ABSTRACT
Objective: To investigate the association between muscle mass and quality of life in adults in Shaanxi adults. Methods: The data in this analysis were part of the baseline survey of the Regional Ethnic Cohort Study in Northwest China from June 2018 to May 2019 in Shaanxi Province. The participants' quality of life, including physical component summary (PCS) and mental component summary (MCS), was assessed by the 12-Item Short Form Survey, and the Body Fat Determination System measured muscle mass. A logistic regression model with adjustment for confounding factors was established to analyze the association between muscle mass and quality of life in different genders. Further, sensitivity and subgroup analyses were conducted to explore its stability. Finally, a restricted cubic spline was employed to investigate the dose-response relationship between muscle mass and quality of life in different genders. Results: A total of 20 595 participants were included, with an average age of 55.0, and 33.4% were male. After controlling for potential confounders, compared with the Q1 group, the risk of low PCS was reduced by 20.6% (OR=0.794, 95%CI: 0.681-0.925) and the risk of low MCS was lower reduced by 20.1% (OR=0.799, 95%CI: 0.689-0.926) in female Q5 groups. Compared with the Q1 group, the risk of low PCS was reduced by 24.4% (OR=0.756, 95%CI: 0.644-0.888) in the male Q2 group. However, no significant association between muscle mass and MCS in males has been found. In females, restricted cubic spline analysis showed a significant linear dose-response relationship between muscle mass and PCS and MCS. Conclusions: There is a positive association between muscle mass and quality of life in Shaanxi adults, especially females. With the increase in muscle mass, the physical and mental functions of the population continue to improve.
Subject(s)
Humans , Female , Adult , Male , Quality of Life , Cohort Studies , Adipose Tissue , China , MusclesABSTRACT
To explore the association between the frequency of prenatal care in childbearing aged women and risk of small for gestational age (SGA) among neonatal twins in Shaanxi Province. From July to December 2013, a total of 30 027 childbearing aged women, who were pregnant from January 2010 to November 2013 and had definite outcomes, were selected from 30 districts (counties) of Shaanxi Province by using the multi-stage random sampling method. The questionnaires with a face-to-face survey method were used to retrospectively collect demographic information, pregnancy history, lifestyle during pregnancy, disease history, nutritional supplements, and health care during pregnancy. Information on the gestational age and birth weight of the newborn were obtained by consulting the medical certificate of birth and were registered as twin A and twin B by birth order. Finally, 356 childbearing aged women and their twin babies with complete data were included in the analysis. A generalized estimation equation model was used to analyze the association between the frequency of prenatal care and the risk of SGA among neonatal twins. The age of childbearing aged women was (27.44±4.68) years old, of which 79.49% (283 women) were rural residents and 44.38% (158 women) had seven or more times prenatal care. The gestational age and birth weight were (37.64±2.51) weeks and (2 510±497) g, respectively. The prevalence of SGA was 51.40% (183/356) for twin A and 53.37% (190/356) for twin B, respectively. The prevalence of SGA was 44.30% (70/158) for twin A with seven or more times prenatal care and 42.41% (67/158) for twin B with seven or more times prenatal care, which was lower than that for twins with less than seven times prenatal care, respectively [57.07% (113/198) and 62.12% (123/198)] ( values were 0.017 and <0.001). The results of generalized estimation equation model suggested that compared to those with less than seven times prenatal care, after adjusting for parity, birth order, place of residence, maternal age, occupation, education, family wealth index, passive smoking, pregnancy-induced hypertension syndrome, folic acid, and iron supplement during perinatal period, and gender of the newborn, the (95) of risk of SGA among childbearing aged women with seven or more times prenatal care was 0.60 (0.40-0.91). Seven or more times prenatal care could reduce the risk of SGA among neonatal twins in Shanxi Province.
