Nutritional status of celiac and non-celiac children from Rajasthan, India

2017 ◽  
Vol 47 (2) ◽  
pp. 240-253 ◽  
Author(s):  
Sadia Chishty ◽  
Monika Monika ◽  
Nimali Singh

Purpose The aim of the study was to compare the nutritional status of children having celiac disease (CD) with those not having the disease in the age group of 7-12 years. Children not having CD were from first- and second-degree siblings of the children affected to match for family and environment. In Indian celiac pediatric population, studies on nutritional status of celiac children and comparisons with their siblings as reference have not been reported. Design/methodology/approach Children with CD (n = 50) and without CD (n = 25) were matched for age and were purposively selected. Nutritional assessment included anthropometry, biochemical, clinical and nutrient intake. Weight and height measurements were recorded as per the standardized techniques. Biochemical investigations were done by skilled technicians. A two-day 24-h dietary recall method was used for calculation of nutrient intake. The observations were categorized as celiac and non-celiac children and pre-adolescents in age group of 7-9 years and 10-12 years. Findings The issues of being underweight and of low height according to age among celiac children were rampant. The non-celiac children were comparatively taller than children with CD. The hemoglobin and serum iron were significantly lower in celiac than non-celiac group (p < 0.01). Energy intake was significantly higher (p < 0.05) in celiac pre-adolescents as compared to non-celiac children (7-9 years). The protein intake was higher in non-celiac children, and the difference was highly significant (p < 0.01). The fat consumption was higher in celiac pre-adolescents. The nutritional status of celiac children was poor as compared to non-celiac children. Originality/value The present study is an attempt to compare the nutritional status of celiac children with their siblings.

2013 ◽  
Vol 2013 ◽  
pp. 1-7 ◽  
Author(s):  
Ayesha Zahid Khan ◽  
Ghazala Rafique ◽  
Haneen Qureshi ◽  
Salma Halai Badruddin

Introduction. Undernutrition in children is a major public health concern in Pakistan. A number of interventions which focused only on providing nutrient supplementation have failed to change child undernutrition status during the last 2 decades. The present study aimed to assess the impact of nutrition education on the nutritional status of children living in resource-limited environments. Methods. Subjects were 586 children from Tando Jam and Quetta, Pakistan, aged from 6 months to 8 years. Children were characterized as mild, moderate, or severely wasted on Z-scores. Anthropometry and 24-hour dietary recall were used for nutritional assessment. Intervention strategy was nutrition counselling targeting mothers. Primary outcome was decrease in the severity of wasting and changes in the feeding practices. Results. Nearly 36% children in Tando Jam and 32% children in Quetta progressed to a normal nutritional status. There was a significant increase in the number of meals taken per day (Tando Jam—/Quetta—). In Tando Jam, significant increase was reported in the intake of high starch food items, vegetables, and fruits (). In Quetta, significant increase was noted in the intake of plant protein (), dairy foods (), and vegetables (). Conclusion. Nutrition education was successful in reducing undernutrition in food insecure households.


2019 ◽  
Vol 49 (2) ◽  
pp. 232-239
Author(s):  
Tracy Bonsu Osei ◽  
Charles Apprey ◽  
Felix Charles Mills-Robertson ◽  
Agartha N. Ohemeng

PurposeThis study aims to assess the nutritional status of children with sickle cell diseases using anthropometric measurements, biochemical markers and dietary intakes.Design/methodology/approachThe study was conducted in 100 children of 3-12 years of age with sickle cell diseases (SCDs) at the Komfo Anokye Teaching Hospital in the Kumasi Metropolis of Ghana. Weight, height and age of participants were used to calculate body mass index-for-age. The mid-upper-arm-circumference-for-age, weight-for-age (percentiles) and height-for-age (percentiles) were compared with standards growth charts for children. Biochemical measures such as serum albumin and ferritin, as well as full blood count, were assessed. Dietary intake was assessed using 24-h dietary recall and food frequency questionnaire.FindingsFrom the study, 73 and 37 per cent of the children with SCD recorded inadequate intake of iron and vitamin E, respectively, when compared to the recommended daily allowance. Out of the 100 participants, 37 per cent were underweight and 22 per cent were stunted. There was significant difference (p< 0.05) in underweight (weight-for-age) prevalence by gender. A multiple variate regression showed a significant association between zinc (r2= 0.763,p< 0.05) and haemoglobin levels.Originality/valueThe evidence in this paper is relevant for treatment, health education and nutritional counselling of parents with children who have SCD.


