Correction: Association of vitamin A deficiency with early childhood stunting in Uganda: A population-based cross-sectional study

Background: To assess the awareness about breast feeding practices and to assess the knowledge, attitude and practice about the signs and symptoms of vitamin A deficiency (VAD) and vitamin A rich foods intake among mothers of children below 5 years in the Srikakulam district of Andhra Pradesh (AP) in South India.Methods: A population based cross-sectional study was conducted on 284 mothers (age range 14 to 36 years) during June 2011 and September 2011. A combined simple and systematic random sampling strategy was used to select mothers from one tribal, rural and semi urban area with a representative sample of the Srikakulam district. A standardized structured questionnaire that was developed and validated by the National institute of nutrition, Hyderabad was utilized for this study.Results: The awareness of vitamin A and night blindness was 68.7% (95% confidence intervals (CI): 62.9–74.0) (n=195) and 93.7% (95% CI: 90.2–96.2) (n=266) respectively. The knowledge of signs and symptoms of vitamin A deficiency (VAD) was nil among illiterate mothers and low among literates; with primary education, adjusted odds ratio (OR): 0.01 (95% CI: 0.00, 0.06) and with secondary education, OR: 0.19 (95% CI: 0.06, 0.62) compared to mothers with graduation and above.Conclusions: There is a need to increase the awareness and knowledge about VAD among mothers with children below 5 years in the southern state of AP.

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Prevalence of Vitamin A Deficiency And Associated Factors Among Children Aged 6-59 Months In Dera District, Northwest Ethiopia: A Cross-Sectional Study

10.21203/rs.3.rs-118206/v1 ◽

2020 ◽

Author(s):

Yidrsail Hune ◽

Hirut Asaye ◽

Ayenew Negesse ◽

Habtamu Temesgen ◽

Tadesse Yirga ◽

...

Keyword(s):

Vitamin A ◽

Birth Interval ◽

Associated Factors ◽

Vitamin A Deficiency ◽

Cross Sectional Study ◽

Northwest Ethiopia ◽

Sectional Study ◽

Cross Sectional ◽

Potential Health

Abstract Background: Vitamin A is a fat-soluble vitamin essential for the proper functioning of the immune system. It fondes both animal and plant sources in the form of retinol from animal sources or beta-carotene from plant source foods. Due to increased nutrient need and the severity of the potential health consequences are associated with vitamin A deficiency (VAD), preschool children and pregnant women are considered as the most at risk segments of the community. Hence, this study aimed to assess the prevalence of VAD and associated factors among children aged 6-59 months in Dera woreda, Northwest Ethiopia. Methods: Community based quantitative cross-sectional study was conducted among children aged 6-59 months in Dera woreda from December 1/2018 to January 1/2019. Multistage random sampling was used to select the required samples (267). Data were coded and entered into Epi-data version 3.1 and exported to SPSS (Statistical Package for Social Sciences) version 20 for analysis. Binary logistic regression was fitted. Both bivariable and multivariable analyses were used to identify factors associated with VAD. Those variables that were showed significant association in multivariable association at P value less than 0.05 declared as statistically significant factors of VAD among children age 6-59 months. Results: Two hundred sixty seven mother-children Pairs were included in the study making a response rate of 94.7%. The overall prevalence of Vitamin A deficiency among children age 6-59 months was 7.8% (95% CI (4.7, 11.3). Antenatal care follow up (AOR: 0.446,95 % CI (0.155, 0.980)); birth interval within 2 year (AOR: 0.392, 95 % CI (0.107, 0.839)), and age group of24-35 months (AOR; 1.206, 95 % CI (1.037, 6.129)) were significantly associated with vitamin-A deficiency. Conclusion: The overall prevalence of vitamin A deficiency in this study was found to be lower than the national and regional prevalence. According to this study, VAD is a mild public health problem. Age of children, birth interval, ANC follow up, remain the most important associated factors for vitamin A deficiency. Therefore to decrease the prevalence of VAD, ANC service should be strengthened and we should focus on older children birth interval and age- based food needs.