ABSTRACT
Retraction Note to: J Zhejiang Univ-Sci B (Biomed & Biotechnol) 2019 20(3):238-252. https://doi.org/10.1631/jzus.B1800122. The authors have retracted this article (Guo et al., 2019) because some data from the original literature had not been converted to appropriate units in the paper, which resulted in deviation of the meta-analysis results. For example, for the forest plot used to examine associations between PM exposure and the risk of adverse birth outcomes, the estimates from Brauer et al. (2008), Pedersen et al. (2013), Zhao et al. (2015), and Hansen et al. (2006) were on the originally reported scales of 1 µg/m, 10 µg/m, 10 µg/m, and Inter Quartile Range, respectively. None of these estimates had been converted to 20 µg/m increase scale that was stated in the article. Similar problem exists in the analysis on associations between NO exposure and risk of adverse birth outcomes. Therefore, the results of the meta-analysis are misleading. All authors have agreed to this retraction and express their deepest apologies to the original authors, publishers, and readers.
ABSTRACT
<p><b>BACKGROUND</b>Preterm birth is a common cause of death in newborns and may result from many determinants, but evidence for the socioeconomic and environmental determinants of preterm birth in Tibetan women of childbearing age is limited. The aim of this study was to understand the current status of preterm birth in native Tibetan women and investigate the socioeconomic and environmental determinants.</p><p><b>METHODS</b>Data were drawn from a cohort study which was conducted from August 2006 to August 2012 in rural Lhasa, Tibet, China. A total of 1419 Tibetan pregnant women were followed from 20 weeks' gestation until delivery; the loss to follow-up rate was 4.69%. The incidence of preterm birth was estimated to show the status of preterm births in Tibet. Logistic regression models for longitudinal data were established, and odds ratios (ORs) together with 95% confidence intervals (CIs) were used to evaluate the association between the occurrence of preterm birth and 16 selected potential determinants based on the hierarchical conceptual frame.</p><p><b>RESULTS</b>The incidence of preterm birth was 4.58% (95% CI = 3.55-5.80%). After adjusting for health-related variables of the mothers and newborns, socioeconomic and environmental determinants associated with preterm birth included season (spring: OR = 0.28, 95% CI = 0.09-0.84; autumn: OR = 0.21, 95% CI = 0.06-0.69; and winter: OR = 0.31, 95% CI = 0.12-0.82) and calendar year of delivery (2010: OR = 5.03, 95% CI = 1.24-20.35; 2009: OR = 6.62, 95% CI = 1.75-25.10; and 2007-2008: OR = 5.93, 95% CI = 1.47-23.90).</p><p><b>CONCLUSIONS</b>The incidence of preterm birth among native Tibetan women was low and there was a decreasing trend in recent years; however, it is still essential to strengthen seasonal maternal care, extend the spacing between pregnancies, and reinforce adequate maternal nutrition.</p>
ABSTRACT
<p><b>OBJECTIVE</b>Using infant and child feeding index (ICFI) to evaluate the relationship between infant feeding and physical development indicators in rural areas of Lhasa.</p><p><b>METHODS</b>In July and August 2010 in the rural areas of Lhasa, the multi-stage cluster random sampling method was adopted to select 540 Tibetan children who were between 6 to 35 months of age. There were 70, 79 and 391 cases in 6 to 8, 9 to 11 and 12 to 35-month-old group respectively. The basic status of infants, information about breastfeeding and complementary feeding were collected by using designed questionnaires. Their height and weight were measured to calculate the children's weight for age Z-score (WAZ), height for age Z-score (HAZ) and weight for height Z-score (WHZ) and assess feeding index score (out of 17 scores) and analyze the relationship between feeding index and HAZ, WAZ and WHZ.