Double burden of undernutrition and overnutrition in Vietnam in 2011: results of the SEANUTS study in 0·5–11-year-old children

The Vietnamese South East Asian Nutrition Survey (SEANUTS), a cross-sectional study, was undertaken to assess the nutritional status in a nationally representative sample of children aged 0·5–11·9 years. A multi-stage cluster-randomised sampling method was used to recruit 2872 children. Anthropometric measurements included weight, height, mid-upper arm circumference, and waist and hip circumferences. Blood biochemistry involved analyses of Hb, serum ferritin, and vitamins A and D. Dietary intake was assessed using a 24 h recall questionnaire, and nutrient intakes were compared with the Vietnamese RDA. In children aged < 5 years, approximately 14 % were stunted, 8·6 % underweight and 4·4 % thin. A higher prevalence of stunting (15·6 %) and underweight (22·2 %) was observed in school-aged children. Undernutrition was more prevalent in rural areas than in urban areas. In contrast, almost 29 % of the urban children were either overweight or obese when compared with 4 % of the overweight children and 1·6 % of the obese children in rural areas. A higher percentage of children in the age group 0·5–1·9 years and residing in rural areas had low Hb levels than those in the age group 2·0–5·9 years and residing in urban areas. In children aged 6–11 years, a small percentage had low Hb (11–14 %) and vitamin A (5–10 %) levels, but almost half the children (48–53 %) had vitamin D insufficiency. Food consumption data indicated that the children did not meet the RDA for energy, protein, Fe, vitamin A, vitamin B1 and vitamin C. Results from the SEANUTS highlight the double burden of malnutrition in Vietnam. Information from the SEANUTS can serve as an input for targeted policy development, planning and development of nutrition programmes.

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Are parental dietary patterns associated with children’s overweight and obesity in China?

BMC Pediatrics ◽

10.1186/s12887-020-1910-z ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Daisheng Tang ◽

Tao Bu ◽

Xuefan Dong

Keyword(s):

Food Intake ◽

Dietary Patterns ◽

Rural Areas ◽

Urban Areas ◽

Regional Differences ◽

Developmental Stages ◽

Great Influence ◽

Overweight And Obesity ◽

Nutrition Survey ◽

Cross Sectional

Abstract Background It is believed that parents have a great influence on their children’s dietary behaviours. However, it is not clear whether parental food patterns are associated with children’s nutritional status in China, which includes a vast territory with rich, diverse cultures. The goal of this project is to systematically study the associations between parental food intake and children’s overweight and obesity in China, according to children’s ages and regional differences. Methods Based on individual food consumption data from the China Health and Nutrition Survey (CHNS) package in 2011, cross-sectional studies have previously been conducted to analyse the association between different categories of food intake of parents and children. The current study extends this research by directly. Results Our analysis results show that parental food intake is highly correlated with children’s food intake, with the estimated coefficients of most food intake categories being greater than 0.5. Furthermore, this association between parental food intake and children’s overweight and obesity is most significant in young children, but it begins to weaken in relation to children aged between 13 and 18. Additionally, the associations between parental food intake and children’s overnutrition are more significant in rural areas than they are in urban areas. Conclusions The association between parental food intake and childhood overweight and obesity is significant, although it varies considerably according to food categories, children’s ages and area differences. These results show promise for intervening in the overnutrition of children by controlling household dietary patterns according to children’s developmental stages and regional differences.

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Assessment of Cryptosporidium in Patients With Gastroenteritis by Modified Ziehl-Neelsen Staining Method in East Azerbaijan Province of Iran During 2018-2019

International Journal of Medical Parasitology and Epidemiology Sciences ◽

10.34172/ijmpes.2020.17 ◽

2020 ◽

Vol 1 (3) ◽

pp. 56-60

Author(s):

Alireza Javidmehr ◽

Yagoob Garedaghi ◽

Amir Babak Sioufi

Keyword(s):