2015 ◽  
Vol 45 (2) ◽  
pp. 286-301 ◽  
Author(s):  
Jian Pei Kong ◽  
Roslee Bin Rajikan

Purpose – The purpose of this paper is a single-center six-month follow-up study to determine nutritional status of children with maple syrup urine disease (MSUD). Prolonged restriction on essential amino acid could cause malnutrition. By far, there is no study reported in the context of nutritional status among children with maple syrup urine disease (MSUD), who required life-long protein restriction. Design/methodology/approach – A total of 22 children with MSUD, aged from 1 to 12 years (6.54 ± 3.27) undergoing regular treatment in Institute of Pediatrics, Hospital Kuala Lumpur, were recruited. Body height, weight and head circumference were measured for anthropometry, whereas total protein, albumin and plasma branched-chain amino acid were measured for biochemical aspects. Clinical features diagnosed by pediatrician were recorded from children’s medical record. The 24-hour dietary recall was conducted to measure their nutrients intake. All assessments were repeated at six-month interval except clinical profile. Findings – There were no significant differences in all nutritional parameters from baseline to end of the visit. There was a prominence (particular noticeable of) of growth stunting (68; 64 per cent), undernutrition (35; 32 per cent) and microcephalic (57; 57 per cent) among children with MSUD. Nevertheless, children showed no significant improvement of anthropometric variables from baseline and after 6-month follow-up visit. Nearly all biochemical indicators were significantly (p < 0.05) higher than the reference value except valine. Intellectual disability was the most frequently (71 per cent) presenting symptoms among them. The finding also did not show any macro- or micronutrients fail to achieve above recommended nutrient intake in both visits. In conclusion, it is clear that no significant nutritional deficiency was induced by the use of MSUD dietary therapy; however, the findings indicated that MSUD children are at risk of malnutrition and regular nutritional assessment and monitoring should always be emphasized for optimal linear growth without affecting their amino acid profiles. Research limitations/implications – Multiple 24-hour recalls instead of single 24-hour recall should be used in this study for a better estimate of intake. Originality/value – Although there are retrospective studies targeted in presenting the clinical and biochemical profile of MSUD children which has been extensively examined, limited research has focused on prospective aspect of nutritional status of these children who are undergoing active and regular diet and medical nutrition therapy because of the absence of comprehensive reliable nutritional assessment data.


2017 ◽  
Vol 9 (1) ◽  
pp. 46
Author(s):  
Rendy Manuhutu ◽  
Dyah Umiyarni Purnamasari ◽  
Endo Dardjito

School age is the important period of human life and the quality have to be prepared well. The school age children is susceptible to malnutrition. Malnutrition among school age children will implicatethe children�s development and further potential development in that age. Food consumption levels and worm infection status are the two most affected factors to nutritional status of children school. The purpose of this research is to know the effect of energy, protein, fat and worm inflectional status to the nutritional status of SDN 01 Limpakuwus�s student in Sumbang, Banyumas. This research was cross sectional study approach,used purposive sampling with inclusion and exclusion criteria in 44 respondents. Analysis conducted by univariate, bivariate (Spearman rank) and multivariate (multiple logistic regression).Multivariate analysis showed the variables that influenced nutritional status is the level of fat consumption (p=0.022), and the variable did not affect the nutritional status are the level of energy consumption (p=0.999), protein consumption level (p=0.580), and worm infection status (p = 0.661). The suggestion is to get more food that can fulfil the energy, protein, fat needs and make the canteen in the school becomes a healthy canteen that serves healthy and nutritious meal.


