scholarly journals Subnational variation of stunting, wasting and malnutrition in Chinese primary-school children between 2010 and 2014: urban–rural disparity

2019 ◽  
Vol 22 (11) ◽  
pp. 2043-2054 ◽  
Author(s):  
Yanhui Dong ◽  
Kristina Bennett ◽  
Catherine Jan ◽  
Bin Dong ◽  
Zhiyong Zou ◽  
...  

AbstractObjectiveTo examine urban–rural disparity in childhood stunting, wasting and malnutrition at national and subnational levels in Chinese primary-school children in 2010 and 2014.DesignData were obtained from two nationwide cross-sectional surveys conducted in 2010 and 2014. Malnutrition was classified using the Chinese national ‘Screening Standard for Malnutrition of Children’.SettingAll twenty-seven mainland provinces and four municipalities of mainland China.ParticipantsChildren aged 7–12 years (n215 214; 107 741 in 2010 and 107 473 in 2014) from thirty-one provinces.ResultsStunting, wasting and malnutrition prevalence were 1·9, 12·3 and 13·7 % in 2010, but decreased to 1·0, 9·4 and 10·2 % in 2014, respectively. The prevalence of stunting, wasting and malnutrition in both urban and rural children was higher in western provinces, while lower in eastern provinces. Although the prevalence of wasting and malnutrition was higher in rural children than their urban counterparts, the urban–rural disparity in both wasting and malnutrition decreased from 2010 to 2014 (prevalence OR: wasting, 1·35 to 1·16; malnutrition, 1·50 to 1·27). A reversal occurred in 2014 in several eastern provinces where the prevalence of wasting and malnutrition in urban children surpassed their rural peers. The urban–rural disparity was larger in western provinces than eastern provinces.ConclusionsThe shrinking urban–rural disparity and the reversal in wasting and malnutrition suggest that the malnutrition situation has improved during the post-crisis period, especially in the western provinces. Region-specific policies and interventions can be useful to sustainably mitigate malnutrition in Chinese children, especially in rural areas and the western provinces.

Nutrients ◽  
2019 ◽  
Vol 11 (7) ◽  
pp. 1478 ◽  
Author(s):  
Hoang ◽  
Orellana ◽  
Le ◽  
Gibson ◽  
Worsley ◽  
...  

Little is known about the prevalence of anaemia and associated factors in school children in Vietnam. In this cross-sectional study, we aimed to determine the prevalence of anaemia and its subtypes, and the associations of types of anaemia with demographic, socio-economic and anthropometric factors among 6–9-year-old primary school children in rural areas of Hai Phong City, Vietnam. Haemoglobin (Hb) and mean corpuscular volume (MCV) were measured, and demographic, socio-economic and anthropometric data were collected in 893 children from eight primary schools. The prevalence of anaemia (Hb < 115 g/L) was 12.9% (95% CI: 8.1%, 19.9%), microcytic anaemia (Hb < 115 g/L and MCV < 80 fL) was 7.9% (95% CI: 5.3%, 11.6%) and normocytic anaemia (Hb < 115 g/L and MCV 80–90 fL) was 5.3% (95% CI: 2.9%, 9.5%). No child presented with macrocytic anaemia (Hb < 115 g/L and MCV > 90 fL). Children who were underweight, wasted, or in anthropometric failure (either underweight, stunted or wasted) were more likely to be anaemic (all p ≤ 0.004), and specifically, to have normocytic anaemia (all p ≤ 0.006), than those who were not underweight, wasted or in anthropometric failure. Stunted children were more likely to be anaemic (p = 0.018) than those who were not stunted. Overweight/obese children were less likely to be anaemic (p = 0.026) or have normocytic anaemia (p = 0.038) compared with children who were not overweight/obese. No anthropometric status indicator was associated with the risk of microcytic anaemia. No demographic or socio-economic factor was associated with any type of anaemia. Anaemia remains a public health issue in rural areas in Hai Phong City, Vietnam, and future approaches for its prevention and control should target undernourished primary school children.


Author(s):  
Prashant Bhoir ◽  
Swati M. Patki ◽  
Manoj B. Patki ◽  
Jidnyasa Bhoir

Background: Objective of the research was to study the nutritional status of children and related co-morbidities among primary school children in peri-urban rural setting of Thane district of Maharashtra.Methods: A cross sectional study with primary data collection from government primary school in peri-urban rural setting was conducted with total study duration of one year. Children between 6 and 12 years were included in study from primary school. Schools selected using lottery system and all children present on day on examination were included. Sample size estimation by formula n=4pq/l2 which was 336, but study enrolled 402 children. Anthropometric data (BMI) was analyzed using Centers for Disease Control and Prevention (CDC) growth charts. Data was analyzed using Microsoft Excel, statistical package for the social sciences (SPSS)-17, differential and inferential statistics calculated and represented using tables and charts. Chi square test was used for statistical significance and finding association with various factors.Results: The prevalence of overweight (≥85th percentile) among children was 20.83% (male), 20.95% (female) and prevalence of obesity (>95th percentile) was 14.06 % (male), 17.62% (female). Prevalence of underweight was 4.17 % (male), 4.29% (female). Female children were at greater risk of being overweight and obese.Conclusions: Childhood obesity is a problem in peri-urban rural Thane and requires timely intervention for its control.


