地震后常见的儿童营养问题及其预防
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摘要
儿童是灾难中营养脆弱的人群。热量—蛋白质营养不良、缺铁性贫血及微量元素缺乏是灾后儿童最常出现的营养问题。在灾后紧急救助和恢复阶段,应结合灾区儿童的营养状况,采取有效的营养干预措施,防止这些常见营养性疾病的发生。对于已发生的营养不良性疾病,应给予及时诊断和治疗。
Children have been identified as the most nutritionally vulnerable group when disaster happens.The most common nutritional risks include protein-energy malnutrition,iron-deficiency anemia,and trace element deficiency in children after earthquake.During the disaster relief,effective nutritional interventions should be performed according to the nutritional conditions of children in the affected area,so as to prevent the common nutritional risks.Timely diagnosis and treatment should be provided for children at a high risk of malnutrition.
Children have been identified as the most nutritionally vulnerable group when disaster happens.The most common nutritional risks include protein-energy malnutrition,iron-deficiency anemia,and trace element deficiency in children after earthquake.During the disaster relief,effective nutritional interventions should be performed according to the nutritional conditions of children in the affected area,so as to prevent the common nutritional risks.Timely diagnosis and treatment should be provided for children at a high risk of malnutrition.
引文
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[9]刘祖阳,颜玲,兰真,许毅,林黎.四川省地震灾区3县市6岁以下儿童营养健康状况分析[J].预防医学情报杂志,2010,26(7):534-536.
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[12]刘爱东,赵丽云,于冬梅,于文涛,贾凤梅,张继国,等.中国5岁以下儿童营养不良现状及其变化趋势的研究[J].卫生研究,2008,37(5):324-326.
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[15]常树英,何武,贾凤梅,陈春明.中国儿童营养状况15年变化分析—5岁以下儿童贫血状况[J].卫生研究,2007,36(2):210-212.
[16]赵显峰,荫士安,赵丽云,付萍,张坚,马冠生.汶川大地震一年后灾区农村60月龄以下儿童的营养状况[J].中华预防医学杂志,2010,44(8):691-695.
[17]荫士安,赵显峰,赵丽云,付萍,张坚,马冠生.汶川大地震一年后灾区育龄妇女的营养状况[J].中华预防医学杂志,2010,44(8):686-690.
[18]Algarín C,Nelson CA,Peirano P,Westerlund A,Reyes S,LozoffB.Iron-deficiency anemia in infancy and poorer cognitive inhibito-ry control at age 10 years[J].Dev Med Child Neurol,2013,55(5):453-458.
[19]张继国,张兵,杜文雯,孙畅,刘爱东,张继,等.中国西部6省(区)贫困农村5岁以下儿童维生素A缺乏状况分析[J].中华流行病学杂志,2011,32(12):1224-1226.
[20]刘代玲,李鸣,王丽娟,石磊,胡吉芳,孙静,等.地震灾区婴幼儿辅食营养包宣传教育效果评价[J].现在预防医学,2012,39(15):3811-3813.
[2]DeBoer MD,Lima AA,Oría RB,Scharf RJ,Moore SR,LunaMA,et al.Early childhood growth failure and the developmentalorigins of adult disease:do enteric infections and malnutrition in-crease risk for the metabolic syndrome[J]Nutr Rev,2012,70(11):642-653.
[3]Spiegel PB,Salama P.Emergencies in developed countries:areaid organisations ready to adapt[J]Lancet,2001,357(9257):714.
[4]杨文方,刘黎明,孙晓勉,王懿,杨媛媛.农村婴幼儿营养不良状况及影响因素分析[J].中国儿童保健杂志,2009,17(5):514-516.
[5]Black RE,Allen LH,Bhutta ZA,Caulfield LE,de Onis M,Ez-zati M,et al.Maternal and child undernutrition:global and re-gional exposures and health consequences[J].Lancet,2008,371(9608):243-260.
[6]Magkos F,Arvaniti F,Piperkou I,Katsigaraki S,StamatelopoulosK,Sitara M,et al.Identifying nutritionally vulnerable groups incase of emergencies:experience from the Athens 1999 earthquake[J].Int J Food Sci Nutr,2004,55(7):527-536.
[7]Magkos F,Arvaniti F,Piperkou I,Katsigaraki S,StamatelopoulosK,Sitara M,et al.Nutritional risk following a major disaster in apreviously well-nourished population:who is vulnerable[J]Pub-lic Health,2004,118(2):143-145.
[8]Jayatissa R,Bekele A,Piyasena CL,Mahamithawa S.Assessmentof nutritional status of children under five years of age,pregnantwomen,and lactating women living in relief camps after the tsunamiin Sri Lanka[J].Food Nutr Bull,2006,27(2):144-152.
[9]刘祖阳,颜玲,兰真,许毅,林黎.四川省地震灾区3县市6岁以下儿童营养健康状况分析[J].预防医学情报杂志,2010,26(7):534-536.
[10]Sun J,Huo J,Zhao L,Fu P,Wang J,Huang J,et al.The nutri-tional status of young children and feeding practices two years afterthe Wenchuan Earthquake in the worst-affected areas in China[J].Asia Pac J Clin Nutr,2013,22(1):100-108.
[11]Berman S(主编);朱宗涵(主译).灾害儿科学[M].北京:人民卫生出版社,2010:4.
[12]刘爱东,赵丽云,于冬梅,于文涛,贾凤梅,张继国,等.中国5岁以下儿童营养不良现状及其变化趋势的研究[J].卫生研究,2008,37(5):324-326.
[13]Girard AW,Olude O.Nutrition education and counselling provid-ed during pregnancy:effects on maternal,neonatal and childhealth outcomes[J].Paediatr Perinat Epidemiol,2012,26(Suppl1):191-204.
[14]徐增康,王江林,常锋,付萍,张坚,张同军,等.地震灾区宁强县6-24月龄婴幼儿营养干预效果研究[J].中国儿童保健杂志,2012,20(8):728-730.
[15]常树英,何武,贾凤梅,陈春明.中国儿童营养状况15年变化分析—5岁以下儿童贫血状况[J].卫生研究,2007,36(2):210-212.
[16]赵显峰,荫士安,赵丽云,付萍,张坚,马冠生.汶川大地震一年后灾区农村60月龄以下儿童的营养状况[J].中华预防医学杂志,2010,44(8):691-695.
[17]荫士安,赵显峰,赵丽云,付萍,张坚,马冠生.汶川大地震一年后灾区育龄妇女的营养状况[J].中华预防医学杂志,2010,44(8):686-690.
[18]Algarín C,Nelson CA,Peirano P,Westerlund A,Reyes S,LozoffB.Iron-deficiency anemia in infancy and poorer cognitive inhibito-ry control at age 10 years[J].Dev Med Child Neurol,2013,55(5):453-458.
[19]张继国,张兵,杜文雯,孙畅,刘爱东,张继,等.中国西部6省(区)贫困农村5岁以下儿童维生素A缺乏状况分析[J].中华流行病学杂志,2011,32(12):1224-1226.
[20]刘代玲,李鸣,王丽娟,石磊,胡吉芳,孙静,等.地震灾区婴幼儿辅食营养包宣传教育效果评价[J].现在预防医学,2012,39(15):3811-3813.
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