2016 ◽  
Vol 118 (7) ◽  
pp. 1568-1578 ◽  
Author(s):  
Oyepeju Mary Onifade ◽  
Jesse Abiodun Otegbayo ◽  
Joshua Odunayo Akinyemi ◽  
Titus Ayodeji Oyedele ◽  
Ademola Richard Akinlade

Purpose – Improving the health of children under the age of five is one of the main objectives of primary healthcare services in most developing countries. The purpose of this paper is to identify the nutritional status of children under the age of five and its impact on cognitive function. Design/methodology/approach – The cross-sectional study was carried out in a semi-urban community in south-western Nigeria. The sample consisted of 220 school children under the age of five. Anthropometric measurements including weight, height and mid arm circumference were carried out to determine the nutritional status of the children. Cognitive function of the children was assessed using a developmental checklist developed by the American Academy of Pediatrics and their performance was graded as good, fair and poor. Findings – The overall prevalence of malnutrition in this study was low with stunting, underweight and wasting recording 8.2, 6.8 and 1.8 percent, respectively thereby making stunting the most common malnutrition indicator in this study. A large proportion of the children (88.6 percent) had good cognitive performance while 11.4 and 5.5 percent had fair and poor cognitive performance, respectively. Among the various malnutrition indicators measured in this study, stunting was found to have a statistically significant association with cognitive development (p=0.005).Stunted children have multiple functional disadvantages that persist throughout childhood and poor nutrition almost certainly plays a role. This paper calls for a need for the Nigerian Government to intervene by ensuring that policies are implemented that will ensure that health and nutritional needs of preschool children are guaranteed right from conception. Originality/value – In view of the importance of nutrition for cognition in children, this research has shown that the cognitive function of preschool children can be affected by stunting and it has contributed to global data on nutrition and cognition particularly in South-Western Nigeria.


2018 ◽  
Vol 3 (1) ◽  
pp. 11
Author(s):  
Agus Hendra AL Rahmad

Children under two years is a period with rapid growth and development in (the golden period) and is classified in the group were extremely malnutrition. Complementary feeding and the nutritional status of children cause problems in the aspect of a causal relationship, that the giving its less precise impact on malnutrition status. The study aims to measure the difference in the use omplementary feeding type in families with non-civil and civil servants on the nutritional status of children aged 7 – 24 months in the district Jaya Baru Banda Aceh. The research method with quantitative approach through the cross-sectional design, with a variables consist of the use complementary feeding, nutritional status, and family status. Data was collected through interviews and observations taken at 83 randomly selected samples. Analysis data used with statistical a Chi-Square test on CI:95%. The results showed no difference in proportion of nutritional status (p-value= 0,518) between a families from civil servants with not a family of civil servants (p-value > 0,05). Furthermore, the use omplementary feeding type a proportionally shows the difference with p= 0,005 (p-value < 0,05) in the district of Jaya Baru Banda Aceh. The conclusion that the nutritional status of children between the families of civil servants with not civil servants did not show a difference, but in the use of omplementary feeding by proportion and type of family status have significant differences.  


Food Research ◽  
2020 ◽  
Vol 4 (S3) ◽  
pp. 31-37
Author(s):  
D.I.B. Manik ◽  
Nuryanto ◽  
B. Panunggal ◽  
D.N. Afifah

The yellowfin fish and terubuk were still rarely used in Papua. This study aimed to determine the physicochemical properties of complementary feeding biscuit formulated with yellowfin fish flour and terubuk flour to improve the nutritional status of children in Papua. A completely randomized single factor-experimental study by using three formulations of yellowfin fish flour and terubuk flour, F1 (1:3), F2 (1:1), and F3 (3:1) was conducted. The carbohydrate content was analyzed with by the difference method, fat by Soxhlet method, protein by Kjeldahl method, fiber by gravimetry method, iron and phosphorus by spectrophotometry method. The physical properties in terms of density, reconstitution and texture were conducted. Sensory evaluation was conducted to determine the acceptance of complementary feeding biscuits. Data were analyzed using the One-Way ANOVA test, Kruskall-Wallis test, Tukey test and Mann-Whitney test. Complementary feeding biscuits F1, F2 and F3 contained energy (435.58; 426.85; 436.71 kcal), protein (13.86; 15.75; 17.33 g), carbohydrate (23.19; 24.79; 20.45 g), fat (20.58; 20.40; 20.62 g), fiber (26.22; 20.63; 25.25 g), iron (3.76; 4.03; 3.68 mg), and phosphorus (267.70; 266.36; 275.79 mg). Complementary feeding biscuits had the following physical properties: density (0.64; 0.68; 0.70 g/mL), reconstitute test (20; 20; 25 mL) and texture test (468.78; 299.55; 408.05 gf). The complementary feeding biscuit was accepted by the panelists. The recommended serving size of complementary feeding biscuit with yellowfin fish flour and terubuk flour was 45 g or four pieces of biscuit needed to fulfill the required 30% of children’s protein per day


