scholarly journals The epidemiology of good nutritional status among children from a population with a high prevalence of malnutrition

2004 ◽  
Vol 7 (2) ◽  
pp. 311-317 ◽  
Author(s):  
Jane A Pryer ◽  
Stephen Rogers ◽  
Ataur Rahman
Keyword(s):  
Nutritional Status ◽  
Child Nutrition ◽  
Urban Slum ◽  
Cluster Sampling ◽  
Panel Survey ◽  
High Prevalence ◽  
The Face ◽  
Female Headed Households ◽  
Height For Age ◽  
Children Under 5

AbstractObjectives:To identify socio-economic demographic and environmental factors that predict better height-for-age for children under 5 years of age in a Dhaka slum population.Design:A panel survey, conducted between 1995 and 1997. A random sample of households was selected. Socio-economic, demographic and environmental variables were collected monthly by questionnaire and nutritional status was assessed.Setting:Dhaka slums in Bangladesh.Subjects:Three hundred and ninety-two children, surveyed in September–November 1996.Main outcome measures:Height-for-age Z-score (HAZ) above −2.Results:Thirty-one per cent of children had HAZ <−2. Logistic regression adjusted for cluster sampling showed that better nourished children were more likely to have taller mothers, to be from female-headed households and from families with higher income, electricity in the home, better latrines, more floor space and living in Central Mohammadpur. Better nourished children were less likely to have fathers who have taken days off from work due to illness.Conclusions:Interest in ‘positive deviance’ is motivated by the recognition that a focus on the malnourished only – the bottom tail of the distribution – provides indications of how families fail, but not of how they succeed in maintaining child nutrition in the face of adversity. Our analysis provides an alternative perspective on nutrition and vulnerability in an urban slum setting.

scholarly journals Association between socio-economic status and childhood undernutrition in Bangladesh; a comparison of possession score and poverty index

2010 ◽  
Vol 13 (10) ◽  
pp. 1498-1504 ◽  
Author(s):  
Masuda Mohsena ◽  
CG Nicholas Mascie-Taylor ◽  
Rie Goto
Keyword(s):  
Nutritional Status ◽  
Maternal Education ◽  
Economic Status ◽  
Principal Component ◽  
Poverty Index ◽  
Socio Economic Status ◽  
The Family ◽  
Height For Age ◽  
Weight For Age ◽  
Children Under 5

AbstractObjectiveTo determine how much of the variation in nutritional status of Bangladeshi children under 5 years old can be attributed to the socio-economic status of the family.DesignNutritional status used reference Z-scores of weight-for-age (WAZ), height-for-age (HAZ) and weight-for-height (WHZ). A ‘possession score’ was generated based on ownership of a radio, television, bicycle, motorcycle and telephone, and the availability of electricity, with categories of 0 to 4+ possessions. A five-point (quintile) ‘poverty index’ was created using principal component analysis.SettingThe Bangladesh Demographic and Health Survey 2004 was the source of data.SubjectsA sample of 4891 children aged <5 years was obtained.ResultsSome 57·8 % of the sample was either stunted, wasted or underweight (7·7 % were stunted, wasted and underweight). Of those stunted (48·4 %), 25·7 % were also underweight. Underweight and wasting prevalences were 40·7 % and 14·3 %, respectively. Mean WAZ, HAZ and WHZ did not differ by sex. Children of mothers with no education or no possessions were, on average, about 1 sd more underweight and stunted than those with higher educated mothers or with 4+ possessions. The possession score provided much greater discrimination of undernutrition than the poverty index. Nearly 50 % of children from households with no possessions were stunted, wasted or underweight (only 27 % in the poorest quintile), compared with only 3–6 % of children from households with 4+ possessions (over 13 % in the richest quintile).ConclusionsMaternal education and possession score were the main predictors of a child’s nutritional status. Possession score was a much better indicator of undernutrition than the poverty index.

