营养不良仍然是发展中国家的主要公共卫生问题,特别是在5岁以下的儿童中,这些儿童更容易受到宏观和微观营养素缺乏的影响。对埃塞俄比亚儿童的营养状况进行了各种系统评价和荟萃分析(SRM)研究,但是没有对该主题的发现进行总结。因此,本综述旨在总结来自SRM研究的关于埃塞俄比亚5岁以下儿童营养不良和不良喂养方式的严重程度和决定因素的证据.
PubMed,Embase,Scopus,WebofSciences,Cochrane系统评价数据库,效果评论摘要数据库,和GoogleScholar进行了关于埃塞俄比亚营养不良程度和危险因素以及儿童喂养实践指标的SRM研究。使用多重系统评价(AMSTAR)工具评估纳入研究的方法学质量。纳入的SRM研究对发育迟缓的患病率和决定因素的估计,浪费,体重不足,和不良的儿童喂养习惯被汇总并使用随机效应荟萃分析模型进行总结。
我们纳入了9项SRM研究,包含255项观察研究中的214,458名5岁以下儿童。发育迟缓患病率的汇总估计,体重不足,消瘦率42%(95CI=37-46%),33%(95CI=27-39%),和15%(95CI=12-19%),分别。符合及时开始母乳喂养建议的儿童比例,头6个月纯母乳喂养,及时开始补充喂养的比例分别为65%、60%和62%,分别。满足饮食多样性和进餐频率建议的儿童比例分别为20和56%,分别。只有10%的儿童符合可接受饮食的最低标准。不良的喂养方式和营养不良状况之间有着密切的关系,这两种情况都与各种健康有关,社会经济,和环境因素。
儿童营养不良和不良喂养方式在埃塞俄比亚非常普遍,并引起重大公共卫生问题。只有少数孩子得到适当的补充喂养。需要多部门的努力来改善儿童的喂养方式,减少该国营养不良的沉重负担。
Malnutrition remains to be a major public health problem in developing countries, particularly among children under-5 years of age children who are more vulnerable to both macro and micro-nutrient deficiencies. Various systematic review and meta-analysis (SRM) studies were done on nutritional statuses of children in Ethiopia, but no summary of the findings was done on the topic. Thus, this umbrella review was done to summarize the evidence from SRM studies on the magnitude and determinants of malnutrition and poor feeding practices among under-5 children in Ethiopia.
PubMed, Embase, Scopus, Web of Sciences, Cochrane Database of Systematic Reviews, Database of Abstracts of Reviews of Effects, and Google Scholar were searched for SRM studies on magnitude and risk factors of malnutrition and child feeding practice indicators in Ethiopia. The methodological quality of the included studies was assessed using the Assessment of Multiple Systematic Reviews (AMSTAR) tool. The estimates of the included SRM studies on the prevalence and determinants of stunting,
wasting, underweight, and poor child feeding practices were pooled and summarized with random-effects meta-analysis models.
We included nine SRM studies, containing a total of 214,458 under-5 children from 255 observation studies. The summary estimates of prevalence of stunting, underweight, and
wasting were 42% (95%CI = 37-46%), 33% (95%CI = 27-39%), and 15% (95%CI = 12-19%), respectively. The proportion of children who met the recommendations for timely initiation of breastfeeding, exclusive breastfeeding during the first 6 months, and timely initiation of complementary feeding were 65, 60, and 62%, respectively. The proportion of children who met the recommendations for dietary diversity and meal frequency were 20, and 56%, respectively. Only 10% of children fulfilled the minimum criteria of acceptable diet. There was a strong relationship between poor feeding practices and the state of malnutrition, and both conditions were related to various health, socio-economic, and environmental factors.
Child malnutrition and poor feeding practices are highly prevalent and of significant public health concern in Ethiopia. Only a few children are getting proper complementary feeding. Multi-sectoral efforts are needed to improve children\'s feeding practices and reduce the high burden of malnutrition in the country.