scholarly journals Associated factors of malnutrition among African children under five years old, Bom Jesus, Angola

2017 ◽  
Vol 30 (1) ◽  
pp. 33-44 ◽  
Author(s):  
Ema Cândida Branco FERNANDES ◽  
Teresa Gontijo de CASTRO ◽  
Daniela Saes SARTORELLI

ABSTRACT Objective: To identify the determinants of wasting and stunting in children under five years old in the commune of Bom Jesus, Angola Methods: A population-based cross-sectional study was conducted with 742 children in 2010, and nutritional deficits were defined by World Health Organization criteria. Prevalence ratios and associated factors of wasting and stunting were estimated using Poisson regression with robust variance, using a conceptual hierarchical model Results: For both deficits, there were significant differences in the prevalence ratios according to the children's neighborhood and age. Boys and those children living in households whose water supply came from the river or lake, as well those with recent expulsion of parasites and infections were more likely to present stunting. Children of fathers with higher number of children or that which the fathers were not living at home and whose mothers were 25-34 years old were less likely to have wasting Conclusion: It was identified independent variables from different levels of determination of malnutrition, standing out the basic sanitation conditions and family structure as important predictors of the nutritional deficits. The knowledge of the associated factors of malnutrition may contribute for subside public policies in planning interventions to improve the childhood nutrition status in Bom Jesus and communes with similar characteristics in Angola.

2021 ◽  
Vol 21 (4) ◽  
pp. 1701-10
Author(s):  
Gloria Kiconco ◽  
Munanura Turyasiima ◽  
Andrew Ndamira ◽  
Ortiz Arias Yamile ◽  
Walufu Ivan Egesa ◽  
...  

Objectives: This study assessed the prevalence and associated factors of pneumonia among children under-five years presenting with acute respiratory symptoms. Methodology: This was a cross sectional study at the Pediatric Department of Kampala International University – Teaching Hospital, from the month of April to August 2019. The study included 336 children aged 2 to 59 months presenting with acute respiratory symptoms to the pediatric clinic. Pneumonia diagnosis was made according to the World Health Organization definition, modified by a chest radiograph. Structured questionnaires were used to collect data on socio-demographic, environmental and nutrition factors and multivariate logistic regression analysis using STATA version 13.0 was done to assess for the factors independently associated with pneumonia. Results: Of the 336 children with acute respiratory symptoms, eighty-six, 86 (25.6%) had pneumonia. Factors significantly associated with pneumonia included: age below 6 months (OR=3.2, 95%CI=1.17-8.51, p=0.023), rural residence (OR=5.7, 95%CI=2.97-11.05, p <0.001), not up-to-date for age immunization status (OR=2.9, 95%CI=1.05-7.98, p=0.039), severe acute malnutrition (OR=10.8, 95%CI=2.01-58.41, p=0.006), lack of exclusive breastfeeding during the first six months (OR=2.9, 95%CI=1.53-5.53, p=0.001) and exposure to cigarette smoke (OR=3.0, 95%CI=1.35-6.80, p=0.007). Conclusion: The prevalence of pneumonia in children under-five years was high. Most of the factors associated with pneumonia are modifiable; addressing these factors could reduce this prevalence. Keywords: Pneumonia; prevalence; under-fives.


Author(s):  
Perpetua Modjadji ◽  
Josephine Mashishi

Despite years of interventions intended to reduce child malnutrition in South Africa, its negative effects, stunting in particular, persist mainly among children under five years old living in under-resourced regions. A cross-sectional study was conducted to determine the prevalence of malnutrition and associated factors among 404 children under age five attending childcare services with their mothers in selected healthcare facilities of Limpopo Province, South Africa. Anthropometry, socio-demographics and obstetric history were collected. Height-for-age, weight-for-age and body mass index-for-age Z-scores were used to determine stunting, underweight and thinness among children, respectively. Logistic regression analyses were performed to generate the factors associated with malnutrition. Stunting (45.3%) was the prevalent form of malnutrition among children under age five, affecting boys (51.7%) more than girls (38.8%) and children aged 12–23 months (62.4%) more than those <11 months old (40.1%), in addition to the overall prevalence of underweight (29.0%) and thinness (12.6%). Boys had increased odds of stunting (adjusted odds ratio, AOR = 2.07, 95% CI: 1.26–3.41, p = 0.004) and underweight (AOR = 2.17, 95% CI: 1.32–3.57, p = 0.002) than girls. Children aged 12–23 months were more likely to be stunted (AOR = 4.79, 95% CI: 2.36–9.75, p ≤ 0.0001) than children aged ≤11 months. Delayed introduction of solid foods increased the odds of stunting (AOR = 5.77, 95% CI: 2.63–12.64, p ≤ 0.0001) and underweight (AOR = 2.05, 95% CI: 1.08–3.89, p = 0.028). Children with normal birth weight were less likely to be thin (AOR = 0.42, 95% CI: 0.19–0.92, p = 0.029) and underweight (AOR = 0.34, 95% CI: 0.17–0.68, p = 0.003) than children who had low birth weight. Children whose mothers had obtained secondary school education (AOR = 0.39, 95% CI: 0.16–0.97, p = 0.044), and Grade 12 or post-Grade 12 education (AOR = 0.32, 95% CI: 0.12–0.83, p = 0.020) were less likely to be stunted than were children of mothers who had only primary school education. Suboptimal complementary feeding predisposed children to stunting and underweight. National nutrition programs should be context-specific to improve the introduction of complementary foods among children, especially in the remote and poor areas.


