scholarly journals An Educational Intervention to Mothers Improved the Nutritional Status of Mexican Children Younger Than 5 Years Old With Mild to Moderate Malnutrition

2019 ◽  
Vol 6 ◽  
pp. 2333794X1988482
Author(s):  
Sonia Sánchez-Encalada ◽  
Myrna Mar Talavera-Torres ◽  
Rosa Maria Wong-Chew

Malnutrition in children younger than 5 years old has persisted in time (13.5% in 1988 to 12.3% in 2012) in Mexico City. A quasi-experimental study was performed. An educational intervention was given twice a month for 6 months to mothers of mild to moderate malnourished children 1 to 5 years old. Weight, height, and body mass index of the children were obtained at the beginning and 3 and 6 months after the intervention. Thirteen mothers and 15 children were included. The baseline mean weight/age in Z score was −1.49 ± 0.65, which improved to −1.19 ± 0.60 ( P = 0.001; per protocol analysis). Linear regression analysis showed a P of 0.006 of the mothers’ adherence to improve children’s weight. The educational intervention decreased the weight deficit after 6 months with the same economic resources of the family; hence, the adherence of the mothers to the educational intervention is relevant to improve the nutritional status of their children.

2021 ◽  
pp. 238008442110021
Author(s):  
O.O. Olatosi ◽  
A.A. Alade ◽  
T. Naicker ◽  
T. Busch ◽  
A. Oyapero ◽  
...  

Introduction: Malnutrition in children is one of the most prevalent global health challenges, and malnourished children have a higher risk of death from childhood diseases. Early childhood caries (ECC) is the most common chronic disease of childhood. Complications from ECC such as pain, loss of tooth/teeth, and infection can undermine a child’s nutrition and growth. Aim: This study aims to evaluate the severity of decay, missing, and filled tooth (dmft) by nutritional status using the z scores of the anthropometric measurements: height for age (HFA), weight for age (WFA), weight for height (WFH), and body mass index for age (BMIA) among children with ECC in Nigeria. Study Design: This is a cross-sectional study conducted in 5 local government areas (LGAs) in Lagos State, Nigeria. A multistage sampling technique was used. Results: A total of 273 cases of ECC were included in the analyses (mean age 4.19 ± 0.96 y). Overall, the mean dmft was 3.04 ± 2.28, and most (96%) were accounted for by untreated decay. The distribution of dmft within the different z score categories of BMIA (<–3 = severely wasted, –2 to –3 = wasted, –2 to +2 = normal, +2 to +3 = overweight and >+3 = obese) showed the highest dmft scores among the combined severely wasted and wasted groups, lowest among children with normal z scores, and intermediate in the overweight and obese groups. There was a significant negative correlation between BMIA z score, WFH z score, and dmft ( r = −0.181, P < 0.05 and r = −0.143, P < 0.05, respectively). However, the correlations between HFA z score, WFA z score, and dmft were positive but not significant ( r = 0.048, P = 0.44 and r = 0.022, P = 0.77, respectively). Conclusion: Our study showed an increased severity of dental caries among severely wasted or wasted children with ECC compared to those of normal or overweight. Knowledge Transfer Statement: The results from this study will raise awareness among clinicians and policy makers on the need for a primary prevention program for early childhood caries in countries with high burden of malnutrition and limited resources. Also, it will help draw the attention of clinicians to the caries status of malnourished children that can be managed to improve the nutritional outcomes.


2015 ◽  
Vol 55 (3) ◽  
pp. 136 ◽  
Author(s):  
Nelly Simarmata ◽  
Tiangsa Sembiring ◽  
Muhammad Ali

Background Soil-transmitted helminth (STH) infections remain a public health problem in developing countries. Their prevalence is particularly high in rural areas with people of low socioeconomic level. A single or mixed STH infection rarely causes death, but can affect nutritional status, growth, cognitive development and human health, especially in children.Objective To compare the nutritional status of STH-infected and uninfected children.Methods This cross-sectional study was conducted in June 2010 in children from 3 primary schools in the Simpang Empat and Kabanjahe Subdistricts, Karo District, North Sumatera Province. Fecal examinations were done by the Kato-Katz method to diagnose STH infections. Participants of this study consisted of 140 infected children and 141 uninfected children. Nutritional status classification was based on the 2000 Centers for Disease Control growth charts. All categorical data were analyzed by Chi-square test.Results Of 140 infected children, 8.6% were infected with Ascaris lumbricoides, 17.1% with Trichuris trichiura and 74.3% with mixed infections (Ascaris lumbricoides and Trichuris trichiura). We found significantly more STH infected children with mild to moderate malnutrition than the uninfected group. We also found significantly more mildly to moderately malnourished children with moderate infection intensity than mild infection intensity.Conclusion We find significantly more STH infected children with mild to moderate malnutrition than the uninfected group. We also find significantly more mildly to moderately malnourished children with moderate infection intensity than mild infection intensity. Higher severity of infection is associated with lower nutritional status.


