scholarly journals Factors Associated With Stunting Among Infants and Young Children Aged 7–29 Months in Post-conflict Northern Uganda

2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 805-805
Author(s):  
Yanlin Ren ◽  
Stacy Griswold ◽  
Gabriel Ocamanono ◽  
Marlène Hebie ◽  
Kate Schoenmakers ◽  
...  

Abstract Objectives To examine factors associated with stunting in Agago District, Uganda Methods We used cross-sectional data from a quantitative baseline survey of 870 households of the ONCE (One Nutrition in Complex Environments) project currently being conducted in Agago district of Uganda. Survey data used include infant anthropometry, infant feeding practices, 24-hour dietary recall, maternal heights, weights, education and household characteristics. Statistical methods include Pearson correlation coefficients, student T-tests, pair-wise mean comparisons with Bonferroni adjustment, and stepwise multivariable linear and logistic regression analyses controlled for clustering. Dependent variables include length-for-age z-score (LAZ, −6 to 6, continuous) and being stunted (binary). Independent variables include child age, child's birth weight, diarrheal morbidity (past two weeks), maternal education, maternal height, household wealth index, and animal sourced foods consumption (ASF, categorical: no ASF (comparator), 1 ASF, >= 2 ASF). ASF is defined as consumption of dairy, animal flesh, fish of any kind, organ meat, insects, or eggs in previous 24 hours. Results Infants between 7 months and 2.5 years with complete data were included (N = 621), of whom 19.7% were classified as stunted. Mean LAZ was −1.05 (SD: 1.24). Most children did not consume any ASF in the past 24 hours (73.6%). ASF consumption was not associated with LAZ (1 kind of ASF: −0.0699, 95% CI: −0.329, 0.189) or stunting (1 kind of ASF OR: 1.186, 95% CI: 0.614, 2.292). Maternal height was associated with 7.8% decreased odds of being stunted (OR: 0.922, 95% CI: 0.878, 0.969); age was associated with 8.9% increased odds of being stunted (OR: 1.089, 95% CI: 1.011, 1.090); birth weight was associated with 54% decreased odds of being stunted (OR: 0.461, 95% CI: 0.296, 0.717). Infants with diarrhea were 96% more likely to be stunted than those without (OR: 1.956, 95% CI: 1.050, 3.642). Conclusions Factors associated with stunting were maternal height, child age, birth weight and diarrheal morbidity. ASF consumption was not, possibly due to low levels and possibly low frequency of consumption. Mother's nutritional status is likely to be an important predictor in this population. Funding Sources Feed the Future Initiative, U.S. Agency for International Development.

2015 ◽  
Vol 2015 ◽  
pp. 1-7 ◽  
Author(s):  
Ravi Kumar Bhaskar ◽  
Krishna Kumar Deo ◽  
Uttam Neupane ◽  
Subhadra Chaudhary Bhaskar ◽  
Birendra Kumar Yadav ◽  
...  

Background. This study was done to assess the maternal and sociodemographic factors associated with low birth weight (LBW) babies.Methods. An unmatched case control study was done involving 159 cases (mothers having LBW singleton babies) and 159 controls (mothers having normal birth weight singleton babies).Results. More than 50% of LBW babies were from the mothers with height ≤145 cm while only 9.43% of NBW babies were from the mothers with that height. Finally, after multivariate logistic regression analysis, maternal height, time of first antenatal care (ANC) visit, number of ANC visits, iron supplementation, calcium supplementation, maternal education, any illness during pregnancy, and hypertension were found as the significant predictors of LBW. However, maternal blood group AB, normal maternal Body Mass Index (BMI), mother’s age of 30 or more years, and starting ANC visit earlier were found to be protective for LBW.Conclusion. Study findings suggest that selectively targeted interventions such as delay age at first pregnancy, improving maternal education and nutrition, and iron and calcium supplementation can prevent LBW in Nepal.


2004 ◽  
Vol 91 (2) ◽  
pp. 307-314 ◽  
Author(s):  
Mônica M. Osório ◽  
Pedro I. C. Lira ◽  
Ann Ashworth

