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World Journal of Pediatrics 2024年第4期20卷 404-412页

作者： Xin‑Nan Zong Hui Li Ya‑Qin Zhang Department of Growth and Development Capital Institute of PediatricsBeijing 100020China

Background A more comprehensive assessment of growth and nutrition in children is required in China due to rapid socioeconomic *** aimed to investigate height and body mass index(BMI)trajectories from 1975 to 2015 and the prevalence of stunting and obesity in 2016 among children in Chinese *** A total of 904,263 children from birth to 6.9 years were collected from a series of nationally representative surveys in *** and BMI trajectories and prevalence of stunting,underweight,overweight and obesity were *** The average height level of Chinese urban children under 7 years presented a positive secular trend from 1975 to 2015;however,a slowing tendency occurred in 2005‒*** apparent increase was observed at the 5th,50th and 95th percentiles of BMI in urban children aged 3 years and older,with a more prominent increase at the 95th *** total prevalence of stunting and underweight under 7 years was 1.4%and 2.0%,*** total prevalence of overweight and obesity under 7 years was 12.6%and 4.3%,respectively,with 12.7%and 4.9%for boys,12.6%and 3.6%for girls,12.1%and 4.0%in urban areas and 13.1%and 4.5%in suburban rural *** The average height level of Chinese urban children has reached World Health Organization child growth standards since 2005 and presented a slowing tendency in secular trend in 2005‒*** attention and efforts and public health interventions should be urgently made to combat overweight and obesity among preschool children.

关键词： Body mass index Children Height Obesity stunting

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Health 2018年第9期10卷 1250-1260页

作者： Joshua West Ahmad Syafiq Benjamin Crookston Cudjoe Bennett Muhamad R. Hasan Kirk Dearden Mary Linehan Cougar Hall Scott Torres Department of Public Health Brigham Young University Provo UT USA Faculty of Public Health Universitas Indonesia Depok Indonesia IMA World Health Washington DC USA IMA World Health Jakarta Indonesia IMA World Health Dar es Salaam Tanzania

Background: stunting in young children continues to be a major concern in developing country settings, including middle income countries like Indonesia. Early intervention is critical to prevent increased morbidity and mortality, lower cognitive functioning, and diminished productivity in adulthood. Mothers may benefit from knowledge and information related to stunting causes and effects. Indonesia has readily adopted a variety of platforms, which are now being used to disseminate health information. The purpose of this study was to address two related research questions: 1) What are the primary sources of Indonesian mothers’ stunting-related knowledge? 2) What factors are associated with using these various platforms to access stunting-related information? Method: Mothers (n = 745) responded to questions about demographics and the source of stunting knowledge, which included hospitals, the Internet, midwives, posyandu (community health posts), and puskesmas (public health centers). Multivariate logistic regression was used to identify factors associated with mothers’ reported use of the three most common sources to acquire information about stunting, including posyandu, puskesmas and the Internet. Results: Eighty percent of mothers in this study sample used posyandu, 31.7% puskesmas, and 16.9% used the Internet as a source for stunting-related knowledge. For the three most common sources, factors associated with each included not accessing the other sources. Conclusions: Indonesian mothers are using a variety of platforms and services to acquire information about stunting. These sources are different one from another and each may be an important resource for disseminating health information, especially outside of urban centers. Results from this study may help to identify characteristics of Indonesian mothers who could benefit from acquiring stunting-related information in these formats. Each of these sources of information appears to be utilized by different group

关键词： Indonesia Internet Nutrition Knowledge Posyandu Puskesmas stunting

The Prevalence and Determinants of stunting among Children 6 - 59 Months of Age in One of the Sub-Counties in the Rwenzori Sub-Region, Western Uganda

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Open Journal of Nursing 2020年第3期10卷 239-251页

作者： Enos Mirembe Masereka Arthur Kiconco Edson Katsomyo Clement Munguiko Department of Nursing and Midwifery School of Medicine Kabale University Kabale Uganda Department of Nursing and Midwifery Mountains of the Moon University Fort Portal Uganda Department of Public Health Faculty of Health Sciences Uganda Martyrs University Kampala Uganda Department of Nursing School of Health Sciences Soroti University Soroti Uganda

