scholarly journals Adoption of the WHO Child Growth Standards to Classify Indonesian Children under 2 Years of Age According to Nutrition Status: Stronger Indication for Nutritional Intervention

2009 ◽  
Vol 30 (3) ◽  
pp. 254-259 ◽  
Author(s):  
Madarina Julia
Keyword(s):  
Nutritional Status ◽  
Nutritional Intervention ◽  
Child Growth ◽  
World Health ◽  
Nutrition Status ◽  
Cluster Sampling ◽  
Cross Sectional ◽  
Growth Standards ◽  
Feeding Program ◽  
Z Scores

Background The National Center for Health Statistics/World Health Organization (NCHS/WHO) reference is considered unsuitable for assessing the nutritional status of breastfed children. It is gradually being replaced by the WHO Child Growth Standards in many countries. Objective To assess the implications of adopting the WHO Child Growth Standards to classify Indonesian children according to nutrition status. Methods Data were obtained from two cross-sectional surveys in two districts in Indonesia in 1998. Children under 2 years of age were randomly selected using a two-stage cluster sampling. Z-scores of weight-for-length (WLZ), length-for-age (LAZ), and weight-for-age (WAZ) were calculated based on both the NCHS/WHO reference and the WHO Child Growth Standards. Wasting, stunting, and underweight were defined as z-scores less than −2.0. Results We included 1,374 children, of whom 693 (50.4%) were male and 681 (49.6%) were female. Almost all of the children had initiated breastfeeding and were still being breastfed when the data were collected. According to the WHO Child Growth Standards, the prevalence of wasting did not change with age, but the prevalence rates of stunting and underweight rose steadily with age. Although the contribution of wasting to the classification of underweight was relatively constant, the contribution of stunting increased as the children grew. Conclusions The WHO Child Growth Standards are a better tool for assessing the nutritional status of Indonesian children than the NCHS/WHO reference. However, low WAZ is not a suitable indicator for commencing an extra feeding program, because it reflects stunting instead of wasting. The high prevalence of stunting indicates the need to perform preventive nutritional intervention beginning earlier in life, i.e., in utero.

scholarly journals ASUPAN ZAT GIZI, STATUS GIZI DAN STATUS KESEHATAN PADA BALITA YANG MENDAPATKAN PMT-P

2018 ◽  
Vol 10 (1) ◽  
pp. 089-097
Author(s):  
Kiki Angreancy Aghnita
Keyword(s):  
Health Status ◽  
Nutritional Status ◽  
Statistical Tests ◽  
Sampling Technique ◽  
Nutrition Status ◽  
Cross Sectional ◽  
Experienced Pain ◽  
Before And After ◽  
Feeding Program ◽  
Poor Nutrition

Children who experience malnutrition disorder will experience less physicalgrowth and mental disorders. Restore additional feeding program is one of the efforts intackling the problem of poor nutrition and lack of nutrition. This study aims to evaluatethe intake of nutrients, nutritional status and health status in toddlers who get PMTRecoveryin the working area in Bengkulu City Clinics 2016. This research is descriptiveresearch with cross sectional approach. Sampling purposive sampling technique was donewith as many as 43 samples. Data were collected through a questionnaire that has beenfilled by the mother of a toddler through the interview process which was then in theanalysis are univariate and bivariat. The results showed that intake of nutrients (energy,protein, fat and carbohydrates) toddler respondents have earned PMT-P average includescategories less than a number of nutritional adequacy. Toddler health status ofrespondents have earned PMT-P was almost entirely never experienced pain during thelast month. Based on the results of the statistical tests are known that there is ameaningful difference between the nutritional status before and after nutrition status on atoddler who has been getting PMT-P in the city of Bengkulu. P-PMT program that hasbeen running should be more optimized so that nutritional problems in toddlers can behandled. The need for monitoring back on intake of nutrients, nutritional status and healthstatus of toddlers who have been getting PMT-P in an attempt to increase the success ofthe program.

scholarly journals Differences between WHO Growth Standards and China Growth Standards in Assessing the Nutritional Status of Children Aged 0–36 Months Old