In 1997, the prevalence of anaemia was 40·9 % among children aged 6–59 months in the State of Pernambuco, north-east Brazil. Using the same sample of children, we have investigated possible reasons for this high prevalence. A representative sample was selected through a three-stage process: proportional systematic random sampling of municipalities in the State, systematic random sampling of census sectors within these municipalities, and finally, simple random sampling of households with children aged 6–59 months to obtain the sample of 650 children. Data collection included demographic, environmental, socio-economic and maternal variables, and nutritional status and dietary intakes of the children. Multiple linear regression analysis was based on a hierarchical model of factors associated with Hb concentration. The mean Hb concentration of children aged 6–23 months was 10 g/l lower than that of older children. In the regression analysis, child age explained 8·3 % of the variance in Hb concentration. The intake of bioavailable Fe explained a further 3·3, serum retinol 2·7, diarrhoea 2·4, water treatment 1·7, sanitation 1·3 and low birth-weight 0·5 %. The final model explained 23·4 % of the variance in Hb concentration. We conclude that child age, bioavailable-Fe intake, serum retinol concentration, diarrhoea, water treatment, sanitation and low birth-weight are independently associated with Hb concentration. In north-east Brazil, anaemia prevention programmes among children should focus on those aged <2 years and should consider feasible strategies to improve intakes of bioavailable Fe and vitamin A, and reduce infection. Supplemental Fe should be given to low birth-weight infants.


BMJ Open ◽  
2019 ◽  
Vol 9 (5) ◽  
pp. e025715 ◽  
Author(s):  
Rajat Das Gupta ◽  
Krystal Swasey ◽  
Vanessa Burrowes ◽  
Mohammad Rashidul Hashan ◽  
Gulam Muhammed Al Kibria

ObjectivesThis study aimed to investigate the factors associated with low birth weight (LBW) in Afghanistan.DesignCross-sectional study.SettingThis study used data collected from the Afghanistan Demographic and Health Survey 2015.ParticipantsFacility-based data from 2773 weighted live-born children enrolled by a two-stage sampling strategy were included in our analysis.Primary and secondary outcome measuresThe primary outcome was LBW, defined as birth weight <2.5kg.ResultsOut of 2773 newborns, 15.5% (n=431) had LBW. Most of these newborns were females (58.3%, n=251), had a mother with no formal schooling (70.5%, n=304), lived in urban areas (63.4%, n=274) or lived in the Central region of Afghanistan (59.7%, n=257). In multivariable analysis, residence in Central (adjusted OR (AOR): 3.4; 95% CI 1.7 to 6.7), Central Western (AOR: 3.0; 95% CI 1.5 to 5.8) and Southern Western (AOR: 4.0; 95% CI 1.7 to 9.1) regions had positive association with LBW. On the other hand, male children (AOR: 0.5; 95% CI 0.4 to 0.8), newborns with primary maternal education (AOR: 0.5; 95% CI 0.3 to 0.8), birth interval ≥48 months (AOR: 0.4; 95% CI 0.1 to 0.8), belonging to the richest wealth quintile (AOR: 0.2; 95% CI 0.1 to 0.6) and rural residence (AOR: 0.3; 95% CI 0.2 to 0.6) had decreased odds of LBW.ConclusionsMultiple factors had association with LBW in Afghanistan. Maternal, Neonatal and Child Health programmes should focus on enhancing maternal education and promoting birth spacing to prevent LBW. To reduce the overall burden of LBW, women of the poorest wealth quintiles, and residents of Central, Central Western and South Western regions should also be prioritised. Further exploration is needed to understand why urban areas are associated with higher likelihood of LBW. In addition, research using nationally representative samples are required.


2018 ◽  
Vol 11 (1) ◽  
pp. 376-383 ◽  
Author(s):  
Issara Siramaneerat ◽  
Farid Agushybana ◽  
Yaowaluck Meebunmak

Background: Low birth weight (LBW) is a major risk factor for death and disease in the fetus and newborn infant. However, the study about LBW and maternal risk factors involved in Indonesia is still limited. Objective: The present study attempted to examine the association of maternal risk factors including mother’s age, mother and husband education, mother and husband occupation and wealth, ANC visit, desired pregnancy and obstetric complication toward the occurrence of low birth weight infant across region and family wealthy. Methods: This study employed the data from the national survey of Indonesia Demographic and Health Survey (IDHS). The latest births from married women who gave birth within 2 years (2011 and 2012) preceding the IDHS were considered as sample selection. It was approximately 15,126 respondents. The predicted risks of low birth weight were estimated using multilevel logistic analysis. Results: Data were collected on 15,126 pregnant women who reported 10.2% were with LBW infants. When using the multilevel logistic analysis, the factors associated with LBW were maternal delivery-baby age, mother’s education, antenatal care and pregnancy complication at significant levels of 0.01. Conclusion: The prevalence of preterm infants in this study was quite high. Factors affecting LBW were maternal age, maternal education, ANC visits and pregnancy complication. The ANC visit of pregnant women is a potential and feasible activity to reduce the incidence of LBW.


Author(s):  
Tyas Aisyah Putri ◽  
◽  
Yuni Kusmiyati ◽  
Ana Kurniati ◽  
◽  
...  