Introduction: Despite being referred to as one of the country’s “food baskets”, 41% of children, 6 - 59 months of age in the Rwenzori sub-region, Western Uganda are stunted. stunting is a form of chronic malnutrition in which children are short for their age. In this study, we established the prevalence and determinants of stunting in one of the sub-counties in this region. Methods: This was a cross-sectional descriptive study conducted in one of the sub-counties in the Rwenzori sub-region, Western Uganda from May 26th to June 26th, 2018. A total of 372 mothers and their children were recruited using systematic sampling. Data was collected using a questionnaire. stunting was determined by taking child’s height or length and comparing it with child’s age. A child whose height or length for age index was less than −2 Standard Deviations (SD) was considered stunted. We used descriptive statistics to understand characteristics of mothers and multivariable logistic regression model to obtain the determinants of stunting. Data was analyzed using SPSS version 20. Results: A total of 372 mothers and their children were included in this study;majority, 307 (83.0%) of the children were 6 - 24 months old and nearly half, 167 (44.9%) were stunted. We found that reserving food stock for use in the dry season (aOR = 0.23, CI = 0.08 - 0.62, p = 0.004), deworming children (aOR = 0.32, CI = 0.18 - 0.54, p = 0.001) and the family earning at least 10,000 Ushs (2.7USD) at the end of the month (aOR = 0.36, CI = 0.22 - 0.58, P = 0.001) were associated with no stunting. Conclusions: We found a high prevalence of stunting among children 6 - 59 months of age. We recommend enforcing ownership of food granary by households especially during dry season, support to de-worming programs targeting children below five years of age and establishing community based income generating livelihood projects.

关键词： Determinants stunting Chronic Malnutrition Children Western Uganda

Addressing Communications Campaign Development Challenges to Reduce stunting in Indonesia

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Health 2018年第12期10卷 1764-1778页

作者： Cougar Hall Ahmad Syafiq Benjamin Crookston Cudjoe Bennett Muhamad R. Hasan Mary Linehan Joshua West Scott Torres Kirk Dearden Department of Public Health Brigham Young University Provo Utah USA Faculty of Public Health Universitas Indonesia Depok Indonesia IMA World Health Washington DC USA IMA World Health Jakarta Indonesia IMA World Health Dares Salaam Tanzania

One in four children under 5 years of age in the developing world are stunted (chronically malnourished). Reducing stunting can be a challenge, especially in populous countries where families are dispersed, as is the case in Indonesia. This paper describes how one government project (Indonesia’s National Nutrition Communication Campaign [NNCC]) delivered effective behavior change communications interventions that reached 40 million people. This paper focuses on four challenges that nutrition campaigns often face and provides useful lessons for similar campaigns, based on the experience of NNCC, which include the following: 1) Fully engaging stakeholders at all levels in campaign design and implementation ensured broad-based support for stunting reduction efforts;2) Pro-actively involving journalists in nutrition campaigns improved public opinion about stunting and positively influenced decision-making in policy formulation;3) Use of humorous public service announcements with limited technical information was effective in engaging priority populations;and 4) Social media (YouTube ads, web advertorials, Facebook pages, Twitter, Instagram) extended the campaign’s reach and reinforced messaging from other sources. Based on NNCC’s experience, specific recommendations are provided.

关键词： Global Health Promotion stunting Indonesia Communications Campaign

Effective Use of Near Real-time Monitoring System for stunting Reduction in Zimbabwe

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Journal of Health Science 2019年第2期7卷 89-100页

作者： Z.Gomora A.Ndlovu C.Siwela J.Makanjera A.Chineka M.Dodzo V.Singh I.Ngnie-Teta M.A.Ayoya United Nations Children’s Fund(UNICEF) 6 Fairbridge ParkBelgraviaHarareZimbabwe Food and Nutrition Council Office of the President and CabinetP O Box 6640HarareZimbabwe

Background:In Zimbabwe,26.2 percent of children under five are *** has shown that multi-sector interventions are key to addressing ***,practical implementation is difficult,often occurring through separate disjointed and uncoordinated sector actions with limited access to real time information for ***:To describe the design,implementation,successes,challenges and lessons learned from using a near-real time monitoring(NRTM)system as a monitoring tool for multi-sectoral community based model for stunting reduction in ***:An open source technology was used to obtain the information needed on the multi-sectoral coordination process,provide a common platform to capture and present data on situational factors,community conditions and practices to be acted upon and thus contribute to reducing ***:Significant improvements in community data flows were noted;the system brought together several types of data,concepts,stakeholders and multi-sector energies into focused *** challenges including conceptual issues,initial coordination,financial resources and missed partnership opportunities were *** introduction of the NRTM system resulted in improved data flows for programme monitoring and facilitated multi-sector ***:NRTM is an effective monitoring tool for the multi-sectoral community based model to reduce stunting in Zimbabwe.

