scholarly journals Nutritional status of children of urban low-income communities, Brazil (1986)

1989 ◽  
Vol 23 (2) ◽  
pp. 89-97 ◽  
Author(s):  
Maria Carmen Bisi Molina ◽  
Rainer Gross ◽  
Bernd Schell ◽  
Maria Antonia Cuelho Leão ◽  
Ulrike Strack ◽  
...  

During the second half of 1986 the health and nutritional status of 254 children aged up to six years was studied, as well as the socio-economic situation of their parents in two favelas (shantytowns) in Belo Horizonte, Brazil. The nutritional status of the children was characterized by stunting (Z-score: 20.1% < -2) but not by wasting (Z-score: 3.7% < -2). Consideration was also given to how far stunting was caused by high morbidity such as acute respiratory infections (point prevalence: 38.5%), diarrheal diseases (point prevalence: 11.5%) and parasitosis (point prevalence: 70.3%). Furthermore, anemia (point prevalence: 29.7%) appeared as another health problem. The most important determinant of anthropometric indices turned out to be the mother's schooling. From the present data it can be hypothesized that the nutritional status of the children was limited less by the lack of food than by their poor health status.

2021 ◽  
Vol 8 ◽  
Author(s):  
Awoere T. Chinawa ◽  
Josephat M. Chinawa ◽  
Chika Onyinyechi Duru ◽  
Bartholomew F. Chukwu ◽  
Ijeoma Obumneme-Anyim

Background: Malnutrition poses a great burden to children in the tropics. However, this seems to be accentuated in children with congenital heart disease.Objectives: The present study is therefore aimed at determining the nutritional status of children with congenital heart disease and to compare them with those without congenital heart disease.Methods: This is a cross-sectional study, where congenital heart disease was diagnosed by means of echocardiograph. Anthro software was used to calculate Z scores for weight for age (WAZ), height for age (HAZ), and weight for height (WHZ). Body mass index (BMI) was calculated by the formula BMI = Weight (Kg)/height (M2).Results: The body mass index-for-age z-score (BAZ) and height/length-for-age z-score (HAZ) were calculated for both subjects and controls to determine their nutritional status. It was observed that 38.5% (112/291) of the subjects were wasted (BAZ &lt; −2SD) compared to 6.25% (16/256) of the controls and the difference was statistically significant (χ2 = 81.2, p &lt; 0.001). Stunting (height/length-for-age z-score &lt; −2SD) was also observed in a greater proportion of subjects than controls as 37.8% (107/291) of subjects were stunted compared with 7.0% (18/256) of the controls (χ2 = 69.9, p &lt; 0.001). The under-five subjects had more cases of malnutrition than the controls of same age group as illustrated in Table 6. Whereas 42.9% (96/224) of the under-five subjects were wasted, only 6.2% (12/192) of the controls were wasted. On the other hand, 4.2% (8/192) of the under-five controls were obese compared to 0.9% (2/224) of the subjects of similar age group.Conclusion: Children with congenital heart disease present with varying degrees of malnutrition that is worse compared with children without congenital heart disease. The impact of malnutrition is worse among children under the age of five. Wasting is more prevalent in children with cyanotic heart disease compared with those with acyanotic congenital heart disease. Overweight and obesity were notable features of malnutrition in children with congenital heart disease, but this is worse in children without congenital heart disease.


2020 ◽  
Vol 7 (2) ◽  
pp. 94-101
Author(s):  
O. Riga ◽  
N. Orlova ◽  
T. Ishchenko

