INTER-RELATIONSHIPS OF INCOME, CHRONIC ENERGY DEFICIENCY, MORBIDITY AND HOSPITALIZATION AMONG ADULT MALE SLUM DWELLERS OF MIDNAPORE, WEST BENGAL, INDIA

2006 ◽  
Vol 39 (5) ◽  
pp. 779-786 ◽  
Author(s):  
KAUSHIK BOSE ◽  
SAMIRAN BISAI ◽  
PRIYANKA DAS ◽  
SWAPAN DIKSHIT ◽  
SAMPA PRADHAN
Keyword(s):  
Family Income ◽  
West Bengal ◽  
Income Group ◽  
Cross Sectional Study ◽  
Group Differences ◽  
Severe Illness ◽  
Cross Sectional ◽  
Energy Deficiency ◽  
Chronic Energy Deficiency ◽  
Slum Dwellers

SummaryA cross-sectional study of 212 adult (>18 years) male slum dwellers (mean age=34·6±14·4 years) of Midnapore town, West Bengal, India, was undertaken to study the inter-relationships of chronic energy deficiency (CED), monthly family income (MFI), self-reported morbidity and hospitalization due to severe illness. The mean height, weight and body mass index (BMI) of the subjects were 160·0 cm, 50·8 kg and 19·9 kg/m2, respectively. The overall frequencies of CED (BMI<18·5 kg/m2), morbidity and hospitalization were 38·2%, 34·4% and 13·7%, respectively. Based on the WHO classification, the prevalence of CED among this population was high (20–39%), indicating a serious situation. Overall, MFI was significantly (p<0·01) positively correlated with BMI (r=0·21). Linear regression analyses showed that MFI had a significant impact (t=3·08; p<0·002) on BMI. Overall, MFI explained 3·9% variation in BMI. Subjects belonging to the lowest family income group (FIG I) had the lowest mean BMI (19·1 kg/m2) and the highest rate of CED (46·3%) and morbidity (36·6%). Those in the highest family income group (FIG III) had the largest mean BMI (20·8 kg/m2) and lowest rate of CED (30·2%) and morbidity (30·2%). The highest rate (18·9%) of hospitalization was found in this group. There were significant family income group differences in mean BMI (F=3·134, p<0·05). The frequency of morbidity (24·6%) and hospitalization (11·9%) was lowest among normal BMI individuals. Morbidity was significantly higher (χ2=11·92, p=0·0026) among CED (48·2%) subjects compared with normal BMI individuals (OR=2·85; CI=1·49–5·46). Similarly, compared with normal BMI subjects, morbidity was higher (38·5%; OR=1·92; 95% CI=0·50–7·18) among overweight subjects. Hospitalization was more common among CED subjects (16·1%; OR=1·42; CI=0·58–3·45) compared with normal BMI subjects. Similarly, the frequency of hospitalization was more among overweight individuals (15·4%; OR=1·35; 95% CI=0·0–7·59). In conclusion, this study provides evidence that the frequency of CED among this population is high, indicating a serious situation. Moreover there exists strong inter-relationships between BMI, CED, MFI and morbidity.

scholarly journals Adiposity and Health Status among Adult Male Mundas and Oraons of Paschim Medinipur, West Bengal, India

2013 ◽  
Vol 2013 ◽  
pp. 1-6
Author(s):  
Subal Das ◽  
Bigitendriya Debsharma ◽  
Kaushik Bose
Keyword(s):  
Health Status ◽  
Body Fat ◽  
West Bengal ◽  
Cross Sectional Study ◽  
Nutrition Status ◽  
Percent Body Fat ◽  
Cross Sectional ◽  
Energy Deficiency ◽  
Chronic Energy Deficiency ◽  
Positive Correlations

The present cross-sectional study was conducted among two male tribal groups Munda (n=106) and Oraon (n=104) aged 18–73 years of Paschim Medinipur, West Bengal. Objective was to evaluate the health status based on body mass index (BMI) and percent body fat (PBF). Measurements of weight, height, circumferences, and skinfolds were recorded. Results revealed that mean age of Mundas (36.2±13.3) and Oraons (35.1±15.3) in years were similar. Significant (P<0.05) ethnic differences in mean chest circumference and anterior thigh skinfold were observed. Both Munda (50.0%) and Oraon (46.2%) males suffered from very high degree of chronic energy deficiency (CED) based on BMI. Similarly, for percent body fat (PBF), Mundas (29.3%) and Oraons (35.4%) had unhealthy (too low) PBF (i.e., ≤5%) levels. Significantly negative correlations were observed between age and BMI and positive correlations between age, waist-hip ratio (WHR), and conicity index (CI) (only Mundas) among Mundas and Oraons. In Linear regression, age had a significant impact on all derived central and overall adiposity measures. Prospective studies are required to determine the associations between health status and PBF as well as nutrition status and BMI in different indigenous ethnic groups of India and elsewhere.

