scholarly journals An Agricultural and Finance Intervention Improved Dietary Intake and Nutritional Status of Children Living in HIV-affected Households in Western Kenya (P10-129-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Shiva Bhandari ◽  
Lisa Butler ◽  
Phelgona Otieno ◽  
Sheri Weiser ◽  
Craig Cohen ◽  
...  

Abstract Objectives To test whether an intervention that was shown previously to have improved food security, dietary intake of adults, and HIV health outcomes also improved dietary intake and nutritional status of children living in HIV-affected households. Methods The study was conducted in the Nyanza Region, Kenya where two health facilities were randomly assigned as intervention or control arms. The intervention included a human-powered water pump, a microfinance loan to purchase farm commodities, and training in sustainable farming practices and financial management. One hundred children (6 to 60 months of age) were enrolled in each arm from households with HIV-infected adults 18 to 49 years old on antiretroviral therapy and with access to surface water and land. Children were assessed beginning in April 2012 and every three months for one year. Data were collected on dietary intake, height, weight, and mid-upper arm circumference (MUAC). The difference in differences from first visit and in linear trends over visits were tested using fixed-effects regression models. Results Compared to the control arm, children in the intervention arm had a larger increase in weight at the 12-month visit (β: 0.42, 95% CI: 0.08, 0.76) and increase in MUAC at the 6-month visit (β: 0.28, 95% CI: 0.08, 0.49), with no difference in changes in height over time. Compared to the control arm, the intervention arm had a larger increasing linear trend over time in intake of staples (β: 0.22, 95% CI: 0.02, 0.44), fruits and vegetables (β: 0.42, 95% CI: 0.10, 0.75), and meat (β: 0.07, 95% CI: 0.03, 0.12), and a larger decreasing linear trend in intake of condiments (β: -0.16, 95% CI: -0.23, -0.09) and tea (β: -0.12, 95% CI: -0.19, -0.05), with no differences in intake of eggs, dairy and fat over time. Conclusions This intervention that improved food security, dietary intake, and HIV health outcomes of HIV-infected adults also improved dietary intake and nutritional status of children living in those households. Multisectoral agricultural and financial interventions have the potential to improve the nutritional status of HIV-affected children in rural Kenya and should be further explored. Funding Sources National Institute of Mental Health.

2020 ◽  
Vol 4 (2) ◽  
Author(s):  
Lisa M Butler ◽  
Shiva Bhandari ◽  
Phelgona Otieno ◽  
Sheri D Weiser ◽  
Craig R Cohen ◽  
...  

ABSTRACT We tested whether a multisectoral household agricultural and finance intervention increased the dietary intake and improved the nutritional status of HIV-affected children. Two hospitals in rural Kenya were randomly assigned to be either the intervention or the control arm. The intervention comprised a human-powered water pump, microfinance loan for farm commodities, and training in sustainable farming practices and financial management. In each arm, 100 children (0–59 mo of age) were enrolled from households with HIV-infected adults 18–49 y old. Children were assessed beginning in April 2012 and every 3 mo for 1 y for dietary intake and anthropometry. Children in the intervention arm had a larger increase in weight (β: 0.025 kg/mo, P = 0.030), overall frequency of food consumption (β: 0.610 times · wk–1 · mo–1, P = 0.048), and intakes of staples (β: 0.222, P = 0.024), fruits and vegetables (β: 0.425, P = 0.005), meat (β: 0.074, P < 0.001), and fat (β: 0.057, P = 0.041). Livelihood interventions have potential to improve the nutrition of HIV-affected children. This trial was registered at clinicaltrials.gov as NCT01548599.


Ciencia Unemi ◽  
2018 ◽  
Vol 11 (26) ◽  
pp. 143
Author(s):  
Betty Judith Pazmiño-Gómez ◽  
Lizán Ayol-Pérez ◽  
Luis López-Orozco ◽  
William Vinueza- Freire ◽  
Juan Cadena-Alvarado ◽  
...  