SIGNIFICANT EFFECTS OF BIRTH-RELATED BIOLOGICAL FACTORS ON PRE-ADOLESCENT NUTRITIONAL STATUS AMONG RURAL SUNDANESE IN WEST JAVA, INDONESIA

2004 ◽  
Vol 37 (4) ◽  
pp. 413-426 ◽  
Author(s):  
MAKIKO SEKIYAMA ◽  
RYUTARO OHTSUKA
Keyword(s):  
Nutritional Status ◽  
Anthropometric Measurement ◽  
High Fertility ◽  
Biological Factors ◽  
West Java ◽  
Relative Significance ◽  
High Prevalence ◽  
Interview Survey ◽  
Behavioural Factors ◽  
Height For Age

The Sundanese inhabiting West Java, the second largest ethnic group in Indonesia, are characterized by a high prevalence of child malnutrition, together with high fertility. Based on an anthropometric measurement and interview survey of 310 children aged 5–12 years in a rural Sundanese village, this study examined the relative significance of the effects of eight biological, eight socioeconomic status (SES) and four health behavioural factors on their Z scores for height-for-age (HAZ) and weight-for-age (WAZ) in particular. Three biological factors, i.e. birth interval, birth weight and mother’s body weight, and one SES factor, i.e. mother’s occupation, were selected as the predictors of the two Z scores by regression analysis, indicating more significant effects of the biological factors than the other factors. This pattern is judged to occur in less-developed and high-fertility populations. Since these two Z scores were worse in the subject children than in the under-5-year-old children from the same village, more attention should be paid to the long-lasting effects of birth-related biological factors up to pre-adolescent ages, as an insufficient nutritional status tends to damage growth and health in adolescence and adulthood.

scholarly journals Shared environments: a multilevel analysis of community context and child nutritional status in Bangladesh

2011 ◽  
Vol 14 (6) ◽  
pp. 951-959 ◽  
Author(s):  
Daniel J Corsi ◽  
Clara K Chow ◽  
Scott A Lear ◽  
M Omar Rahman ◽  
SV Subramanian ◽  
...  
Keyword(s):  
Nutritional Status ◽  
Social Participation ◽  
Child Nutrition ◽  
Education Level ◽  
Community Context ◽  
Community Environment ◽  
Community Environments ◽  
Child Nutritional Status ◽  
Height For Age ◽  
Weight For Age

AbstractObjectiveThe goal of the present study was to examine the influence of community environment on the nutritional status (weight-for-age and height-for-age) of children (aged 0–59 months) in Bangladesh. In addition, we tested the association between specific characteristics of community environments and child nutritional status.DesignCross-sectional survey.SettingThe data are from the nationally representative 2004 Bangladesh Demographic and Health Survey.SubjectsRespondents were ever-married women (aged 15–49 years) and their children (n 5731), residing in 361 communities. Child nutritional outcomes are physical measurements of weight-for-age and height-for-age in sd units. We considered the following attributes of community environments potentially related to child nutrition: (i) community water and sanitation infrastructure; (ii) availability of community health and education services; (iii) community employment and social participation; and (iv) education level of the community.ResultsMultilevel regression analysis showed that the spatial distribution of maternal and child covariates did not entirely explain the between-community variation in child nutritional status. The education level of the community emerged as the strongest community-level predictor of child height-for-age (highest v. lowest tertile, β = 0·18 (se 0·07)) and weight-for-age (highest v. lowest tertile, β = 0·21 (se 0·06)). In the height-for-age model, community employment and social participation also emerged as being statistically significant (highest v. lowest tertile, β = 0·13 (se = 0·06)).ConclusionsThe community environment influences child nutrition in Bangladesh, and maternal- and child-level covariates may fail to capture the entire influence of communities. Interventions to reduce child undernutrition in developing countries should take into consideration the wider community context.

