Time to reconsider feeding difficulties in healthy children: a narrative synthesis of definitions and associated factors

Nutrire ◽  
2021 ◽  
Vol 46 (2) ◽  
Author(s):  
Priscila Maximino ◽  
Ana Carolina B. Leme ◽  
Gabriela Malzyner ◽  
Raquel Ricci ◽  
Nathália Gioia ◽  
...  
Keyword(s):  
Associated Factors ◽  
Healthy Children ◽  
Narrative Synthesis ◽  
Feeding Difficulties

scholarly journals Nutritional status and associated factors among children with congenital heart disease in selected governmental hospitals and cardiac center,Addis Ababa Ethiopia

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Rediet Woldesenbet ◽  
Rajalakshmi Murugan ◽  
Feven Mulugeta ◽  
Tamirat Moges
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Nutritional Status ◽  
Associated Factors ◽  
Congenital Heart ◽  
Addis Ababa ◽  
Reference Ranges ◽  
Healthy Children ◽  
Z Scores ◽  
Cardiac Center

Abstract Background Children with congenital heart disease are at risk for poor growth and under-nutrition compared with healthy children. The aim of this study was to assess the nutritional status of children with congenital heart disease and associated factors in selected governmental hospitals and cardiac center Addis Ababa, Ethiopia. Method Institutional based cross sectional study among 373 children aged under15 years was conducted from February to March; 2021G.c. Data was collected using structured questionnaire and chart review. Z-scores based on WHO reference ranges were used. Anthropometric z-scores based on WHO 2007 reference ranges were generated for each child. Weight-for-age z-scores for children 0–10 years and height-for-age and BMI-for-age z-scores for all children. Binary logistic regression was used for associated factors. Result A total of 373 children were participated in this study. The prevalence of wasting and stunting was 144(38.6%) and 134(35.9%) respectively. The prevalence of underweight and malnutrition in children under 10 years was 143(43.1%). Most of the children were diagnosed with VSD (36.7%). Children age group of 13 months-5 years were associated with wasting and underweight [AOR = 0.434, 95%CI: (0.231, 0.816)] and [AOR = 0.360, 95%CI: (0.183, 0.711)] respectively. Children diagnosed with PAH were 1.885 times more likely to be underweight [AOR = 1.885, 95%CI: (1.094, 3.246)]. When the hemoglobin level increases by every unit per g/dl the chance to be wasting and underweight decreases by 13.1 and 18.6%[AOR = 0.869, 95%CI: (0.792, 0.955)] and [AOR = 0.869, 95%CI: (0.792, 0.955)] respectively. The level of SPO2 is associated with stunting and underweight [AOR = 0.970, 95%CI: (0.943, 0.998)] and [AOR = 0.970, 95%CI: (0.943, 0.998)] respectively. Conclusion The prevalence of malnutrition in children with CHD is pretty high. Decreased level of hemoglobin and SPO2 was found to be associated factors for malnutrition in this case. There need to be a new strategy about including different health professional while care giving.

scholarly journals Retinal oxygen saturation in 1461 healthy children aged 7–19 and its associated factors

2019 ◽  
Vol 97 (3) ◽  
pp. 287-295 ◽  
Author(s):  
Xiaoxiao Liu ◽  
Xiangui He ◽  
Yao Yin ◽  
Bo Zhang ◽  
Sifei Sun ◽  
...  
Keyword(s):  
Oxygen Saturation ◽  
Associated Factors ◽  
Healthy Children

scholarly journals Protocol for a multicentre longitudinal mixed-methods study: feeding and survivorship outcomes in previously healthy young paediatric Intensive care survivors (the PIES Study)

BMJ Open ◽  
2020 ◽  
Vol 10 (12) ◽  
pp. e041234
Author(s):  
Kathryn Morton ◽  
Anne-Sophie Emma Darlington ◽  
L V Marino
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Mixed Methods ◽  
Mixed Methods Study ◽  
Paediatric Intensive Care ◽  
Free Text ◽  
Healthy Children ◽  
Post Discharge ◽  
Feeding Difficulties ◽  
Caregiver Experiences