Rural Areas ◽

Urban Areas ◽

Cross Sectional Study ◽

Parasitic Infections ◽

Age Group ◽

Chi Square ◽

Cross Sectional ◽

Chi Square Test ◽

Stool Samples ◽

East Azerbaijan

Introduction: Cryptosporidiosis is a worldwide zoonotic disease that is caused by Cryptosporidium species and leads to acute or chronic diarrhea and vomiting in patients. Due to the suitable conditions of East Azerbaijan province for parasite transmission, the present study was performed to evaluate the prevalence of Cryptosporidium infection in patients with gastroenteritis referred to hospitals and reference laboratories of East Azerbaijan province during 2018-2019. Methods: A descriptive cross-sectional study was performed on patients with diarrhea who referred to hospitals and reference laboratories of East Azerbaijan province during 2018-2019. In this study, 180 fecal samples were collected from patients with gastroenteritis by cluster-random sampling. Stool samples were stored in 10% formalin and transferred to a parasitology laboratory and examined for parasite contamination by modified acid-fast staining (Modified Ziehl-Neelsen) method. Data were analyzed by chi-square test using SPSS. Results: Out of 180 samples, the highest number of diarrhea samples belonged to the age group over 40 years (35.5%) and the lowest belonged to the age group of 10-20 years (7.7%). Additionally, 56% of subjects were male and 44% were female. Of these patients, 57.7% lived in urban areas and 42.3% in rural areas. Cryptosporidium was observed in 1.6% (3 cases) of patients with gastroenteritis. There was a statistically significant relationship between Cryptosporidium infection and the age of patients with diarrhea (P<0.05). Conclusion: In the present study, a lower prevalence of cryptosporidiosis has been determined in comparison with previous studies in East Azerbaijan province. However, Cryptosporidium and other parasitic infections in the feces of patients with diarrhea referred to hospitals or reference laboratories need to be carefully diagnosed by appropriate parasitological methods.

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Mental health and its influencing factors among left-behind children in South China: a cross-sectional study

BMC Public Health ◽

10.1186/s12889-019-8066-5 ◽

2019 ◽

Vol 19 (1) ◽

Cited By ~ 1

Author(s):

Xiu Zhang ◽

Mengjie Li ◽

Li Guo ◽

Yanna Zhu

Keyword(s):

Mental Health ◽

Rural Areas ◽

Urban Areas ◽

Mental Health Problems ◽

Cross Sectional Study ◽

Age Group ◽

Cross Sectional ◽

Left Behind ◽

Rural And Urban ◽

Communication Frequency

Abstract Background With rapid development of China’s economy, there were over 68.7 million left-behind children (LBC) in China whose mental health has become a problem of public concern. The present cross-sectional study aimed to investigate the status of mental health and its associated factors of LBC aged 3–16 years old in both rural and urban areas. Methods A total of 4187 children (aged 3–16), including 1471 LBC and 2716 non-left-behind children (NLBC), were recruited from 50 communities (22 in urban areas and 28 in rural areas) in Guangdong, China in August, 2014. The mental health problems were assessed using the Strength and Difficulties Questionnaire (SDQ). Results No statistically significant difference of SDQ subscales scores about difficulties were found between LBC and NLBC on the whole participants as well as in rural areas or in urban areas within the same age group after adjustments were made (all p > 0.05). However, compared with NLBC in the same areas, urban LBC tended to have higher prosocial behaviours scores, while rural LBC had the lowest prosocial behaviours scores not only in the whole age group but also in different age subgroups (p < 0.05). Besides, compared with urban LBC, rural LBC were not worse in SDQ subscales scores except for prosocial behaviour at 7–9 age group (p = 0.003). Furthermore, higher paternal educational level and longer duration of parental absence, were associated with less difficulties in both rural and urban LBC. Besides, shorter duration of talk per-time but higher communication frequency were associated with less difficulties in rural LBC. Conclusions The present study demonstrated that in general, no difference of mental health problems were found between LBC and NLBC. Besides, longer duration of parental absence, shorter duration of talk per time but more communication frequency, and higher paternal educational level tend to have better development of mental health. The findings reinforce the importance of the stability of caregivers and the effective parent-child communication for Chinese rural LBC.

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Assessment of immunization Status of Children between 12-23 months in Bareilly District

Nepal Journal of Epidemiology ◽

10.3126/nje.v1i2.5091 ◽

2011 ◽

Vol 1 (2) ◽

pp. 47-50 ◽

Cited By ~ 2

Author(s):

Hari S Joshi ◽

Rakesh Gupta ◽

Arun Singh ◽

Vipul Mahajan

Keyword(s):

Vitamin A ◽

Rural Areas ◽

Urban Areas ◽

Immunization Coverage ◽

Cluster Sampling ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Rural And Urban Areas ◽