2016 ◽  
Vol 45 (3) ◽  
pp. 107
Author(s):  
Nurhayati Masloman ◽  
Stefanus Gunawan

Background Severe malnutrition in children is closely related todelayed physical growth and mental development. Very few re-ports mention the effects of mild to moderate malnutrition on mo-tor development.Objective The objective of this study was to determine the rela-tionship between nutritional status and motor development in earlychildhood.Methods In this cross-sectional study, we examined body weightof children under 5 years of age, the ability to sit or walk withoutsupport, and parachute sign in those under 2 years of age whocame to community child health surveillance posts in TumintingSubdistrict, Manado, Indonesia.Results Among 359 under-five children, 296 were well-nourishedand 63 had mild to moderate malnutrition. The ability to sit withoutsupport in malnourished children was significantly delayed com-pared to that in well-nourished ones (P=0.03). The ability to walkwithout support and parachute sign were not significantly differentbetween the two groups.Conclusion The ability to sit without support in children with mildto moderate malnutrition is delayed compared to that in well-nour-ished ones


Author(s):  
Rahmadi . ◽  
Toto Sudargo ◽  
Agus Wijanarka

Background: Act No. 25/2000 about National Development Program and Vision Healthy Indonesia 2010 specifi ed that 80% of Indonesian families become nutrition aware families. The result of survey on nutrition aware families in indicated that in 2006 as much as 52.7% and in 2007 as much as 27.2% of families were not yet nutrition aware. The result of nutritional status monitoring of underfi ves (Z-score) showed undernourishment increased from 5.1% in 2004 to 10.1% in 2005.<br /><br />Objective: To analyze association between nutrition aware behavior and food security of the family and nutrition status of underfi ves at District of Tanah Laut, Province of Kalimantan Selatan.<br /><br />Method: The study was observational with cross sectional design. The dependentvariable was nutritional status of underfi ves (z-score for weight/length); the independent variables were nutrition aware behavior and food security of the family; and the confounding variables were characteristics of the family (parents’ education, number of the family members, knowledge of mothers about nutrition and family income). Subject consisted of underfi ves of 6–24 months with as many as 198 underfi ves. Data analysis used chi square and double logistic regression (multiple logistic regression) and qualitative analysis with indepth interview for families that were not yet nutrition aware.<br /><br />Result: There were 145 families (73.2%) that were nutrition aware and 53 (26.8%) that were not yet nutrition aware; based on energy consumption 51.1% of families had enough food and 48.9% were undernourished; based on protein consumption 52.5% of families had enough food and 47.5% were undernourished; and children with good nutrition status were 72.6% for boys and 72.8% or girls. There was signifi cant association between nutrition aware behavior and nutrition status of underfi ves (p=0.010). The result of logistic regression test showed that there was signifi cant association between the number of family members and food security of the family (p&lt;0.05) with OR=5.516 (95%CI=2.584–11.775). There was signifi cant association between knowledge of mothers about nutrition and food security of the family (p&lt;0.05) with OR=0.486 (95%CI=0.25–0.914).<br /><br />Conclusion: There was no association between nutrition aware behavior and food security of the family based on level of energy and protein consumption. There was signifi cant association (p&lt;0.05) between number of family members and food security of the family based on level of energy and protein consumption. There was signifi cant association between knowledge of mothers about nutrition and food security of the family based on energy consumption. There was no association between parents’ education and family income based on level of energy and protein consumption. There was signifi cant association between nutrition aware behavior of the family and nutrition status of underfi ves; however there was no association between food security of the family and nutrition status of underfi ves.