scholarly journals Growth and Nutritional Status of Children in North Korean Refugee Families

2020 ◽  
Vol 24 (2) ◽  
pp. 96-101
Author(s):  
Seong-Woo Choi

Purpose: This study assessed the growth and nutritional status of children in North Korean (NK) refugee families.Methods: This study examined 301 children in NK refugee families. Their growth and nutritional status were estimated using the 2017 Korean National Growth Chart for Children and Adolescents. Stunting, being underweight, and wasting were defined as height-for-age (HAZ), weight-for-age (WAZ), and weight-for-height (WHZ) z -scores < –2.0, respectively.Results: The overall prevalences of stunting, being underweight, and wasting were 7.6%, 5.6%, and 5.0%, respectively. In children living in South Korea for <5 years, the prevalences of stunting, being underweight, and wasting were 10.3%, 8.6%, and 3.4%, respectively, compared to 7.9%, 7.9%, and 0.0% for those living in South Korea for ≥5 years. The prevalences of WAZ and WHZ > 2.0 were 5.0% and 11.0%, respectively.Conclusion: Children in NK refugee families still suffer serious malnutrition after settling in South Korea, although being overweight is emerging as a new problem.

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.


Author(s):  
Qianling Tian ◽  
Xiao Gao ◽  
Tingting Sha ◽  
Qiong He ◽  
Gang Cheng ◽  
...  

Background: At present, whether to use the World Health Organization’s (WHO) growth standards or native growth standards to assess the nutritional status in a given population is unclear. This study aimed to compare the differences between the WHO’s growth standards and China’s growth standards in assessing the nutritional status of children aged 0~36 months. Methods: We used z-scores to evaluate the nutritional status of children. The weight-for-age z-scores (WAZs), length/height-for-age z-scores (LAZ/HAZs), and weight-for-length/height z-scores (WLZ/WHZs) were calculated using the WHO’s growth standards and China’s growth standards. MeNemar’s test was used to compare the nutritional status of children. Results: The results in this study showed that there were differences between the WHO’s standards and China’s standards in assessing children’s nutritional status except for stunting and obesity. The prevalence of underweight assessed using China’s standards was higher than when using the WHO’s standards (except when 3 and 36 months old). The prevalence of wasting was significantly higher when assessed using China’s standards than when using the WHO’s standards from 12 to 36 months. The prevalence of overweight was higher when assessed using the WHO’s standards from 3 to 8 months. Conclusions: Both the WHO’s and China’s growth standards are useful measures in assessing children’s nutritional status but with key significant differences. Therefore, caution should be taken in selecting appropriate measures in a given population.


2020 ◽  
Author(s):  
Som Kumar Shrestha ◽  
Don Vicendese ◽  
Bircan Erbas

Abstract Background: Evidence of the influence of water, sanitation and hygiene (WASH) behaviors on childhood nutritional status is inconsistent. Few studies have examined their interactive effects. This study aimed to examine associations and interactions between WASH variables and preschool child undernutrition. Methods: Data from a nationally representative sample of 2352 children assessed during the 2016 Nepal Demographic and Health Survey were analyzed by multi-variable linear regression to understand the association between height-for-age (HAZ), weight-for-height (WHZ) and weight-for-age (WAZ) z-scores and WASH variables. Interactions between WASH variables, sex and area of residence on childhood nutritional status were also examined. Results: The mean z-score [standard deviation] for children’s WAZ, HAZ and WHZ scores were -1.33 [1.1], -1.52 [1.3] and -0.65 [1.1], respectively. A unit increase in cluster sanitation coverage was associated with an increase of 0.30 (95%CI: 0.12 to 0.48) for WAZ and 0.28 (95%CI: 0.001 to 0.56) for HAZ scores. Household water purification practice was associated with an increase of 0.24 (95%CI: 0.07 to 0.41) in WHZ score. Handwashing practice with water and soap was associated with an increase of 0.15 (95%CI: 0.04 to 0.25) in WAZ and 0.13 (95%CI: 0.01 to 0.24) in WHZ scores. The effect of water purification practice was higher for rural areas compared to urban settings for HAZ scores (p-value for interaction=0.02). Conclusions: Consistent with findings from other countries in the South Asian region, findings of this study highlight the potential importance of good WASH practices, and therefore the potential of WASH interventions, to contribute to improved nutritional status in rural Nepal.


2020 ◽  
Vol 2 (1) ◽  
pp. 26-33
Author(s):  
Utma Aspatria

Malnutrition problems that mostly occur in NTT are particularly caused by low protein intake. Therefore, this study was designed to intervene in feeding energy and protein dense snack to improve the nutritional status of children under five. This research was conducted in Tanah Putih Village, Kupang Tengah Sub-district, Kupang District. The research was an experimental method with a completely randomized design. Three types of intervention were given, namely: p1 = cassava + skipjack fish; p2 = cassava + rice beans; and p3 = cassava + skipjack fish + rice beans. Each sample consumed energy and protein dense snacks (according to treatment) for 30 days of trial. The results showed that the majority of children had a higher acceptance level for the intervention (88,9%). The results also showed that the provision of energy-dense food and protein significantly (p <0.05) improved the nutritional status of children under five, with weight for height indicator. However, the intervention had no significant effect (p> 0.05) with the indicator of height for age. The results of the analysis of variance showed a significant nutritional status improvement for the composition of cassava and fish (P1) (p <0.05) using the indicators wight for height and weight for age. Yet, it had not significantly contributed to improving the nutritional status of children under five using the height for age indicator.Advanced analysis using the Duncan test showed that the intervention treatment with the composition of cassava and rice beans had the strongest effect on improving the nutritional status of children under five. Keynote: Intervention, Malnutrition, Suplementary Food.


