Nutritional Status Among School-Age Children of Bangladeshi Tea Garden Workers

2020 ◽  
Vol 41 (4) ◽  
pp. 424-429
Author(s):  
Mohd Shamim Iqbal ◽  
Amanda C. Palmer ◽  
Jillian Waid ◽  
S. M. Mustafizur Rahman ◽  
Md. M. Islam Bulbul ◽  
...  
Keyword(s):  
Nutritional Status ◽  
Food Insecurity ◽  
Dietary Diversity ◽  
Underserved Populations ◽  
World Health ◽  
School Age Children ◽  
School Age ◽  
The Past ◽  
Household Food ◽  
Plasma Retinol

Background: While considerable progress has been made in reducing undernutrition in Bangladesh, regional disparities are known to exist, and certain population subgroups may lag behind. Objective: To characterize nutritional status among school-age children in a historically marginalized population of Bangladesh. Methods: We conducted a cross-sectional assessment of children attending 14 nongovernmental organization-operated schools serving the tea estate population in Kulaura Upazila, Sylhet Division. We randomly selected 168 children from a population of 418 whose parents attended school-organized Parent–Teacher Association meetings. Parents provided consent and data on household food consumption in the past week, foods consumed by children in the past 24 hours, and household food insecurity. We drew venous blood from assenting children for the analysis of hemoglobin and plasma retinol, C-reactive protein, and α1-acid glycoprotein. Children were classified as stunted, underweight, or thin based on comparisons with the World Health Organization standards for height-for-age, weight-for-age, or body mass index-for-age, respectively. Results: Food insecurity was highly prevalent, with ∼85% of households affected. Roughly half of children had low dietary diversity. Prevalence estimates for stunting, underweight, and thinness were 32%, 50%, and 49%, respectively. Approximately 60% of children had a hemoglobin concentration <11 g/dL. The mean (±SD) plasma retinol concentration was 0.79 μmol/L (±0.23 μmol/L), with 34% deficient using a 0.70 μmol/L cutoff. Conclusions: A heightened focus on tracking progress in underserved populations and appropriately targeted programming will be critical as Bangladesh seeks to accelerate progress toward global development goals for nutrition.

scholarly journals Nutritional status and dietary diversity of school-age children living with HIV: a cross-sectional study in Phnom Penh, Cambodia

2020 ◽  
Author(s):  
Junko Yasuoka ◽  
Siyan Yi ◽  
Sumiyo Okawa ◽  
Sovannary Tuot ◽  
Makoto Murayama ◽  
...  
Keyword(s):  
Nutritional Status ◽  
Dietary Diversity ◽  
Cross Sectional Study ◽  
School Age Children ◽  
School Age ◽  
Cross Sectional ◽  
Phnom Penh ◽  
Factors Associated ◽  
The Past ◽  
Living With Hiv

Abstract Background: HIV/AIDS continues to be a major public health concern for children. Each day, worldwide, approximately 440 children became newly infected with HIV, and 270 children died from AIDS-related causes in 2018. Poor nutrition has been associated with accelerated disease progression, and sufficient dietary diversity is considered a key to improve children’s nutritional status. Therefore, this study aims to 1) examine nutritional status of school-age children living with HIV in Phnom Penh, Cambodia, and 2) identify factors associated with their nutritional status, especially taking their dietary diversity into consideration. Methods: This cross-sectional study was conducted in May 2018 within the catchment area of the National Pediatric Hospital, Cambodia. Data from 298 children and their caregivers were included in the analyses. Using semi-structured questionnaires, face-to-face interviews were conducted to collect data regarding sociodemographic characteristics, quality of life, and dietary diversity. To assess children’s nutritional status, body weight and height were measured. Viral load and duration of antiretroviral therapy (ART) were collected from clinical records. Multiple logistic regression analyses were performed to identify factors associated with stunting and wasting. Results: Of 298 children, nearly half (46.6%) were stunted, and 13.1% were wasted. The mean number of food groups consumed by the children in the past 24 hours was 4.6 out of 7 groups. Factors associated with children’s stunting were age (adjusted odds ratio [AOR] 2.166, 95% confidence interval [CI]: 1.151, 4.077), household wealth (AOR 0.543, 95%CI: 0.299, 0.986), duration of receiving ART (AOR 0.510, 95%CI: 0.267, 0.974), and having disease symptoms during the past one year (AOR 1.871, 95%CI: 1.005, 3.480). The only factor associated with wasting was being male (AOR 5.304, 95%CI: 2.210, 12.728). Conclusions: Prevalence of stunting was more than double that of non-infected school-age children living in urban areas in Cambodia. This highlights the importance of conducting nutritional intervention programs, especially tailored for children living with HIV in the country. Although dietary diversity was not significantly associated with children’s nutritional status in this study, the findings will contribute to implementing future nutritional interventions more efficiently by indicating children who are most in need of such interventions in Cambodia.