Immunization Status ◽

Rural And Urban

Objectives: To assess the immunization status of children in the age group 12-23 months and to know the reasons for non-immunization of children. Method: - A cross-sectional survey was conducted using WHO’s thirty cluster sampling technique in rural and urban areas of Bareilly district from August 2008 to January 2009. Rural areas were divided into blocks and blocks were divided into villages. Urban areas were divided into wards. Villages and wards were taken as clusters. During the house-to-house survey, a total of 240 children of age 12-23 months were included in the present study. Result: only around 50% of children were fully immunized while 27.5% were partially and 22.5 % were not immunized at all. Immunization coverage was highest for BCG (62.5%) and lowest for measles (39.2%). Dropout rates were 37.3%, 19.7% and 18.2% for BCG to measles, DPT1 to DPT3 and OPV1 to OPV3 respectively. Vitamin A prophylaxis showed a decline from 38.3 % to 16.7%. Amongst the various reasons for not immunizing the child, the most common in both rural (78.7%) and urban areas (28.6%) was lack of awareness for the need of vaccination. However in rural areas lack of availability of services (87.2%) was the major cause for not immunizing the child. Conclusion: The present study shows a low coverage of immunization and Vitamin A prophylaxis in both rural and urban areas. Important reasons for non-immunization were lack of awareness about vaccination and availability of immunization services in rural areas and urban areas.Key Words: Immunization coverage; Children between 12-23 months; Vitamin A Prophylaxis.DOI: http://dx.doi.org/10.3126/nje.v1i2.5091 Nepal Journal of Epidemiology 2011;1 (2):47-50

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Prevalence of hearing impairment in Aligarh: a community based study

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20182624 ◽

2018 ◽

Vol 5 (7) ◽

pp. 2926

Author(s):

Mohammad Asif Khan ◽

Najam Khalique ◽

Zulfia Khan ◽

Abrar Hasan

Keyword(s):

Hearing Impairment ◽

Rural Areas ◽

Urban Areas ◽

Uttar Pradesh ◽

Cross Sectional Study ◽

Age Group ◽

Community Based ◽

Cross Sectional ◽

Medical College ◽

Study Population

Background: Hearing impairment is avery complex phenomenon, which has many and serious consequencesfor people and involves many factors and issues that should becarefully examined. The objective of the study were to estimate the prevalence of hearing impairment in the study population.Methods: Study design was a community based cross sectional study. Setting was on field practice areas of the urban and rural health training centers, Department of Community Medicine, Jawaharlal Nehru Medical College, Aligarh Muslim University, Aligarh, Uttar Pradesh. No. of Participants was 422 study subjects age 18 and above 18 years; Systematic random sampling and proportionate to population size method (PPS). Statistical analysis was carried out using SPSS version 13; Chi-square.Results: Overall prevalence in present study population was found to be 23.1%. The prevalence in the rural areas (24.8%) was found to be higher than that of the urban areas (20.5%). The age specific prevalence showed that the maximum prevalence was in the age group of more than 70 years (66.6%). In the rural areas the prevalence was highest in the >70 year age group(75%) while in the urban areas it was maximum in the 61-70 year age group(61.5%). The prevalence was least in the 31-40 year age group in both urban (5.4%) as well as rural areas (14.5%). The association of hearing loss with age was found to be highly significant.Conclusions:A high prevalence of hearing impairment was found in the study. Increasing prevalence of hearing impairment was observed with advancing age.

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Dietary patterns of the Andean population of Puna and Quebrada of Humahuaca, Jujuy, Argentina

British Journal Of Nutrition ◽

10.1017/s0007114507801061 ◽

2008 ◽

Vol 99 (2) ◽

pp. 390-397 ◽

Cited By ~ 6

Author(s):

D. Romaguera ◽

N. Samman ◽

A. Rossi ◽

C. Miranda ◽

A. Pons ◽

...

Keyword(s):

Diet Quality ◽

Dietary Patterns ◽

Rural Areas ◽

Urban Areas ◽

Representative Sample ◽

Nutrition Transition ◽

Principal Component ◽

Double Burden ◽

Cross Sectional ◽

High Level

The aim of the present study was to describe dietary patterns in a representative sample from Puna and Quebrada of Humahuaca, Jujuy, Argentina. A cross-sectional nutritional survey was carried out in a representative sample (n 1236) of individuals from these regions. For the present study, only children aged 2–9 years (n 360), adolescents aged 10–18 years (n 223) and adults aged 18 years or over (n 465) were considered. Breast-fed children, pregnant women and lactating women were excluded. Dietary data collection methods comprised one 24 h recall and a semi-quantitative FFQ. We used principal component (PC) analyses to identify prevailing dietary patterns. Multiple linear regression analyses were performed to assess the determinants of the identified dietary patterns. Two dominant PC were identified: PC1 reflected a ‘Western-like’ diet with an emphasis on not-autochthon foods. This pattern tended to be present in urban areas of the Quebrada region and was associated with a younger age, a higher level of development, and a worse diet quality. PC2 reflected an ‘Andean-like’ diet including a variety of autochthon crops. This was preferred by individuals living in rural areas from Puna with a high level of development during the post-harvest season, and was associated with a greater diet quality. These results suggest that the nutrition transition phenomenon is a reality in certain sectors of this population and might be one of the leading causes of the observed double burden of malnutrition.