<br /><br />KEYWORDS: nutrition aware, family characteristics, food security, nutritional status of underfi ves<br /><br />ABSTRAK<br /><br />Latar Belakang: Undang-undang nomor 25 tahun 2000 tentang Program Pembangunan Nasional dan Visi Indonesia Sehat 2010 menetapkan  80% keluarga menjadi keluarga sadar gizi (kadarzi). Hasil data survei kadarzi pada tahun 2006 dan 2007 didapatkan keluarga yang belum kadarzi 52,7% dan 27,2%. Hasil pemantauan status gizi balita (z-ScoreBB/U) didapatkan status gizi kurang menunjukkan adanya peningkatan, yaitu  tahun 2004 sebesar (5,1%),  tahun 2005 (9,8%)dan tahun 2006 (10,1%) <br /><br />Tujuan: Untuk  menganalisis hubungan antara perilaku sadar gizi  dan ketahanan pangan keluarga dengan status gizi balita di Kabupaten Tanah Laut  Provinsi  Kalimantan Selatan.<br /><br />Metode: Jenis penelitian observasional dengan rancangan cross sectional. Variabel terikat: status gizi balita (z-score BB/TB) dan variabel bebas:  perilaku sadar gizi, ketahanan pangan keluarga serta variabel pengganggu: pendidikan orang tua, jumlah anggota keluarga, pengetahuan gizi ibu dan pendapatan keluarga. Subjek penelitian balita usia 6-24 bulan,  jumlah 198 balita. Analisis yang digunakan adalah uji chi-square dan regresi logistik  berganda  (multiple logistic regression)  dan didukung  analisis kualitatitf  dengan indepth interview  bagi keluarga belum kadarzi.<br /><br />Hasil: Keluarga sudah kadarzi 145 (73,2%) dan belum kadarzi 53 (26,8%). Indikator kadarzi tentang dukungan keluarga memberikan ASI eksklusif 0-6 bulan paling banyak tidak dilaksanakan. Alasannya adalah setelah melahirkan ASI tidak keluar, susu ibu bengkak dan mengeluarkan  darah, hamil lagi, dan alasan pekerjaan. Semua keluarga menggunakan garam beryodium dalam memasak makanan. Keluarga tahan pangan dan tidak tahan pangan berdasarkan tingkat konsumsi energi masing-masing sebesar 47,5% dan 52,5%, keluarga yang tahan pangan dan tidak tahan pangan berdasarkan tingkat konsumsi protein masing-masing sebesar 52,5% dan 47,5% dan status gizi balita hasil z-score BB/TB didapatkan  balita gizi baik 72,7% dan gizi kurang 27,3%.  Perilaku sadar gizi berhubungan signifi kan dengan ketahanan pangan keluarga berdasarkan tingkat konsumsi energi (p&lt;0,05). Perilaku sadar gizi dan ketahanan pangan keluargaberdasarkan tingkat konsumsi energi dan protein tidak berhubungan signifi kan dengan status gizi balita  (p&gt;0,05).<br /><br />Kesimpulan: Perilaku sadar gizi, jumlah anggota keluarga, pengetahuan gizi ibu dan pendapatan per kapita berhubungan signifikan dengan ketahanan pangan keluarga berdasarkan tingkat konsumsi energi, sedangan pengetahuan gizi ibu dan pendapatan per kapita berhubungan signifi kan dengan ketahanan pangan keluarga berdasarkan tingkat konsumsi protein. Perilaku sadar gizi keluarga dan ketahanan pangan keluarga berdasarkan tingkat konsumsi energi dan protein tidak berhubungan dengan status gizi balita (z-score BB/TB).<br /><br />KATA KUNCI: keluarga sadar gizi, karakteritik keluarga, ketahanan pangan, status gizi balita


2020 ◽  
Vol 26 (3) ◽  
pp. 213-228
Author(s):  
Patricia Beierwaltes ◽  
David Clisbee ◽  
Sandra K. Eggenberger

This project describes implementation of an educational intervention designed to initiate practice changes that support families and nurses during acute illness. An academic–practice partnership and digital storytelling methodology provided a foundation. A quasi-experimental research design included quantitative and qualitative measurement before and after the educational intervention. Themes identified in digital stories of nurse experiences caring for families provided direction for the educational intervention including the digital stories, empirical evidence, and proposed changes in nursing practice focused on families. Nurse participants ( n = 160) in the educational intervention reported positive responses on a qualitative questionnaire. Comparing pretest and posttest results of the Family Nurse Practice Scale reflected positive, though not significant change. Family members ( n = 49) reported significantly improved perceptions of support on 7 of the 14 items on the Iceland Perceived Family Support Questionnaire. This project highlighted digital storytelling’s power to promote family interventions and move family nursing knowledge into practice.