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Uptake of routine vitamin A supplementation for children in Humbo district, southern Ethiopia: community-based cross-sectional study

BMC Public Health ◽

10.1186/s12889-020-09617-1 ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Getnet Kassa ◽

Addisalem Mesfin ◽

Samson Gebremedhin

Keyword(s):

Preschool Children ◽

Vitamin A ◽

Vitamin A Deficiency ◽

Economic Status ◽

Cross Sectional Study ◽

Southern Ethiopia ◽

Sectional Study ◽

Cross Sectional ◽

Vitamin A Supplementation ◽

Socio Economic Status

Abstract Background In low- and middle-income countries routine vitamin A supplementation (VAS) is a key strategy for reducing vitamin A deficiency and mortality and morbidity of preschool children. However, in Ethiopia, there is paucity of evidence regarding the level and determinants of the uptake of the supplement. This study was designed to assess the coverage and predictors of VAS among preschool children in Humbo district, Southern Ethiopia. Methods A cross-sectional study was conducted in April 2016. A total of 840 mothers/caregivers having children 6–59 months of age were selected using multistage cluster sampling technique from six rural villages implementing routine VAS program. Data were collected using interviewer administered questionnaire. Possible predictors considered in the study include distance from the nearby health facility, household socio-economic status, type of the household (model vs non-model), maternal access to health education on VAS, and knowledge on vitamin A and VAS. Multivariable logistic regression analysis was performed to identify predictors of uptake of VAS. The outputs are presented using adjusted odds ratio (AOR) with the respective 95% confidence interval (CI). Results The coverage of VAS was 75.0% (95% CI: 72.1–77.9). Better knowledge of mothers about the importance of the supplement (AOR: 1.49, 1.02–2.17), obtaining VAS related information from frontline community health workers (AOR: 1.51, 1.34–2.72) than health professionals and being from households in the “rich” wealth tertile (AOR: 1.80, 95% CI: 1.07–3.03) were positively associated with uptake VAS. Conclusion The VAS coverage of the area was approaching the expected national target of 80%. However, the uptake can be enhanced though awareness creation and improving socio-economic status of the community.

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Prevalence and associated factors of clinical manifestations of vitamin a deficiency among preschool children in asgede-tsimbla rural district, north Ethiopia, a community based cross sectional study

Archives of Public Health ◽

10.1186/s13690-016-0122-3 ◽

2016 ◽

Vol 74 (1) ◽

Cited By ~ 5

Author(s):

Tesfalem Abrha ◽

Yonas Girma ◽

Kebede Haile ◽

Mezgebe Hailu ◽

Mengistu Hailemariam

Keyword(s):

Preschool Children ◽

Vitamin A ◽

Associated Factors ◽

Vitamin A Deficiency ◽

Clinical Manifestations ◽

Cross Sectional Study ◽

Rural District ◽

Sectional Study ◽

Community Based ◽

Cross Sectional

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Prevalence of Vitamin A Deficiency And Associated Factors Among Children Aged 6-59 Months In Dera District, Northwest Ethiopia: A Cross-Sectional Study

Journal of Pediatrics & Neonatal Biology ◽

10.33140/jpnb.06.02.04 ◽

2021 ◽

Vol 6 (2) ◽

Keyword(s):

Vitamin A ◽

Birth Interval ◽

Associated Factors ◽

Vitamin A Deficiency ◽

Cross Sectional Study ◽

Northwest Ethiopia ◽

Sectional Study ◽

Cross Sectional ◽

Natal Care

Background: Vitamin A is a fat-soluble vitamin. It comes retinol from animal sources or beta-carotene from plant source. Vitamin A contains breast milk after the post-weaning period and their increased nutrient demand of children from 6-59 months, they are considered highly affected segments of the community. Hence, study assesses vitamin A deficiency and associated factors among children aged 6-59 months in Dera district, Northwest Ethiopia. Methods: Cross-sectional study design was conducted via multistage sampling techniques. Data were coded and entered into Epi-data version 3.1 and exported to Statistical Package for the Social Sciences (SPSS) version 20 for analysis. The bivariate and multiple variable logistic regression analyses were fitted. Results: Total response rate 94.7%. Prevalence of vitamin A deficiency among children age from 6-59 months was 7.8% (95% CI: 4.7, 11.3). Anti natal care (ANC) follow-up (AOR =0.446:95 % CI; 0.155, 0.980), and birth interval (AOR= 0.392: 95 % CI; 0.107, 0.839), reduces the odds of developing vitamin A deficiency; whereas age group of 36–47 months (AOR= 1.911: 95 % CI; 1.305, 11.969) increases the odds of its deficiency. Conclusion: Age of children, birth interval, ANC follow-up, Post natal care (PNC) follow-up, and place of residence were associated factors for vitamin A deficiency. Therefore more efforts should be encouraged to produce and purchase a variety of foods rich in vitamin A.