2019 ◽  
Vol 17 (1) ◽  
pp. 251
Author(s):  
Qianling Tian ◽  
Xiao Gao ◽  
Tingting Sha ◽  
Qiong He ◽  
Gang Cheng ◽  
...  
Keyword(s):  
Nutritional Status ◽  
World Health ◽  
Growth Standards ◽  
The World ◽  
Z Scores ◽  
Nutritional Status Of Children ◽  
Height For Age ◽  
Weight For Age ◽  
China’S Growth

Background: At present, whether to use the World Health Organization’s (WHO) growth standards or native growth standards to assess the nutritional status in a given population is unclear. This study aimed to compare the differences between the WHO’s growth standards and China’s growth standards in assessing the nutritional status of children aged 0~36 months. Methods: We used z-scores to evaluate the nutritional status of children. The weight-for-age z-scores (WAZs), length/height-for-age z-scores (LAZ/HAZs), and weight-for-length/height z-scores (WLZ/WHZs) were calculated using the WHO’s growth standards and China’s growth standards. MeNemar’s test was used to compare the nutritional status of children. Results: The results in this study showed that there were differences between the WHO’s standards and China’s standards in assessing children’s nutritional status except for stunting and obesity. The prevalence of underweight assessed using China’s standards was higher than when using the WHO’s standards (except when 3 and 36 months old). The prevalence of wasting was significantly higher when assessed using China’s standards than when using the WHO’s standards from 12 to 36 months. The prevalence of overweight was higher when assessed using the WHO’s standards from 3 to 8 months. Conclusions: Both the WHO’s and China’s growth standards are useful measures in assessing children’s nutritional status but with key significant differences. Therefore, caution should be taken in selecting appropriate measures in a given population.

scholarly journals Early maternal menarche associated with overweight and obesity in children

2021 ◽  
Vol 8 (1) ◽  
pp. 103-109
Author(s):  
Putu Dianisa Rosari Dewi ◽  
I Made Arimbawa ◽  
I Gusti Ayu Putu Eka Pratiwi ◽  
I Wayan Gustawan
Keyword(s):  
Nutritional Status ◽  
Maternal Age ◽  
Overweight And Obesity ◽  
Preschool Age ◽  
World Health ◽  
Age At Menarche ◽  
Cluster Sampling ◽  
Cross Sectional ◽  
Early Maturation ◽  
Obesity In Children

Background: The age of maternal menarche is thought to be intergenerationally associated with the incidence of overweight and obesity in their offspring, but studies are limited. Objective: To determine the intergenerational relationship between maternal age at menarche and the incidence of childhood obesity and overweight at preschool age. Methods: This research is an analytic cross-sectional study with a cluster sampling method which was conducted in preschool in Denpasar, Bali. Younger maternal menarche was defined as the age of maternal menarche less than 12 years. Overweight and obesity in children are expressed based on the growth curve of the World Health Organization (WHO) Body Mass Index/Age > +2 SD. Results: This study was conducted from October to November 2019 involving 204 samples, with the proportion of overweight and obese children were 28.9%. The mean age of menarche in mothers was 13.28 (SD +1.97) years with 11% of mothers experiencing early maturation. The adjusted ratio prevalence of maternal menarche <11 years was 3.96 (95% CI 1.56-10.08) and the nutritional status of overweight and obesity in the father was 3.22 (95% CI 1.67-6.26). Conclusion: In this study, it was found that there was a relationship between younger maternal age at menarche and overweight and obesity nutritional status in fathers with the incidence of overweight and obesity in children.

scholarly journals Child Growth Curves in High-Altitude Ladakh: Results from a Cohort Study

2020 ◽  
Vol 17 (10) ◽  
pp. 3652
Author(s):  
Wen-Chien Yang ◽  
Chun-Min Fu ◽  
Bo-Wei Su ◽  
Chung-Mei Ouyang ◽  
Kuen-Cheh Yang
Keyword(s):  
Cohort Study ◽  
High Altitude ◽  
Body Height ◽  
Child Growth ◽  
Growth Patterns ◽  
World Health ◽  
Future Research ◽  
Growth Standards ◽  
Z Scores

