Energy and Protein Intake and Nutritional Status of Primary Schoolchildren 5 to 10 Years of Age in Schools with and without Feeding Programmes in Nyambene District, Kenya

1998 ◽  
Vol 19 (4) ◽  
pp. 334-342 ◽  
Author(s):  
M. M. Meme ◽  
W. Kogi-Makau ◽  
N. M. Muroki ◽  
R. K. Mwadime

The dietary intake and nutritional status of 162 children in a school with a lunch programme (the feedingprogramme group) and 163 children in a school without a lunch programme (the no-feeding-programme group) in Nyambene District, Kenya, were compared. The relationship between such child growth determinants as income sources, per capita weekly food expenditure and consumption frequency, per capita energy and protein intake, and the nutritional status of the children was also compared between the two groups. Daily caloric consumption in the group with a feeding programme was significantly higher than in the group without a feeding programme: 1,590 kcal, or 86% of the recommended daily allowance (RDA), versus 1,457 kcal, or 76% of the RDA ( p < .05). The protein intake was mainly of plant origin. Although not significantly different between the two groups, it was higher for children without a feeding programme (62 g; 238% of the RDA) than for those with a feeding programme (56 g; 216% of the RDA). The prevalence of wasting among children with a feeding programme (9%) was significantly higher than among those without a feeding programme (2%) ( p < .05). The level of stunting was about the same in both groups: 24% in the group with a feeding programme and 25% in the group without a feeding programme. There was no significant difference in the prevalence of underweight between the two groups. Overall, the nutritional status of girls was better than that of boys, although the difference was not statistically significant. It is evident that children participating in the feeding programme did not have a nutritional advantage over non-participants. Thus, there is need to evaluate school feeding programmes in Kenya to identify and address the weaknesses that curtail their impact.

2021 ◽  
Vol 10 (9) ◽  
pp. 1802
Author(s):  
Grzegorz Meder ◽  
Paweł Żuchowski ◽  
Wojciech Skura ◽  
Violetta Palacz-Duda ◽  
Milena Świtońska ◽  
...  

Endovascular treatment is a rapidly evolving technique; therefore, there is a constant need to evaluate this method and its modifications. This paper discusses a single-center experience and the results of switching from the stent retriever only (SO) mechanical thrombectomy (MT) to the combined approach (CA), with a stent retriever and aspiration catheters. Methods: The study involved a retrospective analysis of 70 patients undergoing MT with the use of either SO or CA. The primary endpoint was the frequency of perfect reperfusion defined as grade 3 of the modified Thrombolysis in Cerebral Infarction scale (mTICI) after the first pass. The secondary endpoints were the procedure success, defined as mTICI grades 2b-3; time of the procedure; clinical outcome, measured by 90 days’ modified Rankin Scale (mRS) score; Δ NIHSS, defined as the difference between National Institutes of Health Stroke Scale (NIHSS) score at patients’ admission and discharge; and the total number of device passes. Results: Out of the 70 patients included, 33 were treated with SO and 37 with CA. In both groups, a total number of 42 patients received intravenous recombined tissue plasminogen activator (iv-rTPA: 20 patients (60.6%) in the SO group and 22 patients (59.5%) in the CA group (p = 1.000). There was a significant difference between the groups regarding first-pass success rate, with 46% in the CA group and 18% in the SO group, (OR 3.83, 95% CI 1.28 to 11.44, p = 0.016). Complete procedure success tended to be more frequent in the CA group than in the SO group—94.6% vs. 84.8% (OR 3.13, 95% CI 0.56 to 17.34, p = 0.193)—and CA tended to require a lower number of passes than SO (mean 1.76 vs. 2.09 passes per procedure, p = 0.114), yet these differences did not reach statistical significance. Mean duration of the procedure was significantly shorter in the CA group than in the SO group (49 min vs. 64 min, p = 0.017). There was a significant difference in clinical outcomes, with higher Δ NIHSS (9.3 in the CA group vs. 6.7 in the SO group, p = 0.025) after the procedure and 90-day mRS (median 2 in the CA group vs. 4 in the SO group, p = 0.031). Conclusions: Combining stent retrievers with aspiration catheters may offer a beneficial effect on angiographic results and clinical outcomes in stroke patients undergoing endovascular treatment.


2015 ◽  
Vol 81 (8) ◽  
pp. 812-815 ◽  
Author(s):  
Jason Wells ◽  
Megan Miller ◽  
Brittonni Perry ◽  
Joseph A. Ewing ◽  
Allyson L. Hale ◽  
...  

