scholarly journals Establishment of Z score reference of growth parameters for Egyptian school children and adolescents aged from 5 to 19 years: a cross sectional study

2020 ◽  
Author(s):  
Ali M El-Shafie ◽  
Fady M. El-Gendy ◽  
Dalia M. Allahony ◽  
Zein A Omar ◽  
Mohamed A. Samir ◽  
...  

Abstract Background:Growth charts are an important method for evaluating a child's health, growth and nutritional status.Objective:To establish Lambda – Mu- Sigma (LMS) and Z score references for assessment of growth and nutritional status in Egyptian school children and adolescents.Methods:A total of 34,822 Egyptian school children and adolescents from 5 to 19 years were enrolled in a cross sectional randomized study from December 2017 to November 2019 to create LMS and Z score references for weight, height and body mass index (BMI) corresponding to ages. They were selected from different districts in Egypt. Apparent Healthy children with good nutritional history and not suffering from any chronic diseases were included in the study.Results:Egyptian children of both sexes (54.3% boys and 45.7 % girls) from 5 to 19 years old were studied. Then LMS and Z scores for weight for age, height for age, BMI for age of both sexes were represented in detailed tables and graphs. There was no statistically significant difference between the Egyptian Z score charts and the reference values of WHO for weight, height and BMI corresponding to age (P>0.05).Conclusion: This is the first national reference for growth and nutritional assessment using LMS and Z score charts in Egyptian school children and adolescents, this tool is essential for healthcare and research.Key words: Adolescent - Egyptian Z score -Growth parameters- Nutritional status-School children

2020 ◽  
Author(s):  
Ali M El-Shafie ◽  
Zein A Omar ◽  
ahmed N elbazzar ◽  
Zeinab A Kasemy ◽  
wael A Bahbah

Abstract Background: Growth charts are an important method for evaluating a child's health, nutrition and development. Objective: To establish Lambda – Mu- Sigma (LMS) and Z score references for assessment of growth and nutrition in Egyptian school children and adolescents. Methods: A total of 31,416 Egyptian school children and adolescents from 5years to 19 years were enrolled in a cross sectional randomized study from December 2017 to November 2019 to create LMS and Z score references for weight, height and body mass index (BMI) corresponding to ages. They were selected from different districts in Egypt. Apparent Healthy children with good nutritional history and not suffering from any chronic diseases were included in the study. Results: Egyptian children of both sexes (56.7% boys and 43.3% girls) from 5 years to 19 years old were studied. Then LMS and Z scores for weight for age, height for age, BMI for age of both sexes were represented in detailed tables and graphs. There was no statistically significant difference between the Egyptian Z score charts and the reference values of WHO for weight, height and BMI corresponding to age (P>0.05). Conclusion: This is the first reference for growth and nutritional assessment in Egyptian school children and adolescents, this tool is essential for healthcare and research. In case of absence of these local charts, we recommend to use the WHO references values rather than other local charts. Key words: Adolescent - Egyptian Z score -Growth parameters- School children


2020 ◽  
Vol 7 (9) ◽  
pp. 1869
Author(s):  
Nanditha G. ◽  
Chandrakala R. Iyer ◽  
Chandrashekar M. A. ◽  
Poojitha Kancherla ◽  
Raghuveer Golluri ◽  
...  

Background: Healthy children build a wealthy nation. Good health of children is of paramount importance to the nation’s growth. Health and nutritional status of school children is highly variable from one region to another due to different environmental, socioeconomic and cultural factors. Hence health status of school children from each area should be assessed periodically so that relevant health programmes can be applied to prevent common morbidities such as malnutrition, infections and infestations. Methods: A cross sectional study of 500 rural school children from 5 to 15 years was conducted to assess the nutritional status by anthropometry and health status by clinical examination.Results: Out of the 500 school children 46.8% girls, 71.4% were 5 to 10 years old, 70.2% studying in 1st to 5th class.  33.4% were stunted. 25.6% and 27% were underweight according to weight and Body mass index criteria respectively. Common health problems among school children in this study were anemia (31%), dental caries (27.2%), upper respiratory infections (13.4%), skin infections and scabies (12.6%), head lice infestation (6.8%), refractive errors (6%) and ear discharge (5.2%).Conclusions: Though the pattern of nutritional and health problems were same in different studies, the severity of them varied from region to region. Hence periodic screening of school children to identify them and to apply relevant health programmes goes a long way in reducing such morbidities.