2018 ◽  
Vol 12 (1) ◽  
pp. 264-272 ◽  
Author(s):  
Tariq Al Bahhawi ◽  
Anwar M Makeen ◽  
Hadi Hassan Daghreeri ◽  
Mohannad Faisal Tobaigy ◽  
Abdulrahman Mohammed Adawi ◽  
...  

Background: Refractive error is a common and serious eye disorder that affects more than 153 million people globally. The aim of this study was to estimate the prevalence and pattern of refractive error among male primary school children in Jazan region, Saudi Arabia. Methods: A cross-sectional study was conducted among a randomly selected group of 395 students (aged 6-14 years) in Jazan region, Southwest Saudi Arabia. An optometrist and medical students assessed the refraction error using an autorefractor, a Snellen E chart and retinoscopy. Results: The overall prevalence of uncorrected refractive error in either eye was, 22% higher among rural students. The most prevalent refractive error was hyperopia (32.2%) followed by myopic astigmatism (31%) then myopia (17.2%). Next were hyperopic astigmatism (16.1%) and mixed astigmatism (3.5%). The following variables were associated with a higher risk of refractive errors and myopia: living in rural areas, having parents with refractive errors, spending more time on electronic devices and shorter visual distances. Conclusion: Refractive error was highly prevalent among primary school children in Jazan, Saudi Arabia. The rural students were more affected by refractive errors, mainly hyperopia. The preschool vision test should be reconsidered, and a periodic vision examination should be applied to detect vision problems as early as possible.


2018 ◽  
Vol 7 (1) ◽  
pp. 24-29
Author(s):  
Mohammad Mahmudul Hasan ◽  
Mohammad Azizul Hoque ◽  
Bilkis Begum ◽  
Muhammad Akhtaruzzaman ◽  
Mohammad Monirul Islam Khan ◽  
...  

Anemia is a global public health problem affecting 305 million school children (SC) worldwide. It has deleterious effects in SC, including lower school achievement due to impaired cognitive development and physical growth, fatigue and poor attention span, and increased morbidity because of reduced resistance to infection. The school age is a dynamic period of growth and development. During this period physical, mental, social development of child takes place. The purpose of the study is to observe the anemia among the school aged children and to compare the urban and rural children as well as to see the correlation between malnutrition and anemia.  A school-based cross sectional study was conducted on a total of 600 School Children from 10 school, aged from 6-10 years old children of Mymensingh district. Study was conducted for a period of one year from October 2009 to September 2010. Two staged stratified random sampling method were employed to select study participants. Data on socio-demographic and socio-economic characteristics, and dietary status of children were collected using pre-tested structured questionnaire through face-to-face interview of children's caregivers. Anthropometric measurements were taken. Hemoglobin (Hb) concentration was determined by using cyanmethaemoglobin method. Datawas analyzed by computer programmed SPSS version 14.0. P-value < 0.05 was considered as statistically significant. Among the primary school children in Seventy one percent of our primary school children were anemic. Rural children were more sufferers in anemia. CBMJ 2018 January: Vol. 07 No. 01 P: 24-29


QJM ◽  
2020 ◽  
Vol 113 (Supplement_1) ◽  
Author(s):  
M M Magdi ◽  
N A Kotb ◽  
U M Elbarrany ◽  
H S Ramadan ◽  
M A Mowafy

Abstract Background Parents have often showed their interest in the tooth eruption timing. However, the literature suggests that tooth emergence standards should be derived from the population they are to be applied because emergence related factors may vary considerably in dentition. Timing of teeth emergence differs from population to population and can be affected by genetic and environmental factors. Both ethnic origin and gender can be attributed to genetic factors. Objectives The purpose of the present study was to find out the statistical correlation between age, sex and stature to eruption of permanent teeth in a sample of primary school children age (6-&lt;13 years). Methodology: The present study was a cross sectional study that was conducted on 700 healthy school children aged 6 – &lt;13 years selected from different primary schools in two governorates in Egypt; Behera governorate and Giza governorate. Assessment of age, sex and stature was performed through socio – demographic data, anthropometric measures and sequence of permanent teeth eruption. Results The first molars, central incisors, upper lateral incisors, lower canines, second premolars and second molars erupted earlier in Behera (Rural) children. The mandibular teeth tended to precede the maxillary teeth. In Giza (urban) children most of the teeth erupted earlier in girls. In Behera (Rural) children most of the teeth erupted earlier in boys. Conclusion Most of teeth erupted earlier in Behera (rural) and the majority erupted earlier in girls in Giza (urban) and in boys in Behera (rural).


Author(s):  
I.P. Saldan ◽  
A.P. Pashkov ◽  
O.V. Zhukova ◽  
S.P. Filippova ◽  
N.Yu. Potseluev ◽  
...  

We assessed the main anthropometric indicators of physical development (height, body weight and chest circumference) in primary school children living and studying in the city and their peers living and studying in the countryside. We carried out children's medical records analysis with an assessment of health groups structure. It has been established that the physical development indicators in primary school rural children are statistically significantly higher than those of urban children in both boys and girls. Chronic diseases are more common among urban children aged 7–10 years. The obtained results confirm the need for a special approach to physical development assessing of children and adolescents living in cities and the countryside, as well as the need to develop preventive measures aimed at improving and preserving the children health.


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