■越南正面临着营养不良的双重负担,随着超重与营养不良(发育迟缓和/或瘦弱)和微量营养素缺乏(MND)并存的患病率增加。尽管女性青春期的营养不良会导致不良的健康结果,并对后代产生潜在的代际影响,没有研究全面调查当代越南女性青少年的MND和营养状况。
■分析了具有全国代表性的2020年越南一般营养调查中10至18岁女性参与者(n=1471)的数据。血液营养生物标志物,人体测量,收集社会人口统计数据,并分析了营养状况和MND之间的关系;贫血,缺铁(ID),缺铁性贫血,低血清锌,低血清视黄醇,和任何MND作为指定的结果。
■超重的患病率,发育迟缓,薄度为27.2%,14.3%,和6.9%,分别。低血清锌是常见的(39.8%),身份证也是如此(13.4%)。双变量分析表明,年龄较大(16-18岁),少数民族地位,财富指数较低,炎症与MND有关。在调整后的逻辑回归中,发育迟缓与低血清视黄醇的比值比和[95%置信区间]增加相关(8.92[2.26,35.15],p<0.01),薄度也是如此(12.25[3.47,43.33],p<0.01)。发育迟缓也与有任何MND的几率增加相关(2.06[1.31,3.25],p<0.01)。
■在2020年,越南有更多的女性青少年超重,而不是营养不良。然而,营养不良,低血清锌,ID仍然很普遍。应考虑采取粮食系统方法,以阻止居住在越南的年轻人营养不良的双重负担急剧增加。
■英国BBSRCBB/T008989/1。
UNASSIGNED: Vietnam is facing a double burden of malnutrition, with increasing prevalence of overweight coexisting with undernutrition (stunting and/or thinness) and micronutrient deficiencies (MNDs). Although malnutrition during female adolescence leads to poor health outcomes with potential intergenerational effects on offspring, no studies have comprehensively investigated MNDs and nutritional status among contemporary Vietnamese female adolescents.
UNASSIGNED: Data from 10- to 18-year-old female participants (n = 1471) in the nationally-representative Vietnam General Nutrition Survey 2020 were analysed. Blood nutritional biomarkers, anthropometric measurements, and sociodemographic data were collected, and associations between nutrition status and MNDs were analysed; with anaemia, iron deficiency (ID), iron deficiency anaemia, low serum zinc, low serum retinol, and any MNDs as specified outcomes.
UNASSIGNED: Prevalence of overweight, stunting, and thinness was 27.2%, 14.3%, and 6.9%, respectively. Low serum zinc was common (39.8%), as was ID (13.4%). Bivariate analyses showed that older age (16-18 years old), ethnic minority status, lower wealth index, and inflammation were associated with MNDs. In adjusted logistic regressions, stunting was associated with increased odds ratio and [95% confidence intervals] of low serum retinol (8.92 [2.26, 35.15], p < 0.01), as was thinness (12.25 [3.47, 43.33], p < 0.01). Stunting was also associated with increased odds of having any MND (2.06 [1.31, 3.25], p < 0.01).
UNASSIGNED: More female adolescents were overweight than undernourished in Vietnam in 2020. However, undernutrition, low serum zinc, and ID remain prevalent. Food systems approaches should be considered to stem the stark increase in the double burden of malnutrition in young people living in Vietnam.
UNASSIGNED: UK BBSRCBB/T008989/1.