</p><p><b>RESULTS</b>The mean ICFI score of 540 cases was 8.90 ± 2.82.It was 6.84 ± 3.16, 8.16 ± 2.78 and 9.41 ± 2.55 for 6 to 8, 9 to 11 and 12 to 35-month-old infants respectively. There was significant difference between the different month group (F = 30.99, P < 0.05).For the three month groups, the scores of WAZ were 0.10 ± 1.18, -0.09 ± 1.20 and -0.38 ± 0.96; HAZ were -0.60 ± 1.68, -1.02 ± 1.72 and -1.30 ± 1.30; WHZ were 0.62 ± 1.23, 0.69 ± 0.96 and 0.43 ± 0.95 respectively. The ICFI scores of 9 to 11, 12 to 35 and 6 to 35-month-old infants were positively correlated with HAZ (correlation coefficients were 0.25,0.12 and 0.09 respectively, all P values <0.05). There was no correlation with WAZ (correlation coefficients were 0.15,0.08 and 0.03 respectively, all P values >0.05) and WHZ (correlation coefficients were -0.08, -0.02, and -0.07 respectively, all P values >0.05). There were no correlation between ICFI score with HAZ, WAZ and WHZ for 6 to 8 month-old infants (correlation coefficient were 0.06,0.16 and -0.07 respectively, all P values >0.05).</p><p><b>CONCLUSION</b>To some extent, the feeding index can effectively reflect the growth status of these infants and can serve as a comprehensive assessment of feeding situations among Tibetan children in rural areas of Lhasa.</p>
Subject(s)
Child, Preschool , Female , Humans , Infant , Male , Breast Feeding , Child Development , China , Infant Food , Nutritional Status , Rural Population , SomatotypesABSTRACT
Objective To explore the ethnic differences on nutritional status of children under three years old,in the western areas of China and to indentify the affecting factors.Methods 14 072children under the age of three years and their mothers were recruited,using the proportion population sampling method in 45 counties in the western areas of China.Height and weight were used as the measurement on nutrition of children.Results Height and weight of children with Han,Uyghur,Tibetan and Zhuang ethnicities were all lower than the WHO standards and with differences on height and weight among them.There were also ethnic differences on the status of malnutrition.Prevalence rates of stunting were 14.7％,20.3％,26.9％ and 26.5％ for Han,Uyghur,Tibetan and Zhuang ethnicities,respectively.Prevalence rates of underweight were 6.1％,10.7％,6.8％ and 15.5％ among the Han,Uyghur,Tibetan and Zhuang ethnicities,respectively.The prevalence rates of wasting were 4.2％,5.3％,2.9％,8.9％,and of under nutrition were 19.2％,25.5％,30.3％ and 36.5％ for the Han,the Uyghur,the Tibetan and the Zhuang ethnicities,respectively.When factors as family size,years of schooling of parents,family numbers,sex,age (months),mother' s height and weight,ways of feeding and sources of family income etc.were adjusted,children with Uyghur,Tibetan,Zhuang and other ethnicities were still presented more malnutrition than the children with Han ethnicity.Conclusion There were differences on malnutrition status of children under the age of three years among the studies on different ethnicities.Undemutrition was less than nutritional status,seen in children of the Han nationality than other minority ethnicites.Ethnicity seemed to be related to differences in the nutritional status of children in western China while children of the Han nationality would be better than other minorities on nutritional status if they were in same living conditionals.
ABSTRACT
Objective To analyze the fertility rate and to estimate the future population size of Shaanxi province,based on data from the sixth national population census.Methods Fertility rate curve was used to analyze the fertility model and the abbreviated life table.The actual fertility rate was used as the main way to predict the future population size.General fertility rate was analyzed by factor analysis approach.Results The total fertility rate of Shaanxi province was 1.05 in 2010 while age-specific fertility rate contributed 101.27％ to the general fertility rate.The expected population sizes would be 38 122 474 in 2015,38 432 931 in 2020 and 38 121 904 in 2025 respectively.Conclusion Birthrate would become lower and the population size appearing a negative increase in the year 2020,in Shaanxi province.