High prevalence of child underweight and stunting in high-altitude areas has often been reported. However, most previous studies on this topic were cross-sectional. Another critical concern is that using the World Health Organization (WHO) Child Growth Standards to evaluate child growth in high-altitude areas may lead to overestimations of underweight and stunting. Our study aimed to evaluate the long-term growth pattern of children (3 to 18 years) above the altitude of 3500 m in Ladakh, India. The participants’ body weight (BW), body height (BH), and body mass index (BMI) were measured annually according to the WHO Child Growth Standards for children under 5 years old and the WHO reference data for children aged 5 to 19 years. The generalized estimating equation (GEE) was used to estimate the means and z-scores of BW, BH, and BMI at different ages. A total of 401 children were enrolled from 2012 to 2018. Their mean z-scores of BW, BH, and BMI were −1.47, −1.44, and −0.85 in 2012 and increased to −0.74, −0.92, and −0.63 in 2018. This population’s specific growth curve was also depicted, which generally fell below the 85th percentile of the WHO standards. This is the first cohort study about long-term child growth patterns in a high-altitude area. The detailed underlying mechanisms of our findings need future research on more representative data of high-altitude populations.

scholarly journals Nutritional status of children and adolescents in three Serbian enclaves in Kosovo and Metohija

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Valentina Fabiano ◽  
Lucia Barcellini ◽  
Marco Ugo Andrea Sartorio ◽  
Erica Pendezza ◽  
Alessandro Leone ◽  
...  
Keyword(s):  
Nutritional Status ◽  
Children And Adolescents ◽  
Overweight And Obesity ◽  
World Health ◽  
Obesity Prevalence ◽  
Male Population ◽  
Cross Sectional ◽  
Significant Difference ◽  
Z Scores ◽  
Nutritional Status Of Children

Abstract Objective To evaluate nutritional status of children and adolescents living in three Serbian enclaves in Kosovo and Metohija. Methods We conducted an observational cross-sectional, population-based study, enrolling children and adolescents who underwent a pediatric screening performed in the three Serbian enclaves of Gračanica, Gornje Kusce and Velika Hoča in Kosovo and Metohija. Children and adolescents (5–19 years) of all ethnic groups were evaluated in one of the three free outpatient medical facilities in rural villages in Kosovo. Body weight and height were measured, height-for-age z- scores (HAZ) and BMI-for-age z-scores (BAZ) indicators were analyzed. The anthropometric indicators HAZ and BAZ distributions were compared between sex and ages using Fisher’s exact test. A two-sample Z-test for proportions was used to detect differences in individual categories of height- and BMI-for-age categories across sexes and age classes. Results Three hundred twenty-eight children and adolescents (184 females, 56.1% and 144 males, 43.9%) aged between 5 and 19 years were enrolled in the study. 241/328 participants showed a normal linear growth; with significantly more girls (78.3%) than boys (67.4%) being in the normal category. Similarly, a significant difference in BAZ distribution between sexes was noted, with more females being in the normal BMI category compared to males (63.0% vs 50.0%, respectively). Underweight and severe underweight subjects showed a prevalence of 1.5 and 0.6%, respectively. Overweight and obesity prevalence was 19.5 and 9.1%, respectively, which was comparable to World Health Organization overweight and obesity prevalence data for Serbia. Conclusions Prevalence of undernutrition and severe undernutrition in children and adolescents living in three Serbian enclaves in Kosovo and Metohija is small. By contrast, a tendency to an increase in overweight and obesity, especially in the male population, was noted.

scholarly journals Poor Nutritional Status Among Human Filarial Lymphedema Patients in Ghana: A Cross-Sectional Study

2021 ◽  
Author(s):  
Gloria Ofosu Tenkorang ◽  
Emmanuel Kobla Atsu Amewu ◽  
Samuel Opoku Asiedu ◽  
Priscilla Kini ◽  
Bill Clinton Aglomasa ◽  
...  
Keyword(s):  
Nutritional Status ◽  
Management Strategies ◽  
Pantothenic Acid ◽  
Nutritional Intervention ◽  
Cross Sectional Study ◽  
Nutrition Status ◽  
Sectional Study ◽  
Cross Sectional ◽  
Poor Nutritional Status ◽  
Study Participants