La parasitosis intestinal es una infección que se puede presentar en cualquier ser humano, sin embargo, es evidente su prevalencia en la población infantil, situación que incide en su estado nutricional, los infantes infectados tienden a tener variantes en su comportamiento y nutrición, una situación que puede obstaculizar seriamente su desarrollo físico e intelectual. El objetivo del presente trabajo fue identificar la relación entre la parasitosis intestinal y estado de nutricional en los niños de 1 a 3 años del Centro Infantil del Buen Vivir María Paz de la Ciudadela Almeida en el cantón Milagro durante el periodo de noviembre 2016 a mayo 2017. La metodología responde a los paradigmas cuantitativos de carácter descriptivo, apoyadas por una investigación de campo que permitió la recolección de datos antropométricos y las muestras fecales para la realización de exámenes coprológicos: 23 de los niños y niñas presentaron parasitosis intestinal (60,5%), mientras que 15 niños dieron negativos (39,5%) de los que presentaron parasitosis; 14 infantes se vieron afectados con bajo peso, debido a la presencia de parásitos (37%), Además, en la encuesta a los padres de familia, más del 65% de los hogares no tienen una adecuada norma de cuidado para prevenir la infección por parásitos intestinales, y el consumo de agua sin hervir así como la ingesta de frutas y legumbres sin lavado previo. Se puede concluir que la carencia de servicios básicos, hábitos de higiene alimentaria y el desconocimiento de los riesgos es determinantes para la presencia de parásitos intestinales en los infantes y por ende afecta el estado nutricional. AbstractIntestinal parasitosis is an infection that can occur in any human being; however, its prevalence could affect mostly the nutritional status of children. Therefore, infected infants tend to have variations in their behavior and nutrition, a situation that can seriously impede their physical and intellectual development. The objective of the present work was to identify the relationship between intestinal parasitosis and nutritional status in children from 1 to 3 years old of Centro Infantil del Buen Vivir María Paz of Ciudadela Almeida in Milagro Canton during the period from November 2016 to May 2017. The methodology responds to quantitative paradigms of a descriptive nature, supported by a field investigation that allowed the collection of anthropometric data and fecal samples for the performance of coprological examinations. From those who presented parasitosis: 23 of the children showed parasitosis intestinal (60.5%) while 15 children were negative (39.5%); 14 are affected with low weight due to the presence of parasites (37%). Also, more than 65% of households do not have an adequate standard of care to prevent infection by intestinal parasites, and consumption of water without boiling as well as the intake of fruits and vegetables without previous washing was observed in the survey of parents. It can be conclude that the lack of basic services, habits of food hygiene, the ignorance of the risks are determinant for the presence of intestinal parasites in infants and therefore affects the nutritional status.


2021 ◽  
Vol 8 (8) ◽  
pp. 289-296
Author(s):  
Ayoub Al-Jawaldeh ◽  
Azza Abul-Fadl

Introduction: Early exclusive breastfeeding (EBF) without foods or formula milk (FM) is recommended for the first six months of life, for optimum growth and development. Aim: This study aims to review studies in Egypt on nutritional status of preschool children by type of feeding. Methods: A two staged study was done: First; research was obtained from the Egyptian university libraries consortium (www.eulc.edu) on overweight, obesity stunting, and wasting in preschool children. We filtered 18 thesis fitting the criteria of the study. Next, analysis was done to compare EBF versus FM. Results: Comparison of nutritional status of children aged 6–59 months among formula versus EBF was as follows: Overweight 5.4% versus 3.45%, obesity 13.8% versus 5.65%, stunting 21.6% versus 1.15%, and wasting 9.7% versus 0.85%, respectively. Obesity and overweight were higher in males, whereas stunting and wasting were higher in females irrespective of mode of feeding. Early and extended formula feeding, foods before 6 months of life, packed foods, canned drinks, and low activity are risk factors for obesity. Colostrum feeding, exclusive and longer duration of breastfeeding, healthy food intake, and fruits and vegetables are protective. Studies report that deficiency of micronutrients is common with obesity. Conclusions: Prolonged formula feeding and unhealthy food intake are risk factors for the emerging and growing problem of obesity. Policies and legislations are needed to encourage exclusive breastfeeding and control marketing of unhealthy foods.


2020 ◽  
Vol 8 (E) ◽  
pp. 291-295
Author(s):  
Abdul Aziz Alimul Hidayat ◽  
Gita Marini ◽  
Anaestasia Pangestu Mei Tyas

BACKGROUND: Family food security and parenting are factors affecting changes in nutritional status related to family care and food availability. AIM: This study aims to analyze the factors affecting nutritional status in children aged 6–24 months in Lamongan Regency, Indonesia. METHODS: The study used cross-sectional data with 191 children aged 6–24 months and their parents, selected by simple random sampling. The data were collected through observations and interviews and used to assess the physical endurance and nutritional status based on the questionnaires, food frequency, observations, weight scales, and World Health Organization/National Center for Health Statistics reference standards. RESULTS: The results of the double linear regression test p = 0.000 indicated that the parenting coefficient had more influence on the nutritional status of children aged 6–24 months than the family food security coefficient on the nutritional status of children in Lamongan Regency, with Y = 1.565 + 0.062 X1 + 0.446 X2, Y being nutritional status, 1.565 as the coefficient value, X1 (0.062) being family food security, and X2 (0.446), parenting. CONCLUSION: Better parenting improved the nutritional status of children aged 6–24 months compared to maintaining food security. Thus, parenting improvement programs could be prioritized through the Community Health Center.


