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骆驼奶的消费与埃塞俄比亚东部索马里农村牧区学龄前儿童贫血患病率的降低有关。

Camel milk consumption was associated with lower prevalence of anemia among preschool children in rural pastoral districts of Somali, eastern Ethiopia.

机构信息

Hawassa University, School of Nutrition, Food Science and Technology, Hawassa, Ethiopia; Jigjiga University, Department of Food Science and Nutrition, Jigjiga, Ethiopia.

Hawassa University, Department of Public and Environmental Health, College of Health Sciences, Hawassa, Ethiopia.

出版信息

Nutrition. 2021 Jun;86:111170. doi: 10.1016/j.nut.2021.111170. Epub 2021 Jan 23.

Abstract

OBJECTIVE

The aim of this study was to investigate association between consumption of camel milk (CaM) and childhood anemia.

METHODS

A community-based cross-sectional study was conducted with 388 preschool children (24-59 mo of age) in rural pastoral districts of Somali, eastern Ethiopia. We sampled 185 consumers of CaM and 203 who consumed bovine milk (BM). Children were selected from random households with lactating camels or cattle. Hemoglobin (Hb) was measured in the field using a HemoCue instrument. A multivariable logistic regressions model was used in SPSS version 20 to examine association between type of milk consumption and anemia.

RESULTS

Anemia (Hb <11 g/dL) was found in 59.8% of the overall sample, whereas it was 42.7% and 75.4% among CaM and BM consumers, respectively. The odds of anemia among BM consumers (adjusted odds ratio [aOR], 3.12; 95% confidence interval [CI], 1.27-7.66) and children with intestinal parasites (aOR: 3.32; 95% CI, 1.39-7.91) was compared with CaM consumers and children without intestinal parasites, respectively. Increasing age and height-for-age z-score of children were associated with decreased childhood anemia (P < 0.001). Children with anemia consumed a higher volume of BM compared with non-anemic and CaM consumers, too but the consumption was not statistically significant.

CONCLUSION

CaM consumption was associated with lower prevalence of anemia compared with consumption of BM. Promoting use of CaM as complementary food for preschool children in pastoralist areas might be considered an intervention toward reducing anemia.

摘要

目的

本研究旨在探讨骆驼奶(CaM)消费与儿童贫血之间的关联。

方法

在埃塞俄比亚东部索马里农村牧区进行了一项基于社区的横断面研究,共纳入 388 名 24-59 月龄的学龄前儿童。我们从有哺乳期骆驼或牛的随机家庭中抽取了 185 名 CaM 消费者和 203 名饮用牛奶(BM)的消费者。在现场使用 HemoCue 仪器测量血红蛋白(Hb)。使用 SPSS 版本 20 中的多变量逻辑回归模型来检查牛奶消费类型与贫血之间的关联。

结果

总体样本中贫血(Hb<11g/dL)的发生率为 59.8%,而 CaM 和 BM 消费者中的贫血发生率分别为 42.7%和 75.4%。与 CaM 消费者相比,BM 消费者(校正优势比[aOR],3.12;95%置信区间[CI],1.27-7.66)和患有肠道寄生虫的儿童(aOR:3.32;95%CI,1.39-7.91)发生贫血的几率更高。儿童年龄和身高年龄 Z 评分的增加与儿童贫血的减少相关(P<0.001)。与非贫血和 CaM 消费者相比,贫血儿童的 BM 消费量更高,但差异无统计学意义。

结论

与饮用 BM 相比,CaM 消费与贫血发生率较低相关。在牧民地区,推广将 CaM 作为学龄前儿童的补充食品可能被视为减少贫血的干预措施。

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