The Roux-en-Y gastric bypass (RYGB) has been shown to cause significant weight loss. However, fat-free mass (FFM) is often lost with this rapid weight change. It is suggested that the loss of FFM is minimized with restrictive-only procedures, such as the vertical sleeve gastrectomy (VSG), when compared with malabsorptive surgery. The purpose of the study was to determine the difference in the postoperative loss of FFM between RYBG and VSG patients. We reviewed all patients who underwent RYGB or VSG between May 2012 and January 2013. Patients were evaluated one month before their procedure and 12 months after for comparison of results. Preoperative and postoperative body analysis data were procured using a body composition analysis device. Within the study period, 33 patients underwent a RYGB procedure and 20 patients a VSG. After 12 months, RYGB patients had an average increase of 38.15 per cent in their proportion of FFM, whereas VSG patients had an average FFM increase of 22.09 per cent, a statically significant difference ( P = 0.004). The RYGB helps preserve overall FFM as compared with the VSG. These findings are unexpected because malabsorptive procedures require increased protein intake, resulting in a stronger likelihood of inadequate protein intake, which may lead to protein malnutrition.


2015 ◽  
Vol 3 (1) ◽  
pp. 63
Author(s):  
Desmayanti Eka Saputri ◽  
Samsul Bakri ◽  
Reni Zuraida

ABSTRACT  Regions Special Purpose or KDTI (Ministry of Forestry decree No.47/Kpts-II/1998) Repong Damar indigenous forest area of 29,000 ha which is a best practice community-based forest management in the western part of Lampung Province yet known about its capacity to ensure the sustainability of human resource development primarily critical starting at the age of five or its called toddlers. This study was doing from March to April 2014 in the village of Pahmungan District of the West Pesisir. The purpose of this research is: Knowing the linkage between population and income damar tree tenure, household food expenditure, protein intake toddlers, health status and nutritional status of toddlers. Data acquisition was done through interviews to collect data ownership damar tree population, income, food expenditure, health status and food intake (food recall) as the basis for determining the toddler nutritional status of children is calculated by the method of anthropometry (Ministry of Health, 2010). Parameter optimization using the software Minitab 16. The conclusions has proven there is a real link between the role of damar agroforest system to income, health status, and nutritional status of toddlers. Found relations or real relationship between income of damar agroforest [YI] with a population of damar tree with a model [YI]i= -0.1770 +0.023150[PHN]i. Furthermore simultaneously discovered the real relationship between food expenditure (YII) with [YII] as illustrated by the model [YII]i= 1.1546 +0438 [YI]. Further simultaneously discovered the real relationship between protein intake toddlers [YIII] with food expenditure [YII] with the model [YIII]i= 17 012 +3703 [YII].  Keyword: Repong damar, income, health status and nutritional status of toddlers


2017 ◽  
Vol 4 (3) ◽  
Author(s):  
Suprithy Paliwal ◽  
Neha Singh

Rise in the share of elderly in total population of India posses multiple challenges viz., improving their wellbeing through providing family support, medical assistance and social support, reducing their negative aspect of life. There is an increasing interest worldwide in the study of well-being as a means to assess and need to evaluate positive dimensions of health aspects of senior citizens. In a study on the psychological well being of senior citizens residing in community and non community living, the objective was to see the difference in their psychological well being of senior citizens from community and non community living. A sample of 100 senior citizens was taken randomly from different areas in the city of Jaipur, for non community living and the sample for community living was taken from Ashiana Utsav (senior citizen homes).Out of the entire sample 50 were from community living and 50 from non community living and out of them, 25 were males and 25 were females respectively for both the groups. Standardized tool used for the study was Psychological well being scale by Dr. D.S.Sisodia and Pooja Singh. Statistical analysis used was mean, SD and‘t’ test. The results revealed that there was a significant difference in the psychological well being of senior citizens living in community living and non community living. There was also a significant difference between males and females in the different types of housing.