2017 ◽  
Vol 1 (2) ◽  
pp. 87
Author(s):  
Loriana L. Teixeira ◽  
Estelamar MB Teixeira ◽  
Helen Mara Gomes ◽  
Lucas Arantes-Pereira

<p><em>Feeding is directly related to nutritional status and alterations as obesity and malnutrition, affecting human body and increasing the risk of morbidity and mortality. This study aimed to evaluate the nutritional status of children and adolescents in a public school located in Uberaba MG Brazil by comparing macro and micronutrients on the school menu with PNAE (Brazilian government program) recommendations. A descriptive cross-sectional study including 547 individuals was carried out. Nutritional assessment was done based on anthropometric Z-score analysis. Only the food ingestion made at the school was considered, in order to verify if the meals offered by the school meet the percentage of nutrients recommended by PNAE. With regard to the nutritional status, there was a small proportion of students (0.18%) with low weight (-3 ? Z &lt; -2). There was 15% prevalence of overweight (overweight, obesity, and severe obesity) among students. Menus composition revealed that macronutrients, fiber, and energy intake was lower than that recommended by PNAE for all age groups studied. The prevalence of a considerable number of overweight students is a warning for interventions to prevent obesity. A small percentage of students classified as low weight represents a nutritional transition trend in recent years.</em></p>


2021 ◽  
Vol 8 ◽  
Author(s):  
Awoere T. Chinawa ◽  
Josephat M. Chinawa ◽  
Chika Onyinyechi Duru ◽  
Bartholomew F. Chukwu ◽  
Ijeoma Obumneme-Anyim

Background: Malnutrition poses a great burden to children in the tropics. However, this seems to be accentuated in children with congenital heart disease.Objectives: The present study is therefore aimed at determining the nutritional status of children with congenital heart disease and to compare them with those without congenital heart disease.Methods: This is a cross-sectional study, where congenital heart disease was diagnosed by means of echocardiograph. Anthro software was used to calculate Z scores for weight for age (WAZ), height for age (HAZ), and weight for height (WHZ). Body mass index (BMI) was calculated by the formula BMI = Weight (Kg)/height (M2).Results: The body mass index-for-age z-score (BAZ) and height/length-for-age z-score (HAZ) were calculated for both subjects and controls to determine their nutritional status. It was observed that 38.5% (112/291) of the subjects were wasted (BAZ &lt; −2SD) compared to 6.25% (16/256) of the controls and the difference was statistically significant (χ2 = 81.2, p &lt; 0.001). Stunting (height/length-for-age z-score &lt; −2SD) was also observed in a greater proportion of subjects than controls as 37.8% (107/291) of subjects were stunted compared with 7.0% (18/256) of the controls (χ2 = 69.9, p &lt; 0.001). The under-five subjects had more cases of malnutrition than the controls of same age group as illustrated in Table 6. Whereas 42.9% (96/224) of the under-five subjects were wasted, only 6.2% (12/192) of the controls were wasted. On the other hand, 4.2% (8/192) of the under-five controls were obese compared to 0.9% (2/224) of the subjects of similar age group.Conclusion: Children with congenital heart disease present with varying degrees of malnutrition that is worse compared with children without congenital heart disease. The impact of malnutrition is worse among children under the age of five. Wasting is more prevalent in children with cyanotic heart disease compared with those with acyanotic congenital heart disease. Overweight and obesity were notable features of malnutrition in children with congenital heart disease, but this is worse in children without congenital heart disease.


