Women's Nutrient Intakes and Food-Related Knowledge in Rural Kandal Province, Cambodia

柬埔寨Kandal省农村妇女的营养素摄入和食物相关知识

Lauren J Wallace ； Alastair JS Summerlee ； Cate E Dewey ； Chantharith Hak ； Ann Hall ； Christopher V Charles

《Asia Pacific Journal of Clinical Nutrition》 23卷2期 (2014/06) Pp. 263-271

https://doi.org/10.6133/apjcn.2014.23.2.02

摘要

在柬埔寨，贫血和维生素A缺乏都是严重的健康问题。尽管如此，到目前已经完成的全面的营养调查还很少。本研究评估了KAndAl省农村妇女铁和维生素A摄入量是否充足，以及她们的营养知识。24小时膳食回顾，累积活动量，社会经济调查，焦点小组和市场调查在来自KAndAl省5个村庄的67名女性中进行。97%的女性铁的摄入量未达到每日推荐量，而70%的女性维生素A的摄入量未达到每日推荐量。尽管许多女性每天摄入富含维生素A和铁的食物，但是他们摄入这些食物的量并不够。结果表明食物的价格和健康知识的程度与营养实践相关。大多数动物来源铁和维生素A含量丰富的食物被认为价格昂贵，然而，小鱼和维生素A含量丰富的几种植物性食物价格低廉并且容易获得。尽管健康教育，食物限制导致一些健康食物被认为对妇女有害。最终，本研究证实了在柬埔寨开展综合性营养干预的重要性。卫生规划不仅应为妇女提供营养丰富且价格便宜的食物建议，而且应给出能够影响营养状况的摄入量。规划应以社区为基础、跨部门的方法，同时结合文化健康教育举措以消除贫困和增加可获得营养丰富的食物。

關鍵字

营养缺乏 ； 发展中国家 ； 柬埔寨 ； 贫血 ； 维生素A缺乏

並列摘要

In Cambodia, both anaemia and vitamin A deficiency are serious health problems. Despite this, few comprehensive nutritional surveys have been completed to date. This study evaluates the adequacy of iron and vitamin A intakes, as well as women’s nutritional knowledge in rural Kandal province. Twenty-four hour recalls, pile sort activities, socioeconomic surveys, focus groups, and market surveys were carried out with 67 women from 5 villages in rural Kandal Province. Ninety seven percent of women did not meet their daily-recommended intake of iron, while 70% did not meet their daily-recommended intake of vitamin A. Although many women consume vitamin A-rich and iron rich-foods daily, they do not consume large enough quantities of these foods. Results suggest that both the cost of foods as well as the extent of health knowledge is linked to nutritional practice. Most animal-source iron and vitamin A-rich foods are considered expensive; however, small fish, and several plant-source vitamin A-rich foods are inexpensive and easy to access. Despite health education, food restrictions lead some healthy foods to be considered to be harmful to women. Ultimately, this study demonstrates the importance of developing comprehensive nutritional interventions in Cambodia. Health programming must provide women with not only suggestions to include low-cost nutrient-rich foods, but also advise them about the quantities that are likely to have an impact on nutritional status. Programs should take a community-based, inter-sectoral approach that simultaneously combines culturally informed health education with initiatives that combat poverty and increase access to nutrient rich foods.

並列關鍵字

nutritional deficiency ； developing countries ； Cambodia ； anaemia ； vitamin A deficiency