2019 ◽  
Vol 1 (2) ◽  
pp. 82
Author(s):  
Wahyu Islami ◽  
Agustiansyah Agustiansyah

One of the activities in Posyandu cadres are doing the weighing babies or toddlers. Weight infant or toddler then plotted on Towards Health Card (KMS) to determine if the infant or toddler is growing. Weighing and plotting activities in this KMS is one form of activity assess nutritional status.The important role of Posyandu as the frontline in service to the community, especially toddlers through Posyandu.Already, there is a disc Nutritionlat practical and easy to know the nutritional status and health of children and adults. Can also be used for nutrition education and health in Posyandu, health centers, hospitals or other medical facilities. Category of nutritional status on nutritional disc apparatus 3 that there is an upper limit, ideal, and the lower limit so that in determining the nutritional status determines only normal or not and on disc nutrition there is no way the use of tools. The tObjective of this study is to determine the effectiveness of nutritional modification discs as media circles nutritional status to improve the skills of cadres in determining nutritional status. This type of research is an experiment that was conducted to determine the increase in the skills of cadres before and after using the design of one group pre-test - post-test design. This draft was no comparison group (controls). Take measurements before (pre-test) with anthropometric standard books and do another measurement (post-test) with the media circle nutritional status. Based on the test results Wilcoxcon significant differences between the skillsbefore using the circle tool nutritional status and after using the circle tool nutritional status,with the result of a significant degree (0.000 <0.05) with the difference that a score of 10.67 points. The conclusion of this empirically is There is a significant difference in the improvement of the skills of cadres before and after the study to determine the nutritional status of children. Suggestions that there needs to be more research on the effectiveness of the media in terms of the size of the circle of the status of writing, colors and shapes on the nutritional status of the circle, so that it can be used by volunteers to determine the nutritional status


1993 ◽  
Vol 25 (2) ◽  
pp. 195-212 ◽  
Author(s):  
Robert J. Magnani ◽  
Nancy B. Mock ◽  
William E. Bertrand ◽  
Daniel C. Clay

SummaryThis study examines effects and interactions of socioeconomic status, access to water supply and sanitation, and breast-feeding practices in relation to child growth in two provincial cities in the Philippines. Multivariate analysis identified food expenditure per head, education of the household head and gender of the child as significant predictors of nutritional status. The duration of partial and full breast-feeding was negatively (though non-significantly) associated with growth. Sanitation facilities and breast-feeding are, however, important determinants during the first year of life. Among children over 1 year of age, socioeconomic variables and gender are the most important predictors. Breast-feeding is shown to provide more important health benefits for children in lower income households. The need for further studies on the causes of gender differences in nutritional status was apparent.


2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Trixie Leunupun ◽  
Ani Margawati ◽  
Annastasia Ediati

Stunting is a condition that describes the growth of children due to long-term malnutrition. Stunting according to WHO is based on the index of the body length compared to age (PB/U) or height compared to the age (TB/U) with the Z-score limit of less than-2 SD. The age of toddlers is an age where child growth and development happens very quickly. In that age toddlers often experience health problems especially nutritional problems. Insufficient nutritional intake can cause stunting and can inhibit children's development. Design of observational analytic research with case-control design in toddlers aged 2-3 years. The population of this research is all toddlers who reside in the working area of Puskesmas Layeni subdistrict of Central Maluku district. Sample research is done using the Lameshow formula. The study used the ratio of 1:1 so that the number of research subjects in the case group was equivalent to the number of research subjects in the control group (i.e. 30 children per group), resulting in a total subject of 60 children. Analysis of the data used to see the difference between variables using the chi-square test. Variable dependent events are stunting and independent dietary variables. The results of the chi-square test show that there is no difference between the diet (the level of energy and protein adequacy) in a stunting toddler and not stunting the value (p > 0.05). The conclusion of the diet (adequacy of energy and protein) respectively in the group of cases is not too much of a significant difference. But in the control group more toddlers with good energy and protein adequacy levels. Keywords: toddler, diet, stunting


2021 ◽  
Vol 9 (4) ◽  
pp. 8127-8132
Author(s):  
Susheela Rana ◽  
◽  
Hemender Mahajan ◽  
Nalneesh Sharma ◽  
Pankaj Soni ◽  
...  