ABSTRACT
<p><b>OBJECTIVE</b>To analyze the associations between menopause and hypertension/isolated systolic hypertension (ISH) among rural females in Hanzhong, Shaanxi Province, China.</p><p><b>METHODS</b>In this cross-sectional study, 3030 residents were selected by stratified random sampling and investigated by questionnaire survey and physical examinations. Data of the females were analyzed to explore the impact of menopause on blood pressure by quantile regression and to investigate the associations between menopause and hypertension, ISH, and isolated distolic hypertension (IDH) by logistic regression.</p><p><b>RESULTS</b>The number of premenopausal and postmenopausal women was 965 and 998. The average age was (41.0 ± 8.07) years in the premenopausal group and (58.0±7.12) years in the postmenopausal group (P<0.001). The prevalence of hypertension among the premenopausal group and postmenopausal group was 21.9% and 49.3%, respectively. Quantiles regression analysis showed that the impact of menopause on systolic blood pressure increased as the percentile increased. The diastolic blood pressure (DBP) of the premenopausal group was significantly lower than that in the postmenopausal at q ≥ 0.40(DBP = 84 mmHg,1 mmHg = 0.133 kPa) percentile points (P<0.05), while the difference was not significant at q≤ 0.30 (DBP=80 mmHg) percentile points(P>0.05). After the potential confounders including age, education level, marriage, occupational, hyperlipidemia, family history, exercise, sleep, watching TV, smoking, passive smoking, alcohol consumption, body mass index, wealth index, waist circumference were controlled, positive associations were observed between menopause and hypertension/ISH in logistic regression models.</p><p><b>CONCLUSIONS</b>Menopause is positively related with hypertension/ISH. More effective interventions should be taken to prevent hypertension and ISH among rural women.</p>
Subject(s)
Adult , Aged , Female , Humans , Middle Aged , Blood Pressure , China , Epidemiology , Cross-Sectional Studies , Hypertension , Epidemiology , Menopause , Rural Population , Surveys and QuestionnairesABSTRACT
<p><b>OBJECTIVE</b>To investigate the prevalences of overweight and obesity in the rural communities in Hanzhong, Shaanxi Province.</p><p><b>METHODS</b>A total of 3030 residents in the rural areas of Hanzhong city were selected by stratified random sampling method to take questionnaire-based survey and physical examinations.</p><p><b>RESULTS</b>The data of 3017 valid subjects (1048 men and 1969 women) entered the final analysis. The average body mass index was (22.9±4.2) kg/m(2) [(23.0±5.5) kg/m(2) in men and (22.9±3.2) kg/m(2) in women]. The prevalence rates of overweight and obesity were 27.9% and 5.9% respectively, and the standardized rates were 23.4% and 5.4%, respectively. More specifically, prevalence rates of overweight and obesity were 28.3% and 6.1% in men (standardized rates were 24.7% and 7.5%, respectively) and 27.6% and 5.8% (standardized rate were 22.8% and 4.5% respectively) in women. The overweight/obesity was more often in young and mid-aged married men with higher education and socioeconomic status and in middle-aged and older women with less education from wealthier households.</p><p><b>CONCLUSION</b>The prevalences of overweight and obesity are relatively high in the rural areas of Hanzhong, and therefore effective interventions are warranted.</p>
Subject(s)
Female , Humans , Male , China , Epidemiology , Obesity , Epidemiology , Prevalence , Rural PopulationABSTRACT
Objective To evaluate the diet quality and the relative factors among rural residents in Hanzhong,Shaanxi province.Methods A cross-sectional survey on dietary status together with a semi-quantitative food frequency questionnaire were conducted on rural residents aged from 18 to 80 in Hanzhong of Shaanxi in 2010.Diet quality was evaluated by using the Chinese Diet Balance Index (CDBI) scoring and evaluating system.Linear regression models were developed to identify factors that influencing the status of under/over intake.Results 2748 rural residents were investigated with the average daily intake of grains,beans,heavily salted vegetables,plant oil,nuts and salt.Results showed that they were higher than average level of Chinese rural residents' (P＜0.01).80％ of the residents having their daily intake of grains,oil and salt exceeded,while animal food,diary food,egg,vegetable and firuits were lower (P＜0.01) than the RNIs.However,there was under intake noticed to some extent in some areas.The average values of DBI_LBS and DBI_HBS were 22.8 and 9.8.The proportions of moderate under intake (20＜DBI_LBS≤40) and moderate over intake (10＜DBI_HBS≤20) were 62.6％ and 48.0％.The main factors that influenced the dietary under-intake were education level,fortune index,hypertension,physical activity,and time to watch television.The main factors that affected the over-intake of diet were sex,age,number of family numbers,intensity of labor,time to sleep,smoking and drinking habits.Conclusion The main diet problem among the rural residents was under-dietary-intake,with over-intake to some extents,suggesting that it was necessary to strength the specific intervention program,to improve the diet quality in the residents of Hanzhong area.