NUTRITIONAL STATUS AND NUTRITIONAL SUPPORT IN CHILDREN WITH CONGENITAL MALFORMATIONS OF BRAIN IN UKRAINE: SINGLE-CENTER OBSERVATIONAL DESCRIPTIVE CROSS-SECTIONAL STUDY Riga O., Orlova N., Ishchenko T. In Ukraine, as one of low income and middle income countries (LMICs), PEM is detected and diagnosed not quite actively especially in children with neurologic impairment. Methods: Nutritive status and energy consumption was evaluated in 17 young and preschool children with congenital malformations of brain by anthropometry, 24-hour dietary recall and questionnaire of caregivers. Results: The study demonstrate nutritional disorders: Z-score BW for age in total cohort was -3.2, H/L for age was -2.7. The moderate PEM was diagnosed in 2/17 children, severe PEM in 12/17. The late appointment of nutritional support to such children has been demonstrated, its effect on increasing growth and body weight. Conclusion. The importance of drawing up individual plans for the energetic consumption of the children with congenital malformations of brain with training of caregivers and rehabilitative and palliative team was shown. Keywords: children, protein-energy malnutrition, congenital malformations of brain, LMICs.   Резюме. ХАРЧОВИЙ СТАТУС І ХАРЧОВА ПІДТРИМКА ДІТЕЙ З ВРОДЖЕНИМИ ВАДАМИ РОЗВИТКУ МОЗКУ В УКРАЇНІ: ОДНОЦЕНТРОВЕ НАОЧНО-ОПИСОВЕ КРОС-СЕКЦІЙНЕ ДОСЛІДЖЕННЯ Ріга О.О., Орлова Н.В., Іщенко Т.Б. В Україні, як одна із країн з низьким рівнем доходу та середнього доходу (LMICs), БЕН виявляється та діагностується не досить активно, особливо у дітей з порушеннями неврології. Методи: Харчовий статус та споживання енергії було оцінено у 17 дітей молодшого та дошкільного віку з вродженими вадами розвитку головного мозку за допомогою антропометрії, цілодобової дієти та анкетування опікунів. Результати: Дослідження демонструє харчові розлади: показник Z-score BW за віком у загальній когорті становив -3,2, H/L для віку -2,7. Помірну БЕН було діагностовано у 2/17 дітей, тяжку БЕН у 12/17. Продемонстровано несвоєчасне призначення харчової підтримки таким дітям, його вплив на збільшення росту та маси тіла. Висновки. Показано важливість складання індивідуальних планів енергетичного споживання дітей з вродженими вадами розвитку мозку під час навчання опікунів та реабілітаційно-паліативного колективу. Ключові слова: діти, білково-енергетична недостатність, вроджені вади розвитку мозку, LMICs.   Резюме. ПИЩЕВОЙ СТАТУС И ПИЩЕВАЯ ПОДДЕРЖКА ДЕТЕЙ С ВРОЖДЕННЫМИ ПОРОКАМИ РАЗВИТИЯ МОЗГА В УКРАИНЕ: ОДНОЦЕНТРОВОЕ НАГЛЯДНО-ОПИСАТЕЛЬНОЕ КРОСС-СЕКЦИОННОЕ ИССЛЕДОВАНИЕ Рига Е.А., Орлова Н.В., Ищенко Т.Б. В Украине, как одна из стран с низким уровнем дохода и среднего дохода (LMICs), БЄН оказывается и диагностируется недостаточно активно, особенно у детей с нарушениями неврологии. Методы: Пищевой статус и потребления энергии было оценено у 17 детей младшего и дошкольного возраста с врожденными пороками развития головного мозга с помощью антропометрии, круглосуточной диеты и анкетирования опекунов. Результаты: Исследование демонстрирует пищевые расстройства: показатель Z-score BW по возрасту в общей когорте составил -3,2, H/L для возраста -2,7. Умеренную БЄН было диагностировано у 2/17 детей, тяжелую БЄН у 12/17. Продемонстрировано несвоевременное назначение пищевой поддержки таким детям, его влияние на увеличение роста и массы тела. Выводы. Показана важность составления индивидуальных планов энергетического потребления детей с врожденными пороками развития мозга во время обучения опекунов и реабилитационно-паллиативного коллектива. Ключевые слова: дети, белково-энергетическая недостаточность, врожденные пороки развития мозга, LMICs.