2021 ◽  
Vol 2 (2) ◽  
pp. 97-103
Author(s):  
Yuriza Fadila ◽  
Fathia Meirina

Background: Tuberculosis (TB) is one of the 10 main causes of death from infectious diseases. Indonesia is among the 3 countries with the highest TB incidence in the world. The proportion of pediatric TB patients in North Sumatra Province is 2%. Antituberculosis therapy is a treatment used in TB patients. Successful diagnosis and treatment can prevent millions of deaths each year. Low endurance and malnutrition are factors that influence the possibility of someone becoming a TB patient. This situation can disrupt growth in children. Child growth can be monitored through nutritional status assessments. Objectives: This study aims to determine the effect of intensive phase antituberculosis therapy on the nutritional status of children with tuberculosis in Haji Adam Malik General Hospital Medan in 2018. Methods: This study uses an observational analytic method using a retrospective cohort design, using secondary data derived from medical records at Haji Adam Malik General Hospital Medan in 2018. Data obtained will then be processed and analyzed by the Wilcoxon test using a data processing program. The Wilcoxon test had a significant result (p = 0.001). Results: The mean increase in nutritional status after being given antituberculosis therapy in the age group of children 0-1 years and >1-5 years is a good nutritional status. The mean weight gain after being given antituberculosis therapy in the age group of children 0-1 years was 7.81 kg and >1-5 years was 15.32 kg. The pattern of a child's weight gain after reaching antituberculosis during the intensive phase has increased. Conclusion: In this study, it was found that antituberculosis therapy affected the nutritional status of children with tuberculosis during the intensive phase. Keywords: antituberculosis therapy, child growth, childhood TB, infectious disease   Latar Belakang: Tuberkulosis (TB) merupakan salah satu dari 10 penyebab utama kematian dari golongan penyakit infeksi. Indonesia termasuk 3 negara dengan angka kejadian TB tertinggi di dunia. Proporsi pasien TB anak di Provinsi Sumatera Utara sebesar 2%. Terapi OAT merupakan tatalaksana yang digunakan pada pasien TB. Diagnosis dan pengobatan yang berhasil dapat mencegah jutaan kematian setiap tahunnya. Daya tahan tubuh yang rendah dan malnutrisi merupakan faktor yang mempengaruhi kemungkinan seseorang menjadi pasien TB. Keadaan ini dapat menyebabkan terganggunya pertumbuhan pada anak. Pertumbuhan anak dapat dipantau melalui penilaian status gizi. Tujuan: Penelitian ini bertujuan untuk mengetahui pengaruh terapi antituberkulosis fase intensif terhadap status gizi penderita tuberkulosis anak di RSUP Haji Adam Malik Medan tahun 2018. Metode: Penelitian ini menggunakan metode analitik observasional dengan menggunakan desain kohort retrospektif, menggunakan data sekunder yang berasal dari rekam medik di RSUP Haji Adam Malik Medan tahun 2018. Data yang diperoleh selanjutnya akan diolah dan dianalisis dengan uji Wilcoxon menggunakan program pengolahan data. Uji Wilcoxon memiliki hasil yang signifikan (p = 0,001). Hasil: Rerata peningkatan status gizi setelah diberikan terapi antituberkulosis pada kelompok usia anak 0-1 tahun dan > 1-5 tahun adalah berstatus gizi baik. Rerata peningkatan berat badan setelah diberikan terapi antituberkulosis pada kelompok usia anak 0-1 tahun adalah 7,81 kg dan > 1-5 tahun adalah 15,32 kg. Pola kenaikan berat badan anak setelah terapi antituberkulosis selama fase intensif mengalami peningkatan. Kesimpulan: Pada penelitian ini didapatkan bahwa terapi antituberkulosis berpengaruh terhadap status gizi anak penderita tuberkulosis selama fase intensif. Kata Kunci: penyakit infeksi, pertumbuhan anak, TB anak, terapi OAT


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