ABSTRACT
Objective To investigate the relationship between dietary patterns and hypertension in Hanzhong city of Shaanxi province.Methods A cross-sectional survey on dietarypattern and hypertension together with a semi-quantitative food frequency questionnaire was conducted among rural residents aged from 18 to 80 in Hanzhong of Shaanxi province in 2010.Factor analysis by SPSS was used to identify food patterns based on the frequency of food.Logistic regression was used to analyze the relationship between dietary patterns and hypertension.Results 2929 rural residents were investigated with an average age as 50.0 years old and average schooling-years as 6.8.The prevalence rate of hypertension was 34.3％,with 35.4％ in males and 33.7％ in females.Among 29 kinds of food under investigation,only 11 kinds with the frequencies of consumption more than 1 time per week.Four main factors were derived as four dietary patterns by factor analysis and they were diversity dietary pattern,alcohol dietary pattern,beverage dietary pattern and simple dietary pattern.Among them,the balanced dietary pattern was significantly associated with hypertension.All the participants were categorized into 4 groups (Q1-Q4) according to their factor scores,quartile with Q1 as a reference.The residents who were more closer to having balance dietary pattern,were under less risk of suffering from hypertension after controlling for age,sex,BMI,education and income.Compared to Q1,the Q4 had lower risk of hypertension (OR=0.59,95％CI:0.44-0.77) for the balanced pattern.Conclusion Dietary pattern could be related to the prevalence of hypertension.A rational diet with diversity of foods should be suggested as one of the major measures for the prevention of hypertension.
ABSTRACT
Objective The objective of this study was to investigate the prevalence rate of abdominal obesity and to explore the associated risk factors in rural communities from Hanzhong area,Shaanxi province,and to providc baseline data for further targeted intervention programs.Methods A cross-sectional study was conducted among all the participants with questionnaires,interview and physical examination.Nine townships were selected in Hanzhong area,followed by one village randomly chosen from the selected township,using the stratified random sampling method.Results There were 3030 participants in this survey,among which 3021 samples were valid,including 1048 males and 1973 females.The overall prevalence rate of abdominal obesity was 38.9％(standardized rate as 33.4％ ) in rural communities of Hanzhong,and the prevalence rate on males abdominal obesity(35.0％ ) was significantly lower than that of females (40.9％).It was found that following factors as:being male,married,having more household wealth,frequent consumption of fried food,non-engagement of agricultural labor work,being nonsmoker or ex-smoker,spending longer time on watching-TV etc.were positively associated with the biggerr odds of having abdominal obesity when using the logistic regression analysis.Meanwhile,data from this study indicated that fctors as:at younger age,frequent participation in agricultural labor,under artificial feeding,with more years of education,less frequency of pregnancy etc.were negatively related to the prevalence of female abdominal obesity.Conclusion The prevalence rate of abdominal obesity in Hanzhong area,Shaanxi province was significantly higher than the national average level which called for the development of related intervention programs to prevent chronic diseases associated with gender related-obesity in Hanzhong.
ABSTRACT
<p><b>OBJECTIVE</b>To understand the growth and malnutrition status of Tibetan children aged 0 to 35 months in rural Lhasa in 2010.</p><p><b>METHODS</b>Cross-sectional study and multistage sampling design were used to randomly select sampling units. A total of 640 children were studied. Height and weight were measured and nutritional status was evaluated with WHO reference in 2006 using Z-scores. Z-scores of weight-for-age (WAZ), Z-scores of height-for-age (HAZ) and Z-scores of weight-for-height (WHZ) were analyzed.