Nutritional Status of Under-5 Children in a Slam of Dhaka City and Influence of Immunization and Socio-economic Condition on Malnutrition

2021 ◽  
Vol 36 (1) ◽  
pp. 34-38
Author(s):  
Md Aynal Hoque ◽  
Hossain Sahid Kamrul Alam ◽  
Md Abu Sayeed
Keyword(s):  
Nutritional Status ◽  
Family Income ◽  
Economic Condition ◽  
Urban Slum ◽  
Dhaka City ◽  
Z Score ◽  
Cross Sectional ◽  
Socioeconomic Condition ◽  
Height For Age ◽  
Weight For Age

Background: In slum area there is a very high prevalence of malnutrition. Many factors can cause malnutrition, most of which relate to immunization, socio economic condition and repeated infections, particularly in underprivileged population. Objectives: To observe the nutritional status and effect of immunization and socio economic condition on malnutrition among under-5 children in a selected slum of Dhaka city. Methods: This cross sectional study was conducted among 384 under-5 children randomly selected from PWD slum in Dhaka city. It was carried out during January- 2013 to December-2014. Anthropometric measurements like wasting was determined from weight for height Z-score, stunting was determined from height for age Z-score, underweight was determined from weight for age Z-score and malnutrition also assessed by Mid Upper Arm Circumference (MUAC). Data were analyzed using SPSS version 21. Results: In this study in slum 40.36% were found malnourished according to MUAC, according to weight for height Z-score wasting was present in 29.43% children, according to height for age Z-score stunting was found in 28.39% and according to weight for age Z-score underweight was found in 46.89% children. There is a decreased number of malnutrition cases when family income rise. Out of the 384 study children 68% were completely immunized, 16.9% were incompletely immunized and rest 15.1% were not immunized. Number of MUAC malnutrition, wasting, stunting and underweight cases increases in cases of incomplete immunization and no immunization. Conclusions: Overall, nutritional status of the under-5 child of slum of PWD is not satisfactory. Family income and immunization status plays role in malnutrition. So socioeconomic condition should improve and mass immunization programshould be implemented in urban slum areas. DS (Child) H J 2020; 36(1) : 34-38

scholarly journals Socio-biomedical predictors of child nutrition in India: an ecological analysis from a nationally representative Demographic and Health Survey, 2015–2016

2022 ◽  
Vol 41 (1) ◽  
Author(s):  
Ranjan Kumar Prusty ◽  
Mohan Bairwa ◽  
Fahmina Anwar ◽  
Vijay Kumar Mishra ◽  
Kamalesh Kumar Patel ◽  
...  
Keyword(s):  
Nutritional Status ◽  
Gross Domestic Product ◽  
Health Survey ◽  
Exclusive Breastfeeding ◽  
Child Nutrition ◽  
Madhya Pradesh ◽  
Iodized Salt ◽  
Fuel Use ◽  
Clean Fuel ◽  
High Prevalence

Abstract Background Despite significant economic growth and development, undernutrition among children remains a major public health challenge for low- and middle-income countries in the twenty-first century. In Millennium Development Goals, India committed halving the prevalence of underweight children by 2015. This study aimed to explain the geographical variation in child malnutrition level and understand the socio-biomedical predictors of child nutrition in India. Methods We used the data from India’s National Family Health Survey 2015–2016. The survey provided estimates of stunting, wasting, and underweight at the national, state, and district level to measure nutritional status of under-five children. Level of stunting, wasting and underweight at the district level are considered as outcome variables. We have used variance inflation factor to check the multicollinearity between potential predictors of nutrition. In this study, we performed spatial analysis using ArcGIS and multiple linear regression analysis using Stata version 15. Results Five states (Uttar Pradesh, Bihar, Madhya Pradesh, Jharkhand and Meghalaya) had very high prevalence of stunting (40% and above). High prevalence of wasting was documented in Jharkhand, Madhya Pradesh, Chhattisgarh, and Karnataka (23 to 29%). Jharkhand, Madhya Pradesh, Maharashtra, and Chhattisgarh had the highest proportion of underweight children in the country. We found that electricity and clean fuel use in the household, use of iodized salt, and level of exclusive breastfeeding had significantly negative influence on the stunting level in the districts. The use of iodized salt has similar effect on the wasting status of under-five children in the districts (b: − 0.27, p < 0.10). Further, underweight level had a negative association with clean fuel use for cooking (b: − 0.17, p < 0.01), use of iodized salt (b: − 0.36, p < 0.10), breastfeeding within one hour (b: − 0.18, p < 0.10), semisolid/solid food within 6–8 months (b: − 0.11, p < 0.05) and Gross Domestic Product of the districts (b: − 0.53, p < 0.10). Conclusion In the study, a variety of factors including electricity and clean fuel use in the household, use of iodized salt, level of exclusive breastfeeding, breastfeeding within one hour, semisolid/solid food within 6–8 months and Gross Domestic Product of the districts have a significant association with nutritional status of children.

