本文選題：營養(yǎng)改善計劃 + 中小學(xué)生��； 參考：《新疆醫(yī)科大學(xué)》2017年碩士論文

【摘要】：目的:了解新疆兵團下屬農(nóng)村義務(wù)教育學(xué)生營養(yǎng)及健康狀況,分析其影響因素并評估營養(yǎng)改善計劃實施效果,為改善農(nóng)村地區(qū)學(xué)生營養(yǎng)狀況提供科學(xué)依據(jù)和建議。方法:1.采用記賬法對中小學(xué)生的食物攝入情況進(jìn)行調(diào)查,根據(jù)《食物成分表》計算出能量及主要營養(yǎng)素攝入狀況,計算人均攝入量并參考2013年膳食營養(yǎng)素參考攝入量(DRIs)同年齡段參考攝入量平均水平計算達(dá)標(biāo)比例。2.按照標(biāo)準(zhǔn)測量方法測量監(jiān)測學(xué)生的身高體重,并參考《2010年中國學(xué)生體質(zhì)與健康調(diào)研報告》判定生長遲緩、消瘦及超重肥胖的檢出率。3.采用氰化高鐵血紅蛋白法檢測中小學(xué)生血紅蛋白濃度,按診斷標(biāo)準(zhǔn)計算貧血患病率,并測定血清維生素A和維生素D濃度。數(shù)據(jù)整理后采用SPSS21.0統(tǒng)計軟件分年齡、性別進(jìn)行描述分析并與2011年基線數(shù)據(jù)分析比較。結(jié)果:1.各學(xué)校糧谷類(324.35g)和食用油(22.22g)供給量適宜,蔬菜(269.86g)、禽畜肉(51.31g)、蛋(48.26g)和奶(85.24g)供給量不足,而豆類(17.14g)供給量嚴(yán)重不足,一半以上學(xué)校攝入量為0,各學(xué)年監(jiān)測結(jié)果與2011年基線數(shù)據(jù)比較,差異無統(tǒng)計學(xué)意義(F=1.23,P0.05)。各學(xué)校能量(1995.73kcal)、蛋白質(zhì)(57.08g)、維生素A(554.87μgRE)、鐵(16.55mg)和鋅(8.74mg)的供給量適宜,而維生素C(63.47mg)、鈣(831.95mg)的供給量不足,將連續(xù)4學(xué)年監(jiān)測數(shù)據(jù)與2011年基線數(shù)據(jù)進(jìn)行比較后,差異具有統(tǒng)計學(xué)意義(F=353.64,P0.05)。2.所調(diào)查學(xué)生身高男生8~18歲低于全國平均水平,女生8~14歲低于全國平均水平,男女生均在15~18歲低于新疆平均水平;體重男生13~18歲低于全國及新疆平均水平,女生18~歲低于全國平均水平,14~18歲除16~歲組低于新疆平均水平,且差異均具有統(tǒng)計學(xué)意義(P0.05)。3.總生長遲緩率為6.8%,男生(8.1%)高于女生(5.2%)且差異具有統(tǒng)計學(xué)意義(?2=95.40,P0.001)。不同年齡比較,在高年齡組(17~18歲)生長遲緩檢出率最高(?2=385.26,P0.001)。總消瘦率為6.6%,男生(7.6%)高于女生(5.5%)且差異具有統(tǒng)計學(xué)意義(Z=49.40,P0.001)。不同年齡組比較,16~18歲組消瘦率最高且差異具有統(tǒng)計學(xué)意義(?2=88.89,P0.001)。不同學(xué)年與基線數(shù)據(jù)比較,營養(yǎng)不良率逐年降低且存在統(tǒng)計學(xué)差異。非條件logistics回歸分析,性別、年齡、糧谷類、能量、蛋白質(zhì)為營養(yǎng)不良的影響因素。4.總超重率為9.0%,其中男生10.6%,女生7.2%;總肥胖率為3.5%,男生4.2%,女生2.7%。男女生超重肥胖率比較差異具有統(tǒng)計學(xué)意義(Z=153.18,P0.001),不同年齡比較,低年齡組(6~8歲)超重肥胖高發(fā),差異具有統(tǒng)計學(xué)意義(?2=153.18,P0.001)。不同學(xué)年與基線數(shù)據(jù)比較,超重肥胖率均無統(tǒng)計學(xué)差異。非條件logistics回歸分析,性別、食用油類、能量和蛋白質(zhì)為超重肥胖的影響因素。5.總貧血患病率為14.4%,其中男生14.7%,女生14.1%,男女生貧血檢出率比較,差異無統(tǒng)計學(xué)意義(?2=0.33,P=0.56)。不同年齡組比較,11~12歲組貧血患病率最高且差異具有統(tǒng)計學(xué)意義(?2=57.60,P0.001)。不同學(xué)年與基線數(shù)據(jù)比較,貧血患病率逐年降低。經(jīng)非條件logistics回歸分析,性別、畜禽肉類、維生素A、鐵、鈣為貧血的影響因素。血清維生素A和維生素D水平測定結(jié)果均低于參考值,男女生維生素A水平無性別差異而維生素D水平存在性別差異(t=4.97,P0.001)。結(jié)論:1.所監(jiān)測兵團農(nóng)村學(xué)校義務(wù)教育學(xué)生膳食結(jié)構(gòu)不合理,營養(yǎng)素攝入不均衡。營養(yǎng)改善計劃后食物供給及能量營養(yǎng)素攝入有較大提高,但豆類食物供給量偏低,營養(yǎng)素方面,蛋白質(zhì)、鈣以及鐵的供給量需增加。2.所監(jiān)測對象高年齡組學(xué)生的身高、體重未達(dá)到全國及新疆平均水平,男生較女生達(dá)標(biāo)程度低。3.男生較于女生更容易發(fā)生營養(yǎng)不良及超重肥胖,提示男生是營養(yǎng)監(jiān)測及改善的重點對象。在年齡方面,高年齡組營養(yǎng)不良高發(fā),低年齡組易發(fā)超重肥胖。4.相比于實施營養(yǎng)改善計劃之前,學(xué)生的營養(yǎng)狀況有較大改善,營養(yǎng)不良率明顯呈現(xiàn)降低趨勢。5.營養(yǎng)改善計劃實施后貧血患病率明顯降低;血清維生素A和維生素D檢測結(jié)果遠(yuǎn)低于參考值,且男女生維生素D水平存在差異。需增加富含維生素A、D食物供給,改善本地區(qū)學(xué)生營養(yǎng)狀況。