</p><p><b>RESULTS</b>At the age of 18 - 35 months, the children in rural Lhasa were 3.0 cm shorter as compared to the China national length reference. At the age of 6 - 11, 12 - 17 months, weight ((8.84 ± 1.23) and (10.20 ± 1.08) kg) and length ((70.45 ± 4.46) and (76.73 ± 4.78) cm) of boys were significantly higher than girls (weight: (8.42 ± 1.30) and (9.59 ± 1.26) kg; length: (67.61 ± 3.98) and (74.25 ± 4.50) cm) (all P values < 0.05). WAZ and HAZ were -0.17 ± 1.11 and -1.11 ± 1.46, respectively. The HAZ of 18 - 23 months children (-1.51 ± 1.24) was significantly different from the HAZ of 0 - 5, 6 - 11, 12 - 17 months children (HAZ: -0.75 ± 1.50, -0.83 ± 1.72, -1.07 ± 1.55, respectively) (all P values < 0.05), comparison with the HAZ of 24 - 29, 30 - 35 months children (HAZ: -1.41 ± 1.25, -1.24 ± 1.05), the results showed that there were no significant difference (all P values > 0.05), HAZ of 18 - 23 months children was the lowest. The prevalence of stunting, underweight, and wasting were 24.6% (155/630), 5.4% (33/616) and 1.0% (6/608), respectively. The malnutrition of boys was more serious than that of girls, the stunting of 18 - 23 and 24 - 29 months children had reached 35.0% (36/103) and 29.1% (25/86), respectively.</p><p><b>CONCLUSION</b>The growth and development status of children in rural Lhasa under 3 years old was poor, and the malnutrition of local children should not be ignored with variations by gender and months of age.</p>
Subject(s)
Child, Preschool , Female , Humans , Infant , Infant, Newborn , Male , Asian People , China , Epidemiology , Cross-Sectional Studies , Growth Disorders , Epidemiology , Ethnology , Malnutrition , Epidemiology , Ethnology , Nutritional Status , Rural PopulationABSTRACT
Objectivc To examine the relationship between cigarette smoking and body mass index(BMI) as well as waist circumfcrcnce (WC) of men from 9 rural districts ofHanzhong,Shaanxi province.Methods Cross-sectional data was analyzed from Hanzhong Health Survey on rural residents in 2010.Quantile regression mode was used to compare the results using the BMI (WC) and smoking slatus (degree) as the dependent variables and independent variable and confounding factors were also controlled.Results 1039 rmale residents of rural areas of Hanzhong city were investigated.The prevalence rates on overweight and obesity among the males were 28.0％ and 5.9％,with central obesity as 35.0％ and the rate of currcnt cigarette smoking was 63.6％ in the areas.Results from the quantile regression showed that the relationship between smoking status and BMI beyond 80 percentile in men (BMI=24.4) which was not significantly different BMI among the heavy smokers,was much higher than those mild smokers beyond 90 percentile (BMI=24.9).WC of the current smokers was significantly higher than those ex-smokers beyond the 95 percentile (WC=96.7 cm).WCs of the moderate and heavy smokers had an increase along with the increase of WCs beyond the 85 percentiles (WC=89.9 cm).Conclusion The effect of smoking status and BMI (WC) were inconsistent,however,with BMI and WC increased among the subjects whose BMI or WC were at the high extreme end of the distribution.Thus,we should advise the obese subjects to quit smoking.
ABSTRACT
<p><b>BACKGROUND</b>Breast cancer remains the most important cancer among women worldwide. The disease itself and treatment may have a profound impact on the patients' psychological well being and quality of life. Depression is common in breast cancer patients and affects the therapeutic effects as well as prolongs the duration of hospital stay. However, few studies reported the effectiveness of music therapy on depression and duration of hospital stay of female patients with breast cancer after radical mastectomy.</p><p><b>METHODS</b>One hundred and twenty subjects were recruited to this clinical trial and randomly allocated to two groups. The experimental group (n = 60) received music therapy on the basis of routine nursing care, whereas the control group (n = 60) only received the routine nursing care. The whole intervention time was from the first day after radical mastectomy to the third time of admission to hospital for chemotherapy. Data of demographic characteristics and depression were collected by using the General Questionnaire and Chinese version of Zung Self-rating Depression Scale (ZSDS) respectively. One pre-test (the day before radical mastectomy) and three post-tests (the day before discharge from hospital, the second and third admission to hospital for chemotherapy) were utilized. Duration of hospital stay was calculated from the first day after radical mastectomy to the day of discharged from hospital.