scholarly journals Maternal profiles and social determinants of severe acute malnutrition among children under-five years of age: A case-control study in Nepal

Heliyon ◽  
2020 ◽  
Vol 6 (5) ◽  
pp. e03849 ◽  
Author(s):  
Ahmed Hossain ◽  
Bhupendra Niroula ◽  
Sangita Duwal ◽  
Shakil Ahmed ◽  
Md. Golam Kibria



2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Mohammed Feyisso Shaka ◽  
Yetayal Birhanu Woldie ◽  
Hirbaye Mokona Lola ◽  
Kalkidan Yohannes Olkamo ◽  
Adane Tesfaye Anbasse


BMJ Open ◽  
2017 ◽  
Vol 7 (8) ◽  
pp. e017084 ◽  
Author(s):  
Nilesh Kumar Pravana ◽  
Suneel Piryani ◽  
Surendra Prasad Chaurasiya ◽  
Rasmila Kawan ◽  
Ram Krishna Thapa ◽  
...  

BackgroundMalnutrition is one of the leading causes of morbidity and mortality among children under the age of 5 years in low and middle income countries like Nepal. Children with severe acute malnutrition (SAM) are nine times more likely to die than children without malnutrition. The prevalence of SAM has increased in Nepal over the past 15 years; however, the determinants of SAM have not been clearly assessed in the country.ObjectiveTo assess the determinants of SAM among children aged 6–59 months in the Bara district of Nepal.SettingA community-based case–control study was conducted in 12 randomly selected Village Development Committees (VDCs) of the Bara district of Nepal.ParticipantsA random sample of 292 children aged 6–59 months (146 as cases and 146 as controls) from 12 VDCs were included in this study.ResultsThe prevalence of SAM among children under the age of 5 years was 4.14%. The following factors were significantly associated with SAM: low socioeconomic status (adjusted odds ratio (AOR) 17.13, 95% CI 5.85 to 50.13); mother’s age at birth <20 or >35 years (AOR 3.21, 95% CI 1.30 to 7.94); birth interval <24 months (AOR 4.09, 95% CI 1.87 to 8.97); illiterate father (AOR 3.65, 95% CI 1.62 to 8.20); bottle feeding (AOR 2.19, 95% CI 1.73 to 12.03); and not initiating complementary feeding at the age of 6 months (AOR 2.91, 95% CI 1.73 to 12.03). Mother’s educational level, initiation of breastfeeding, colostrum feeding, and exclusive breastfeeding were not significantly associated with SAM.ConclusionThe mother's age at birth, birth interval, socioeconomic status, father’s educational level and initiation of complementary feeding at the age of 6 months were important determinants of SAM among children. A multi-sector approach is essential to address SAM. There is a need for further studies not only focusing on SAM but also moderate acute malnutrition.



2019 ◽  
Vol 23 ◽  
pp. 34-43 ◽  
Author(s):  
Gihan Mohamed Bebars ◽  
Mohamed Farouk Afifi ◽  
Doaa Mohamed Mahrous ◽  
Nagwa Esmail Okaily ◽  
Samir Mohamed Mounir ◽  
...  


2019 ◽  
Author(s):  
Haftom Gebrehiwot Weldearegay ◽  
Tesfay Gebregzabher Gebrehiwot ◽  
Mulugeta Woldu Abrha ◽  
Afework Mulugeta

Abstract Objective The objective of this study was to assess the determinants of overweight and obesity among children under five years in Ethiopia. Results Data from a total of 672 (224 cases and 448 controls) under five years of age children were included in the study. Urban residence (AOR = 2.63, 95% CI: 1.29, 5.34), boys (AOR = 1.56, 95% CI: 1.10, 2.22) and age of the child less than six months (AOR=3.40, 95%CI: 2.05, 5.64) were the determinants for being childhood overweight and obesity.



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