Quality of complementary feeding and its effect on nutritional status in preterm infants: a cross-sectional study

Author(s):  
S. A. Ribas ◽  
M. C. C. de Rodrigues ◽  
M. C. Mocellin ◽  
E. S. Marques ◽  
G. P. C. da Rosa ◽  
...  
2021 ◽  
Author(s):  
Talita Rodrigues Azevedo e Silva ◽  
Anna Caroline Pereira Vivi ◽  
Fernando Luiz Affonso Fonseca ◽  
Cibele Wolf Lebrão ◽  
Maria Wany Louzada Strufaldi ◽  
...  

Abstract Background: Zinc is an important micronutrient involved in cell division, growth, and immune system function. Most studies evaluating the nutritional status related to zinc and prematurity were conducted with hospitalized preterm infants. These studies show controversial results regarding the prevalence of deficiency, clinical implications, and the effect of zinc supplementation on mortality, infectious diseases, and growth in these groups. This study aimed to compare serum and erythrocyte zinc levels in a group of preterm and term infants during complementary feeding and related the zinc levels to dietary intake, and current nutritional condition in both groups. Methods: Cross-sectional study with 43 preterm infants (24 to 33 weeks) aged 9-24 months (mean: 14.3±6.4 months), compared with 47 term healthy infants. Data collected: socioeconomic status and maternal health during pregnancy, dietary history, anthropometry (weight, height, and head circumference), and current dietary intake. Laboratory tests: blood count, serum and erythrocyte zinc concentrations, and C-reactive protein.Results: Males predominated (24, or 55.8%) in the preterm group; the mean birth weight was 1,245±381.7 grams. Serum zinc levels <65 µg/dL and anemia were observed in four preterm (5.1%) and four term infants (5.3%), respectively. No infant had erythrocyte zinc < 40 µg/gHb. The variables independently associated with serum zinc levels were breastfeeding at the time of evaluation (20.11 µg/dL; 95% CI 9.62 to 30.60; p<0.001) and late (4-7 months) introduction of complementary feeding (6.6 µg/dL; 95% CI 5.3 to 11.4; p<0.001). Breastfeeding was also independently and directly associated with erythrocyte zinc levels (18.8 ug/dL; 95% CI 3.7 to 33.8; p=0.015). Conclusions: No difference was observed in the nutritional status related to zinc between preterm and term infants during complementary feeding. Serum and erythrocyte zinc levels were influenced by breastfeeding and the onset of solid foods.


2021 ◽  
Vol 40 (1) ◽  
Author(s):  
Eba’a Hafi ◽  
Ro’ya Soradi ◽  
Sarah Diab ◽  
Ahmad M. Samara ◽  
Marah Shakhshir ◽  
...  

Abstract Background End-stage renal disease (ESRD) is a leading cause of death and morbidity worldwide. Malnutrition is a common problem among hemodialysis (HD) patients that negatively impacts their prognosis and is linked to an increase in morbidity and mortality in these patients, as well as a decrease in their quality of life (QOL). In this study, we aimed to evaluate the QOL and to investigate factors that can influence it, including nutritional status, as well as socio-demographic factors, among Palestinian diabetic patients on HD therapy. Methods This was a cross-sectional study that occurred at a large hemodialysis center in Palestine. Malnutrition was assessed by the malnutrition-inflammation scale (MIS), and the quality of life was evaluated by using the EuroQoL five-dimensional instrument (EQ-5D). Multivariable linear regression analysis was carried out to look at the effect of multiple variables on QOL. Results A total of 118 diabetic patients on HD were included. Of these, 66.9% were male, and 60.2% were aged 60 years or higher. Having multiple comorbid diseases (p=0.004) and having been on HD for >4 years (p=0.003) were significantly associated with a higher MIS score, whereas living alone (p=0.037) and having been on HD for >4 years (p=0.002) was significantly associated with lower EQ-5D score. We also observed a significant association between the MIS score and the EQ-5D score(r=−0.616, p<0.001). Multiple linear regression analysis demonstrated that diabetic hemodialysis patients who lived within a family household were positively correlated with the QOL score (standardized coefficient, 0.178; 95% confidence interval (CI), 0.042 to 0.372; p = 0.015), and MIS score was significantly and negatively correlated with QOL scores (standardized coefficient, −0.587; 95% CI, −0.047 to −0.028; p < 0.001). Conclusions We found that malnutrition was associated with a lower QOL score among diabetic patients on HD. We recommend general practitioners, dietitians, nephrologists, and nurses to make plans that pay more attention to this group of patients who show evidence of malnutrition. Patients on dialysis for ≥ 4 years, patients who live alone, and those suffering from multiple co-morbid diseases should receive special care due to their higher risk of being impacted by this problem.


2011 ◽  
Vol 30 (6) ◽  
pp. 774-779 ◽  
Author(s):  
Sharon Carey ◽  
David Storey ◽  
Andrew V. Biankin ◽  
David Martin ◽  
Jane Young ◽  
...  

2016 ◽  
Vol 5 (3) ◽  
Author(s):  
Pipit Amelia Burhani ◽  
Fadil Oenzil ◽  
Gusti Revilla

AbstrakStatus gizi memiliki pengaruh yang sangat besar terhadap kesehatan individu, sehingga mempengaruhi kualitas sumber daya manusia dimasa yang akan datang. Status gizi balita tergantung pada asupan gizi, tingkat pengetahuan ibu, tingkat ekonomi keluarga, pendidikan ibu, pola asuh dan ketahanan pangan. Tujuan penelitian ini adalah menentukan hubungan tingkat pengetahuan ibu dan tingkat ekonomi keluarga nelayan dengan status gizi balita. Penelitian ini dilakukan dari  Juli 2014 sampai Januari 2015. Desain penelitian adalah cross sectional study dengan jumlah subjek  21 orang ibu balita. Data dianalisis secara univariat dengan tabel frekuensi dan analisa bivariat dengan tabel silang lalu diuji dengan uji korelasi Rank Spearman. Hasil penelitian ialah balita yang memiliki gizi kurus sebanyak 9,5% dan yang memiliki gizi normal sebanyak 90,5%. Pengetahuan ibu rendah sebanyak 52,3% dan pengetahuan ibu tinggi sebanyak 47,6%.  Tingkat ekonomi keluarga didapatkan keluarga miskin sebanyak 95,2% dan keluarga tidak miskin sebanyak 4,8%. Hasil uji statistik didapatkan tidak ada hubungan antara tingkat pengetahuan ibu dan tingkat ekonomi keluarga dengan status gizi balita.Kata kunci: status gizi, balita, tingkat pengetahuan ibu, tingkat ekonomi keluarga AbstractNutritional status has a profound influence in individual’s health that affecting the quality of human resources in the future. Nutritional status depends on food intake, mother’s knowledge, family economics, mother’s education, nurturing pattern and food availability. The objective of this study was to determine the relationship level of mother’s knowledge and fishermen’s family economic with nutritional status of toddler. This research was conducted between July 2014 and January 2015 to 21 mothers with toddler. Cross sectional study was used as study design. Data were analyzed by univariate analysis with frequency tables and bivariate analysis with cross table using Rank Spearman. Result showed that 9.5% of the toddlers are under nutrition and 90.5% are normal. 52.3% of the mothers have low knowledge level whereas 47.6% are higher. 95.2% of the families are in the poverty line and 4.8% are not. It can be concluded that there is no relationship between level of mother’s knowledge and fishermen economic with nutritional status of toddler.Keywords: nutritional status, toddler, level of mother’s knowledge, family economic


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