</p><p><b>RESULTS</b>The mean depression score of all subjects was 37.19 ± 6.30. Thirty-six cases (30%) suffered from depression symptoms, with 26 (72.2%) mild depression cases, 9 (25.0%) moderate depression cases, and 1 (2.8%) severe depression case. After music therapy, depression scores of the experimental group were lower than that of the control group in the three post-tests, with significant differences (F = 39.13, P < 0.001; F = 82.09, P < 0.001). Duration of hospital stay after radical mastectomy of the experimental group ((13.62 ± 2.04) days) was shorter than that of the control group ((15.53 ± 2.75) days) with significant difference (t = -4.34, P < 0.001).</p><p><b>CONCLUSIONS</b>Music therapy has positive effects on improving depression of female patients with breast cancer, and duration of hospital stay after radical mastectomy can be reduced. It is worthy of applying music therapy as an alternative way of nursing intervention in clinical nursing process of caring female patients with breast cancer.</p>
Subject(s)
Adult , Aged , Female , Humans , Middle Aged , Breast Neoplasms , General Surgery , Depression , Therapeutics , Mastectomy, Radical , Psychology , Music Therapy , MethodsABSTRACT
Objective To explore the dietary pattern of rural Tibetan women with children under 2 years of age.Methods A cross-sectional survey on dietary pattern together with a semiquantitative food frequency questionnaire was conducted among Tibetan women in rural Lhasa in 2008.Results 386 women were investigated with the average age as 28.5 years old and average schooling-years as 4.6.For each member in the woman's family,daily intake of vegetable oil was 25.9 g on average.Daily intake of butter,sugar and salt were 27.8 g,12.9 g and 14.8 g respectively,which were higher than figures from national nutrition and health survey (P＜0.01).Among 91 kinds of food under investigation,only 22 kinds with the frequencies of consumption more than 1 time per day.Three main factors were derived by factor analysis.The first factor represented vegetable pattern characterized with vegetables,grains,fruits and a few animal foods.It was a dominant pattern for the subjects,which explained nearly 10% variance.The second one was Tibetan style pattern in which Tibetan foods and a few vegetables were consumed.The last one called meats and milk products pattern also reflected the Tibetan dietary style.Daily intake of energy for women was 2097.02 kcal which met 91.2% of Chinese recommended nutrients intake (RNI).Daily intake of protein and fat reached 82% of RNI and vitamin A but only 34.7% on RNI.Daily intake of calcium,iron and zinc reached 64.6%,174.1% and 150.7% of RNI,receptively.Grains provided 65% of energy but only 7.4% of the energy and 15.5% of protein were from animal foods."Tsampa" provided 57.6% of iron.Conclusion Vegetable pattern had been the dominant dietary pattern among Tibetan women in rural Lhasa.Intake of energy,protein and some micronutrients were not sufficient.
ABSTRACT
Objective To investigate the distribution of hemoglobin(Hb)and prevalence of anemia in pregnant women living in the Tibetan Plateau area.Methods Random sampling method was used and fingertip blood sample was tested.Related sociodemographic information was collected.We adjusted the hemoglobin measurements based on the different levles of altitude,using three different methods from CDC.Dirren's and Dallman's to estimate the prevalence rates of anemia.Results Three hundred and eighty pregnant women were included.The mean Hb was 127.6 g/L.Tibetan had a lower Hb (126.6 g/L)than people from other ethnicities(134.6 g/L)with rural pregnant women having a higher Hb(130.4 g/L)than that of urban ones(125.9 g/L).After controlling the gestational age,results remained the same.Different method used for correction of hemoglobin would cause different prevalence rates of anemia which were all higher than the pre-adjusted prevalence rates:70.0% for CDC method,77.9% for Dirren's method and 41.3% for Dallman's method respectively.After analyzing the erythrocyte arameters,we could not conclude that population in our study was under the early stage of the iron deficiency anemia.Conclusion Higher altitude could affect the levels of hemoglobin concentration significantly.Currently adopted hemoglobin correction methods might not be suitable for Tibetan pregnant women.We suggested that it was imperative to establish a relationship between altitude and hemoglobin of Tibetan women during pregnancy in order to correctly evaluate the prevalence of anemia.