BMC Nutrition ◽  
2016 ◽  
Vol 2 (1) ◽  
Author(s):  
Gul Nawaz Khan ◽  
Ali Turab ◽  
Mohammad Imran Khan ◽  
Arjumand Rizvi ◽  
Fariha Shaheen ◽  
...  

2014 ◽  
Vol 17 (2) ◽  
pp. 285-296 ◽  
Author(s):  
Rosângela de Mattos Müller ◽  
Elaine Tomasi ◽  
Luiz Augusto Facchini ◽  
Roberto Xavier Piccini ◽  
Denise Silva da Silveira ◽  
...  

Objectives: To estimate the prevalence of overweight in children under five years old from urban households and to investigate associated factors. Methods: Cross-sectional population-based study carried out in the five regions of Brazil with a sample of 6,397 children. The World Health Organization 2006 Growth Curves were used and children were considered overweight when Z-score was higher than two standard deviations of weight for height. The following variables were investigated: family income, mothers' education level, race, age, gender, number of siblings, weight at birth and duration of exclusive breastfeeding. Proportions were compared with the χ2 test and reasons of prevalence were calculated. Logistic regression was used for the adjusted analysis. Results: The prevalence of overweight was of 12%. After adjustments, this prevalence was significantly higher among males (p = 0.030) and inversely proportional to the child's age (p = 0.032). White children presented 22% higher overweight prevalence than non-white ones. A linear direct association was verified between weight at birth and overweight (p = 0.000). Children who were breastfed until 120 days presented 34% more prevalence of overweight when compared to the ones who were breastfed for a longer time. Conclusions: Overweight prevalence was higher in male, under one year old, white children, with more than 3,500 grams of weight at birth and who were exclusively breastfed until 120 days.


2016 ◽  
Vol 12 (2) ◽  
pp. 263
Author(s):  
Mutiara Shifa ◽  
Syamsul Arifin ◽  
Ida Yuliana

Abstract: Puskesmas Pekauman was public health care that had highest Acute Respiratory Infection (ARI) score in Banjarmasin, it was 427 cases of  pneumonia ARI and 3.531 cases of non-pneumonia ARI, with many case happened in children under five years old (12-59 m.o). Nutrition status was one of many factor that affecting resistance of non-pneumonia ARI in children under five years old. This study was aimed to determine the correlation between nutritional status with resistance of non-pneumonia ARI in children under five years old (12-59 m.o) at Puskesmas Pekauman Banjarmasin. Design of this study was observational analytic with cross sectional study. Samples obtained with systematic random sampling  were 50 children under five years old. The result of this research were nutritional status of 36% children under five years old were good,  64% were below standard, 32% children under five years old had resistance of non-pneumonia ARI, and 68% had not resistancy. Among variables was then analyzed using chi-square test. The conclusion was significant correlation found between nutritional status with resistency of non-pneumonia ARI in children under five years old (12-59 m.o) at Puskesmas Pekauman Banjarmasin (p = 0,007). Children under five years old with good nutrional status had resistancy 5 times greater than children under five years old with below standard nutritional status. Keywords: Non-pneumonia ARI, nutritional status Abstrak: Puskesmas Pekauman merupakan puskesmas dengan angka kejadian ISPA tertinggi di Kota Banjarmasin, terdiri dari 427 kasus ISPA pneumonia dan 3531 kasus ISPA non pneumonia, dengan jumlah penderita terbanyak berada pada kisaran umur 12-59 bulan. Status gizi merupakan salah satu faktor yang mempengaruhi ketahanan balita terhadap ISPA non-pneumonia. Penelitian ini bertujuan untuk mengetahui hubungan status gizi dengan ketahanan terhadap ISPA non-pneumonia pada balita (12-59 bulan) di Puskesmas Pekauman Banjarmasin. Rancangan penelitian yang digunakan adalah observasional analitik dengan pendekatan cross-sectional. Sampel diperoleh melalui teknik systematic random sampling dengan jumlah 50 orang. Hasil penelitian didapatkan 36% balita status gizi kurang, 64% balita status gizi baik, 32% balita tidak memiliki ketahanan, dan 68% balita memiliki ketahanan terhadap ISPA non-pneumonia. Analisis data hasil penelitian menggunakan uji statistik chi-square. Kesimpulan penelitian ini, terdapat hubungan yang bermakna antara status gizi dengan ketahanan balita (12-59 bulan) terhadap ISPA non-pneumonia di Puskesmas Pekauman Banjarmasin (p = 0,007). Balita (12-59 bulan) di Puskesmas Pekauman Banjarmasin dengan  gizi baik memiliki ketahanan terhadap ISPA non-pneumonia 5 kali lebih besar dibandingkan balita (12-59 bulan) dengan gizi kurang. Kata-kata kunci: ISPA non-pneumonia, status gizi