scholarly journals Nutritional status and dietary diversity of school-age children living with HIV: a cross sectional study in Phnom Penh, Cambodia

2020 ◽  
Author(s):  
Junko Yasuoka ◽  
Siyan Yi ◽  
Sumiyo Okawa ◽  
Sovannary Tuot ◽  
Makoto Murayama ◽  
...  
Keyword(s):  
Nutritional Status ◽  
Dietary Diversity ◽  
Cross Sectional Study ◽  
School Age Children ◽  
School Age ◽  
Cross Sectional ◽  
Phnom Penh ◽  
Factors Associated ◽  
The Past ◽  
Living With Hiv

Abstract Background: HIV/AIDS continues to be a major public health concern for children. Each day, worldwide, approximately 440 children became newly infected with HIV, and 270 children died from AIDS-related causes in 2018. Poor nutrition has been associated with accelerated disease progression, and sufficient dietary diversity is considered a key to improve children’s nutritional status. Therefore, this study aims to 1) examine nutritional status of school-age children living with HIV in Phnom Penh, Cambodia, and 2) identify factors associated with their nutritional status, especially taking their dietary diversity into consideration.Methods: This cross-sectional study was conducted in May 2018 within the catchment area of the National Pediatric Hospital, Cambodia. Data from 298 children and their caregivers were included in the analyses. Using semi-structured questionnaires, face-to-face interviews were conducted to collect data regarding sociodemographic characteristics, quality of life, and dietary diversity. To assess children’s nutritional status, body weight and height were measured. Viral load and duration of antiretroviral therapy (ART) were collected from clinical records. Multiple logistic regression analyses were performed to identify factors associated with stunting and wasting.Results: Of 298 children, nearly half (46.6%) were stunted, and 13.1% were wasted. The mean number of food groups consumed by the children in the past 24 hours was 4.6 out of 7 groups. Factors associated with children’s stunting were age (adjusted odds ratio [AOR] 2.166, 95% confidence interval [CI]: 1.151, 4.077), household wealth (AOR 0.543, 95%CI: 0.299, 0.986), duration of receiving ART (AOR 0.510, 95%CI: 0.267, 0.974), and having disease symptoms during the past one year (AOR 1.871, 95%CI: 1.005, 3.480). The only factor associated with wasting was being male (AOR 5.304, 95%CI: 2.210, 12.728).Conclusions: Prevalence of stunting was more than double that of non-infected school-age children living in urban areas in Cambodia. This highlights the importance of conducting nutritional intervention programs, especially tailored for children living with HIV in the country. Although dietary diversity was not significantly associated with children’s nutritional status in this study, the findings will contribute to implementing future nutritional interventions more efficiently by indicating children who are most in need of such interventions in Cambodia.

scholarly journals Nutritional status and dietary diversity of school-age children living with HIV: a cross-sectional study in Phnom Penh, Cambodia

