Relationship between complementary feeding behaviors and anemia for infants and young children in Sichuan, Yunnan and Guizhou province of China / 中华预防医学杂志

<p><b>OBJECTIVE</b>To examine the relationship between complementary feeding behaviors (CFB) and anemia for infants and young children in Sichuan, Yunnan and Guizhou province of China.</p><p><b>METHODS</b>A total 3 410 children aged 6-24 months were recruited from 12 survey sites in the urban and rural areas of Sichuan, Yunnan and Guizhou provinces by stratified random cluster sampling in 3 age groups (6-8 months, 9-11 months and 12-24 months) from March to July in 2011. The information of CFB for them was collected through a specific questionnaire. According to the comprehensive evaluation method of CFB(including content of food preparation and selection, caregivers' behavior, infants' behavior, feeding environment and environmental hygiene), the scores of CFB were calculated and grouped as low ( < 60% of total score), moderate (60%-80% of total score) and high level ( > 80% of total score). Twenty microliter of fingertip blood was extracted to measure the hemoglobin concentration and anemia rate was calculated. Distribution of CFB level and rate of anemia were compared between urban/rural areas and different age groups. Difference of anemia rate for infants and young children between low/moderate/high CFB level groups was compared.</p><p><b>RESULTS</b>8.0% (273/3 410) of the children were in low CFB level group, and 56.9% (1 940/3 410) and 35.1% (1 197/3 410) in moderate and high CFB level group respectively. The difference of CFB levels between urban and rural areas was significant (Z = -21.17, P < 0.05), the proportion of high level in urban area was 53.0% (829/1 565) , which was higher than that in rural area (20.0% (368/1845) ). The difference of CFB levels between different age groups was also significant (H = 43.82, P < 0.05). The proportion of high level decreased by increasing age, which was 41.0% (417/1 017) and 29.9% (389/1 300) in 6-8 months and 12-24 months respectively. The average hemoglobin concentration for infants was (119.3 ± 13.8)g/L, and the total anemia rate was 22.4% (765/3 410) . The hemoglobin concentration for infants in urban area ( (123.3 ± 11.3) g/L) was higher than rural area ((115.9 ± 14.8) g/L) (t = 16.75, P < 0.05) and the rate of anemia in urban area (10.5% (165/1 565)) was lower than that in rural area (32.5% (600/1845) ) (χ² = 235.03, P < 0.05) significantly. The rate of anemia was decreased by increasing CFB level(χ² = 73.94, P < 0.05). The rate of anemia in the low CFB level group was the highest (33.7% (92/273) ) while in the high CFB level group was 14.5% (174/1 197), which was the lowest.</p><p><b>CONCLUSION</b>The level of complementary feeding behavior for infants and young children in Sichuan, Yunnan and Guizhou province of China is relatively low and their prevalence of anemia is relatively serious. Complementary feeding behavior is closely associated with anemia for infants and young children.</p>

Cross-sectional association between sedentary behaviors and overweight/obesity among children and adolescents in Chengdu, Sichuan / 中华流行病学杂志

Objective To explore the situation of sedentary behavior and how it correlated to overweight/obesity among children and adolescents in Chengdu,China.Methods A total of 2 211 children and adolescents aged 7-15 years old were recruited in Chengdu city by using the cluster random sampling method.This was a cross-sectional study which aimed to collect data on anthropometry including height and weight and information on basic characters and sedentary behavior by using a self-designed questionnaire.Results According to IOTF criteria,the reporting rate of factor as ‘watching TV ≥2 hours per day on weekend’ showed statistically significant differences among normal,overweight and obese groups (34.80％,4.21％ and 1.92％ respectively,P=0.016 0) in boys.The reporting rates of ‘doing homework ≥2 hours per day’ were 12.17％,0.89％ and 0.49％ respectively (P=0.036 0) and statistically different among the three groups,in girls.Similar results were obtained in boys based on the WGOC criteria.However,there was no statistical difference seen on sedentary behaviors among the three groups in girls according to WGOC criteria.After stratified by age groups,rates on ‘ watching TV on weekend’ were statistically different among normal,overweight and obese group in 13-15 age group in girls (P=0.035 1).Physical activity level (PAL) was positively associated with WHR among both boys and girls when grouped according to PAL (Schofield).However,it was positively associated with WHR only seen in boys according to Chinese Nutrition Society (CNS) criteria.Conclusion The reporting rates of sedentary behavior in obese children were higher than that in overweight/normal ones.However,the correlation of sedentary behaviors on overweight/obesity called for further studies.

Cross-sectional association between overall diet quality and overweight/obesity among children and adolescents in Chengdu / 中华流行病学杂志

Objective To develop Chinese Children Dietary Index,the overall diet quality of children and adolescents; the association between overall diet quality and overweight/obesity among children in Chengdu.Methods Chinese Children Dietary Index was formulated based on the current Chinese Dietary Guidelines and Food Guide Pagoda for children and adolescents,consisting of 12components.1 997 children and adolescents aged 7-15 years in Chengdu were recruited and their diet quality was evaluated according to Chinese Food Guide Pagoda.Differences in percent body fat (PBF),fat mass index (FMI),fat-free mass index (FFMI) between 3 categories as low,moderate,and high diet quality,were tested.Results The mean Chinese Children Dietary Index score for our population was 59.36 ± 11.50.The diet quality of 13-15 years old adolescents was the worst.7-9years old children with moderate diet quality had highest PBF (P=0.04),while 10-12 years old children with higher diet quality had the lowest FFMI (P=0.002).Conclusion The overall diet quality of children and adolescents in Chengdu could be reflected by Chinese Children Dietary Index.There was association between overall diet quality and overweight/obesity among children and adolescents.However,this association warrants more in depth evaluation in future studies.