IntroductionAn admission to paediatric intensive care unit (PICU) is associated with multiple physical and environmental stressors, often involving many negative and painful oral experiences. Evidence from children with complex medical conditions suggests that feeding difficulties post-PICU stay are common, causing significant parental anxiety. Adult intensive care unit (ICU) survivor studies suggest feeding issues lasting up to 3 months post-discharge from ICU. There is, however, a paucity of evidence regarding feeding outcomes for previously healthy children following a PICU admission and whether painful oral experiences during an admission contribute to feeding difficulties post-discharge, negatively impacting on parental/caregiver anxiety.Methods and analysisThis longitudinal mixed-methods study will explore the impact of feeding difficulties, identifying any clinical risk factors during the first 6 months of PICU discharge in previously healthy young children (≤4 years). Parents/caregivers of children will be asked to complete questionnaires relating to: feeding difficulties, parental/caregiver stress, and child and parental/caregivers’ feeding behaviours at the point of PICU discharge, 1, 3 and 6 months post-discharge. Parents/caregivers will be invited to participate in qualitative semistructured interviews at 3 and 6 months post-PICU discharge exploring parental/caregiver experiences of feeding their child after PICU. Statistical analysis of the survey data will consist of descriptive and inferential statistics, plus qualitative analysis of any free text comments using thematic analysis.Ethics and disseminationThis study will provide an insight and increase our understanding of the prevalence of feeding difficulties in previously healthy children admitted to PICU and parental/caregiver experiences. Multiple methods will be used to ensure that the findings are effectively disseminated to service users, clinicians, policy and academic audiences. The study has full ethical approval from the National Health Service Research Ethics Committee (Ref: 20/YH/0160) and full governance clearance.

scholarly journals Dietary Diversity Practice and Associated Factors Among Infants and Young Children in Haramaya Town, Ethiopia

2017 ◽  
Vol 6 (3) ◽  
pp. 243 ◽  
Author(s):  
Berhe Gebremichael ◽  
Gudina Egata ◽  
Nega Assefa
Keyword(s):  
Young Children ◽  
Low Income ◽  
Associated Factors ◽  
Dietary Diversity ◽  
Statistical Significance ◽  
P Value ◽  
Healthy Children ◽  
Eastern Ethiopia ◽  
Study Participants ◽  
Infants And Young Children

Optimum child feeding is crucial for growth, development, and better health in later life. Dietary diversity is a critical part of the feeding practices. However, there is limited evidence on dietary diversity practice in low-income countries, like Ethiopia. This study assessed dietary diversity practice and associated factors among mothers of infants and young children aged 6-23 months in Haramaya Town, Eastern Ethiopia<strong>. </strong>Community based cross-sectional study design was used and study participants were selected by simple random sampling. Data were collected using a pre-tested questionnaire by face-to-face interview. The collected data were entered to EpiData version 3.1 and exported to SPSS version 22.0 for analysis. Characteristics of the study participants were described by using frequencies, percentages, summary measures, and tables. Bi-variable and multi-variable analyses were used to identify the associated factors. Statistical significance was declared at p-value &lt; 0.05. The study included 635 participants yielding to a response rate of 98.1%. The prevalence of dietary diversity practice was 25.2%. Mothers learned up to secondary level or above [(AOR=2.97, 95% CI: (1.26, 6.99)], mothers who had job [(AOR=3.21, 95% CI: (1.41, 7.29)], older children [(AOR=2.51, 95% CI: (1.45, 4.34)], male children [(AOR= 2.08, 95% CI: (1.29, 3.33)], healthy children [(AOR=2.65, 95% CI: 1.36, 5.16)] and richest households [(AOR=4.45, 95% CI: 1.94, 10.22)] were associated with dietary diversity practice. Generally, the dietary diversity practice was low. Therefore, attention should be given to mothers with no formal education and efforts should be done to improve the socioeconomic status of the households.

scholarly journals Dependence Of Protein-Energy Insufficiency On The Degree Of Motor Disorders In Infantile Cerebral Palsy

