scholarly journals Assessment and comparison of nutritional status in children aged 0-5 years based on WHO and IAP growth charts

2017 ◽  
Vol 4 (6) ◽  
pp. 1955
Author(s):  
Perumalpillai Santhakumaran ◽  
Srinivasan Govindaraj ◽  
Sivaraman Thirumalaikumarasamy

Background: The problems of malnutrition among under five children can be used to conclude the necessity for nutritional care, surveillance, or appropriate intervention of nutritional programmes in a community. The objective of the present study was to assess the nutritional status in under 5 children and to compare the nutritional status with WHO and IAP Growth curves and to evaluate the relationship of same with variables like literacy, income of parents, order of birth, sex of the child, birth weight and breast feeding.Methods: This was a cross-sectional study was carried out in 1052 children aged under 0-5 years hailing from middle and low socio-economic class of an urban population attended to out-patient department and ward in Government Royapettah Hospital and Anaganwadi centres in and around Royapettah during the period of November 2006 to October 2007. Anthropometric measurements such as weight, height/length, middle arm circumference (MAC) were taken for all the children and all the measurements were plotted in the IAP growth chart, WHO growth chart (Z score - 2006), BMI - WHO standards and compared.Results: Out of 1052 children, majority of the subjects were male children 535 (50.9%). As per IAP guidelines, majority of the children 513 (48.8%) were under normal weight, 5 (0.5%) of them were with very severe malnutrition. According to WHO standards most of the children 623 (59.2%) were under weight and 135 (12.8%) were under severe malnutrition. Positive correlation was observed between the nutritional status of the children with educational and employment status of parents, increasing birth weight and family income. Increasing birth order has a negative influence on nutritional status of the child. Optimally breast fed babies (Exclusively breast fed for 6 months with appropriate complementary feeds thereafter) have better nutritional status.Conclusion: The study concludes that utmost care and attention must be focused on child’s nutrition by giving priority to education for poor community especially for women, creating awareness regarding benefits of early initiation of breastfeeding and limiting family size.

2018 ◽  
Vol 6 (1) ◽  
pp. 1
Author(s):  
Suhartiningsih Suhartiningsih ◽  
Ni Luh Putu Suariyani ◽  
Mangku Karmaya

Background and purpose: The prevalence of severe and mild undernutrition among children aged under five years in North Lombok District is ranked second in West Nusa Tenggara Province after Bima City. The number of reported cases of early marriages in West Nusa Tenggara is higher than the national average. This study aims to examine the association between early marriages and undernutrition among children aged under three years in Gangga Subdistrict, North Lombok District.Methods: A case-control study was conducted with a total of 49 cases (severe undernourished children) and 98 controls (normal-weight children). A systematic random sampling was used to select all cases and controls from the health post register based on the weight/age indicator in Gangga Public Health Centre. Variables of sex and residency were matched between cases and controls. Data were collected from October to November 2016 through interviews with the mother at their house. Logistic regression using a software STATA SE 12.1 was employed to identify the association between early marriages and nutritional status of the children.Results: Cases and controls were comparable based on children’s gender, mother’s age, area of residency, employment status of mother, and family income. There were significant differences on children’s age and mother’s education. Multivariate analysis showed an association between the nutritional status and early marriages with adjusted odds ratio (AOR)=5.21 (95%CI: 1.36-19.95), the frequency of sickness over the last three months (AOR=1.93; 95%CI: 1.26-2.97) and low birth weight (AOR=14.12; 95%CI: 3.37-59.05).Conclusions: Early marriages, frequency of sickness over the last three months, and low birth weight are associated with undernutrition among children aged under three years. Preventative measures to prevent early marriages, child infections and low birth weight need to be enhanced.


Author(s):  
Dr. Mohmoud Mohammed Ahmed ◽  
Prof. Elsadig Yousif Elbadawi

Background: Anemia is a condition characterized by reduction in thevolume of red blood cells and a decrease in the blood concentration of haemoglobin (less than 11gm/dl). Haemoglobin is a main part of red blood cells and binds oxygen. This can lead to range of adverse symptoms. The most common cause of anemia worldwide is an iron deficiency. This study attempted to estimate the prevalence of anemia among children 6 to 59 months of age in Gadaref State, and to determine the related factors, which include socio demographic factors and nutritional status of children. Patients and Methods: A total of 384 children 6 to 59 months of age wereincluded in this cross sectional (community based) study in Gadaref State. The data was collected by interviewing mothers through questionnaire, clinical examination, and blood examination. Data was analyzed by the computer using SPSS.version16. Chi-Square test was used for testing significance. P=0.05 or less was considered statistically significant. Results: Forty eight percent of children were anemic; there is a significantrelation between anemia and nutrition of children in this age. Malnutrition was related to anemia in the affected children; 35.1 % of anemic children had mild malnutrition, 23.8% and17.3% had moderate and severe malnutrition subsequently. Social factors related to anemia in children in Gadaref State are: family income, size of the family and mother education. Conclusion The prevalence of anemia in children 6 to 59 months of age InGadaref State is high. It is more frequent in the age group of 23 months to 59 months; females are affected more than males. There is an association between anemia and nutritional status of children.