ABSTRACT Background: Stunting is a cyclical process because women who were themselves stunted in childhood tend to have stunted offspring, creating an intergenerational cycle of poverty and reduced human capital that is difficult to break This study aimed to investigate the risk factors of stunting in children aged 25-59 months. Subjects and Method: A case control study was conducted at Kotagede I health center, Yogyakarta. A sample of 78 children aged 25-59 months was selected by simple random sampling. The dependent variable was stunting. The independent variables were birth weight, exclusive breastfeeding, maternal height, and maternal education. The data were obtained from questionnaire and analyzed by a multiple logistic regression. Results: The risk of stunting increased with low birth weight (aOR= 4.24; 95% CI= 1.70 to 10.60; p= 0.001), non-exclusive breastfeeding (aOR= 2.43; 95% CI= 1.28 to 4.62; p= 0.010), short maternal height (aOR= 2.13; 95% CI= 1.79 to 2.53; p= 0.002), and low maternal education (aOR= 2.30; 95% CI= 1.12 to 4.69; p= 0.033). Conclusion: The risk of stunting increases with low birth weight, non-exclusive breastfeeding, short maternal height, and low maternal education. Keywords: stunting, low birth weight, exclusive breastfeeding, maternal height Correspondence: Tyas Aisyah Putri. Study Program in Midwifery, Health Polytechnics Ministry of Health, Yogyakarta. Jl. Tatabumi 3 Banyuraden, Gamping, Sleman, Yogyakarta. Email: [email protected]. Mobile: +6285725003949. DOI: https://doi.org/10.26911/the7thicph.03.112


2021 ◽  
Vol 1 (1) ◽  
pp. 16
Author(s):  
Silvia Mawarti Perdana ◽  
Afrinia Ekasari

The period of early life (0-24 months) is a golden period of growth and development that determines the quality of health in the next age. Double malnutrition, including stunting, at the early life will inhibit the growth and development, also increase the risk of noncommunicable diseases (NCDs) in the next stages of life. Methods: This study was aimed to analyze prevalence and factors associated with stunting in children aged 0-24 months in Sukaluyu, Karawang, Indonesia (Citarum Project). A cross sectional study was conducted in 130 childrens aged 0-24 months during oktober-november 2018 in Sukaluyu Village, Karawang District, Indonesia (sector 17 of citarum harum project). The data were collected by questionnaires and anthropometric assessment. Pearson correlation was used to analyze the association between birth weight, early breastfeeding initiation, breast milk, and hygiene and healthy lifestyle. Results: The prevalence of stunting (length/height for age z-scores < -2.0) among children was 20% (male 58%, female 42%). Factor associated with stunting among children was breast milk (p<0.05), meanwhile for birth weight, early breastfeeding initiation, and hygiene and healthy lifestyle are not associated. Conclusions: This study found that stunting can be prevented through exclusive breastfeeding (until 6 months) and continued for up to 2 years with giving complementary feeding.


Background: Anemia is a common health problem worldwide, affecting all age groups especially children under five years. Besides causing significant morbidity and mortality, it devastatingly affects physical growth and cognitive skills. Factors leading to anemia in developing countries are manifold. This study determined the frequency, morphological types and factors associated with anemia among hospitalized children aged 1-5 years in a tertiary care hospital. Methods: This study was conducted among hospitalized children aged 1-5 years, at the Pediatric Department Ziauddin University Hospital, Karachi from September 2019 to March 2020. Total 333 admitted children aged 1-5 years were included. Data was accessed from hospital database. Nutritional factors and diet intake in the preceding week were recorded. The frequency, morphological types and severity of anemia were analyzed. Factors associated with anemia were compared by Chi-squared test for qualitative variables and t-test for numerical variables taking p-value ≤ 0.05 as statistically significant. Results: Anemia was detected in 212 (63.7%) children, among which 170 (80.2%) had microcytic and 4.0 (1.9%) had macrocytic anemia. The frequency of moderate anemia was high 103 (48.6%) and severe anemia 18 (8.5%) was low. Factors significantly associated with anemia (p=0.001) were low birth weight, low maternal education, less household income, pica and non-consumption of meat/animal products. Conclusion: More than half of the hospitalized children aged 1-5 years had Hb<11.0 g/dl. Microcytic anemia was the most common morphological type. Low birth weight, socioeconomic status, maternal education, malnutrition, pica ingestion and non-consumption of meat and dairy products were markedly associated with anemia. Keywords: Anemia; Children; Low Birth Weight; Malnutrition; Pica.