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Rural-urban determinants of vitamin a deficiency among under 5 children in Bangladesh: Evidence from National Survey 2017–18

BMC Public Health ◽

10.1186/s12889-021-11607-w ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Md. Moyazzem Hossain ◽

Sabina Yeasmin ◽

Faruq Abdulla ◽

Azizur Rahman

Keyword(s):

Vitamin A ◽

Rural Areas ◽

Urban Areas ◽

Vitamin A Deficiency ◽

Vulnerable Groups ◽

Contributing Factors ◽

Cross Sectional ◽

Data Set ◽

Vitamin A Supplementation ◽

Urban And Rural Areas

Abstract Background Vitamin A supplementation reduces child morbidity, mortality, and blindness of people, especially in developing countries like Bangladesh. This study explores significant determinants of vitamin A deficiency among preschool children in rural and urban areas of Bangladesh. Methods The data set was extracted from a nationally representative survey based on a cross-sectional study, the BDHS-2017-18. The base survey was conducted using a two-stage stratified sample of households. A sample of 8364 (urban 2911, rural 5453) children under-5 years old was analyzed using bivariate and multivariate statistical techniques. Results Results have demonstrated that 73.9 and 73.2% of children have had a vitamin A supplementation from urban and rural areas, respectively. Logistic regression analysis showed that parents’ education plays a vital role in consuming vitamin A supplements in urban and rural areas. Children whose mothers have secondary (OR: 1.17, CI: 0.76–1.81) and higher (OR: 1.21, CI: 0.72–2.04) education were more likely to consume vitamin A supplementation than children whose mothers were illiterate in urban areas. However, in rural areas, children whose mothers have secondary education were about 24% and higher education with 60% more likely to consume vitamin A supplementation than children whose mothers were illiterate. Child’s age, regional variation and wealth index also contributing factors for vitamin A deficiency in Bangladesh. Conclusions These findings indicated that the consumption of vitamin A does not cover the target of sustainable development goals. Thus special national and community level efforts are required to ensure the coverage of the national vitamin A program is increased adequately to the most vulnerable groups of children in Bangladesh.

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Prevalence of double burden on malnutrition at household level in four Latin America countries

Revista Brasileira de Saúde Materno Infantil ◽

10.1590/1806-93042020000100003 ◽

2020 ◽

Vol 20 (1) ◽

pp. 27-35 ◽

Cited By ~ 1

Author(s):

Hanrieti Rotelli Temponi ◽

Gustavo Velasquez-Melendez

Keyword(s):

Short Stature ◽

National Survey ◽

Rural Areas ◽

Urban Areas ◽

Population Based ◽

Double Burden ◽

Cross Sectional ◽

Household Level ◽

Rural And Urban Areas ◽

Maternal Overweight

Abstract Objectives: to estimate the prevalence of maternal overweight and short stature in children at household level in Brazil, Bolivia, Colombia and Peru. Methods: a cross-sectional descriptive study. Population-based studies on children (0-5 years old) and women (15 to 49 years old) who participated in the Pesquisa Nacional de Demografia e Saúde da Criança e da Mulher(National Survey on Children and Women Demography and Health) in Brazil and the Encuesta Nacional de Demografía y Salud, (National Survey on Demography and Health), in Bolivia, Colombia and Peru. Variables of interest: overweight mother and child with short stature, a double burden when both outcomes are present. Global prevalence and stratification, according to rural and urban areas and 95% confidence intervals, were estimated. Results: the global sample consisted of 26,506 households. The prevalence of double burden was 9.3% in Bolivia (CI95%= 8.3-10.4), 6.7% in Peru (CI95%=5.9-7.5), Colombia (3.2%; CI95%=2.8-3.6) and Brazil (2.2%; CI95%=1.4-3.2). The highest prevalence were observed in the rural areas in Bolivia (13% vs 6.5%; p<0.001) and Peru (11.9% vs 4.1%; p<0.001). Conclusions: the highest prevalence were registered in Peru and Bolivia, and the lowest in Brazil and Colombia.