2018 ◽  
Vol 6 (1) ◽  
pp. 26
Author(s):  
Suhartiningsih Suhartiningsih ◽  
Ni Luh Putu Suariyani ◽  
Mangku Karmaya

Background and purpose: The prevalence of severe and mild undernutrition among children aged under five years in North Lombok District is ranked second in West Nusa Tenggara Province after Bima City. The number of reported cases of early marriages in West Nusa Tenggara is higher than the national average. This study aims to examine the association between early marriages and undernutrition among children aged under three years in Gangga Subdistrict, North Lombok District.Methods: A case-control study was conducted with a total of 49 cases (severe undernourished children) and 98 controls (normal-weight children). A systematic random sampling was used to select all cases and controls from the health post register based on the weight/age indicator in Gangga Public Health Centre. Variables of sex and residency were matched between cases and controls. Data were collected from October to November 2016 through interviews with the mother at their house. Logistic regression using a software STATA SE 12.1 was employed to identify the association between early marriages and nutritional status of the children.Results: Cases and controls were comparable based on children’s gender, mother’s age, area of residency, employment status of mother, and family income. There were significant differences on children’s age and mother’s education. Multivariate analysis showed an association between the nutritional status and early marriages with adjusted odds ratio (AOR)=5.21 (95%CI: 1.36-19.95), the frequency of sickness over the last three months (AOR=1.93; 95%CI: 1.26-2.97) and low birth weight (AOR=14.12; 95%CI: 3.37-59.05).Conclusions: Early marriages, frequency of sickness over the last three months, and low birth weight are associated with undernutrition among children aged under three years. Preventative measures to prevent early marriages, child infections and low birth weight need to be enhanced.


2019 ◽  
Vol 21 (2) ◽  
pp. 186
Author(s):  
Nayara Soares Da Silva ◽  
Luana Padua Soares ◽  
Grazieli Benedetti Pascoal

Abstract In recent years has increased consumption of diet and light/zero foods by adolescents due to concern about body image. But adolescents are unaware of the indications and differences of these products, consuming them without medical and/or nutritional guidance. The study aimed to evaluate the knowledge and consumption of diet and light/zero foods in adolescents enrolled at  public and private schools in Tupaciguara, MG, Brazil. Cross-sectional study which weight and height of the adolescents were used for assessing the nutritional status. Dietary intake and knowledge about diet and light/zero foods were evaluated by a questionnaire. Statistical analysis comprised a descriptive analysis, Qui-square test and Fisher´s exact test. The consumption of diet and light/zero foods was higher in female adolescents (50.9%), in the private school (67.4%), with a family income corresponding to or higher than five minimum wages (50.9%) and weight excess (54.3%). The knowledge of the diet foods was higher in female adolescents (57.4%) and the knowledge of the light/zero foods was the same in both genders (56.0%). The knowledge of the diet and light/zero foods was higher in the private school (76.1%), with family income corresponding to or higher than five minimum wages (60.0%) and 81.0% of normal weight female adolescents had knowledge of diet food and 80.1% of the light/zero foods. In conclusion, the adolescents usually consumed indiscriminately and incorrectly the diet and light/zero foods because of the lack of knowledge about their differences and recommendations. Keywords: Adolescent. Diet Fads. Food Consumption. Nutritional Status. ResumoNos últimos anos têm aumentado o consumo de alimentos diet e light/zero pelos adolescentes devido à preocupação com a imagem corporal. Porém os adolescentes desconhecem as indicações e diferenças desses produtos, consumindo-os sem orientação médica e/ou nutricional. O estudo objetivou avaliar o conhecimento e o consumo de alimentos diet e light/zero por adolescentes matriculados em escolas públicas e particular de ensino de Tupaciguara, MG, Brasil. Estudo transversal, com 316 adolescentes de ambas as escolas. O peso e estatura foram utilizados para avaliar o estado nutricional. O consumo alimentar e o conhecimento sobre os alimentos diet e light/zero foram avaliados por um questionário. A estatística consistiu em análise descritiva, teste Qui-quadrado e Exato de Fisher. O consumo de alimentos diet e light/zero foi maior entre alunos do sexo feminino (50,9%), da escola particular (67,4%), com renda familiar igual ou maior a cinco salários mínimos (50,9%) e com excesso de peso (54,3%). O conhecimento sobre os alimentos diet foi maior no sexo feminino (57,4%) e o conhecimento sobre os alimentos light/zero foi igual em ambos os sexos (56,0%). O conhecimento sobre os produtos diet e light/zero foi maior na escola particular (76,1%), com renda familiar igual ou maior a 5 salários mínimos (60,0%); 81,0% dos eutróficos tinham conhecimento sobre os alimentos diet e 80,1% sobre os alimentos light/zero. Contatou-se que os adolescentes faziam uso indiscriminado e incorreto dos alimentos diet e light/zero, pois desconheciam as suas diferenças e indicações. Palavras-chave: Adolescente, Dietas da Moda. Consumo de Alimentos. Estado Nutricional.