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Knowledge of parents and coverage among children regarding vitamin A in day care centers

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20174817 ◽

2017 ◽

Vol 4 (11) ◽

pp. 4141

Author(s):

Nidhi Sharma ◽

Vineet Kaur Ahuja ◽

Siriesha .

Keyword(s):

Vitamin A ◽

Day Care ◽

Vitamin A Deficiency ◽

Cross Sectional Study ◽

Sources Of Information ◽

Sectional Study ◽

Cross Sectional ◽

Vitamin A Supplementation ◽

Day Care Centers ◽

Knowledge And Practice

Background: Vitamin A deficiency (VAD) is one of the most significant causes of preventable childhood blindness. The present study was conducted among parents of pre-school children to study knowledge and practice regarding vitamin A intake and coverage of Vitamin A supplementation among them. Methods: It was a cross sectional study conducted in Patiala city of Punjab. Interview was conducted among parents of 275 preschool children going to various day care centers in Patiala. Results: It was found in this study that 56.7% had knowledge regarding Vitamin A supplementation. Less than half of the parents knew about vitamin A rich foodstuffs. Conclusions: From the present study we can conclude that there is a wide gap regarding knowledge and coverage about vitamin A supplementation. Doctors and books were main sources of information.

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Vitamin a deficiency and sleep disturbances related to autism symptoms in children with autism spectrum disorder: a cross-sectional study

BMC Pediatrics ◽

10.1186/s12887-021-02775-0 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Jing Wen ◽

Ting Yang ◽

Jiang Zhu ◽

Min Guo ◽

Xi Lai ◽

...

Keyword(s):

Vitamin A ◽

Sleep Disturbances ◽

Vitamin A Deficiency ◽

Children With Autism ◽

Cross Sectional Study ◽

Autism Spectrum ◽

Sectional Study ◽

Autism Symptoms ◽

Cross Sectional ◽

Children With Asd

Abstract Background Vitamin A deficiency (VAD) and sleep disturbances have been reported in children with autism spectrum disorder (ASD). The influence of vitamin A (VA) levels on sleep regulation and sleep disturbances in ASD has garnered concern. The present study aimed to characterize the association of VA levels with sleep disturbances in children with ASD. Methods This cross-sectional study compared children with ASD (n = 856) to typically developing children (TDC; n = 316). We used the Children’s Sleep Habits Questionnaire to assess sleep disturbances, Childhood Autism Rating Scale to evaluate the severity of autism symptoms, and Autism Behavior Checklist and Social Responsiveness Scale to assess autism behaviors. Serum VA levels were estimated using high-performance liquid chromatography. Multivariable linear regression and two-way analysis of variance were performed to investigate if VAD was related to sleep disturbances in children with ASD. Results Children with ASD had lower serum VA levels and a higher prevalence of sleep disturbances than TDC did. The incidence of VAD in ASD children with sleep disturbances was higher, and the symptoms more severe than those without sleep disturbances and TDC. Interestingly, the interaction between VAD and sleep disturbances was associated with the severity of autism symptoms. Conclusion VAD and sleep disturbances are associated with the core symptoms of ASD in children. Regular monitoring of sleep and VA levels may be beneficial for children with ASD. Trial registration Chinese Clinical Trial Registry, registration number: ChiCTR-ROC-14005442, registration date: December 9th 2014.

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Factors associated with stunting and overweight in Amazonian children: a population-based, cross-sectional study

Public Health Nutrition ◽

10.1017/s1368980013000190 ◽

2013 ◽

Vol 17 (3) ◽

pp. 551-560 ◽

Cited By ~ 11

Author(s):

Fernanda Cobayashi ◽

Rosângela Aparecida Augusto ◽

Bárbara Hatzlhoffer Lourenço ◽

Pascoal Torres Muniz ◽

Marly Augusto Cardoso

Keyword(s):