Abstract Background Lymphatic filariasis (LF) is a neglected tropical disease with several infection phenotypes. In addition to mass drug administration, host immune response contributes to microfilariae clearance. An important influence of immunity, nutritional status, remains to be evaluated among filarial lymphedema patients. This study sought to assess the nutritional status of LF patients and its association with the pathology. Methods As cross-sectional study was conducted to determine the nutrition status of lymphedema patients in Ahanta West, Ghana. To obtain sociodemographic and nutrition data, a structured questionnaire was administered to the study participants. Anthropometry and 24-hour food recall were used to assess the nutritional status of participants. Results While all and 71 (82.6%) had adequate carbohydrate and protein intakes respectively, 83 (96.5%) had inadequate intake of fat. There were widespread inadequate nutrients intakes that were associated with stage of lymphedema: fat, r = -0.267, p = .024; carbohydrate, r = 0.305, p = .010; sodium, r = -0.259, p = .029; copper, r = -0.249, p = .036; selenium, r = -0.265, p = .025; pantothenic acid, r = -0.265, p = .025; vitamin B6, r = -0.270, p = .023; vitamin B12, r = -0.288, p = .015; and vitamin A, r = -0.276, p = .020. Conclusion The study shows widespread malnutrition among the participants. A nutritional intervention is recommended to complement current management strategies of filarial lymphedema.

WHO 2006 Child Growth Standards overestimate short stature and underestimate overweight in Japanese children

2018 ◽  
Vol 31 (1) ◽  
pp. 33-38 ◽  
Author(s):  
Mikako Inokuchi ◽  
Nobutake Matsuo ◽  
John I. Takayama ◽  
Tomonobu Hasegawa
Keyword(s):  
Short Stature ◽  
Care Center ◽  
Standard Deviation Score ◽  
Child Growth ◽  
World Health ◽  
Japanese Children ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Growth Standards ◽  
Who Standards

AbstractBackground:It is unclear whether the World Health Organization (WHO) 2006 Child Growth Standards are applicable to East Asian populations. We investigated the applicability of the WHO standards of length/height and weight to a cohort representing middle-class children in Japan.Methods:A cohort of children aged 0–5 years (3430 boys, 3025 girls) in the Tokyo Child Care Center Survey consecutively recruited from 2007 to 2013 were studied. Age- and sex-specific z-scores of length/height, weight and weight for length/height were calculated relative to either the WHO standards or the Japanese 2000 Growth References (nationally representative cross sectional survey data).Results:Compared with the WHO standards, Japanese children at birth, 1, 3, 5 years were shorter (length/height standard deviation score [SDS] −0.26, −0.82, −0.81, −0.63 for boys, and −0.15, −0.67, −0.84, −0.62 for girls, respectively) and lighter (weight SDS −0.62, −0.36, −0.34, −0.42 for boys and −0.60, −0.17, −0.29, −0.43 for girls, respectively). Weight for length/height showed smaller differences at various length/height points (SDS −0.05 to 0.15 for boys, 0.01 to 0.29 for girls, respectively).Conclusions:Adoption of the WHO standards would substantially alter the prevalence of short stature, underweight and overweight in Japanese children 0–5 years of age. These findings advocate the use of the national references in Japan.

scholarly journals Factors associated with the nutritional status of children under-five years of age with diarrhoea in Ohangwena Region, Namibia

2020 ◽  
Vol 6 (2) ◽  
pp. 23
Author(s):  
Maria Francineth Bauleth ◽  
Honore Kabwebwe Mitonga ◽  
Lusia Ndahambelela Pinehas
Keyword(s):  
Nutritional Status ◽  
Acute Diarrhoea ◽  
Child Growth ◽  
Anthropometric Measures ◽  
Cross Sectional ◽  
Children Under Five ◽  
Growth Standards ◽  
Under Five ◽  
Factors Associated ◽  
Nutritional Status Of Children

Purpose: This study aims at assessing the nutritional status of children under-five years of age with acute diarrhoea, determine the prevalence of malnutrition and identifying factors associated with undernutrition among children under 5 years old in Ohangwena Region, Namibia.Methods: Cross-sectional, non-interventional study was conducted. A structured questionnaire was administered through face to face interviews. A total of 530 children under-five years from 530 households were included in this study. The nutritional index was measured based on Child Growth Standards proposed by WHO. The anthropometric measures used included mid-upper arm circumference (MUAC) and weight-for-age Z score (WAZ). Logistic regression was applied to determine the factors associated with the prevalence of malnutrition.Results: The overall prevalence of diarrhoea among the children under-five years was 24%, of these, 77% were suffering from malnutrition. Malnutrition prevalence was observed to be significantly associated with a child suffering from diarrhoea (p < .05) and children aged between 12-23 months p .001. Equally, the highest prevalence of malnutrition 29.4% [95% CI = 24.65; 34.15] was found amongst children under-five years old with mothers/caregivers aged 18-30 years. The strongest predictor of malnutrition was the mother/caregiver not being an educated recording odds ratio of 20.2.Conclusions: This study identified the need to develop and intensify strategies that may improve nutritional status in children under-five years such as health education, improved literacy, and women empowerment.