e-CliniC ◽  
2015 ◽  
Vol 3 (1) ◽  
Author(s):  
Eka Patandianan ◽  
Adrian Umboh ◽  
Sarah Warouw

Abstract: Based on Riskesdas 2013, national prevalence of severely underweight 5,7%, underweight 13,9%, normal 75,9% and overweight 4,5%. Many factors affect the nutritional status of children under 5 years: socio-economic, maternal education, place of residence, birth status, infection, genetic, immunization, the status of breastfeeding, complementary feeding, health care, intervals of pregnancy and birth weight. Small for gestational age (SGA) refers to infants born weighing less than the weight of pregnancy it is supposed to. Catch up growth leads low birth weight baby to reach or to exceed a normal weight later. Catch up growth spontaneously occurred in 2 years old children and without spontaneous catch up growth at 3 years, it is not possible to experience it later without therapeutic intervention. The purpose of this study is to measure the weight and height of children aged between 2-3 years old with a history of SGA, determine nutritional status and determine the relationship between nutritional status and birth weight. This research took place at Prof Dr RD Kandou Hospital Manado and samples’ house, from October to December 2014. This study was an observational analytic study with cross-sectional approach and used consecutive sampling method. There were 39 children aged between 2-3 years old with a history of SGA as samples, who were born in Prof Dr RD Kandou Hospital from December 2011 to December 2012. Nutritional status by weight for age 5,1% severely underweight, 15,4% underweight, 79,5% normal; by height for age 25,6% severely stunted, 28,2% stunted and 46,2% normal; by weight for height 5,1% wasted, 89,8% normal and 5,1% overweight; by BMI for age 5,1% stunted, 84,6% normal and 10,3% overweight. There is no relationship between nutritional status and birth weight in children aged between 2-3 years old with a history of SGA (p> 0.05).Keywords: nutritional status, birth weight, SGAAbstrak: Berdasarkan Riskesdas 2013, prevalensi nasional gizi buruk 5,7%, gizi kurang 13,9%, gizi baik 75,9% dan gizi lebih 4,5%. Banyak faktor yang yang mempengaruhi status gizi anak dibawah 5 tahun: sosial-ekonomi, pendidikan ibu, tempat tinggal, status kelahiran, infeksi, genetik, imunisasi, status menyusui, makanan pendamping, perawatan kesehatan, interval kehamilan dan berat lahir. Kecil masa kehamilan (KMK) mengacu pada bayi lahir dengan berat kurang dari berat seharusnya untuk masa kehamilan itu. Tumbuh kejar menyebabkan bayi dengan berat badan lahir rendah mencapai atau melebihi berat badan normal di kemudian hari. Tumbuh kejar spontan terjadi pada usia 2 tahun dan anak tanpa tumbuh kejar spontan pada usia 3 tahun tidak mungkin untuk mengalami hal itu kemudian tanpa intervensi terapeutik. Tujuan penelitian ini adalah untuk mengukur berat badan dan tinggi badan anak 2-3 tahun dengan riwayat KMK, menentukan status gizinya dan mengetahui hubungan antara status gizi terhadap berat lahir. Lokasi penelitian di RSUP Prof Dr RD Kandou Manado dan rumah sampel penelitian, dari Oktober-Desember 2014. Penelitian ini merupakan analitik observasional dengan pendekatan potong lintang dan menggunakan metode consecutive sampling. Didapatkan sampel sebanyak 39 anak usia 2-3 tahun dengan riwayat kecil masa kehamilan yang lahir di RSUP Prof Dr RD Kandou periode Desember 2011 – Desember 2012. Status gizi menurut BB/U gizi buruk 5,1%, gizi kurang 15,4%, gizi baik 79,5%; menurut TB/U sangat pendek 25,6%, pendek 28,2% dan normal 46,2%; menurut BB/TB kurus 5,1%, normal 89,8% dan berat badan lebih 5,1%; menurut IMT/U kurus 5,1%, normal 84,6% dan berat badan lebih 10,3%. Tidak ada hubungan antara status gizi dan berat lahir pada anak usia 2-3 tahun dengan riwayat KMK (p>0,05).Kata kunci: status gizi, berat lahir, KMK