scholarly journals Chronic Energy Deficiency and Its Determinant Factors among Adults Aged 18–59 Years in Ethiopia: A Cross-Sectional Study

2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Samuel Dagne ◽  
Yonatan Menber ◽  
Yosef Wassihun ◽  
Gedefaw Dires ◽  
Atitegeb Abera ◽  
...  
Keyword(s):  
Public Health Problem ◽  
Secondary Data ◽  
Sampling Technique ◽  
Wealth Index ◽  
Cross Sectional Study ◽  
Cluster Sampling ◽  
Limited Information ◽  
Cross Sectional ◽  
Energy Deficiency ◽  
Chronic Energy Deficiency

Background. The prevalence of undernutrition in low- and middle-income countries is still remarkably high. Undernutrition during adulthood is a greater risk factor for low productivity, poor health, and mortality. There is limited information on the prevalence and determinants of chronic energy deficiency in Ethiopia. Objective. To assess the prevalence and determinants of chronic energy deficiency among adults aged 18–59 years in Ethiopia. Method. A secondary data analysis was conducted using the data obtained from the 2016 Ethiopia Demographic and Health Survey. Data were collected using a multistage stratified cluster sampling technique, and the analytic sample consisted of 9,280 adults aged 18–59 years. The chi-square test and multivariable logistic regression analyses were used, and p value <0.05 was taken as statistically significant. Result. A total of 9280 adults aged 18–59 years were included in the study and 2911 (28.7%) (95% CI: 27.0%–30.4%) of whom were chronic energy deficient. Adults who have no work (AOR = 1.41, 95% CI: 1.16, 1.72), male adults from Tigray region (AOR = 2.23, 95% CI: 1.61, 3.09), Afar region (AOR = 2.98, 95% CI: 2.04, 4.36), Somali region (AOR = 3.14, 95% CI: 2.19, 4.52), Gambella region (AOR = 1.89, 95% CI: 1.29, 2.76), Harari region (AOR = 1.54, 95% CI: 1.09, 2.19), Amhara region (AOR = 1.53, 95% CI: 1.09, 2.13), Oromia region (AOR = 1.53, 95% CI: 1.07, 2.19), Dire Dawa (AOR = 1.45, 95% CI: 1.03, 2.05), adults live lonely (AOR = 1.44, 95% CI: 1.21, 1.71), and adults residing in poor wealth index households (AOR = 1.26 : 95% CI: 1.07, 1.49) were significantly associated with chronic energy deficiency. Conclusion and recommendation. Chronic energy deficiency among male adults in Ethiopia was a high public health problem. Marital status, wealth index, occupation, and region were significant predictors of chronic energy deficiency. The Ministry of Health with other partners should strictly monitor and evaluate interventions that are being applied and should give focus to adult men to prevent malnutrition.

scholarly journals Tingkat sosial ekonomi tidak berhubungan dengan kurang energi kronis (KEK) pada ibu hamil

2016 ◽  
Vol 2 (3) ◽  
pp. 116
Author(s):  
Indriany Indriany ◽  
Siti Helmyati ◽  
Bunga Astria Paramashanti
Keyword(s):  
Pregnant Women ◽  
Significant Relationship ◽  
Maternal Education ◽  
Family Income ◽  
Socioeconomic Level ◽  
Maternal Knowledge ◽  
Chi Square ◽  
Cross Sectional ◽  
Energy Deficiency ◽  
Chronic Energy Deficiency