Introduction: The effects of altitudinal variation on child growth and development have long been a center of attention for researcher. We believe that hereditary factor primarily affects on child growth and development however environment has secondary effect on it. The available literature on newborns in Himachal Pradesh establishes the fact that as altitude increases the crown heel length decreases. A comprehensive significant finding was also available in both the regions of Himachal Pradesh in terms of head length, foot length, nasal height etc. the comparison between the neonates of the two zones of Himachal Pradesh explains the difference in physical appearance of people of both zones. These features may be biological or behavioral in nature, genetic or developmental in origin. Most instances, a combination of factors are involved. Methods: The present study included 185 parents and their newborns from two zones (Lower zone and Middle zone) of Himachal Pradesh and separated as per the criteria. Measurement of newborn parameters was taken in 12-24 hours after birth by using digital vernier caliper. Ethical clearance from university and permission from Himachal Pradesh government was taken. All the newborns were separated as per criteria 1. Mother / Father from Lower Zone. (Zone category 1) 2. Mother / Father from Middle Zone. (Zone category 2) 3. Mother from Lower Zone / Father from Middle Zone. (Zone category 3) 4. Mother from Middle Zone / Father from Lower Zone. (Zone category 4) Results: Statistically significant difference was obtained in all the four categories. Different parameters were compared across different parent- zone categories by one way ANOVA. The results showed that four parameters shows significantly across groups, viz, Weight, Facial Length, Nasal Height and Philtrum width in all the Zone categories. Conclusions: The early historical studies mention that people living in Himachal Pradesh have migrated from different geographical locations hence their genetics, as well as culture is different from each other. This study clearly demonstrates the effects of environmental factors on child growth and development in Himachal Pradesh. KEY WORD: Anthropometry, Newborn, Himachal, Environment, Genetics.


2021 ◽  
Vol 8 ◽  
Author(s):  
Ali M. El Shafie ◽  
Fady M. El-Gendy ◽  
Dalia M. Allahony ◽  
Hossam H. Hegran ◽  
Zein A. Omar ◽  
...  

Background: The Lambda-Mu-Sigma (LMS) and Z score methods are important for assessment of growth and nutritional status. In Egypt, there is a lack of this tool for monitoring growth in preschool children.Objective: To develop LMS and Z score growth references for assessment of growth and nutritional status for Egyptian children from birth up to 5 years.Methods: A total of 27,537 children [13,888 boys (50.4%) and 13,649 girls (49.6%)] from birth up to 5 years were included in a multistage cross sectional randomized study from different Egyptian geographic districts to create LMS and Z score references for weight, length/height, and body mass index corresponding to age in addition to weight for length/height. Healthy term infants and children, exclusive breast feeding for at least 4 months and not suffering from any chronic diseases were included in this study. Children with dysmorphic features, preterm infants, admitted in neonatal or pediatric intensive care units and having any chronic diseases (hematological, cardiac, hepatic, and renal) were excluded. In addition any health condition that affects child growth including nutritional disorders was also excluded. Un-paired t-test was calculated to compare the means of weight for age, length/height for age, weight for length/height, and BMI for-age z scores of the Egyptian and WHO reference values.Results: Through detailed tables and graphs, LMS and Z scores for weight for age, length/height for age, weight for length/height, and BMI for age of both sexes were represented. Our findings showed no statistically significant difference between reference charts of WHO and Egyptian Z score charts (P &gt; 0.05).Conclusion: This study provides the first reference for Egyptian children from birth up to 5 years based on Z score tool for assessment the growth and nutritional status in various clinical conditions and research, also allows comparison with references of other countries.


2020 ◽  
Vol 16 (2) ◽  
pp. 25-35 ◽  
Author(s):  
Lyudmila A. Migranova

The Object of the Study: population monetary income The Subject of the Study: standards, differentiation and structure of the population monetary income The Purpose of the Study is assessing the dynamics in the main characteristics of the Russian population monetary income as a result of the changes in the Rosstat methodology The Main Provisions of the Article. In 2018 Rosstat changed the methods of calculating the macro-economic indicator of population monetary income by separate income sources and published new data on per capita monetary income of population for Russia and RF subjects, as well as distribution series for RF population by per capita monetary income in 2013-2017. Alongside this, they began to estimate inequality in household income using the data from the Sample Survey of Population Income (SSPI) instead of the Household Budget Survey (HBS) used before. The article provides a comparative analysis of the level, composition and differentiation of the monetary income of the Russian population calculated by both old and new methods. It has been found out that significant changes took place only in the structure of population monetary income, and mainly in such income items as work remuneration of employees and other cash receipts. Average per capita income of the RF population changed slightly (±1%), while in separate regions the difference makes (± 5-10%). There is no significant disparity in the level of income differentiation of the RF population. The author presents calculations of the differentiation of the RF population monetary income based on the data from the Sample Survey of Population Income for 2016. It shows how the distribution of population by per capita monetary income changes with different estimation of the population within the range of the minimum per capita monetary income.


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