[Abstract]:Objective: to understand the nutrition and health status of the students in rural compulsory education in Xinjiang corps, analyze the influencing factors and evaluate the effect of the nutrition improvement program, and provide scientific basis and suggestions for improving the nutritional status of the students in rural areas. Method: 1. the food intake of primary and middle school students is investigated by the accounting method, according to the food composition. Table > calculate the energy and main nutrient intake, calculate the per capita intake and refer to the average level of dietary intake (DRIs) in 2013 and the average age reference intake of.2., measure the height and weight of the students according to the standard measurement method, and take the examination report of the Chinese students' health and health for the year <2010. The detection rate of growth retardation, emaciation and overweight and obesity.3. was used to detect the hemoglobin concentration of primary and middle school students by cyanide hemoglobin method. The prevalence rate of anemia was calculated according to the diagnostic criteria, and the serum vitamin A and vitamin D concentration were measured. After data arrangement, the SPSS21.0 statistical software was used to describe the age, sex and the basis of the 2011 basis. Results: 1. the supply of cereals (324.35g) and edible oil (22.22g) was suitable, the supply of vegetables (269.86g), livestock meat (51.31g), egg (48.26g) and milk (85.24g) was insufficient, while the supply of beans (17.14g) was insufficient, and the intake of more than half of the school was 0. The monitoring results of each school year were not different from the baseline data in 2011. Statistical significance (F=1.23, P0.05). Each school energy (1995.73kcal), protein (57.08g), vitamin A (554.87 u gRE), iron (16.55mg) and zinc (8.74mg) supply is suitable, while vitamin C (63.47mg), calcium (831.95mg) supply is insufficient, the continued 4 school year monitoring data compared with the baseline data in 2011 (F=35), the difference has statistical significance (F=35). 3.64, P0.05) the students' height in.2. was lower than the national average, and the girls' 8~14 years were lower than the national average. The average male and female students were lower than the average level of Xinjiang at the age of 15~18; the weight boys were lower than the national and Xinjiang average, and the girls were lower than the national average in 18~ years, and the 14~18 age group was lower than the average level of Xinjiang, and the age of 14~18 was lower than the average level of Xinjiang. The difference was statistically significant (P0.05).3. total growth retardation rate was 6.8%, boys (8.1%) higher than girls (5.2%) and the difference was statistically significant (2=95.40, P0.001). In the high age group (17~18 years), the growth retardation detection rate was the highest (2= 385.26, P0.001). The total emaciation rate was 6.6%, boys (7.6%) was higher than the girls (5.5%) and the difference was Statistical significance (Z=49.40, P0.001). The rate of emaciation in different age groups was the highest and the difference was statistically significant (2=88.89, P0.001). Compared with baseline data, the rate of malnutrition decreased year by year and there were statistical differences. The non conditional logistics return analysis, sex, age, grain, energy and protein were not nutritious. The total overweight rate of.4. was 9%, including 10.6% for boys and 7.2% for girls; the total obesity rate was 3.5%, boys were 4.2%, and the rate of overweight and obesity in female 2.7%. boys and girls was statistically significant (Z=153.18, P0.001). The difference was statistically significant (2=153.18, P0.001) in different age groups (6~8 years). Compared with baseline data, there was no significant difference in the rate of overweight and obesity. Non conditional logistics regression analysis, sex, edible oil, energy and protein were 14.4% of the prevalence of.5. anemia, among which boys were 14.7%, girls 14.1%, and there was no statistical difference between men and women (? 2=0.33, P=0.56). Compared with the age group, the prevalence rate of anemia in 11~12 group was the highest and the difference was statistically significant (2=57.60, P0.001). The incidence of anemia decreased year by year compared with baseline data. Non conditional logistics regression analysis, sex, livestock meat, vitamin A, iron, calcium were the factors of anemia. Serum vitamin A and vitamin D levels were measured. The results were all lower than the reference value. There was no gender difference in the level of vitamin A between male and female and there was a gender difference between the vitamin D level (t=4.97, P0.001). Conclusion: the dietary structure of the compulsory education students in the 1. rural schools was not reasonable and the nutrient intake was not balanced. The supply of food is low. The supply of nutrients, protein, calcium and iron needs to increase the height of the students in the high age group of.2.. The weight does not reach the national and the average level of the Xinjiang. The boys are less likely to have malnutrition and overweight and obesity compared with the girls, and the boys are lower than the girls' standard of.3.. In terms of age, high age group, high age group, high incidence of malnutrition, low age group and overweight and obese.4., the nutritional status of students improved significantly before implementing the nutrition improvement program, the rate of malnutrition decreased obviously and the prevalence rate of anemia was significantly reduced after the implementation of.5. nutrition improvement program; serum vitamin A and vitamin D were significantly reduced. The results of the D test were far below the reference value, and there were differences in vitamin D levels between male and female students. It was necessary to increase the vitamin A, the supply of D food and improve the nutritional status of the students in the region.
【學(xué)位授予單位】：新疆醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R153.2