2015 ◽  
Vol 1 (1) ◽  
Author(s):  
Angel G Hilerio Lopez

Malnutrition in the older adult is an ongoing situation in Mexico and is most apparent in individuals that reside in hospitals, nursing homes, and retirement homes. For that reason, it is necessary to evaluate the nutritional status of these adults by means of the Mini Nutritional Assessment (MNA) and levels of three serum indicators that are commonly ordered when making malnutrition diagnosis. An analytical cross-sectional study was carried out on 100 older adults residing in eldercare facilities. Nutritional status was evaluated by means of the MNA and three serum indicators (albumin, ferritin, and hemoglobin). Descriptive statistics were used to analyze sociodemographic characteristics, and a Student’s t test, based on gender and reference values, was used to compare mean values of the three serum indicators.  A Chi-square test was used to compare proportions in individuals, based on gender, who had normal nutritional status or were malnourished, and who were at-risk of malnutrition.  A One-way ANOVA with Scheffé post hoc test was used to identify the association between serum indicators and nutritional status of older adults. Of the 100 older adults studied, 53% were men and 47% were women. The mean age was 85±0.7 years. According to the MNA, 20% had normal nutritional status, 55% were at-risk of malnutrition, and 25% were malnourished. The mean indicator values were: albumin 4.7±0.04 g/dL, ferritin 74.2±8.7 ng/mL, and hemoglobin 13.0±0.1 g/dL. No significant association was found between serum indicators and each MNA classification; however, when the same indicators were compared between the sexes, hemoglobin showed a significant difference (P=0.037). Women had lower values but those values did not extend beyond the established physiological range for this population. There was a 55% prevalence of risk of malnutrition in the nutritional status of older adults living in Mexican eldercare facilities in a Mexican province and it was even more frequent in women. 


2021 ◽  
Vol 15 (1) ◽  
pp. 64-68
Author(s):  
Qamar Mehboob ◽  

Background: Nutrition is the real determinant of human health. The development of children into healthy adults is dependent on their growth, in a healthy environment and having balanced nutrition. Objective: (1) To determine the association of nutritional status of children with their age, sex and socioeconomic status. (2) To compare the nutritional status of government school children and private school children. Study Design: Comparative cross-sectional. Settings: Study was conducted in two schools of Faisalabad, Pakistan. Government Girls high school, Punjab Medical College (PMC), Colony Faisalabad and The Smart School, Faisalabad. Duration: Eight months from Jan 01, 2020 – Aug 30, 2020. Methodology: The study was conducted on 200 children, including males & females, to compare weights and heights among government (government) and private (private) schools. Age groups ranging from 9 above to 14 years were being studied. The data was collected by taking anthropometric measures, height and weight, of the students. To assess the nutritional status, the anthropometric measurement of WHO 2007 reference was used as Weight for Age Z-score (WAZ), Height for Age Z-score (HAZ) and Body Mass Index (BMI) for Age Z-score (BAZ). Descriptive statistics and Pearson’s correlation test were used for statistical analysis. Data was analyzed statistically by using SPSS version 20. Results: The weight of private school children (39.3400 ± 2.39199) was normal as they have adequate diet as compared to government school children (38.7500 ± 1.43812) while 2% children were over weighted. Height of private school children (147.7600 ± 5.04949) was more as compared to government school children (146.8100 ± 4.34310). Statistically Pearson Correlation between weight of private and government school’s children was highly significant, p=0.000, df= 1, CI= 95%. Demographic information with height and weight of the children were taken. Z-score was calculated and graphs were plotted. A value within ± 2 SD in these graphs was considered as normal. Conclusion: Socio-economic status affects the availability and quality of food. For under-weight Children, unhygienic and low-quality food/stuffs are the major contributing factors.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Valentina Fabiano ◽  
Lucia Barcellini ◽  
Marco Ugo Andrea Sartorio ◽  
Erica Pendezza ◽  
Alessandro Leone ◽  
...  