2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Hasanain Faisal Ghazi ◽  
Zaleha Md. Isa ◽  
Shamsul Azhar Shah ◽  
Mohammed A. Abdal Qader ◽  
Tiba Nezar Hasan ◽  
...  

Introduction.The neighborhoods where the children live play an important role in their development physically and mentally. The objective of this study was to assess the relationship between neighborhood safety and child nutritional status in Baghdad city, Iraq.Methods.A cross-sectional study was carried out in Baghdad city, Iraq, among 400 primary school children from 4 schools. BMI-for-ageZscore was used to assess the nutritional status of the children. Newly developed questionnaires on neighborhood safety were distributed to the parents to answer them.Results.In this study, males were more predominant than females with 215 participants compared to 185 females. A total of 49% were normal weight, 38.8% either overweight or obese, and only 12.2% underweight. There was a significant relationship between father education, father and mother working status, family income, and children nutritional status (P=0.10, 0.009, <0.001, 0.37), respectively. The association between neighborhood safety variables and child nutritional status was significant except for worrying about child safety and thinking of leaving the neighborhood (P=0.082, 0.084), respectively.Conclusion.Nutritional status of school children continues to be a public health issue in Iraq especially Baghdad city. There was a significant association between neighborhood safety and children nutritional status.


2020 ◽  
pp. 1-13
Author(s):  
Mariane da Silva Dias ◽  
Alicia Matijasevich ◽  
Aluísio JD Barros ◽  
Ana Maria B. Menezes ◽  
Bruna Celestino Schneider ◽  
...  

Abstract Objective: We aimed at evaluating the association of maternal pre-pregnancy nutritional status with offspring anthropometry and body composition. We also evaluated whether these associations were modified by gender, diet and physical activity and mediated by birth weight. Design: Birth cohort study. Setting: Waist circumference was measured with an inextensible tape, and fat and lean mass were measured using dual-energy X-ray absorptiometry. Multiple linear regression was used to adjust for possible confounders and allele score of BMI. We carried out mediation analysis using G-formula. Participants: In 1982, 1993 and 2004, all maternity hospitals in Pelotas (South Brazil) were visited daily and all live births whose families lived in the urban area of the city were evaluated. These subjects have been followed up at different ages. Results: Offspring of obese mothers had on average higher BMI, waist circumference and fat mass index than those of normal weight mothers, and these differences were higher among daughters. The magnitudes of the association were similar in the cohorts, except for height, where the association pattern was not clear. In the 1982 cohort, further adjustment for a BMI allele score had no material influence on the magnitude of the associations. Mediation analyses showed that birth weight captured part of this association. Conclusions: Our findings suggest that maternal pre-pregnancy nutritional status is positively associated with offspring BMI and adiposity in offspring. And this association is higher among daughters whose mother was overweight or obese and, birth weight explains part of this association.


2022 ◽  
Vol 71 (12) ◽  
pp. 2761-2765
Author(s):  
Lubna Ghazi ◽  
Murtaza Dhrolia ◽  
Aamna Hamid ◽  
Ruqaya Qureshi ◽  
Kiran Nasir ◽  
...  

Objective: Despite being an important predictor of morbidity and mortality, routine screening for malnutrition in dialysis patients is not a common practice in Pakistan. Modified Subjective Global Assessment (SGA) is a convenient, inexpensive and practical method to assess nutritional status particularly in resource limited setup. Methods: This cross sectional study was conducted in The Kidney Center Post Graduate Training institute (TKC-PGTI). Patients on maintenance hemodialysis (MHD) were included through non-probability consecutive sampling. A one-time SGA score was calculated based on the history and physical examinations using modified SGA or Dialysis Malnutrition Score (DMS). Chi square test was applied to find association between variables, while to observe the amount of effect of factors on SGA score; binary logistic regression analysis was run. P value of ? 0.05 considered significant. Results: Mild-Moderately malnourished patients were the most frequent in our study 96(64%).None of patient had severe malnourishment. Females were 2.6 times more prone for malnourishment (p value=0.009). More than 5- years on hemodialysis also increased the risk of malnourishment by 12.5 times (p value <0.001). Overweight patients had 85 % less chance of being malnourished as compare to patients with normal weight (p value=0.004). Conclusion: Malnutrition is quite common in hemodialysis patients, which necessitates its regular assessment and monitoring. There is a need to assess the reasons of more malnourishment in female as compared to male. Similarly, the longer duration (> 5 years) on hemodialysis also need attention for prevention and cure of malnourishment.  Continuous...