【相似文獻(xiàn)】

相關(guān)期刊論文 前10條

1 ;“維力米”助力打工子弟營養(yǎng)改善[J];食品科學(xué);2008年01期

2 錢偉;高建忠;;寶雞加大財政力度 全面實施營養(yǎng)改善計劃[J];西部財會;2013年07期

3 本刊訊;;農(nóng)村學(xué)生營養(yǎng)改善計劃2013年秋季視頻調(diào)度會召開[J];中國校外教育;2013年28期

4 葛可佑;;九十年代中國營養(yǎng)改善行動計劃要點[J];糧食與食品工業(yè);1995年01期

5 彩云;《中國營養(yǎng)改善行動計劃》簡介[J];農(nóng)村經(jīng)濟與技術(shù);1998年05期

6 彭全忠;曹君華;;扎實落實營養(yǎng)改善計劃[J];湖北教育(綜合資訊);2012年09期

7 孟邦杰;;讓營養(yǎng)改善計劃實至名歸[J];湖北教育(綜合資訊);2012年09期

8 高超;;營養(yǎng)改善計劃帶來的變化[J];湖北教育(綜合資訊);2012年09期

9 ;國務(wù)院批準(zhǔn)實施中國營養(yǎng)改善行動計劃目標(biāo)[J];中國經(jīng)濟信息;1998年22期

10 王晶珠;共同的責(zé)任 共同的目標(biāo)——90年代中國營養(yǎng)改善行動計劃研討會側(cè)記[J];食品與健康;1994年03期

相關(guān)會議論文 前10條

1 翟鳳英;;營養(yǎng)改善條例是中國居民營養(yǎng)改善的政策保障[A];中國營養(yǎng)學(xué)會老年營養(yǎng)分會第七次全國營養(yǎng)學(xué)術(shù)交流會“營養(yǎng)與成功老齡化”暨國家級繼續(xù)教育項目“神經(jīng)系統(tǒng)疾病醫(yī)學(xué)營養(yǎng)治療”資料匯編[C];2010年

2 翟鳳英;;營養(yǎng)改善條例是中國居民營養(yǎng)改善的政策保障[A];中國營養(yǎng)學(xué)會第二十期營養(yǎng)知識更新班暨營養(yǎng)相關(guān)慢性病社區(qū)干預(yù)的意義及其進(jìn)展學(xué)習(xí)班講義[C];2010年

3 ;營養(yǎng)改善概論[A];營養(yǎng)工作方法與數(shù)據(jù)分析培訓(xùn)班資料匯編[C];2010年

4 翟鳳英;;營養(yǎng)改善條例與營養(yǎng)工作規(guī)范工作進(jìn)展[A];中國營養(yǎng)學(xué)會公共營養(yǎng)分會第八次會議暨中國居民膳食營養(yǎng)狀況、營養(yǎng)改善與膳食相關(guān)慢性病研討會論文集[C];2008年

5 ;四、彌合健康差距,任重道遠(yuǎn)[A];適時營養(yǎng)干預(yù) 彌合健康差距——中國兒童少年營養(yǎng)與健康報告2010[C];2010年

6 霍軍生;;貧困地區(qū)兒童營養(yǎng)改善試點項目[A];2012浙江省婦幼營養(yǎng)學(xué)術(shù)高層論壇暨“生命早期的營養(yǎng)管理”培訓(xùn)班資料匯編[C];2012年

7 ;中國營養(yǎng)改善行動計劃[A];四川省營養(yǎng)學(xué)會成立十周年紀(jì)念暨1998年學(xué)術(shù)會議專題報告及論文摘要匯編[C];1998年

8 翟鳳英;;中國營養(yǎng)改善行動計劃[A];“達(dá)能營養(yǎng)講座”文集[C];2001年

9 張倩;;營養(yǎng)改善措施[A];以學(xué)校為基礎(chǔ)的兒童健康生活方式指導(dǎo)培訓(xùn)班會議匯編[C];2012年

10 孟麗蘋;馬冠生;;兒童營養(yǎng)改善項目的經(jīng)濟學(xué)評價[A];營養(yǎng)健康新觀察（第四十二期）：學(xué)生營養(yǎng)專題[C];2013年