Abstract Objective To evaluate nutritional status of children and adolescents living in three Serbian enclaves in Kosovo and Metohija. Methods We conducted an observational cross-sectional, population-based study, enrolling children and adolescents who underwent a pediatric screening performed in the three Serbian enclaves of Gračanica, Gornje Kusce and Velika Hoča in Kosovo and Metohija. Children and adolescents (5–19 years) of all ethnic groups were evaluated in one of the three free outpatient medical facilities in rural villages in Kosovo. Body weight and height were measured, height-for-age z- scores (HAZ) and BMI-for-age z-scores (BAZ) indicators were analyzed. The anthropometric indicators HAZ and BAZ distributions were compared between sex and ages using Fisher’s exact test. A two-sample Z-test for proportions was used to detect differences in individual categories of height- and BMI-for-age categories across sexes and age classes. Results Three hundred twenty-eight children and adolescents (184 females, 56.1% and 144 males, 43.9%) aged between 5 and 19 years were enrolled in the study. 241/328 participants showed a normal linear growth; with significantly more girls (78.3%) than boys (67.4%) being in the normal category. Similarly, a significant difference in BAZ distribution between sexes was noted, with more females being in the normal BMI category compared to males (63.0% vs 50.0%, respectively). Underweight and severe underweight subjects showed a prevalence of 1.5 and 0.6%, respectively. Overweight and obesity prevalence was 19.5 and 9.1%, respectively, which was comparable to World Health Organization overweight and obesity prevalence data for Serbia. Conclusions Prevalence of undernutrition and severe undernutrition in children and adolescents living in three Serbian enclaves in Kosovo and Metohija is small. By contrast, a tendency to an increase in overweight and obesity, especially in the male population, was noted.


Retos ◽  
2021 ◽  
Vol 44 ◽  
pp. 560-567
Author(s):  
Sonia García-Merino ◽  
Rosa-María Rodríguez-Jiménez ◽  
Álvaro Bustamante-Sánchez ◽  
Silvia Burgos-Postigo

  Lifestyle affects the health of children and adolescents, especially those living with socio-economic disadvantages. The purpose of this study was to evaluate nutritional status, level of fitness, and diet in children and adolescents from different socio-economic environments. To evaluate nutritional status and nutritional habits, Body Mass Index Z-score, Waist-to-Height Index and the Mediterranean Diet Quality Index, were chosen. To measure physical fitness, Eurofit battery was used. Participants were 290 healthy children and adolescents of two groups. Group 1 (78) was part of a social integration project through sport; group 2 (212) belonged to a private school with a high socio-economic status. Differences between groups were found in the nutritional status and physical fitness tests. There were no differences in the total score of the Kid Med Test (p=.42), but data suggested a better quality of food consumption in group 2. Even though both groups exhibited healthy values, results were slightly more favorable for speed of movement and flexibility (p<.05), and for diet habits (better intake of olive oil, less sweet consumption, p < .05) in the group 2. The study, even with limitations, shows that there is still room for equal opportunities in promoting the quality of life of young people.  Resumen: El estilo de vida afecta a la salud de los niños y adolescentes, especialmente a los que viven en riesgo de exclusión social y económica. El propósito de este estudio fue evaluar el estatus nutricional, el nivel de condición física y la dieta en niños y adolescentes de diferentes entornos socioeconómicos. Para evaluar el estatus nutricional y los hábitos nutricionales, se eligió el índice de masa corporal z-score, el índice cintura-estatura y el índice de calidad de la dieta mediterránea. Para medir la aptitud física, se utilizó la batería Eurofit. Los participantes fueron 290 niños y adolescentes sanos de dos grupos. El grupo 1 (78) formaba parte de un proyecto de integración social a través del deporte; el grupo 2 (212) pertenecía a un colegio privado de alto nivel socioeconómico. Se encontraron diferencias entre los grupos en las pruebas de estatus nutricional y de aptitud física. No hubo diferencias en la puntuación total del Kid Med Test (p=.42), pero los datos sugirieron una mejor calidad del consumo de alimentos en el grupo 2. Aunque ambos grupos presentaban valores saludables, el grupo 2 obtuvo mejores resultados en la velocidad de movimiento y la flexibilidad (p<.05), y en los hábitos dietéticos (mejor consumo de aceite de oliva, menos consumo de dulces, p <.05). El estudio, aun con limitaciones, muestra que todavía hay espacio para la igualdad de oportunidades en la promoción de la calidad de vida de los jóvenes.