2020 ◽  
Author(s):  
Junko Yasuoka ◽  
Siyan Yi ◽  
Sumiyo Okawa ◽  
Sovannary Tuot ◽  
Makoto Murayama ◽  
...  
Keyword(s):  
Nutritional Status ◽  
Dietary Diversity ◽  
Cross Sectional Study ◽  
School Age Children ◽  
School Age ◽  
Cross Sectional ◽  
Phnom Penh ◽  
Factors Associated ◽  
The Past ◽  
Living With Hiv

Abstract Background: HIV/AIDS continues to be a major public health concern for children. Each day, worldwide, approximately 440 children became newly infected with HIV, and 270 children died from AIDS-related causes in 2018. Poor nutrition has been associated with accelerated disease progression, and sufficient dietary diversity is considered a key to improve children’s nutritional status. Therefore, this study aims to 1) examine nutritional status of school-age children living with HIV in Phnom Penh, Cambodia, and 2) identify factors associated with their nutritional status, especially taking their dietary diversity into consideration.Methods: This cross-sectional study was conducted in May 2018 within the catchment area of the National Pediatric Hospital, Cambodia. Data from 298 children and their caregivers were included in the analyses. Using semi-structured questionnaires, face-to-face interviews were conducted to collect data regarding sociodemographic characteristics, quality of life, and dietary diversity. To assess children’s nutritional status, body weight and height were measured. Viral load and duration of antiretroviral therapy (ART) were collected from clinical records. Multiple logistic regression analyses were performed to identify factors associated with stunting and wasting.Results: Of 298 children, nearly half (46.6%) were stunted, and 13.1% were wasted. The mean number of food groups consumed by the children in the past 24 hours was 4.6 out of 7 groups. Factors associated with children’s stunting were age (adjusted odds ratio [AOR] 2.166, 95% confidence interval [CI]: 1.151, 4.077), household wealth (AOR 0.543, 95%CI: 0.299, 0.986), duration of receiving ART (AOR 0.510, 95%CI: 0.267, 0.974), and having disease symptoms during the past one year (AOR 1.871, 95%CI: 1.005, 3.480). The only factor associated with wasting was being male (AOR 5.304, 95%CI: 2.210, 12.728). Conclusions: Prevalence of stunting was more than double that of non-infected school-age children living in urban areas in Cambodia. This highlights the importance of conducting nutritional intervention programs, especially tailored for children living with HIV in the country. Although dietary diversity was not significantly associated with children’s nutritional status in this study, the findings will contribute to implementing future nutritional interventions more efficiently by indicating children who are most in need of such interventions in Cambodia.

scholarly journals A Peer-Led Pulse-based Nutrition Education Intervention Improved School-Aged Children’s Knowledge, Attitude, Practice (KAP) and Nutritional Status in Southern Ethiopia

2018 ◽  
Vol 7 (3) ◽  
pp. 38
Author(s):  
Felegush Dargie ◽  
Carol Jean Henry ◽  
Hailu Hailemariam ◽  
Nigatu Regassa Geda
Keyword(s):  
Nutritional Status ◽  
Nutrition Education ◽  
T Test ◽  
World Health ◽  
School Age Children ◽  
Education Intervention ◽  
School Age ◽  
Two Samples ◽  
Significant Difference ◽  
And Control