2009 ◽  
Vol 102 (5) ◽  
pp. 733-743 ◽  
Author(s):  
Katia Castetbon ◽  
Michel Vernay ◽  
Aurélie Malon ◽  
Benoit Salanave ◽  
Valérie Deschamps ◽  
...  

The French National Programme on Nutrition and Health (Programme national nutrition santé (PNNS)), the aim of which is to reduce nutrition-related chronic diseases, necessitates monitoring of nutritional characteristics. Our objective was to describe dietary intake, physical activity and nutritional status in a national sample of adults, especially according to current French recommendations. The study is based on a cross-sectional population-based survey using a multistage sampling design (Etude nationale nutrition santé (ENNS)). Between February 2006 and March 2007, 3115 18–74-year-old adults were included (participation rate 59·7 %). Energy, macronutrient and food consumption were estimated through three randomly distributed 24 h recalls, and compared to PNNS recommendations; physical activity was described using International Physical Activity Questionnaire guidelines; anthropometry, blood pressure and biochemical measurements were assessed according to national and international references. When compared to current recommendations, intake of carbohydrates (>50 % energy intake without alcohol: 26·4 %), SFA ( < 35 % total lipids: 18·5 %) and total fibre (>25 g/d: 13·7 %) was frequently unsatisfactory. While overall consumption of ‘meat, seafood and eggs’ was satisfactory, that of fruits and vegetables ( ≥ 400 g/d: 43·8 %) and seafood (two or more servings per week: 29·9 %) was frequently too low. The physical activity level was satisfactory at 63·2 %. Overweight was observed in 49·3 % of adults, while 30·9 % were hypertensive and 44·1 % had dyslipidaemia. Vitamin and iron-poor status was found to affect less than 10 % of the population. Based on the ENNS survey, overall nutrition remains a problem in France. Comparison of these data with those of other countries could contribute to a better understanding of variations in nutrition-related diseases.


2017 ◽  
Vol 1 (3) ◽  
pp. 189
Author(s):  
Rika Kusuma Nagari ◽  
Triska Susila Nindya

Background: The nutritional status of elementary school children can be influence by many factors such as levels adequacy of energy and proteinand household food security status. Unbalanced levels adequacy of energy and protein possibility can cause nutritional problems in children. While the status of household food security has an impact on the household ability to access a good food. Objectives: aims of this study are to analyze the relationship between nutritional adequacy level and household food security status with nutritional status of children aged 6-8 years. Method: This study used cross sectional design with sample of 62 families with children aged 6-8 years enrolled in SDN 1 and 2 Sambirejo. Anthropometric measurement of height and weight is used to determine the nutritional status of children. The instruments used 2x24-hours food recall form (energy and protein adequacy level), and US-HFSSM (household food security status). While the statistical test used is spearman correlation test. Results: The results showed a correlation between levels of energy (p=0.000) and protein (p=0.000) adequacy and household food security status (p=0.010) with child nutritional status. Conclusion: Households with food insecurity had a higher proportion of nutritional problem than food secure family, so it is needed to children for having supplemental food, especially them who have nutritional problems and on food insecurity condition. It is intended to provide children with additional nutritious food to reduce the risk of nutritional problems.ABSTRAK Latar Belakang: Status gizi anak sekolah dasar dapat dipengaruhi oleh banyak faktor diantaranya tingkat kecukupan energi dan protein serta status ketahanan pangan rumah tangga. Ketidakseimbangan tingkat kecukupan energi dan protein, kemungkinan dapat menyebabkan masalah gizi pada anak. Status ketahanan pangan rumah tangga berdampak kepada kemampuan dalam mengakses pangan yang baik.Tujuan: Penelitian ini bertujuan untuk menganalisis hubungan antara tingkat kecukupan energi dan protein serta status ketahanan pangan rumah tangga dengan status gizi anak usia 6-8 tahun.Metode: Penelitian ini menggunakan desain cross sectional dengan sampel sebanyak 62 keluarga yang memiliki anak usia 6-8 tahun yang terdaftar di SDN 1 dan 2 Sambirejo. Pengukuran antropometri tinggi badan dan berat badan digunakan untuk mengetahui status gizi anak. Selain itu, instrumen yang digunakan adalah  formulir 2x24-hours food recall (tingkat kecukupan energi dan protein), dan US-HFSSM (status ketahanan pangan rumah tangga). Statistik uji yang digunakan adalah uji korelasi spearman.Hasil: Hasil dari penelitian ini yaitu terdapat hubungan antara tingkat kecukupan energi (p=0,000) dan protein (p=0,000) serta status ketahanan pangan rumah tangga (p=0,010) dengan status gizi anak.Kesimpulan: Rumah tangga yang rawan pangan akan memiliki risiko mengalami masalah gizi yang lebih tinggi bila dibandingkan dengan rumah tangga yang tahan pangan, sehingga perlu adanya pemberian makanan tambahan kepada anak, terutama kepada anak yang memiliki masalah gizi dan berada pada kondisi rawan pangan. Hal tersebut dimaksudkan untuk memberikan anak tambahan makanan yang bergizi agar menurunkan risiko masalah gizi.