Cephalometric features of connective tissue dysplasia manifestation in children and adolescents

2020 ◽  
Vol 20 (3) ◽  
pp. 174-183 ◽  
Author(s):  
B. N. Davydov ◽  
D. A. Domenyuk ◽  
S. V. Dmitrienko ◽  
T. A. Kondratyeva ◽  
Yu. S. Harutyunyan
Keyword(s):  
Connective Tissue ◽  
Morphological Features ◽  
Short Branch ◽  
Lower Jaw ◽  
Carious Lesions ◽  
High Prevalence ◽  
Care Facilities ◽  
The Face ◽  
Connective Tissue Dysplasia ◽  
Brain Parts

Relevance. The high prevalence of dysplastic disorders involving connective tissue, and its negative effecton the development of dentoalveolar anomalies, carious and non-carious lesions of the teeth, periodontopathy, temporomandibular joint issues in the child population, lay the basis for improving diagnostics algorithms. Enhancing the already available standards is of greatest importance for children at the initial stages of diagnostics when evaluating the external signs of dysplastic disorders.Purpose – improving diagnostics algorithms for connective tissue dysplasia (CTD) in children in primary dental care facilities based on the evaluation of external phenotype signs and maxillofacial morphological features.Materials and methods. Depending on the external phenotype manifestations severity, as well as on laboratory, clinical and instrumental signs, the 92 children with CTD were divided into groups with mild, moderate and severe degrees of undifferentiated dysplasia. Gnathometric and biometric examinations of the maxillofacial area were performed through traditional methods, whereas the diagnosis was set following the generally accepted classifications. The diagnosis confirmation implied evaluation through cone beam computed imaging.Results. The nature and the intensity of morphofunctional disorders in the craniofacial structures (“small” stigmas) depend on the severity of connective tissue dysplastic disorders.Conclusions. The change direction vector in the facial and brain parts of cranium in children with CTD is aimed at increasing hypoplastic tendencies and dolichocephalia, proof to that being the following constitutional and morphological features: the prevalence of the vertical type of face skeleton growth over the horizontal and neutral ones; a convex face profile with a disproportionate general heights of the face skeleton; reduction of latitudinal with an increase in altitude facial parameters; a narrow short branch of the lower jaw; the upper jaw displaced downwards and forward; a decrease in the size of the apical basis of the lower dentition, the lower jaw body, as well as the height and width of the lower jaw branches. 

scholarly journals The RATIONS (Reducing Activation of Tuberculosis by Improvement of Nutritional Status) study: a cluster randomised trial of nutritional support (food rations) to reduce TB incidence in household contacts of patients with microbiologically confirmed pulmonary tuberculosis in communities with a high prevalence of undernutrition, Jharkhand, India

BMJ Open ◽  
2021 ◽  
Vol 11 (5) ◽  
pp. e047210
Author(s):  
Anurag Bhargava ◽  
Madhavi Bhargava ◽  
Banurekha Velayutham ◽  
Kannan Thiruvengadam ◽  
Basilea Watson ◽  
...  
Keyword(s):  
Risk Factor ◽  
Nutritional Status ◽  
G Proteins ◽  
Randomised Trial ◽  
Cluster Randomised Trial ◽  
Household Contacts ◽  
Cluster Randomised ◽  
High Prevalence ◽  
Secondary Outcomes ◽  
The Impact