scholarly journals The prevalence and associated factors of undernutrition among under-five children in South Sudan using the standardized monitoring and assessment of relief and transitions (SMART) methodology

BMC Nutrition ◽  
2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Jackline Kiarie ◽  
Sarah Karanja ◽  
Julius Busiri ◽  
Diana Mukami ◽  
Colleta Kiilu
Keyword(s):  
South Sudan ◽  
Child Growth ◽  
World Health ◽  
Large Displacements ◽  
Younger Child ◽  
Growth Standards ◽  
Under Five ◽  
Z Scores ◽  
Health Organization ◽  
Child Age

Abstract Background Conflict regions bear the heaviest brunt of food insecurity and undernutrition. South Sudan is one of the fragile countries following years of conflict that led to large displacements. Moderate to severe undernutrition among under-five children has been associated with elevated morbidity and mortality. This study, therefore, was conducted to assess the magnitude and factors influencing undernutrition (wasting, underweight and stunting) among children aged 6 to 59 months in Yambio County, South Sudan. Methods A cross-sectional study was conducted from 26 October to 6 November 2018 in Yambio County, South Sudan among 630 children aged 6–59 months from the 348 households surveyed in 39 clusters using two-stage cluster sampling design. Data were collected using questionnaires and nutritional anthropometric measurements. The Standardized Monitoring and Assessment of Relief and Transitions (SMART) Methodology was followed to obtain the prevalence of wasting, underweight and stunting based on respective z scores and according to the 2006 world health organization child growth standards. Data were exported to Stata version 16 for further analysis. Bivariate analysis of independent variables and undernutrition was done using binary logistic regression. Mixed effects logistic regression analysis was conducted to control for possible confounders and account for random effects at household and cluster levels. Unadjusted and adjusted odds ratios (cOR and aOR) with 95% confidence intervals (CI) and p-values were computed. P-values of ≤0.05 were considered statistically significant. Results The prevalence of undernutrition explained by wasting (weight-for-height Z-score (WHZ) < − 2), underweight (weight-for-age z-scores (WAZ) < − 2) and stunting (height-for-age z-scores (WHZ) < − 2) were 2.3% (1.3–4.1, 95% CI), 4.8% (3.1–7.5, 95% CI) and 23.8% (19.1–29.2, 95% CI). Male sex (aOR [95% CI], p-value: 5.6 [1.10–30.04], p = 0.038), older child’s age (aOR [95% CI], p-value: 30.4 [2.65–347.60], p = 0.006) and non-residents (cOR [95% CI], p-value: 4.2 [1.4–12.2] p = 0.009) were associated with increased risk of wasting. Household size (cOR [95% CI], p-value: 1.09 [1.01–1.18] p = 0.029) and younger child age (cOR [95% CI], p-value: 4.2 [1.34–13.23] p = 0.014) were significantly associated with underweight. Younger child age (aOR [95% CI], p-value: 5.4 [1.82–16.44] p = 0.003) and agricultural livelihood (aOR [95% CI], p-value: 3.4 [1.61–7.02] p = 0.001) were associated with stunting. Conclusion Based on a cut off of less than − 2 standard deviations for 2006 World Health Organization (WHO) child growth standards, the wasting prevalence was very low, underweight prevalence was low while stunting prevalence was high. The county lies in the only livelihood region in South Sudan with bimodal reliable rainfall pattern and it seems that the impact of the 2016 conflicts that lead to large displacements may not have greatly affected under-five undernutrition. Interventions targeted at improving food diversity, increasing nutrition knowledge and enhancing resilience in male children might reduce undernutrition. In the short-term, investment in continued surveillance of nutritional status should be a main focus.

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