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Food consumption and nutritional and biochemical status of 0·5–12-year-old Indonesian children: the SEANUTS study

British Journal Of Nutrition ◽

10.1017/s0007114513002109 ◽

2013 ◽

Vol 110 (S3) ◽

pp. S11-S20 ◽

Cited By ~ 43

Author(s):

Sandjaja Sandjaja ◽

Basuki Budiman ◽

Heryudarini Harahap ◽

Fitrah Ernawati ◽

Moesijanti Soekatri ◽

...

Keyword(s):

Food Consumption ◽

Rural Areas ◽

Urban Areas ◽

Age Groups ◽

Public Health Problem ◽

Major Public Health Problem ◽

Dietary Intakes ◽

Nutrition Survey ◽

Double Burden ◽

Urban And Rural Areas

Indonesia is currently facing the double burden of malnutrition. While undernutrition is still a major public health problem, the prevalence of overnutrition is increasing. The objective of the South East Asian Nutrition Survey (SEANUTS) was to provide up-to-date data on nutritional status, food consumption and biochemical parameters related to nutrition for children aged 0·5–12 years. The SEANUTS study in Indonesia was conducted in a nationwide representative sample of 7·211 children using multistage cluster sampling based on probability proportional to size, stratified for geographical location, in forty-eight out of 440 districts/cities. The results show that the growth (weight for age, height for age, weight for height and BMI for age) of Indonesian pre-school- and school-aged children is below the WHO standards. The older the children, the more the deviation from the WHO standard curves. Underweight was more prevalent in rural areas (28·9 v. 19·2 %) and overweight/obesity was observed to be more widespread in urban areas (5·6 v. 3·2 %). The prevalence varied with age groups and sexes. The overall prevalence of stunting was 25·2 and 39·2 % in urban and rural areas, respectively. The prevalence of anaemia was nearly 55 % in children aged 0·5–1·9 years and ranged from 10·6 to 15·5 % in children aged 2–12 years. Fe deficiency was observed in 4·1–8·8 % of the children. The percentage of children with dietary intakes of energy, protein, and vitamins A and C below the Indonesian RDA was high and differed across urban and rural areas and age groups.

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Mental health and its influencing factors among left-behind children in China: a cross-sectional study

10.21203/rs.2.14026/v1 ◽

2019 ◽

Author(s):

Xiu Zhang ◽

Mengjie Li ◽

Li Guo ◽

Yanna Zhu

Keyword(s):

Mental Health ◽

Rural Areas ◽

Urban Areas ◽

Mental Health Problems ◽

Cross Sectional Study ◽

Age Group ◽

Cross Sectional ◽

Left Behind ◽

Rural And Urban ◽

Prosocial Behaviours

Abstract Background With rapid development of China’s economy, there were over 68.7 million left-behind children (LBC) in China whose mental health has become a problem of public concern. The present cross-sectional study aimed to investigate the status of mental health and its associated factors of LBC aged 3-16 years old in both rural and urban areas. Methods A total of 4187 children (aged 3-16), including 1471 LBC and 2716 non-left-behind children (NLBC), were recruited from 50 communities (22 in urban areas and 28 in rural areas) in Guangdong, China in August, 2014. The mental health problems were assessed using the Strength and Difficulties Questionnaire (SDQ). Results No statistically significant difference of SDQ subscales scores about difficulties were found between LBC and NLBC on the whole participants as well as in rural areas or in urban areas within the same age group after adjustments were made (all p>0.05). However, compared with NLBC in the same areas, urban LBC tended to have higher prosocial behaviours scores, while rural LBC had the lowest prosocial behaviours scores not only in the whole age group but also in different age subgroups (p<0.05). Besides, compared with urban LBC, rural LBC were not worse in SDQ subscales scores except for prosocial behaviour at 7-9 age group (p=0.003). Furthermore, longer duration of parental absence (β=-0.184 to -0.103) and lower communication frequency (β=0.085 to 0.121) were associated with less difficulties in both rural and urban LBC. Higher paternal educational level (β=-2.736 to -0.085) and longer duration of talk per-time (β=-0.183 to -0.113) were associated with less difficulties in rural LBC. Conclusions The present study demonstrated that in general, no difference of mental health problems were found between LBC and NLBC. The finding reinforce the importance of the stability of caregivers and the effective parent-child communication for Chinese rural LBC.

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