IntroductionIndia has the largest burden of cases and deaths related to tuberculosis (TB). Undernutrition is the leading risk factor accounting for TB incidence, while severe undernutrition is a common risk factor for mortality in patients with TB in India. The impact of nutritional supplementation on TB incidence is unknown, while few underpowered studies have assessed its impact on TB mortality. We designed an open-label, field-based cluster randomised trial to assess the impact of nutritional supplementation (with food rations) on TB incidence in a group at higher risk of TB infection and disease, viz household contacts (HHC) of patients with microbiologically confirmed pulmonary TB (PTB) in Jharkhand, a state with a high prevalence of undernutrition.Methods and analysisWe shall enrol 2800 adult patients with PTB of the national TB programme, across 28 treatment units in 4 districts, and their approximately 11 200 eligible contacts. The sample size has 80% power to detect the primary outcome of 50% reduction in incidence of active TB in HHC over 2 years of follow-up. Patients and HHC in both the arms will undergo nutritional assessment and counselling. Patients will receive monthly food rations (supplying 1200 kcal and 52 g proteins/day) and multivitamins along with antitubercular treatment. The HHC in the intervention arm will receive food rations (supplying 750 kcal and 23 g proteins/day) and multivitamins while HHC in control arm will be on usual diet. The secondary outcomes in HHC will include effects on nutritional status, non-TB infections. Secondary outcomes in patients are effects on TB mortality, adherence, adverse effects, nutritional and performance status. Substudies will examine micronutrient status and effects on dietary intake, body composition, muscle strength and immune function.Ethics and disseminationThe institutional ethics committee of ICMR-NIRT, Chennai, approved the study (289/NIRT-IEC/2018). The results will be disseminated in publications and presentations.Trial registration numberClinical Trial Registry of India: CTRI/2019/08/020490.

scholarly journals Nutritional status of school children living in Northern part of Sri Lanka

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
M. G. Sathiadas ◽  
Annieston Antonyraja ◽  
Arunath Viswalingam ◽  
Kasthuri Thangaraja ◽  
V. P. Wickramasinghe
Keyword(s):  
Sri Lanka ◽  
Nutritional Status ◽  
School Children ◽  
Household Income ◽  
Maternal Education ◽  
Overweight And Obesity ◽  
Growth Spurt ◽  
Healthy Children ◽  
Important Indicator ◽  
Height For Age

Abstract Background Nutritional status is an important indicator for measuring quality of life in children. A region that is recovering from war will face many problems related to nutrition. Very few studies have addressed the nutritional problems in school children. This study was undertaken to identify the prevalence of wasting, stunting and obesity among school children from Northern Sri Lanka and associated socio-demographic factors. Methods A community based cross-sectional study was carried out using multistage stratified proportionate cluster among healthy children attending schools in the Northern part of the country. Height and weight were measured, and Body Mass Index (BMI) calculated [weight (kg)/Height (m) 2]. BMI-for-age z-score (BAZ) and Height for age Z (HAZ) scores were determined and WHO growth references were used to categorise the nutritional status. Correlation between various nutritional problems with Maternal education, household income, number of family members and the residential area was assessed. Results A total of 1012 children were recruited, and the mean age and standard deviation were 11.12±1.77 yrs. Girls in the age ranges of 9–14 were heavier and taller when compared to the boys compatible with the pubertal growth spurt. Stunting based on the height for age was seen in 10.9% of boys and 11.8% of girls. Wasting based on BMI for age WHO standard (WHO 2007) was seen in 30.6% of boys and 29.1% of the girls. The prevalence of overweight was 11% and Obesity was 6.3% of the population. Obesity was predominantly seen in boys (4.2%) and it was significantly higher when compared to the girls (2.1%) (p < 0.001). Obesity in older boys (> 10 years) was significantly more than the younger ones (p < 0.01). Maternal education and family income had a significant impact on the prevalence of wasting, stunting and obesity whereas the family size contributed to the wasting and obesity (p< 0.001). Conclusion Findings suggest that stunting, wasting, overweight and obesity are prevalent among 6–16-year-old leading to concerns in public health. The nutritional status significantly varies according to the geographical location, maternal education and the household income.