Background: Peer-led nutrition education intervention on promoting locally available pulses among school-aged children could be one strategy to overcome child malnutrition in poor communities. Objectives: This study was aimed at assessing the effect of a peer-led pulse nutrition education intervention on knowledge, attitude, practice of pulse consumption and nutritional status among 202 school children.Methods: School based randomized controlled trial was conducted among 202 (101 control and 101 cases). School age children were selected from the two groups using simple random sampling technique. Baseline data were collected from 1st May to 15th May, 2016. Six month peer led nutrition intervention was provided for the study subjects. Pre-test, post-test and anthropometric measurements (weight and height) were conducted at baseline and end of the intervention. Statistical tests such as independent two samples t-test were employed. World Health Organization (WHO) Anthrop Plus software version 1.0.4 was used to calculate anthropometric indices. Results: The mean diet diversity score was significantly (P<0.001) improved from 2.78 (0.96) to 3.60 (1.10) after a six month intervention in the intervention group. The independent two samples t-test showed significant differences (p<0.001) in knowledge, attitude and practice mean scores of school age children about pulse preparation and consumption. There was no significant difference in nutritional status: BAZ (p=0.774) and HAZ (p=0.516) of school age children between the intervention and control groups at baseline. Post-intervention showed significant (p=0.01) differences between intervention and control schools in BAZ mean score of the children which was reflected in significantly (P<0.001) decreased prevalence of thinnessConclusion: The study concluded that peer led education strategy provides an opportunity to reduce malnutrition and its impacts if properly designed, including the use of behavioural change mode. 

Dietary Diversity May Play A Mediatory Role on the Association between Household Food Insecurity and Nutritional Status among Children Aged 24-59 Months

2019 ◽  
Vol 1 (1) ◽  
pp. 01-10
Author(s):  
Ahmed Abdurahman
Keyword(s):  
Logistic Regression ◽  
Nutritional Status ◽  
Food Insecurity ◽  
Structural Equation ◽  
Dietary Diversity ◽  
Multinomial Logistic Regression ◽  
Equation Modeling ◽  
Household Food Insecurity ◽  
Cross Sectional ◽  
Household Food

Background: Consuming scarce and poorly diversified diet, along with inadequate breastfeeding, contribute seriously to the complete scope of child undernutrition like stunting, wasting, underweight and micronutrient deficiency. Objective: To determine the association between dietary diversity score (DDS) and nutritional status among children aged 24 to 59 months in Haromaya district, Ethiopia. Methods: Children aged 24-59 months (N= 453) were enrolled in this cross-sectional study with a representative sample of households selected by a multistage sampling procedure in Haromaya district. Anthropometry and 24hr dietary recall were administered. Multinomial logistic regression models were applied to select variables that are candidate for multivariable model. Structural equation modeling was applied to test the mediatory effect of DDS on the relationship between household food insecurity (HFI) and child nutritional status. Results: The mean DDS was 3.62 (SD 1.09), and 50% of the children indicated poor and average DDS with only 20% children in very good DDS. By logistic regression analysis and after adjusting for the confounding factors, poor DDS was highly significant predictor of wasting, stunting and underweight (AOR = 4.09, C.I = 1.31 - 12.76, p = .01), (AOR = 2.28, C.I = 1.11 - 4.69, p = .03) and (AOR = 2.48, C.I = 1.17 - 5.24, p = .02) respectively. HFI had a significant direct effect on wasting though no significant indirect effect on wasting through mediation variable, DDS, (β1 reduced from 0.06 (S.E. = 0.027, p < .05) to 0.05 (S.E. = 0.028, p > .05). Conclusion: Poor DDS was a predictor of wasting, stunting and underweight. Additionally, DDS had a role in the association between HFI and nutritional status.

scholarly journals Seasonal variations in household food insecurity and dietary diversity and their association with maternal and child nutritional status in rural Ethiopia

Food Security ◽  
2019 ◽  
Vol 11 (3) ◽  
pp. 651-664 ◽  
Author(s):  
Kedir T. Roba ◽  
Thomas P. O’Connor ◽  
Nora M. O’Brien ◽  
Chanyalew S. Aweke ◽  
Zenebe A. Kahsay ◽  
...  
Keyword(s):  
Nutritional Status ◽  
Food Insecurity ◽  
Seasonal Variations ◽  
Dietary Diversity ◽  
Household Food Insecurity ◽  
Rural Ethiopia ◽  
Household Food ◽  
Child Nutritional Status

scholarly journals EATING PATTERNS AND NUTRITIONAL STATUS OF CHILDREN'S AGE PRE-SCHOOL IN PUSKESMAS MELONGUANE TALAUD ISLANDS