关键词： Near real-time monitoring(NRTM) stunting decision-making UNICEF Zimbabwe

Nutritional Intervention at a Girl’s Orphanage in Sri Lanka Decreased stunting after One Year

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Health 2021年第1期13卷 60-67页

作者： Sigal Eilat-Adar Isabel Periquito Alice Mo Aviva Zeev Rachel Golan Naresh Gunaratnam Head of the Masters in Healthy and Active Lifestyle Program The Academic College at Wingate Wingate Institute Netanya Israel World Health Organization Copenhagen V American Academy of Pediatrics Retired from Scripps Clinic Medical Group San Diego CA USA The Academic College at Wingate Wingate Institute Netanya Israel Department of Public Health Faculty of Health Sciences Ben-Gurion University of the Negev Beer-Sheva Israel Huron Gastro Center for Digestive Care Ann Arbor MI USA

Background: Both the civil war in 1998 and the tsunami in 2004 in Sri Lanka resulted in a large number of orphans. Objective: To examine the effect of nutritional intervention on one-year period of stunting and/or emaciated status. Methods: Study setting: Twenty-eight girls aged 5 - 19 years old were in the care of Grace Girls’ Home, an orphanage for girls located in the port town of Trincomalee, Sri Lanka, at the time of the survey. Nineteen of them had two available anthropometric measurements recorded over one year of follow-up. Anthropometric measurements were obtained prior to the intervention of nutritional mentoring to the local caregivers, and one year after intervention. Height-for-age, weight-for-age, and BMI-for-age z-scores were calculated using SMART methodology. Nutritional consultancy recommended an additional 15 - 20 grams of high quality protein per day, which was given to the girls. The kitchen team was encouraged to regularly prepare a variety of pulse-based dishes, using local foods and recipes. The local palm oil, rich in saturated fatty acids, was replaced with sunflower oil, rich in polyunsaturated fatty acids. Results: stunting was decreased from Height to age Z-score (−1.19 ± 0.94) to (−0.90 ± 1.06) (P = 0.016), and BMI Z-score from (−0.80 ± 0.79) to (−0.50 ± 0.74) (P = 0.004). Conclusions: A single nutritional education intervention, culturally adapted and implemented by the local caregivers, can decrease stunting in orphans within one year.

关键词： Orphans Sri Lanka BMI Z-Score stunting

Molecular Detection of Sugarcane Ratoon stunting Disease in Hainan Sugarcane-growing Areas

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Plant Diseases and Pests 2020年第1期11卷 6-9页

作者： Shen Linbo Xiong Guoru Feng Xiaoyan Wang Wenzhi Feng Cuilian Zhao Tingting Wang Jungang Wu Nannan Zhang Shuzhen Sugarcane Research Center Institute of Tropical BiotechnologyChinese Academy of Tropical Agricultural Sciences/Key Laboratory of Tropical Crop Biology and Genetic Resources UtilizationMinistry of Agriculture and Rural AreasHaikou 571101China College of Life Science Nanjing Agricultural UniversityNanjing 210095China

[Objective]The paper was to clarify the occurrence of sugarcane ratoon stunting disease(RSD)in Hainan sugarcane-growing areas.[Method]In 2019,270 samples of sugarcane leaves were collected from six main sugarcane-growing areas in Hainan Province,and RSD was detected by PCR assay with specific primers.[Result]RSD was detected out in 41 out of 270 sugarcane samples,with an average detection rate of15.19%.The detection rates of RSD were different in six sugarcane-growing areas;the detection rate of RSD in Danzhou sugarcane-growing area was the highest of 22.00%;the detection rate of RSD in Lingao sugarcane-growing area was the lowest of 9.26%.RSD was detected out in 8 out of10 main sugarcane cultivars,among which Xintaitang 22 suffered the heaviest damage,with the positive detection rate of 45.83%;RSD had not been detected out in Zhongtang 1 and Zhongtang 2,while the positive detection rates of RSD in the remaining seven sugarcane cultivars were10.00%-31.25%.[Conclusion]RSD commonly occurs in Hainan sugarcane-growing *** research results provide a basis for scientific prevention and control of RSD and promotion and application of healthy virus-free sugarcane seedlings.