<p><strong>ABSTRACT</strong></p><p><em><strong>Background</strong>: Chronic energy deficiency (CED) has been experienced in almost all countries, especially in developing countries such as Bangladesh, India, Indonesia, Myanmar, Nepal, Srilanka, and Thailand. There are several cause factors of CED, one of them is socioeconomic level such as education, employment, knowledge, and family income.</em></p><p><em><strong>Objectives</strong>: To analyze the relationship between socioeconomic level and CED in Sedayu Subdistrict, Bantul,Yogyakarta.</em></p><p><em><strong>Methods</strong>: This was an observational study with cross sectional design. Population were all pregnant women in Sedayu Subdistrict. Samples were selected by using total sampling methods with total sample 201 pregnant women. Data were analyzed by using univariate analysis (descriptive), bivariat (chi-square), and multivariat (multiple logistic regression).</em></p><p><em><strong>Results</strong>: There were no significant relationship between maternal education (p=0.167, RP=1.55, 95% CI:0.84-2.87), maternal employment (p=0.360, RP=1.33, 95% CI:0.72-2.44), maternal knowledge (p=0.892, RP=0.96, 95% CI:0.49-1.85) and CED in pregnant women at Sedayu Subdistrict. However, there was significant relationship between family income with CED in pregnant woman (p=0.004, RP=2.73, 95% CI:1.31-5.68). Multivariat analysis showed that there was significant relationship between family income with CED in pregnant women (R2=0.08, OR=3.22, 95% CI:1.28-8.11). Low family income had a 3.22 times higher chance to incidence of CED in pregnant women.</em></p><p><em><strong>Conclusions</strong>: Sosioeconomic status such as education, employment, knowledge did not associate with CED in pregnant women. However, there was significant association in family income of pregnant women with CED and non CED.</em></p><p><strong>KEYWORDS</strong>:<em> chronic energy deficiency, maternal education, employment, maternal knowledge, family income</em></p><p> </p><p><strong>ABSTRAK</strong></p><p><em><strong>Latar belakang</strong>: Kurang energi kronis (KEK) dialami oleh hampir semua negara khususnya di negara-negara berkembang seperti Bangladesh, India, Indonesia, Myanmar, Nepal, Srilanka, dan Thailand. Salah satu faktor yang dapat mempengaruhi KEK pada ibu hamil adalah tingkat sosial ekonomi seperti pendidikan ibu, pengetahuan ibu, pekerjaan ibu, dan pendapatan keluarga.</em></p><p><em><strong>Tujuan</strong>: Untuk mengetahui hubungan antara tingkat sosial ekonomi dengan kejadian KEK pada ibu hamil di Kecamatan Sedayu, Bantul, Yogyakarta.</em></p><p><em><strong>Metode</strong>: Jenis penelitian ini adalah observasional dengan desain cross sectional. Populasi penelitian adalah seluruh ibu hamil yang ada di Kecamatan Sedayu. Pemilihan sampel menggunakan total sampling dengan jumlah sampel 201 ibu hamil. Data dianalisis dengan menggunakan analisis univariat (deskriptif), bivariat (chi-square), dan multivariat (regresi logistik).</em></p><p><em><strong>Hasil</strong>: Hasil analisis menunjukkan tidak ada hubungan antara pendidikan ibu (p=0,17, RP=1,55, 95% CI:0,84-2,87), pekerjaan ibu (p=0,36, RP=1,33, 95% CI:0,72-2,44), dan pengetahuan ibu (p=0,83, RP=0,96, 95% CI:0,49-1,85) dengan kejadian KEK pada Ibu hamil. Namun demikian, terdapat hubungan yang signifikan antara pendapatan keluarga dengan KEK ibu hamil (p=0,004, RP=2,73, 95% CI:1,31-5,68). Analisis multivariat menunjukkan bahwa pendapatan keluarga mempunyai hubungan dengan kejadian KEK pada ibu hamil (R2=0,08, OR=3,22, 95% CI:1,28-8,11), pendapatan keluarga yang rendah memiliki peluang 3,22 kali untuk mengalami kejadian KEK pada ibu hamil.</em></p><p><em><strong>Kesimpulan</strong>: Tingkat sosial ekonomi seperti pendidikan, pekerjaan, pengetahuan ibu tidak berhubungan dengan KEK pada ibu hamil, namun pendapatan keluarga memiliki hubungan yang bermakna secara signifikan antara ibu hamil KEK dan tidak KEK.</em></p><p><strong>KATA KUNCI</strong><em>: kurang energi kronis, pendidikan, pekerjaan, pengetahuan, pendapatan keluarga</em></p>

scholarly journals Assessment of nutritional status and its associated factors among people affected by human immune deficiency virus on antiretroviral therapy: a cross sectional study in Siltie zone, south Ethiopia

2018 ◽  
Vol 6 (1) ◽  
Author(s):  
Mewuba Shamil Saliya ◽  
Telake Azale ◽  
Atinkut Alamirew ◽  
Dawit Jember Tesfaye
Keyword(s):  
Nutritional Status ◽  
Cross Sectional Study ◽  
Hiv Positive ◽  
Sectional Study ◽  
Dietary Counseling ◽  
Cross Sectional ◽  
Energy Deficiency ◽  
South Ethiopia ◽  
Chronic Energy Deficiency ◽  
Hiv Positive Adults