2017 ◽  
Vol 1 (3) ◽  
pp. 189
Author(s):  
Rika Kusuma Nagari ◽  
Triska Susila Nindya

Background: The nutritional status of elementary school children can be influence by many factors such as levels adequacy of energy and proteinand household food security status. Unbalanced levels adequacy of energy and protein possibility can cause nutritional problems in children. While the status of household food security has an impact on the household ability to access a good food. Objectives: aims of this study are to analyze the relationship between nutritional adequacy level and household food security status with nutritional status of children aged 6-8 years. Method: This study used cross sectional design with sample of 62 families with children aged 6-8 years enrolled in SDN 1 and 2 Sambirejo. Anthropometric measurement of height and weight is used to determine the nutritional status of children. The instruments used 2x24-hours food recall form (energy and protein adequacy level), and US-HFSSM (household food security status). While the statistical test used is spearman correlation test. Results: The results showed a correlation between levels of energy (p=0.000) and protein (p=0.000) adequacy and household food security status (p=0.010) with child nutritional status. Conclusion: Households with food insecurity had a higher proportion of nutritional problem than food secure family, so it is needed to children for having supplemental food, especially them who have nutritional problems and on food insecurity condition. It is intended to provide children with additional nutritious food to reduce the risk of nutritional problems.ABSTRAK Latar Belakang: Status gizi anak sekolah dasar dapat dipengaruhi oleh banyak faktor diantaranya tingkat kecukupan energi dan protein serta status ketahanan pangan rumah tangga. Ketidakseimbangan tingkat kecukupan energi dan protein, kemungkinan dapat menyebabkan masalah gizi pada anak. Status ketahanan pangan rumah tangga berdampak kepada kemampuan dalam mengakses pangan yang baik.Tujuan: Penelitian ini bertujuan untuk menganalisis hubungan antara tingkat kecukupan energi dan protein serta status ketahanan pangan rumah tangga dengan status gizi anak usia 6-8 tahun.Metode: Penelitian ini menggunakan desain cross sectional dengan sampel sebanyak 62 keluarga yang memiliki anak usia 6-8 tahun yang terdaftar di SDN 1 dan 2 Sambirejo. Pengukuran antropometri tinggi badan dan berat badan digunakan untuk mengetahui status gizi anak. Selain itu, instrumen yang digunakan adalah  formulir 2x24-hours food recall (tingkat kecukupan energi dan protein), dan US-HFSSM (status ketahanan pangan rumah tangga). Statistik uji yang digunakan adalah uji korelasi spearman.Hasil: Hasil dari penelitian ini yaitu terdapat hubungan antara tingkat kecukupan energi (p=0,000) dan protein (p=0,000) serta status ketahanan pangan rumah tangga (p=0,010) dengan status gizi anak.Kesimpulan: Rumah tangga yang rawan pangan akan memiliki risiko mengalami masalah gizi yang lebih tinggi bila dibandingkan dengan rumah tangga yang tahan pangan, sehingga perlu adanya pemberian makanan tambahan kepada anak, terutama kepada anak yang memiliki masalah gizi dan berada pada kondisi rawan pangan. Hal tersebut dimaksudkan untuk memberikan anak tambahan makanan yang bergizi agar menurunkan risiko masalah gizi.


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