2020 ◽  
Vol 02 (11) ◽  
pp. 32-41
Author(s):  
Mavlyanova Zilola Farhadovna ◽  
◽  
Velilyaeva Aliye Sabrievna ◽  
Keyword(s):  
Cerebral Palsy ◽  
Nutritional Status ◽  
Control Group ◽  
Motor Disorders ◽  
Healthy Children ◽  
Chi Square ◽  
Feeding Difficulties ◽  
Protein Energy ◽  
Children With Cerebral Palsy ◽  
The Impact

Purpose of research. To assess the impact of the severity of motor disorders in children with cerebral palsy on nutritional status. Materials and methods of research. The study included 102 children with cerebral palsy aged 2 to 17 years, 60 boys (58.8%) and 42 girls (41.2%). The average age of the children was 7.23 ± 4.9 years. Patients were ranked by age group in accordance with the age classification of the GMFCS scale. All children underwent a comprehensive clinical and neurological examination, nutritional status assessment, and anthropometry (measurement of shoulder circumference and plicometry). During anthropometry, the control group included 30 healthy children with an average age of 7.7±4.2 years. Results. It was found that with an increase in the severity of motor disorders, the number of children with protein-energy deficiency increases from 50% at level I to 100% at level V on the GMFCS scale (the significance of differences in Pearson's Chi-square was confirmed statistically: 9.32, p = 0.002069). At the same time, a severe degree of protein-energy insufficiency was observed mainly in double hemiplegia (amounting to 40.9%). Prognostically, cerebral palsy was the most favorable type of spastic hemiparesis and spastic diplegia, with a predominance of protein-energy insufficiency of a mild degree, amounting to 45.8% and 60%, respectively. In 71.6% of cases (n=73), children with cerebral palsy were diagnosed with oral-motor dysfunction of varying severity, problems with food consumption and, as a result, a noticeable lag in anabolic processes. Statistically significant differences were found in the frequency of feeding difficulties in children with levels I and V of motor abilities (Pearson's Chi-square: 20.12, p = 0.000005).

scholarly journals Nutritional Status and Associated Factors Among Children With Congenital Heart Disease in Selected Governmental Hospitals and Cardiac Center, Addis Ababa Ethiopia.

2021 ◽  
Author(s):  
Rediet Woldesenbet ◽  
Rajalakshmi Murugan ◽  
Tamirat Moges ◽  
Feven Mulugeta
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Nutritional Status ◽  
Associated Factors ◽  
Congenital Heart ◽  
Addis Ababa ◽  
High Energy ◽  
P Value ◽  
Healthy Children ◽  
Cardiac Center

Abstract Background: Children with congenital heart disease are at risk for poor growth and under-nutrition compared with healthy children. Inadequate energy intake, high energy requirement or both of these reasons are thought to be the reason for malnourishment of children with congenital heart disease. Therefore aim of this study to assess the nutritional status of children with congenital heart disease and associated factors in selected governmental hospitals and cardiac center Addis Ababa, Ethiopia.Method: Institutional based cross sectional study was include 395 samples among children age under15years old diagnosed with CHD. Data was collected with structured questionnaire and chart review. Samples were selected by consecutive sampling method and data was collected by face to face interview. Multivariable regression model was developed after p value <0.25 in the binary logistic analysis then after p value< 0.05 was taken as significant. Result: A total of 373 children were participated in this study. The prevalence of wasting and stunting was 144(38.6%) and 134(35.9%) respectively. The prevalence of underweight and malnutrition in children under 10years was 143(43.1%). Most of the children were diagnosed with VSD (36.7%). Children age group of 13months-5years were associated with wasting and underweight [AOR=0.434, 95%CI :( 0.231, 0.816)] and [AOR=0.360, 95%CI :( 0.183, 0.711)] respectively. Children diagnosed with PAH were 1.885 times more likely to be underweight [AOR=1.885, 95%CI :( 1.094, 3.246)]. When the hemoglobin level increases by every unit per g/dl the chance to be wasting and underweight decreases by 13.1% and 18.6%[AOR=0.869, 95%CI :( 0.792, 0.955)] and [AOR=0.869, 95%CI :( 0.792, 0.955)] respectively. The level of SPO2 is associated with stunting and underweight [AOR=0.970, 95%CI :( 0.943, 0.998)] and [AOR=0.970, 95%CI :( 0.943, 0.998)] respectively. Conclusion: The prevalence of malnutrition in children with CHD is pretty high. The responsible bodies should act on the accessibility of early treatment; focus on working in multidisciplinary way to prevent malnutrition and its consequences.