相關(guān)重要報紙文章 前10條

1 本報記者 王煜霞　實習(xí)生 秦輝;全區(qū)農(nóng)村營養(yǎng)改善試點工作啟動[N];南寧日報;2011年

2 記者 張春麗　楊亮;營養(yǎng)改善計劃讓學(xué)生“吃得好”[N];光明日報;2011年

3 本報記者 黃靜;營養(yǎng)改善徹底邁出一大步[N];人民政協(xié)報;2011年

4 本報評論員;把學(xué)生營養(yǎng)改善計劃抓實抓好[N];中國教育報;2011年

5 新華每日電訊評論員 易艷剛;營養(yǎng)改善計劃需有公眾“護(hù)法”[N];新華每日電訊;2012年

6 記者 周仕敏;廣西營養(yǎng)改善計劃試點擴至40個縣[N];中國教育報;2012年

7 記者 沖碑忠;甘肅營養(yǎng)改善計劃覆蓋所有農(nóng)村學(xué)生[N];中國教育報;2012年

8 周仕敏;廣西：10億元專項資金推進(jìn)農(nóng)村學(xué)生營養(yǎng)改善計劃[N];科技日報;2012年

9 記者 崔永紅;營養(yǎng)改善計劃讓農(nóng)村學(xué)生吃得開心[N];玉溪日報;2012年

10 記者 劉琴;加強精細(xì)化管理 推進(jìn)營養(yǎng)改善計劃[N];中國教育報;2012年

相關(guān)博士學(xué)位論文 前2條

1 張帆;不同供餐模式學(xué)生餐的營養(yǎng)學(xué)和經(jīng)濟學(xué)評價[D];中國疾病預(yù)防控制中心;2015年

2 孟麗蘋;農(nóng)村學(xué)生營養(yǎng)改善措施的經(jīng)濟學(xué)評價[D];中國疾病預(yù)防控制中心;2013年

相關(guān)碩士學(xué)位論文 前10條

1 嚴(yán)毅;甘肅隴西貧困地區(qū)9-12歲兒童膳食、營養(yǎng)生化水平及營養(yǎng)改善研究[D];蘭州大學(xué);2016年

2 顧曉玲;純蘋果汁對農(nóng)村9-12歲兒童營養(yǎng)改善的干預(yù)研究及效果評價[D];蘭州大學(xué);2016年

3 劉文艷;農(nóng)村義務(wù)教育學(xué)生營養(yǎng)改善計劃研究[D];江西農(nóng)業(yè)大學(xué);2016年

4 鄧竹娟;湖南省貧困地區(qū)“農(nóng)村義務(wù)教育學(xué)生營養(yǎng)改善計劃”實施效果評價[D];南華大學(xué);2016年

5 楊艷瓊;營養(yǎng)改善計劃對義務(wù)教育學(xué)生營養(yǎng)及健康狀況影響的效果評估[D];新疆醫(yī)科大學(xué);2017年

6 年丹丹;學(xué)生營養(yǎng)改善計劃的財政支持政策的探究[D];安徽財經(jīng)大學(xué);2014年

7 趙莉蓉;云南省農(nóng)村義務(wù)教育學(xué)生營養(yǎng)改善計劃實施現(xiàn)狀研究[D];云南大學(xué);2015年

8 姜澤芳;云南省農(nóng)村義務(wù)教育學(xué)生營養(yǎng)改善計劃現(xiàn)狀調(diào)查和困境探究[D];云南大學(xué);2015年

9 張偉;海上石油作業(yè)人員營養(yǎng)改善項目實施措施的研究[D];天津大學(xué);2011年

10 孫洪;農(nóng)村寄宿制學(xué)校營養(yǎng)改善計劃實施研究[D];東北師范大學(xué);2015年

，

本文編號：1907020