Ethiopia is among the countries most affected by malnutrition and nutrition-related complications remain a challenging issue for Human Immunodeficiency Virus (HIV)- infected patients and those involved in their care. The aim of this study was to assess nutritional status among HIV positive adults in South Ethiopia and assess risk factors for malnutrition in this population. Institution based cross sectional study was conducted among 428 HIV positive adults who are taking ART at 12 health centers, Silte zone, Ethiopia. Convenience sampling technique was used to select the study participants. Structured questionnaire and anthropometric measurements were used to collect data. Data were analyzed using SPSS version 20.0 software. Bivariate and multivariate analyses were used to identify predictors of malnutrition. P-value less than 0.05 were used as cut of point to declare statistical significance. Prevalence of chronic energy deficiency was 24.1%. Food insecurity [AOR= 0.35, 95% CI (0.21, 0.62)], feeding ≤ 2 meals/day [AOR= 0.29, 95% CI (0.29, 0.13)], ambulatory functional status [AOR= 3.4, 95% CI (1.67, 6.98)] and absence of dietary counseling [AOR= 1.7, 95% CI (1.05, 2.78)] were found to be independent predictors of chronic energy deficiency among HIV positive adults. Prevalence of malnutrition is high among HIV infected adults who are on ART in the study area. Regular nutritional assessment of the patients and dietary counseling should be integrated with routine care for HIV/AIDS patients. HIV/AIDS prevention and control programs need to involve nutritionists or trained health care provider to integrate nutritional care services.

Household food security and diet quality with chronic energy deficiency among preconception women

2021 ◽  
Vol 9 (2) ◽  
pp. 111-122
Author(s):  
Pradita Putri Ramadhani ◽  
Fillah Fithra Dieny ◽  
Dewi Kurniawati ◽  
Hartanti Sandi ◽  
Deny Yudi Fitranti ◽  
...  
Keyword(s):  
Food Security ◽  
Diet Quality ◽  
Significant Relationship ◽  
Cross Sectional Study ◽  
Household Food Security ◽  
P Value ◽  
Cross Sectional ◽  
Energy Deficiency ◽  
Chronic Energy Deficiency ◽  
Household Food

Background: Chronic energy deficiency (CED) that occurs at risk preconception women during pregnancy increased low birth weight (LBW) in infants. Household food security and diet quality are factors that cause CED. Therefore, this study aims to determine the relationship between household food security and diet quality with CED preconception women.Materials and Methods: We used a cross-sectional study design. The subject of 70 preconception women aged 16-35 years registered in the religious affairs office in Sumowono and Pringapus Subdistrict were selected by consecutive sampling method. Weight and height were measured to assess body mass index to determine CED. Household food security was measured using the Household Food Security Scale Module (HFSSM). Food intake data were obtained using the Semi-Quantitative Food Frequency Questionnaire (SQ-FFQ) and DQI-I (Diet Quality Index-International) to measure diet quality. Bivariate analyses were tested using Rank Spearman and Pearson Product Moment.Results: The prevalence of subjects with CED risk was 48.6% and subjects with  CED was 15.7%. 38.6% of subjects married at the age of 16-20 years, 75.1% of subjects had low household food security and 80% of subjects had low diet quality. There was no significant relationship between household food security and diet quality with CED, namely (p = 0.537) and (p = 0.711). The components of diet quality, namely variation, adequacy, moderation and balance also did not show a significant relationship with CED, respectively with p-value (p = 0.711), (p = 0.523), (p = 0.412), (p = 0.604 )Conclusions: There was no correlation between household food security and CED, also no correlation between diet quality and CED.

scholarly journals Factors Related to Nutritional Status of Pregnant Women in the Working Area of Baiturrahman Health Center Banda Aceh

2019 ◽  
Vol 8 (2) ◽  
pp. 112-116
Author(s):  
Asmaul Husna ◽  
Fauziah Andika
Keyword(s):  
Nutritional Status ◽  
Pregnant Women ◽  
Family Support ◽  
Family Income ◽  
Income Level ◽  
Related Factor ◽  
Cross Sectional ◽  
Energy Deficiency ◽  
Nutritional Anemia ◽  
Chronic Energy Deficiency