2012 ◽  
Vol 1 (1) ◽  
pp. 11-20
Author(s):  
Cahaya Asdhany ◽  
Apoina Kartini

ABSTRACTBackground: Children under five years of age are included  in group of nutrition’s susceptible. They are on growth and development cycle which need a huge nutrient. The aim of this study is to understand the relationship between mother’s participation levels in posyandu and nutritional status of children under five years of age.Method: Study of analitical observation with cross sectional was used. Subject was a mother in Cangkiran, having children aged between 12-59 month. Subject was taken with proportional stratified random sampling technique. Mother’s participation in posyandu was taken from health care staff’s data, protein and energy intake were taken from food recall 3x24 hours, and nutritional status of children under five years of age was compared with Z-score of WHO 2005. Data was analyzed using Rank-Spearman and partial correlation used SPSS for Windows 19.0 software.Result: Approximately 56,4% of subjects have active participation’s levels in posyandu. Much of the children under five years of age from those have 80,6% good nutritional status (WAZ), 67,7% normal (WHZ), 61,3% normal (HAZ), and 61,3% normal (BMIAZ). There is a relationship mother’s participation levels in posyandu with nutritional status children under five years of age based on WAZ            (p = 0,030 ;  r = 0,651) but not for WHZ (p = 0,998 ;  r = 0,000), HAZ (p = 0,163 ; r = 0,191), and BMIAZ (p = 0,689 ; r = -0,055). This realtionship is also controlled by sufficient levels of energy             (p = 0,047 ;  r = 0,639) and protein (p = 0,003 ; r = 0,823).Conclusion: Increased participation levels of  mother’s in posyandu enhances nutritional status of children under five years of age (based on WAZ). This case is also influenced by sufficient levels of energy and protein.Keyword: mother’s participation levels, posyandu, nutritional status, children under five years of age


PLoS ONE ◽  
2020 ◽  
Vol 15 (11) ◽  
pp. e0241963
Author(s):  
So-Young Kim ◽  
Seong-Woo Choi

This study assessed the nutritional status of children and adolescents from North Korean refugee (NKR) families who have settled and are living in South Korea (SK). Among the 547 individuals who participated in the study, 526 were ultimately included after excluding 21 with missing height or weight data. Their nutritional status was estimated using the 2017 Korean National Growth Charts for children and adolescents. Stunting, underweight, wasting, and obesity were defined as a height-for-age z-score < −2.0, weight-for-age z-score < −2.0, weight-for-height z-score < −2.0, and body mass index z-score > 2.0, respectively. The overall prevalence of stunting, underweight, wasting, and obesity was 7.0%, 6.8%, 5.3%, and 9.1%, respectively. Meanwhile, the prevalence of stunting, underweight, wasting, and obesity was 5.4%, 7.0%, 7.6%, and 10.3% for individuals settled in SK for <5 years and 6.1%, 6.1%, 0.0%, and 13.3% for those living in SK for ≥5 years, respectively. Therefore, children and adolescents from NKR families experience the double burden of malnutrition and obesity.


2021 ◽  
pp. 62-67
Author(s):  
D. A. Polunina ◽  
M. E. Bagaeva ◽  
E. V. Pavlovskaya ◽  
T. V. Strokova

Aim. To study the features of the nutritional status, including physical growth, body composition, energy value of the diet and the amount of cholesterol consumed with food, in children with familial hypercholesterolemia (FH).Patients and methods. The study included 39 children (19 girls, 20 boys) with familial hypercholesterolemia, both genetically confirmed (n = 11) and established on the basis of Simon Broome criteria (n = 28), aged 9.9 [6.0; 12.9] years. All children were assessed for physical growth based on the Z-score BMI, Z-score height, Z-score body weight/height calculated using the programs Anthro and Anthro plus; analysis of actual nutrition using a standard application program; study of body composition using the InBody 770 bioimpedance analyzer, the basal metabolic rate measured by indirect calorimetry.Results. 55 % of children with FH had harmonious physical growth, 27 % had a body weight deficit, 18 % were overweight or obese. 53 % of patients consumed more than 200 mg of cholesterol per day, while half of them consumed more than 300 mg of cholesterol per day. The range of excess consumption of cholesterol in comparison to the recommended physiological needs for patints with FH ranged from 24 to 67 %. The fat mass according to the body composition in 47 % of patients with FH is within the normal range, in 39 % it is reduced by 18-74 %, in 14 % it is increased by 14-197 %. The median fat percentage was 17.8 [12.7; 22.4]%. According to indirect calorimetry, it was found that the level of resting energy needs corresponded to age needs in 21 % patients, in 8 % it was decreased of 2-26 %, in 2/3 of children its increase was recorded by 3-69 %. The rate of fat oxidation, on the contrary, was increased in 71 % of children by 3-86 % and reduced only in 6 %.Conclusion. The physical growth of children with FH was mainly average, harmonious, while a third of the children had a mass deficit. The level of the main indicators of lipid metabolism did not depend on the physical growth of patients. This pathology in children with normal body weight or with a body weight deficit often remains undiagnosed.