2019 ◽  
Vol 7 (1) ◽  
pp. 13-19
Author(s):  
Adi Yeremia Mamahit ◽  
Vera Karame ◽  
Misra A. Niomba
Keyword(s):  
Nutritional Status ◽  
Community Health ◽  
Health Center ◽  
Community Health Center ◽  
World Health ◽  
School Age Children ◽  
School Age ◽  
Eating Patterns ◽  
Major Health Problem ◽  
School Aged Children

Background: Nutritional status in children aged 1-5 years is still a major health problem in the world including the country of Indonesia. Indonesia is a developing country that still faces considerable nutritional deficiencies. World Health Organization (WHO) estimates that 54% of causes of death in infants and toddlers are based on poor nutrition. Aims are to determine the relationship between eating patterns with the nutritional status of pre-school age children in the Public Health Center in the Melonguane sub-district. Methods: This research uses correlation analytic research with cross-sectional approach. This research was carried out in the Melonguane Community Health Center, Melonguane District, Talaud Regency. Sample as many as 33 pre-school age children (3-5 years). Based on statistical tests using the Chi-Square test with indigo ρ = 0.007 smaller than the value of α = 0.05, which means the null hypothesis is rejected. Conclusion: Most pre-school age children in the work area of ​​the Melonguane Health Center in the District of Melonguane have a good diet. Most pre-school-aged children in the Melonguane Community Health Center area of ​​Melonguane District have normal nutritional status. There is a relationship between eating patterns with the nutritional status of pre-school-aged children in the working area of ​​the Melonguane Community Health Center, Melonguane District, normal nutritional status.

scholarly journals Dietary Diversity May Play A Mediatory Role on the Association between Household Food Insecurity and Nutritional Status among Children Aged 24-59 Months

2019 ◽  
Vol 1 (1) ◽  
pp. 01-10
Author(s):  
Ahmed Abdurahman
Keyword(s):  
Logistic Regression ◽  
Nutritional Status ◽  
Food Insecurity ◽  
Structural Equation ◽  
Dietary Diversity ◽  
Multinomial Logistic Regression ◽  
Equation Modeling ◽  
Household Food Insecurity ◽  
Cross Sectional ◽  
Household Food

Background: Consuming scarce and poorly diversified diet, along with inadequate breastfeeding, contribute seriously to the complete scope of child undernutrition like stunting, wasting, underweight and micronutrient deficiency. Objective: To determine the association between dietary diversity score (DDS) and nutritional status among children aged 24 to 59 months in Haromaya district, Ethiopia. Methods: Children aged 24-59 months (N= 453) were enrolled in this cross-sectional study with a representative sample of households selected by a multistage sampling procedure in Haromaya district. Anthropometry and 24hr dietary recall were administered. Multinomial logistic regression models were applied to select variables that are candidate for multivariable model. Structural equation modeling was applied to test the mediatory effect of DDS on the relationship between household food insecurity (HFI) and child nutritional status. Results: The mean DDS was 3.62 (SD 1.09), and 50% of the children indicated poor and average DDS with only 20% children in very good DDS. By logistic regression analysis and after adjusting for the confounding factors, poor DDS was highly significant predictor of wasting, stunting and underweight (AOR = 4.09, C.I = 1.31 - 12.76, p = .01), (AOR = 2.28, C.I = 1.11 - 4.69, p = .03) and (AOR = 2.48, C.I = 1.17 - 5.24, p = .02) respectively. HFI had a significant direct effect on wasting though no significant indirect effect on wasting through mediation variable, DDS, (β1 reduced from 0.06 (S.E. = 0.027, p < .05) to 0.05 (S.E. = 0.028, p > .05). Conclusion: Poor DDS was a predictor of wasting, stunting and underweight. Additionally, DDS had a role in the association between HFI and nutritional status.

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