According to the 2012 Indonesian demographic and health survey (IDHS), in PRAKARSA Policy Maternal mortality rate update of 359 per 100.000 live births. Nutritional problems that are often faced by pregnant women are Chronic Energy Deficiency (CED) and nutritional anemia. According to the Indonesian Ministry of Health in 2013, the prevalence of CED pregnant women was 24.2%. This was a survey research with descriptive analytical and cross sectional design. The sample in this study were 80 people. Analysis of data in the form of univariate, bivariate and multivariate. The results showed that Knowledge (p = 0.015, PR = 4.608), Attitude (p = 0.008, PR = 7.933), Family Support (p = 0.035, PR = 3.857), Family income level (p = 0.009, PR = 5,000) , parity (p = 0.003, PR = 6,667), sexual relations behaviour (p = 0.598). The results of the dominant variable multivariate analysis were attitudes obtained. The most dominant variable related to nutritional status of pregnant women was PR = 8,576. It can be concluded that there is a relationship knowledge, attitudes and family support with nutritional status of pregnant women while family income level is not a related factor Attitude variables are dominant factors at risk of developing CED.

Concurrent Prevalence of Chronic Energy Deficiency and Obesity among Women in Purworejo, Central Java, Indonesia

1998 ◽  
Vol 19 (4) ◽  
pp. 321-333 ◽  
Author(s):  
Detty Siti Nurdiati ◽  
Mohammad Hakimi ◽  
Abdul Wahab ◽  
Anna Winkvist
Keyword(s):  
Nutritional Status ◽  
Reproductive Factors ◽  
Skinfold Thickness ◽  
Population Based ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Energy Deficiency ◽  
Central Java ◽  
Chronic Energy Deficiency ◽  
Triceps Skinfold Thickness

There are few studies on the nutritional status of nonpregnant women. A population-based, cross-sectional study of nutritional status in 5,817 non-pregnant women 15 to 49 years of age was conducted in Purworejo District, Indonesia, in 1996. Weight, height, mid-upper-arm circumference (MUAC), and triceps skinfold thickness were measured, and information on socio-economic, demographic, and reproductive factors was collected. Seventeen percent of the women had chronic energy deficiency and 11% were obese. Mean weight, MUAC, and triceps skinfold thickness corresponded to the 25th percentile of standards and mean height to the 5th percentile. Obesity was more common among older women and chronic energy deficiency among both the oldest and the youngest women. Women working in agriculture, not using contraceptives, and not owning a television, radio, or refrigerator were more likely to have chronic energy deficiency. In summary, both chronic energy deficiency and obesity existed in Purworejo, and risk factors were identified. Interventions are needed to improve the nutritional status of girls and women before and after pregnancy.

scholarly journals Nutritional Status of Diabetic Patients Attending to a District Level Diabetic Center

1970 ◽  
Vol 17 (2) ◽  
pp. 89-92
Author(s):  
FAM Anjuman-Ara Begum ◽  
Abdul Kalam Azad ◽  
M Abdul Alim ◽  
ARM Saifuddin Ekram
Keyword(s):  
Nutritional Status ◽  
Family Income ◽  
Care Center ◽  
Income Group ◽  
Cross Sectional Study ◽  
Calorie Intake ◽  
Diabetic Patients ◽  
Care Seeking ◽  
Cross Sectional ◽  
Diabetic Care

A total of 117 diabetic patients aged 20-65 years suffering from diabetes for at least one year were enrolled in this cross-sectional study. The study was conducted in Nawabganj Diabetic Center, a branch of Bangladesh Diabetic Association during the period from March 2001 to June 2001. The aim of the study is to assess the nutritional status of diabetic patients, which may contribute useful information for more comprehensive and intensive approach to diabetic patients care. Majority (64%) of the respondents were normal (BMI 18.5-24.99) in nutritional status followed by overweight (31%, BMI > 25) and underweight (4.3%, BMI < 18.5). Middle age group appeared to suffer more from diabetes with no sex difference irrespective of age (males: 50.4%, females: 49.6%). Diabetic care seeking behaviour by rural people and females (housewives) appeared encouraging emphasizing the need of decentralization of diabetic care center to periphery. More retired persons (50%) and housewives (32%) showed obesity (40%) and no underweight with high family income might be explained as an association of more calorie intake and less physical activities. Among the diabetic patients, retired persons and housewives appeared particularly vulnerable to become obese and on the other hand younger patients, poor education, lower income group and patients consuming low calorie were prone to develop under nutrition. So health education should be aimed to enhance awareness of particularly rural and illiterate people for regular visit to nearby diabetic center and to strictly adhere to dieticians' advice.   doi: 10.3329/taj.v17i2.3451 TAJ 2004; 17(2): 89-92

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