-HLXZ201605032.htm YE T H, HUA L, QIN X L, et al. Eating behaviors of preschool children: a survey study[J]. J Nurs Sci, 2016, 31(5): 83-86. https://www.cnki.com.cn/Article/CJFDTOTAL-HLXZ201605032.htm
[18]	王燕, 郭锋, 殷刚柱, 等. 合肥市1873名学龄前儿童饮食行为问题及影响因素[J]. 中国学校卫生, 2019, 40(5): 683-691. https://www.cnki.com.cn/Article/CJFDTOTAL-XIWS201905016.htm WANG Y, GUO F, YIN G Z, et al. Eating problems and associated factor among 1873 preschool children in Hefei[J]. Chin J Sch Health, 2019, 40 (5) : 683-691. https://www.cnki.com.cn/Article/CJFDTOTAL-XIWS201905016.htm
[19]	周旭, 方俊群, 罗家有, 等. 2015年湖南省贫困农村地区6~8月龄婴儿辅食添加率相关因素[J]. 卫生研究, 2018, 47(1): 46-50. https://www.cnki.com.cn/Article/CJFDTOTAL-WSYJ201801013.htm ZHOU X, FANG J Q, LUO J Y, et al. Factors associated with introduction of solid, semi-solid or soft foods among infants aged 6-8 months in poor rural areas in Hunan Province in 2015[J]. J Hyg Res, 2018, 47 (1): 46-50. https://www.cnki.com.cn/Article/CJFDTOTAL-WSYJ201801013.htm