2021 ◽  
Vol 37 (1) ◽  
Author(s):  
Asmaa Abdel Hamid ◽  
Hend Soliman ◽  
Rasha Abdelhalim

Abstract Background Obesity is considered a health problem that affects many systems of the body among which the respiration and voice. The objective of the study was to analyze the impact of obesity in children on quality of their voice. Thirty obese children were included in this cross-sectional study and compared to 30 age- and sex-matched healthy children as a control group. Voice of cases and controls were assessed subjectively by auditory perceptual assessment and objectively by studying acoustic parameters using Computerized Speech Lab. Flexible laryngoscopy was done for cases with dysphonia. Results Dysphonia perceived in 60% of cases, voice analysis revealed increased jitter and noise to harmonic ratio with significant difference than controls. Conclusion The voice of children with morbid obesity reveals significant modifications pertaining to vocal characteristics in comparison to non-obese persons, so voice hygiene and voice therapy could be added to their therapy program as prophylactic or therapeutic management of voice disorder.


2021 ◽  
Vol 01 (01) ◽  
pp. 08-13
Author(s):  
M Justin Jaspher ◽  

Background of the Study: Stunting, wasting, and underweight are the important nutritional status indicators for children. “While stunting is caused by long-term insufficient nutrient intake and repeated infections, wasting is a result of acute food shortage and illness. Wasting, on the other hand, is a strong predictor of mortality and requires urgent response. Underweight combines information about linear growth obstruction and weight for length/height” [7]. Understanding differences in the determinants of childhood malnutrition between urban and rural areas is important to design appropriate, relevant program and policy implementation. Aims & Objectives: The aim of the study is to assess and compare the prevalence of underweight, stunting and wasting among pre-school children in rural and urban area. Methodology: Convenient random sampling technique was used to gather data in 100 samples, 50 each from rural and urban population. Data was collected by using structured interview and anthropometric assessment. The questionnaire consisted of two parts, i.e., demographic data and questions regarding anthropometric assessment, age, height, weight etc. The three nutritional status indicators, HAZ - z-score for height-for-age, (Stunting), WAZ - z-score for weight for age (Underweight), WHZ- z – score weight for height (Wasting) were calculated using WHO Anthro survey application. Results: This study revealed that Prevalence of acute malnutrition (stunting) among rural pre-school children is 28% which was higher than the prevalence of acute malnutrition in urban pre-school children which was only 18 %. Prevalence of Underweight among rural pre-school children is 36% which was higher than the prevalence of underweight in urban pre-school children which was only 34 %. Prevalence of chronic malnutrition (wasting) among rural pre-school children is 32% which was lower than the prevalence of chronic malnutrition in urban pre-school children in which it was 46%. There is no significant association between the nutritional status of the rural and urban pre-school children with the selected demographic variables. This indicates even though there was a significant difference between the rural and urban pre-school children, both group of children are at the risk of one or other malnutrition related problems. Conclusion: This study suggests that even though there was a significant difference between the rural and urban pre-school children, both group of children are at the risk of one or other malnutrition problem.


Author(s):  
Sandra Tapiņa ◽  
Kristīne Vasīte ◽  
Valda Bebre-Putka ◽  
Elza Gārša ◽  
Ingrīda Rumba-Rozenfelde

Abstract In Latvia, no studies on the quality of life (QoL) of healthy children have been conducted. Determining the quality of life of children is an essential part of evaluating the health status of children. The subjective assessment of the individuals about their quality of life provides an opportunity to evaluate the quality of life of the population in the public health sector. The aim of this cross-sectional study was to evaluate the quality of life of healthy children and adolescents in Latvia in the age group from 8 to 18, as well as to compare the answers between children and their parents living in Latvia. This study also gave an opportunity to compare the results of children and their parents living in Europe. Quality of life measurements were obtained using the KIDSCREEN-52 questionnaire, which was filled out by 100 healthy children/adolescents and 100 of their parents/guardians. The quality-of-life questionnaire consisted of ten dimensions. When evaluating the quality of life of children and adolescents by gender, no statistically significant difference was found in Latvia (p > 0.05). There was no statistically significant difference (p > 0.05) between children of 8 to 11 years of age and children of 12 to 18 years of age. A statistically significant difference was found between the 8 to 11 and 12 to 18-year-old groups of young healthy children in some dimensions. In the response dimensions, self-perception (“SEL”) and emotions (“EMO”), their QoL was significantly higher (p < 0.05) in the age group from 12 to 18 years healthy children than in the age group of 8 to 11 years. Differences in child/adolescent quality of life results between Latvia and Europe were not statistically significantly different in all 10 HRQoL dimensions (p > 0.05).


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