Author(s):  
Betty Muriithi ◽  
◽  
Simon Karanja ◽  
Mohamed Karama ◽  
Collins Okoyo ◽  
...  

Objective: To examine occurrence of Acute Respiratory tract Infections (ARIs) and determine factors associated with ARIs among children under five years attending Kinango Sub-County Hospital. Methods: A cross-sectional survey was conducted among mother-child aged between 0-59 month’s pairs attending outpatient care. Participants were recruited using systematic sampling method. Data was collected using an interviewer-administered structured questionnaire. Descriptive statistics were used to summarize child, parental and environmental characteristics. Factors associated with ARIs were established using binary logistic regression analysis. Odds Ratio (OR), at 95% Confidence Interval (CI) and p <0.05 significant level was used to describe an association between covariates and the outcome variable. Independent factors associated with occurrence of ARIS were determined by stepwise logistic regression. Results: 385 children participated in this study. 228 children (59.2%) presented with ARIs, of which 90.8% were due to acute upper respiratory tract infections. 9.2% of the cases were due to pneumonia. Female gender aOR 3.39 [1.21-9.46], stunting aOR 3.62 [1.04-12.61], high parity aOR 11.45 [2.38-55.09], low maternal education aOR 3.54 [1.10-11.32] and recent hospitalization aOR 8.19 [1.75-38.43] increased the odds of occurrence of an ARI while normal birth weight aOR0.06 [0.01-0.62] was protective of ARIs. Conclusion: A high prevalence of ARIs among children aged below five years was observed in this study, associated with gender, stunting, parity, maternal education, birth weight and recurring hospitalization. Improvements in literacy levels, child nutrition and maternal and child health at large could help to reduce morbidity due to ARIs in this population.


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Gebretsadik Shibre ◽  
Mulugeta Tamire

Abstract Background Evidence suggests appearance of socioeconomic gradient in the probability of low birth weight (LBW). Such evidence, however, is scanty in Ethiopia. The study aimed to examine the prevalence of and socioeconomic gradient in LBW in Ethiopia. Method Data for the study were drawn from the Ethiopia Demographic and Health Survey conducted in 2016. The 2016 EDHS is the fourth wave in the series of nationally representative household surveys carried out in the country to deliver up-to-date health and demographic indicators for the Ethiopian population. Women aged 15 to 49 years were the main focus of the survey, with data also gathered from men aged 15 to 59 years and under five children. The study pursued complex sampling strategy to draw samples representative at national as well as at urban and rural levels. The data are available to the public domain and were accessed from the MEASURE DHS following registration. Multivariable logistic regression model and marginal standardization were used to estimate socioeconomic gradient in the probability of LBW. We performed sensitivity analysis to evaluate variation of LBW according to different categories of socioeconomic position. Maternal education and household wealth were used as measures of the socioeconomic position in the study. Results 13.2% (95% confidence interval = 10.73, 15.65) of births were complicated by LBW. The findings showed that socioeconomic gradient was evident between maternal education and LBW; as education increases from no education to secondary education, the probability of occurrence of LBW consistently declined. However, no gradient in LBW was detected for household wealth. Conclusions We have identified education gradient in LBW, with the highest burden of LBW occurring among the non-educated women. To redress the observed education disparity in LBW, targeted interventions need to be implemented with greater emphasis placed on illiterate women.


Author(s):  
Zainab Taha ◽  
Ahmed Ali Hassan ◽  
Ludmilla Wikkeling-Scott ◽  
Dimitrios Papandreou

Both preterm birth and low birth weight (LBW) represent major public health problems worldwide due to their association with the catastrophic effects of morbidity and mortality. Few data exist about such adverse pregnancy outcomes. The current study aimed to investigate the prevalence of and factors associated with preterm birth and LBW among mothers of children under two years in Abu Dhabi, United Arab Emirates. Data were collected in clinical and non-clinical settings across various geographical areas in Abu Dhabi. The data were analyzed using both descriptive and inferential statistics. A total of 1610 mother–child pairs were included in the current study. Preterm birth rate was 102 (6.3%) with a 95% confidence interval [CI] (6.1%, 6.5%) and the LBW rate was 151 (9.4%) with a 95% CI (9.3%, 9.5%). The mean (SD) of gestational age (GA) and birth weight at delivery was 39.1 (1.9) weeks and 3080.3 (518.6) grams, respectively. Factors that were positively associated with preterm birth were Arab mothers, maternal education level below secondary, caesarean section, and LBW. LBW was associated with female children, caesarean section (CS), first child order, and preterm birth. The current study highlighted the need for further interventional research to tackle these public health issues such as reducing the high CS rate and improving maternal education.


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