2018 ◽  
Vol 48 (4) ◽  
pp. 277-282 ◽  
Author(s):  
Pavan Pandey ◽  
Sneha Jain ◽  
Arushi Sharma

Nutritional rehabilitation centres (NRCs) have been established to ensure the nutritional recovery of severely malnourished children. The long-term nutritional outcomes in children discharged from NRCs have not been described. In this retrospective cohort study, the nutritional status of 514 children was assessed one year after discharge. Household and maternal data, as well as data regarding variables related to the children’s stay at the NRC, were collected. A total of 33.4% had moderate malnutrition and 11.7% had severe malnutrition. The mean weight for height Z-score at admission, discharge and one year after discharge were −3.61, −1.90 and −2.34, respectively. Thus, long-term monitoring and follow-up of children discharged from NRCs till they achieve normal nutritional status is mandatory.


Author(s):  
Siti Romlah ◽  
Hamam Hadi ◽  
M. Juffrie

ABSTRACT<br /><br />Background: The prevalence of having intestinal worms among malnourished children under fi ve as the cause of anemia at the Province of Nusa Tenggara Timur is still relatively high. Efforts to minimize intestinal worm infection and anemia and to increase nutrition status of malnourished children under fi ve who get recovery complementary foods are made through supply of intestinal worm drugs, Fe syrup and vitamin C.<br /><br />Objective: To identify the effect of the supply of intestinal worm drugs, Fe syrup, and vitamin C supplementation to the increase of haemoglobin (Hb) level and nutritional status of malnourished children under fi ve who got recovery complementary foods.<br /><br />Method: This was an experimental study with factorial design. Subject of the study were malnourished children under fi ve of 1–3 years of age at Kupang Municipality. There were as many as 128 samples divided into 4 experiment groups. The group got pyrantel pamoat intestinal worm drugs 125 mg (n=32), Fe syrup + vitamin C (n=32), and placebo (n=32). Hb level was measured using “Hemocue-B Hemoglobin photometer”, intestinal worm infection was observed through facces of the subject to identify the presence of worm eggs. Statistical analysis used t-test to identify the relationship before and after the supply and ANOVA to fi nd out the difference in the effect of the supply among the groups. <br /><br />Result: After 3 months, the supply of the intestinal worm drugs before intervention had signifi cant effect to intestinal worm infection status among the group with intestinal worm drugs and the group with intestinal worm drugs, Fe syrup + vitamin C. The highest increase of Hb level was found in the group with intestinal worm drugs, Fe syrup + Vitamin C with average increase as much as 1.2 g/dL. Average increase of weight among the groups was 0.3 kg. Increase of<br />Z-score signifi cantly affected index of weight/age and weight/height.<br /><br />Conclusion: The increase of Hb level signifi cantly affected changes of nutritional status increase among the experiment groups.<br /><br />KEYWORDS: intestinal worm drugs, Fe syrup, vitamin C, Hb level, nutritional status, malnourishment<br /><br />ABSTRAK<br /><br />Latar Belakang: Prevalensi kecacingan pada balita gizi buruk sebagai penyebab anemia di Provinsi NTT masih tinggi. Upaya menurunkan infeksi kecacingan dan anemia serta meningkatkan status gizi pada balita gizi buruk yang mendapat PMT-P antara lain dengan pemberian obat cacing dan suplementasi sirup Fe + vitamin C.<br />Tujuan: Mengetahui pengaruh pemberian obat cacing, suplemen sirup Fe, dan vitamin C terhadap peningkatan kadar Hb dan status gizi balita gizi buruk penerima PMT-P.<br /><br />Metode: Jenis penelitian adalah eksperimental dengan rancangan faktorial. Sasaran penelitian adalah balita gizi buruk usia 1–3 tahun di Kota Kupang. Jumlah sampel sebanyak 128 anak dibagi dalam 4 kelompok perlakuan. Perlakuan obat cacing pirantel pamoat 125 mg (n=32), sirup Fe + vitamin C (n=32), obat cacing, sirup Fe+ vitamin C (n=32) dan plasebo (n=32). Pengukuran kadar hemoglobin dengan ”HemoCue”, infeksi cacing diperiksa melalui tinja subjek untuk melihat adanya telur cacing. Analisis menggunakan uji T-test untuk mengetahui hubungan sebelum dan sesudah suplementasi dan uji ANOVA untuk melihat perbedaan efek suplementasi antar kelompok. <br /><br />Hasil: Setelah 3 bulan, pemberian obat cacing sebelum intervensi berpengaruh signifi kan terhadap status infeksi kecacingan pada kelompok obat cacing dan kelompok obat cacing, sirup Fe + vitamin C. Peningkatan kadar hemoglobin antarkelompok yang tertinggi adalah pada kelompok obat cacing, sirup Fe dan vitamin C dengan ratarata kenaikan sebesar 1,2 g/dL. Rata-rata kenaikan berat badan antar kelompok sebesar 0,3 kg. Peningkatan nilai Z-score berpengaruh signifi kan terhadap indek BB/U dan BB/TB.<br /><br />Kesimpulan:<br />Peningkatkan kadar hemoglobin berpengaruh signifikan terhadap perubahan peningkatan status gizi antar kelompok suplementasi.<br /><br />KATA KUNCI: obat cacing, sirup Fe +vitamin C, kadar hemoglobin, Z-score, status gizi


