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The Survey and Analysis on Folic Acid Nutritional Status and Relevant Factors about Rural Pregnant Women in Kashgar

Author: SunChunMei
Tutor: TuErXunJiang·MaiMaiTiMing
School: Xinjiang Medical University
Course: Nutrition and Food Hygiene
Keywords: Uighur pregnant women Nutrition Examination Survey Anemia Folic acid Influencing factors
CLC: R151
Type: Master's thesis
Year: 2011
Downloads: 43
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Abstract


Objective: To identify Kashgar the rural outskirts Uighur maternal dietary status and pregnant women folic acid deficiency and anemia, in line with the actual situation of the city of Kashgar Uyghur rural pregnant women for the development of intervention strategies and measures to promote the development of Xinjiang Uygur pregnant women, prenatal and postnatal care cause reference . Methods: Kashi City, subsidiary Township pregnant women in rural areas as the research object. Select a crowd relatively dense more than, Tiba Ge Township, the Kokand Township and Bagh Sciamma town as at the survey in January 2010 to November 2010, the cards in the survey point and do regular check 891 cases of pregnant women obtaining informed consent follow-up survey questionnaire at the same time meet the requirements of the first trimester pregnant women, follow-up survey of 231 cases of pregnant women. 1) the use of face-to-face questionnaire survey of basic subjects, 24-hour dietary recall method for dietary and nutritional status survey; 2) physical examination and determination of hemoglobin and serum folate. 3) the application of statistical analysis of the questionnaires and laboratory data using SPSS17.0 statistical package, the constituent ratio of mean descriptive statistics, t-test, chi-square test and multivariate unconditional logistic regression analysis. Results: 1) 891 cases of the Uygur rural pregnant women basic and nutrient intake: age range 22 to 30 years old, average age 26.17 ± 4.96 years old; education to junior high school education the largest proportion of 58.81%; occupational distribution to farmers. (89.00%); family per capita income from 1000 to 2000 yuan, accounting for 60.38%; intake of nutrients: sodium, vitamin A, vitamin E and vitamin B6 intake over DRIs (145.00%, 136.00%, 175.09 % and 115.79%), and only the intake of energy (86%) of the DRIs 80%, nutrient intake are less than 80 percent of the DRIs protein (77.3%), calcium (30.70%), iron (77.1 0%), zinc oxide (64.7086%), selenium (65.20%), iodine (29.52%), vitamin D (41.80%), vitamin B1 (66.67%), vitamin B2 (60.59%), vitamin B12 (46.54%) and folic acid (21.83%); proportion of inadequate intake of calcium, iodine, folic acid, are less than DRIs50%. Source of protein for animal food accounted for only 26.20%, lower than the national average of 30%. Only 13.75% of the pregnant women iron iron from animal. 2) maternal pre-pregnancy BMI and underweight, normal and overweight: the average height of 157cm, the average weight of 57.51kg, weight gain during pregnancy an average of 13.42kg. Underweight, normal and overweight, respectively 17.88%, 77.31% and 4.81%, respectively. 3) nutrition and biochemical indicators: 231 maternal anemia detection rate of 37.52%, the average hemoglobin (110.37 ± 11.47) g / L. Early and late in hemoglobin values ??(P lt; 0.01) and anemia detection rate (P lt; 0.01) differences were statistically significant. 231 pregnant women only 17.75% normal serum folate, the average maternal serum folate levels (7.94 ± 3.29) nmol / L. Early and late in serum folate values ??(P lt; 0.01) and folate deficiency detection rate (P lt; 0.01) differences were statistically significant. 4) influencing factors: anemia factors: meat (OR = 0.738), copper (OR = 0.569), maternal age (OR = 1.008) and iron (OR = 1.138), B12 (OR = 1.996), folic acid ( OR = 3.343); folate deficiency of factors: economic level (OR = 1.036) and educational level (OR = 1.663) and intake of vegetables (OR = 0.962) and fruit (OR = 0.983). Conclusions: 1) age, education, occupation and income may be factors affecting the health of pregnant women. 2) survey three major producing hot nutrient intake unreasonable proportion, generally inadequate intake of minerals and vitamins, especially the serious shortage of protein, calcium and folic acid intake. 3) anemia in pregnant women, a higher proportion of folic acid deficiency. 4) age, the amount of iron, copper, vitamin B12, folic acid and meat food intake is the detection rate of influencing factors of anemia in pregnant women, pregnant women folic acid deficiency rate of Inso economic level, education level, intake of fruits and vegetables amount.

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CLC: > Medicine, health > Preventive Medicine,Health > Nutrition, hygiene,food hygiene > Nutrition
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