2006 ◽  
Vol 95 (2) ◽  
pp. 321-324 ◽  
Author(s):  
Alexia J. Murphy ◽  
Helen M. Buntain ◽  
Claire E. Wainwright ◽  
Peter S. W. Davies

The importance of nutritional intervention for children with cystic fibrosis (CF) is well recognised. It would be expected that the increase in knowledge over the past decade would be reflected in improvements in nutritional status for the CF paediatric population. The aim of the present paper was to evaluate the nutritional status of children with CF, cross-sectionally and longitudinally. Body cell mass adjusted for gender and size (BCM/Htp) was measured in sixty-four children with CF to represent nutritional status and expressed as a Z-score. The cross-sectional results showed a mean BCM/Htp Z-score of 0·54 (sd 1·21), with males having a slightly higher Z-score than females but with a larger variation. At the initial measurement, only one female and one male were considered sub-optimally nourished. The longitudinal analysis after 2 years showed that the mean population had a significantly decreased BCM/Htp Z-score; however, when each gender was analysed separately, this decrease was significant only in the males. At the final measurement, only two females and three males were considered sub-optimally nourished. It is evident from our results that children with CF are well nourished, with only a small percentage considered malnourished. It appears that nutritional status decreases with age, with this decline being more evident in males. These results signify that although children with CF are better nourished with current treatment support, intervention needs to continue throughout a CF patient's life to counteract the changes that occur with age.


2021 ◽  
Vol 13 (2) ◽  
pp. 701-706
Author(s):  
Munaya Fauziah ◽  
Tria Astika Endah Permatasari ◽  
Dadang Herdiansyah ◽  
Noor Latifah ◽  
Ma’mun Murod Albarbasy ◽  
...  

Undernutrition in urban areas remains a serious public health problem in Indonesia. The study aimed to find out what factors were related to the nutritional status of children under five in the working area of the Limo Community Health Center, Limo District. Depok City, Indonesia in 2019. This research was conducted in June-July 2019 using a cross-sectional study design with a sample of 118 mothers who have toddlers aged 6-59 months in the Limo Health Center work area in 2019. The sampling technique used simple random sampling. The analysis was performed using chi-square (α = 0.05). Undernutrition is defined as the condition of children under five which is determined based on the anthropometric index measurement results of body weight for age with a Z- score of -2 SD to ≤ -3 SD, while good nutrition is at a Z-score of -2 SD to 2 SD. As a result, the prevalence of undernutrition was 16.1%. As much as 50% of the respondents had high school education and mothers with low education were 32.2%. The results showed a prevalence of working mothers (13.6%), family income < Rp. 4,600,000 (52.5%), mothers with low knowledge (25.4%), male children (53.4%), poor parenting (3.4%), and mothers who did not use health services properly (3.4%). There was a significant relationship between maternal education (p = 0.004; OR: 4,813; 95% CI: 1,711-13,537), family income (p = 0.006; OR: 6.145; 95% CI: 1.68-22.43), and maternal knowledge (p = 0.007; OR: 4.389; 95% CI: 1.57-12.23) with the nutritional status of children under five in the working area of the Limo Community Health Center. The suggestion is that the Limo Community Health Center make a program to increase the knowledge capacity of mothers regarding the nutrition of their children.


Sign in / Sign up

Export Citation Format

Share Document