2020 ◽  
Vol 1 (1) ◽  
pp. 018-025
Author(s):  
Bourama Kané ◽  
Korotoumou Wélé Diallo ◽  
Boubacar Mami Touré ◽  
Oumou Koné ◽  
Guédiouma Dembélé ◽  
...  

Introduction: Tuberculosis is one of the top ten killers worldwide. In 2015, an estimated one million children developed the disease and 170,000 died from it. We report three cases of pulmonary tuberculosis in infants diagnosed and treated in the pediatric ward of the Mali Hospital. Clinical cases: Observation 1: He is a 7 month old infant hospitalized for fever and weight loss. He received the BCG. There was no notion of TB contagion. On admission, he had poor nutritional status with a Zscore <- 3 and pallor. He had bronchial groans. Xpert / RIF returned positive to M. tuberculosis sensitive to rifampicin. An anti-tuberculosis treatment (2RHZ / 4RH) associated with the transfusion of the globular concentrate at a rate of 20 ml / Kg / 1d over 1 hour and nutritional management have been instituted. After 2 months of treatment, we observed clinical radiological improvement. Xpert control of gastric fluid returned negative. Observation 2: He was an 8-month-old infant hospitalized for fever and weight loss. He did not receive BCG. There was no notion of family storytelling. On admission, he had a poor nutritional status with a Z score <-3. The respiratory rate was 32 cycles / min. There were crackling groans. Direct gastric fluid examination and Xpert / RIF were positive for M. tuberculosis sensitive to rifampicin. He could not be treated because the family requested discharge against all medical advice. Observation 3: He was a 10 month old infant admitted for cough, fever and weight loss. He received the BCG, there was the notion of family contagion. At the entrance, he had a poor nutritional status with a zscore <- 3. He had a polypnea at 45 / min and crackling groans. Direct examination and culture of gastric fluid were positive for rifampicin-sensitive M. tuberculosis. A treatment including oxygen, anti-tuberculosis drugs (2RHZ / 4RH) and nutritional management was initiated. Within 2 months of treatment, we observed clinical and radiological improvement. Direct examination and culture of gastric fluid returned negative. Conclusion: tuberculosis in infants is poorly documented because of unspecific symptoms and difficulties in obtaining bacteriological confirmation. It should be systematically sought in all malnourished infants in endemic countries.


Author(s):  
Irma Aidé Barranco-Cuevas ◽  
Maria Jose Tamayo-Huerta ◽  
Karina Perdomo-Díaz ◽  
Yenni Espinosa-Gómez ◽  
Arturo García-Galicia ◽  
...  

Objective: To identify the knowledge of Sexual Transmitted Diseases (STD) in adolescents before and after an educational intervention. Study Design: Quasi-experimental, longitudinal study. Place and Duration of Study: This study was conducted in the Family Medicine Unite Number 6 of the Mexican Institute of Social Security, Puebla, Mexico during January to April in 2017. Methodology: 151 patients were included in whom the knowledge level in sexual transmitted diseases were correlated. A study was used to measure the knowledge in the anatomy and sexual physiology, STDs prevention and ant conceptive. Central tendency and dispersion measures were employed for numeric variables and frequency (proportions) measures for categorical measures. Results: A total of 151 adolescents with (58.9%) are female 17 years of age, 97.4% without partner and 74% without sex life. The knowledge after an educational intervention increased 10.6% in comparison to before the intervention. The statistical treatment was based on the Wilcoxon, resulting in a p=0.000. Conclusion: The knowledge of STDs in adolescents increased after an educational intervention.


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