关键词： Sugarcane Sugarcane ratoon stunting disease(RSD) Molecular detection Detection rate Hainan

The impact of the Rural Minimum Living Standard Guarantee(Rural Dibao)Program on child nutrition outcomes

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Journal of Integrative Agriculture 2024年第2期23卷 444-456页

作者： Dian Chen Xiangming Fang Yu Chen Xiaodong Zheng Zhuo Chen Rodney B.W.Smith Academy of Global Food Economics and Policy China Agricultural UniversityBeijing 100083China School of Public Health Georgia State UniversityAtlanta 30303USA School of Economics Zhejiang Gongshang UniversityHangzhou 310018China College of Public Health University of GeorgiaAthens 30602USA Department of Applied Economics University of MinnesotaSaint Paul 55108USA

The Rural Minimum Living Standard Guarantee(Rural Dibao)is an important unconditional cash transfer program to alleviate poverty in rural *** the importance of children’s nutrition in breaking poverty cycles,little is known about the impact of Rural Dibao on child nutrition *** China Family Panel Studies(CFPS),this paper examines the effects of Rural Dibao on child nutrition outcomes and investigates potential pathways and heterogeneous *** exploit propensity score matching and difference-in-differences techniques to evaluate the effects of the Rural Dibao program on child nutrition *** results suggest that Rural Dibao significantly impacts the nutrition outcomes of children up to 15 years of ***,our results suggest that Rural Dibao improves child height-to-age z-scores by 1.05 standard deviations and lowers the probability of stunting by 11.9 percentage *** analyses suggest that increased protein intake is the main pathway through which Rural Dibao participation contributes to better nutrition *** also find that the effect of the program is more pronounced among girls,children who are non-left-behind or live with highly educated mothers,and those from low-income families and poor *** findings suggest that Rural Dibao participation helps improve child nutrition outcomes through improving diet quality.

关键词： Rural Minimum Living Standard Guarantee nutrition height-to-age z-scores stunting rural China

Spatio-temporal variation in childhood growth in Nigeria:a comparison of aggregation and interpolation

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International Journal of Digital Earth 2017年第11期10卷 1166-1176页

作者： Elise Hellwig Robert J.Hijmans Environmental Science and Policy University of CaliforniaDavisDavisCAUSA

The mean height-for-age Z-score(HAZ)of children under five is an important indicator of the health status of a *** values are frequently aggregated and reported at the national level,potentially obscuring important within-country *** evaluated aggregation and interpolation methods to provide sub-national estimates over space and time,using survey data from Nigeria in 1990,2003,2008,and *** aggregated HAZ values by region and by state,and interpolated the values spatially and spatio-temporally using thin plate *** results were evaluated with cross-validation using the root mean squared error(RMSE)as a measure of goodness of *** HAZ values increased from 1990 to 2013,but values rose more sharply in southern Nigeria than in the *** methods performed better than assuming a constant national *** state-level aggregation,and the spatial and spatio-temporal interpolations had similar RMSE values,but the interpolation methods showed more detailed spatial ***-temporal interpolation produced good results in all conditions,including in years with sparse sampling and when extrapolating to years for which there were no observations.

关键词： Height-for-age health surveys DHS prediction stunting

Malnutrition associated factors on children under 5 years old in Lhaviyani Atoll,Maldives

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The Journal of Biomedical Research 2020年第4期34卷 301-308页

作者： Mariyam Asra Xiaofang Lin Ijaz Ul Haq Asfia Banu Pasha Yingying Shao Rui Qin Manli Hu Ye Ding Zhixu Wang Department of Maternal Child and Adolescent HealthSchool of Public HealthNanjing Medical UniversityNanjingJiangsu 211166China Department of Nutrition and Food Hygiene School of Public HealthNanjing Medical UniversityNanjingJiangsu 211166China Department of Pediatrics the First Affiliated Hospital of Nanjing Medical UniversityNanjingJiangsu 210029China

In this report,we aimed to analyze the prevalence of undernutrition and associated factors among children under 5 years of age in Lhaviyani Atoll,Maldives.A total of 800 children(under 5 years old) and their mothers were selected for this *** was collected by using a pretested questionnaire and anthropometric measurements were taken from the hospital record ***-square tests and multivariate logistic regression were used to find the association between nutritional status and *** distribution of height for age and weight for age in surveyed children in Maldives was skewed to the left compared with the WHO *** prevalence of undernutrition based on underweight(10.75%),stunting(13.5%),and wasting(9.60%) was estimated to be 23.85% among *** age,gender and mother’s education were significantly associated with undernutrition(P<0.05).Our survey highlighted that better nutritional interventions are needed to improve child health in this region.

关键词： Maldives undernutrition stunting