2018 ◽  
Vol 2 (3) ◽  
pp. 266-272
Author(s):  
Ava Upadhyay Pokhrel ◽  
Surya Bahadur Parajuli ◽  
Alok Acharya

Introduction: Under-nutrition during childhood, a major public health problem of Nepal, can have everlasting consequences. It is one of the primary causes of ill health and premature deaths in many developing countries like Nepal.Objective: The objective of the study was to assess the prevalence and associated factors of under-nutrition among under-five children of Bharatpur municipality of Chitwan district of central Nepal.Methodology: A cross sectional study was conducted in Bharatpur municipality of Chitwan district. Anthropometric measurement of children and information regarding nutrition along with different exposures were taken from 402 randomly sampled mothers. WHO criteria was used to compare with the calculated Z-score using Anthro V3.2.2 software. Informed consent was taken from concerned authority. Descriptive statistics were calculated and binary logistic regressions was used to determine the influence of selected variables for underweight.Results: Majority of the respondents were from relatively advantaged groups and house makers. Almost 54% of the children were boys and the greatest share of children was of age group 25-36 months. Almost one in 10 children of Bharatpur had lower weight-for-height score (wasted). Likewise, more than one quarter (26.4%) were stunted and another 13.4% were under-weight. Families with less than four family members were less likely to have under-weight children and those who had more than two children had more chance of having under-weight children (P=0.002). Children having diarrheal episodes within 2 weeks period of study had higher odds of being malnourished.Conclusion: The study shows that female children have higher risks of being malnourished. Higher prevalence of underweight was seen with the increasing age of children. The size of family also matters the nutrition status of children. It is recommended that Ministry of Health needs to have more attention for the necessary intervention addressing the combined exposures factors for underweight. Birat Journal of Health SciencesVol.2/No.3/Issue 4/Sep- Dec 2017, Page: 266-272 


2020 ◽  
Author(s):  
Diana Raj ◽  
Norliza Ahmad ◽  
Nor Afiah Mohd. Zulkefli ◽  
Zalilah Mohd Shariff

BACKGROUND Excessive screen time is detrimental to the child’s health. However, screen time situation among Malaysian children is poorly understood. OBJECTIVE This study aims to identify the prevalence and determinants of screen time among children under five years old using the latest WHO guidelines. METHODS A cross sectional design was used to randomly select 489 children from nine government health clinics. Total screen time and factors were assessed using validated self-administered questionnaires and analyzed using multiple logistic regression. RESULTS Results show an overall prevalence of 91.4% with a median of 3.00 hours (IQR: 1.36-5.04). Majority of children watched television (66%), followed by mobile phones (30%) and computers (4%). The determinants of screen time were Malay ethnicity, (AOR 3.56, 95% CI: 1.65-7.68), parental age of 30 years or more (AOR 3.12, 95% CI: 1.58-6.16), parental screen time exceeding 2 hours a day (AOR 2.42, 95% CI: 1.24-4.73), parent’s moderate self-efficacy to influence child’s physical activity (AOR 2.29, 95% CI: 1.01-5.20) and parent’s positive perception on influence of screen time on child’s cognitive well-being (AOR 1.15, 95% CI:1.01-1.32). CONCLUSIONS Parents played an important role in determining their child’s screen time. Future interventions that focus on the parents may ensure age appropriate screen time for their children.


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