scholarly journals Revisiting Konzo Risk Factors in Three Areas Differently Affected by Spastic Paraparesis in Eastern Democratic Republic of the Congo Discloses a Prominent Role of the Nutritional Status—A Comparative Cross-Sectional Study

Nutrients ◽  
2021 ◽  
Vol 13 (8) ◽  
pp. 2628
Author(s):  
Marius Baguma ◽  
Espoir Bwenge Malembaka ◽  
Esto Bahizire ◽  
Germain Zabaday Mudumbi ◽  
Dieudonné Bahati Shamamba ◽  
...  
Keyword(s):  
Risk Factors ◽  
Nutritional Status ◽  
Democratic Republic ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cyanide Poisoning ◽  
Cross Sectional ◽  
High Prevalence ◽  
Republic Of The Congo

This comparative cross-sectional study aimed to better understand the respective contributions of protein malnutrition and cassava-derived cyanide poisoning in the development of konzo. We compared data on nutritional status and cyanide exposure of school-age adolescent konzo-diseased patients to those of non-konzo subjects of similar age from three areas in the Eastern Democratic Republic of the Congo. Our results show that konzo patients had a high prevalence of both wasting (54.5%) and stunting (72.7%), as well as of cyanide poisoning (81.8%). Controls from Burhinyi and those from Idjwi showed a similar profile with a low prevalence of wasting (3.3% and 6.5%, respectively) and intermediate prevalence of stunting (26.7% and 23.9%, respectively). They both had a high prevalence of cyanide poisoning (50.0% and 63.0%, respectively), similar to konzo-patients. On the other hand, controls from Bukavu showed the lowest prevalence of both risk factors, namely chronic malnutrition (12.1%) and cyanide poisoning (27.6%). In conclusion, cassava-derived cyanide poisoning does not necessarily coexist with konzo outbreaks. The only factor differentiating konzo patients from healthy individuals exposed to cyanide poisoning appeared to be their worse nutritional status. This further suggests that, besides the known role of cyanide poisoning in the pathogenesis of konzo, malnutrition may be a key factor for the disease occurrence.

scholarly journals Nutritional Status and Anthropometric Indices in High School Girls in Ilam, West Iran

Scientifica ◽  
2016 ◽  
Vol 2016 ◽  
pp. 1-5 ◽  
Author(s):  
Fatemeh Jamalikandazi ◽  
Elham Ranjbar ◽  
Eskandar Gholami-Parizad ◽  
Zeinab Ghazanfari ◽  
Seyed-Ali Mostafavi
Keyword(s):  
High School ◽  
Nutritional Status ◽  
Human Growth ◽  
Cross Sectional Study ◽  
Cluster Sampling ◽  
Anthropometric Indices ◽  
Cross Sectional ◽  
Dietary Recall ◽  
High School Girls ◽  
School Girls

Background. Adolescence is one of the most challenging periods for human growth and nutritional status. The aim of this study was to assess the nutritional status and anthropometric indices in high school girls in Ilam.Methods. This cross-sectional study was performed on 360 domestic high school girl students chosen randomly by cluster sampling. Data were gathered through interviews performed by a dietitian to fill 24-hour dietary recall and food frequency and demographic questionnaires. Then we performed the anthropometric measurements and we compared the results with CDC2000 standards. We analyzed our data by N4 food analyzer and SPSS16 software.Results. The prevalence of obesity and overweight was 5% and 10.8%, respectively. Simultaneously, the prevalence of underweight was 20.2%. The prevalence of stunting was 5.8%. We also showed that 50% of high school girls in Ilam suffered from severe food insecurity, 14.7% suffered from mild insecurity, and 4.7% get extra energy from foods. Food analysis showed that micronutrients such as zinc, iron, calcium, folate, fiber, magnesium, and vitamin B12 were less than what is recommended by the RDA.Conclusion. Undernutrition and overnutrition are completely prevalent among girls studied in Ilam. This needs further acts and investigations in the field and more nutritional and health educations.

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