Ciencia Unemi ◽  
2015 ◽  
Vol 8 (15) ◽  
pp. 103
Author(s):  
Yumy Fernandez Velez ◽  
Angel Caballero Torres ◽  
Katiuska Mederos Mollineda

Con el objetivo de analizar los hábitos alimentarios, actividad física y estado nutricional de 514 niñas y niños en edades de 3 a 5 años, se realizó una investigación de corte transversal descriptiva, no experimental, y documental con técnicas cualitativas y cuantitativas para la descripción de los datos e informaciones encontradas, la cual permitió construir la labor técnica Se trabajó con encuestas, mensuraciones antropométricas e investigaciones bioquímicas (hemoglobina) en una muestra de la población atendida en la consulta ambulatoria del Hospital Manglaralto, provincia de Santa Elena, Ecuador, 2014. Se clasificó a los preescolares en desnutridos, normopeso, sobrepeso y obeso, además de identificar la existencia de anemia. Se buscó la asociación con los hábitos alimentarios, acceso y disponibilidad de alimentos, el nivel de cultura alimentaria y escolar, pobreza económica y educación sanitaria de las familias de los preescolares. Se encontró un 44.5% de desnutridos y 0,7% con sobrepeso, además de 81.7% con anemia. Se detectó asociación entre desnutrición y anemia en más de la tercera parte de la población estudiada, además de estar asociada la presentación de Infección Respiratoria Aguda y Enfermedad Diarreica Aguda con la desnutrición y la anemia. En la población estudiada existe correspondencia entre el estado nutricional y los determinantes estudiados. AbstractA cross-sectional descriptive piece of research was conducted in order to document the eating habits, physical activity and nutritional status of 514 children aged 3-5 years. Both Qualitative and quantitative techniques were used to describe the data and information found; surveys, anthropometric evaluations and biochemical investigations (hemoglobin) were carried out on a sample of the population treated at the outpatient clinic of Manglaralto Hospital in Santa Elena province, Ecuador during 2014. Preschool children were classified as malnourished, normal weight, overweight and obese, and the existence of anemia was also identified. The data was studied to observe associations between eating habits, access to and availability of food, the level of culture in terms of diet and education, economic poverty and health education for families of preschoolers. It was found that 44.5% of the group were malnourished, 0.7% overweight, and 81.7% suffered from anemia. An association was found between malnutrition and anemia in more than a third of the population studied, with a further association between both conditions and acute respiratory infections and diarrheal disease. In the population there is a relationship between nutritional status and determining variables studied.


2020 ◽  
Vol 73 (9-10) ◽  
pp. 265-270
Author(s):  
Vesna Petrovic ◽  
Vesna Vujic-Aleksic ◽  
Tanja Rozek-Mitrovic ◽  
Aleksandra Hristov

Introduction. Asthma and obesity are the most common chronic health disorders in children. Although heredity plays a significant role in their development, environmental factors and early exposure have contributed to the increasing incidence of both disorders in recent decades. The aim of the study was to estimate asthma prevalence in schoolchildren in Indjija, Srem District, Serbia, and to investigate differences in nutritional status of children with asthma as well as differences between their nutritional status and prescribed asthma medications. Material and Methods. A cross-sectional retrospective cohort study was conducted at the Primary Health Center in Indjija. Of all the medical records of children aged 6 - 14 years, a cohort of children with asthma was formed. The retrospective study evaluated their nutritional status and the prescribed asthma medications. Results. The prevalence of asthma in children aged 6 - 14 was 6.9%. Children with asthma were significantly more overweight and obese (40.5%) than children without asthma. Boys accounted for 63.7% of children with asthma, with a statistically significant gender difference. Abnormal nutritional status was found in 44.3% of children with asthma and boys with asthma were significantly more obese (23%) compared to girls (7.8%). Overweight and obese children with asthma were not prescribed significantly more medications to relieve asthma symptoms than normal-weight children. Conclusion. The prevalence of asthma among schoolchildren in Indjija was 6.9%. Children with asthma were more likely to be overweight and obese than children without asthma, whereas boys with asthma were significantly more obese than girls. No significant differences were found between their nutritional status and prescribed asthma medications.


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