ABSTRACT
<p><b>OBJECTIVE</b>To investigate optimistic factors affecting nutrition status of infants under 3-year-old in rural areas of western China.</p><p><b>METHODS</b>The data used in this study came from a cross-sectional survey on primary health and maternal and child health care in western rural China. The method of stratified multistage cluster random sampling was used to obtain the sample of children. Composite index of anthropometric failure (CIAF) was used to classify the infants with normal nutrition or malnutrition. Logistic regression model was employed to investigate optimistic factors effecting nutrition of infants from 3 levels as family, mother and children themselves.</p><p><b>RESULTS</b>14,532 qualified infants were obtained, 57.4% of them were boys. According to CIAF, 72.1% of children were found in normal nutritional status. Prevalence of malnutrition was 27.9% and 10.3% of children were both underweighted and retarded in growth. The result showed the children with better nutrition were from such families with high income, fathers with higher education and fewer children. Higher education for mothers and breastfeeding were optimistic factors effecting nutrition of infants under 6-month after family factors being controlled for. For children over 6 months old, the optimistic factors were heavy mother body weight and more education acquired, exclusive breast feeding within 4-month, introduction of foods containing more protein.</p><p><b>CONCLUSION</b>Family factors strongly influence nutritional status of rural children. Improving mothers'education and adding protein intake for children older than 6 months make their nutrition status better.</p>
Subject(s)
Child, Preschool , Humans , Infant , China , Cross-Sectional Studies , Factor Analysis, Statistical , Growth Disorders , Epidemiology , Nutritional Physiological Phenomena , Nutritional Status , Ethnology , Rural PopulationABSTRACT
<p><b>OBJECTIVE</b>To investigate sex difference on nutritional status, feeding practice and health care of rural children in western China.</p><p><b>METHODS</b>Data used in this study was from a large scale cross-sectional survey conducted in western rural areas of China. The total number of children younger than 3 years old was 14 532, in which 57.4% were boys. Logistic regression model was employed to control selected background factors for analysis of sex differential on nutritional status,feeding practice and health care of children.</p><p><b>RESULTS</b>The prevalence rates of stunting, underweight and wasting were close between both genders, regardless of north or south areas. After controlling of selected background factors, sex differentials in malnutrition happened only in north areas. It showed that boys having higher risk of being underweight than girls (OR = 1.27) in the families with one child and lower risk of being stunting than girls ( OR = 0.60). There was no sex differential found in stunting, underweight and wasting for any type of families in south areas. As for feeding practice egg was introduced to boys more frequently compared with girls,which was found in families with one child of south areas and ones with two children from the southern areas. More boys from families with two children of southern areas were exclusively breastfed within 4 months after birth. Data indicated boys had higher risk of being sick. Prevalence of anemia was 36.2% for boys,33.4% for girls. Prevalence of cold was 29.0% for boys,27.4% for girls. Prevalence of diarrhea was 19.0% for boys, 17.5% for girls. This sex differential persisted in the families of north areas after controlling for selected background factors.</p><p><b>CONCLUSION</b>Sex differentials on nutritional status, feeding practice and health care exist in rural areas of western China, especially in north areas.</p>
Subject(s)
Child, Preschool , Female , Humans , Infant , Infant, Newborn , Male , Child Nutritional Physiological Phenomena , China , Cross-Sectional Studies , Feeding Behavior , Nutritional Status , Rural Health , Sex FactorsABSTRACT
<p><b>OBJECTIVE</b>To understand the current situation of maternal health care and the association between maternal health care and relevant factors.</p><p><b>METHODS</b>According to a cross sectional study design, 1512 mothers having children under 3 years old were drawn under stratified random sampling method and interviewed at their households in 15 counties, Tibet Autonomous Region of China.</p><p><b>RESULTS</b>77.6% of the pregnant women received at least one antenatal checkup with an average of 3.89 times while the rate of antenatal checkup over 5 times was 26.3%. The hospital delivery rate was 40.4% in this area. 83.9% of the women received education under the health care program during pregnancy and 66.2% of them were visited by health workers after delivery. Major factors of the antenatal checkups would include the resource of income, living in nomadic area, personal sanitation, antenatal health care education, mobilization of delivery at hospital, knowledge of antenatal health care etc.</p><p><b>CONCLUSIONS</b>There had been great improvement in women's health care in this area as compared with the status in 1999, but the frequency of receiving antenatal checkup was still not enough and the rate of hospital delivery was also low as compared with 46 counties in western areas of China. Poor knowledge of health care during pregnancy seemed to be the major factor that limited the utilization of antenatal health care. Knowledge on health and common sense of health care should be disseminated to improve the antenatal care and to enhance the hospital delivery rate.</p>