Birth Weight ◽

Caesarean Delivery ◽

Vitamin A Deficiency ◽

Household Wealth ◽

Population Based ◽

Cross Sectional Study ◽

High Birth Weight ◽

Sectional Study ◽

Cross Sectional ◽

Maternal Overweight

AbstractObjectiveTo examine the prevalence of stunting and overweight in children and identify demographic, socio-economic and maternal characteristics, as well as biochemical indicators, associated with these outcomes.DesignA population-based, cross-sectional study was performed. Data from structured questionnaires, anthropometric measurements, and blood and stool samples were used in Poisson regression models to estimate prevalence ratios (PR) according to a hierarchical conceptual framework.SettingAcrelândia, western Brazilian Amazon.SubjectsChildren (n 1139) aged <10 years.ResultsPrevalence of stunting was 7·1 % (95 % CI 5·1, 9·6 %) and 3·7 % (95 % CI 2·4, 5·7 %) among children aged <5 years and ≥5 years, respectively; overweight was detected in 20·6 % (95 % CI 17·4, 24·2 %) and 9·4 % (95 % CI 7·2, 12·1 %) of children aged <5 years and ≥5 years, respectively. Among children <5 years of age, stunting was positively associated with the lowest maternal height tertile (PR = 3·09, 95 % CI 1·26, 7·63), low birth weight (PR = 2·70, 95 % CI 1·41, 5·19), diarrhoea for ≥3d (PR = 2·21, 95 % CI 1·03, 4·77) and geohelminth infections (PR = 2·53, 95 % CI 1·02, 6·13). Overweight in children <5 years of age was positively associated with caesarean delivery (PR = 1·45, 95 % CI 1·02, 2·06), birth weight ≥3500 g (PR = 1·82, 95 % CI 1·30, 2·55) and Fe deficiency (PR = 1·64, 95 % CI 1·07, 2·53). Among children aged ≥5 years, land or livestock ownership (PR = 1·85, 95 % CI 1·07, 3·22), maternal overweight (PR = 2·06, 95 % CI 1·23, 3·47), high C-reactive protein concentration (PR = 2·43, 95 % CI 1·26, 4·70), vitamin A deficiency (PR = 1·97, 95 % CI 1·13, 3·41) and high serum TAG concentration (PR = 2·16, 95 % CI 1·27, 3·68) were associated with overweight.ConclusionsOverweight was more prevalent than stunting, being associated with higher household wealth, maternal overweight, caesarean delivery, high birth weight, micronutrient deficiencies and high TAG concentration. Improvements in maternal and child health care with sustainable access to healthy food are necessary to reduce short- and long-term health complications related to overweight in this population.

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Uptake of routine vitamin A supplementation for children in Humbo district, Southern Ethiopia: Community-based cross-sectional study

10.21203/rs.3.rs-41145/v3 ◽

2020 ◽

Author(s):

Getnet Kassa ◽

Addisalem Mesfin ◽

Samson Gebremedhin

Keyword(s):

Preschool Children ◽

Vitamin A ◽

Vitamin A Deficiency ◽

Economic Status ◽

Cross Sectional Study ◽

Southern Ethiopia ◽

Sectional Study ◽

Cross Sectional ◽

Vitamin A Supplementation ◽

Socio Economic Status

Abstract Background: In low- and middle-income countries routine vitamin A supplementation (VAS) is a key strategy for reducing vitamin A deficiency and mortality and morbidity of preschool children. However, in Ethiopia, there is paucity of evidence regarding the level and determinants of the uptake of the supplement. This study was designed to assess the coverage and predictors of VAS among preschool children in Humbo district, Southern Ethiopia.Methods: A cross-sectional study was conducted in April 2016. A total of 840 mothers/caregivers having children 6-59 months of age were selected using multistage cluster sampling technique from six rural villages implementing routine VAS program. Data were collected using interviewer administered questionnaire. Possible predictors considered in the study include distance from the nearby health facility, household socio-economic status, type of the household (model vs non-model), maternal access to health education on VAS, and knowledge on vitamin A and VAS. Multivariable logistic regression analysis was performed to identify predictors of uptake of VAS. The outputs are presented using adjusted odds ratio (AOR) with the respective 95% confidence interval (CI). Results: The coverage of VAS was 75.0% (95% CI: 72.1-77.9). Better knowledge of mothers about the importance of the supplement (AOR: 1.49, 1.02-2.17), obtaining VAS related information from frontline community health workers (AOR: 1.51, 1.34-2.72) than health professionals and being from households in the “rich” wealth tertile (AOR: 1.80, 95% CI: 1.07-3.03) were positively associated with uptake VAS. Conclusion: The VAS coverage of the area was approaching the expected national target of 80%. However, the uptake can be enhanced though awareness creation and improving socio-economic status of the community.

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