scholarly journals Outcomes of pregnancy and associated factors in sub-Saharan African women with systemic lupus erythematosus: a scoping review

2020 ◽  
Vol 7 (1) ◽  
pp. e000400
Author(s):  
Mickael Essouma ◽  
Jan René Nkeck ◽  
Kodoume Motolouze ◽  
Jean Joel Bigna ◽  
Paul Tchaptchet ◽  
...  
Keyword(s):  
Lupus Erythematosus ◽  
Associated Factors ◽  
Pregnancy Loss ◽  
Reference Lists ◽  
African Women ◽  
Narrative Synthesis ◽  
Factors Associated ◽  
Main Factors ◽  
Sub Saharan ◽  
Adverse Pregnancy

ObjectiveTo scope and summarise available literature on the outcomes of pregnancy and associated factors in sub-Saharan African women with SLE.MethodsElectronic databases and reference lists of retrieved articles were searched to identify relevant studies published from 1 January 2000 to 28 October 2019. Data were combined through narrative synthesis.ResultsWe included four studies retrospectively reporting a total of 137 pregnancies in 102 women over a 26-year period. Mean age at conception ranged from 27.2 to 39.9 years. Kidney damage, the predominant organ manifestation before conception, was reported in 43 (42.2%) patients. Ninety-seven (70.8%) pregnancies resulted in 98 live births. SLE flares occurred in 44 (32.2%) pregnancies, mainly skin (20.4%) and renal (18.2%) flares. Major adverse pregnancy outcomes (APOs) were preterm birth 38.8%, low birth weight 29.8%, pregnancy loss 29.2% and pre-eclampsia 24.8%. The main factors associated with APOs were nephritis and SLE flares.ConclusionOver two-thirds of pregnancies resulted in live birth in this cohort of sub-Saharan African women with SLE. The main APOs and associated factors described in other parts of the world are also seen in this region, but with high rates of APOs. A large prospective multinational study is warranted for more compelling evidence.

scholarly journals Sleep disturbances and related factors among preschool children in rural areas of China: a cross-sectional study

2020 ◽  
Author(s):  
Tianming Zhao ◽  
Kun Xuan ◽  
Haixia Liu ◽  
Xin Chen ◽  
Guangbo Qu ◽  
...  
Keyword(s):  
Preschool Children ◽  
Rural Areas ◽  
Associated Factors ◽  
Sleep Disturbances ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Emotional Symptoms ◽  
Sleep Habits ◽  
Cross Sectional ◽  
Feeding Difficulties

AbstractObjectiveSleep disturbances have been serious since they are believed to be associated with various health problems in preschool children. In this study, we aimed to explore the prevalence of sleep disturbances amongst preschool children in rural areas of China and examine the underlying associated factors.MethodsA cross-sectional study was conducted in rural areas of Anhui province, China from September 2019 to January 2020. To explore the potential associated factors comprehensively, caregivers of children completed a structured questionnaire, the Children’s Sleep Habits Questionnaire (CSHQ), the Strengths and Difficulties Questionnaire (SDQ), Self-rating Anxiety Scale (SAS) and the Chinese version of the adapted Identification and Management of Feeding Difficulties (IMFeD). One-way ANOVA and hierarchical multiple regression are conducted to explore the potential influencing factors of sleep disturbances in preschool children.ResultsAbout 89.3% of the preschool children aged from 3 to 6 years had potential sleep disturbances (scored above the cutoff value). Besides, ages of children, discipline attitudes of father and mother, main educational methods, caregivers of children, caregiver anxiety and hyperactivity/inattention, prosocial behavior, conduct problems, emotional symptoms, peer problems, food preference, fear of feeding, parental misperception and organic disease all contributed significantly to CSHQ total score by accounting for approximately 27.4% (R2=0.274) of the variation.ConclusionsOur study indicated that the prevalence of sleep disturbances among preschool children in rural area of China is quite high. Furthermore, the potential risk factors are complicated which include factors related to both children and caregivers especially their parents.

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