2019 ◽  
Vol 56 (3) ◽  
pp. 265
Author(s):  
R. V. Lakshmi ◽  
M. Sylvia Subapriya ◽  
Kalaivani Krishnamurthy ◽  
Prema Ramachandran

India is currently the home of the largest number of under-nourished and over-nourished children in the world. Data from longitudinal studies in India indicate that both under nutrition and over-nutrition in childhood is associated with higher risk of over-nutrition and noncommunicable diseases in adult life. A community based mixed longitudinal study of underfive children from urban low income families was taken up to assess their nutritional status. Weight was taken every month in all; length was measured every month in infants and height was measured once in three months in 1-5 year children. BMI was computed in all. Nutritional status was assessed using the WHO anthro software package. Between 2012 and 2015, 3888 pre-school children were enrolled (49.4% boys and 50.6% girls); mean age of these children at enrolment was 22.5±16.17 months. The mean Z scores for height for age was - 1.79; weight for age was - 1.41 and -0.47 for BMI for age. Prevalence of stunting was 43.4%; underweight was 31.9%, wasting was 12% and over-nutrition was between 3-5%. The reduction in wasting rate between 0-3 years was mainly due to the increase in prevalence of stunting. With universal screening for early detection of wasting and over-nutrition and effective management of these, it will be possible to achieve the WHA targets of reducing and maintaining wasting below 5% and preventing increase in over-nutrition in this population. This may reduce the risk of over-nutrition and non-communicable diseases in these children during their adult life.


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.


Nutrients ◽  
2021 ◽  
Vol 13 (1) ◽  
pp. 245
Author(s):  
Richard Ivey ◽  
Marko Kerac ◽  
Michael Quiring ◽  
Hang T. Dam ◽  
Susie Doig ◽  
...  

Since 1955, international adoption has been a way of finding homes for children who have been orphaned or abandoned. We aimed to describe the nutritional status of individuals adopted internationally and their long-term nutritional and health outcomes. We searched four databases for articles published from January 1995 to June 2020, which included information on anthropometric or micronutrient status of children adopted internationally (CAI). Mean Z-scores on arrival to adoptive country ranged from −2.04 to −0.31 for weight for age; −0.94 to 0.39 for weight for height; −0.7 to 0 for body mass index; −1.89 to −0.03 for height for age; −1.43 to 0.80 for head circumference for age. Older children, those adopted from institutionalized care or with underlying disability, were more likely to be malnourished. Though long-term data was scarce, mean Z-scores post-adoption ranged from −0.59 to 0.53 for weight for age; −0.31 to 1.04 for weight for height; 0.39 to 1.04 for body mass index; −1.09 to 0.58 for height for age; −0.06 to 1.23 for head circumference for age. We conclude that though CAI are at high risk of malnutrition at baseline, marked catch-up growth is possible, including for those older than two years of age on arrival. This has implications not only for CAI but for the wider population of malnourished children worldwide. Research on how to optimize catch-up growth is a priority.


2022 ◽  
Vol 50 (1) ◽  
pp. 1-8
Author(s):  
Dayane Pêdra Batista de Fariaa ◽  
Marcela Duarte Sillos ◽  
Patrícia da Graça Leite Speridião ◽  
Mauro Batista de Morais

Objective: To evaluate the outcome of food intake and nutritional status post discontinuation of a cow’s-milk-free diet after a negative oral food challenge.Methods: This was a prospective, uncontrolled study that evaluated food intake and nutritional status of a cohort of 80 infants and children under 5 years of age. Food intake and nutritional status were evaluated on the day of the oral food challenge test and after 30 days. Weight and height were measured on the day of the test and after 30 days.Results: The mean age of the patients was 18.7 ± 12.4 months, and 58.7% were male. After discontinuation of the elimination diet, the children showed daily intake increases in (P < 0.001), protein (P < 0.001), carbohydrates (P = 0.042), calcium from foods (P < 0.001), calcium from foods and supplements (P < 0.001), phosphorus (P < 0.001), and vitamin D from foods (P = 0.006). The Z-scores (n = 76) on the day of the oral food challenge test and 30 days after restarting the consumption of cow’s milk were as follows: weight-for-age (P < 0.001) and height-for-age (P < 0.001), respectively.Conclusion: Cow’s milk protein in the diet was associated with increased intake of energy, proteins, carbohydrates, calcium, phosphorus, and vitamin D, in addition to an increase in the Z-scores for weight-for-age and height-for-age.


2019 ◽  
Vol 2 (1) ◽  
pp. 10
Author(s):  
Maria Fransiska Pudjohartono ◽  
Hanggoro Tri Rinonce ◽  
Josephine Debora ◽  
Pritania Astari ◽  
Monica Gisela Winata ◽  
...  

A recent extraordinary event of malnutrition in childrenin Asmat, Papua, Indonesia has drawn enormous attention. To help in post-emergency rehabilitation, Gadjah Mada University sent a Kuliah Kerja Nyata – Peduli Bencana (KKN-PB) team to Agats, Asmat in March 17 – April 20, 2018. As part of situation analysis, the team surveyed the nutritional status of under five-years-old children in Agats, Asmat. The subjects were under five-year-old children coming to posyandus in fiveareasin Agats in March-April 2018. The data of sex, age, weight, and height were obtained, then the nutritional status in the form of Z-scores for weight-for-age (WAZ), height-for-age (HAZ), and weight-for-height (WHZ) was calculated using WHO Anthro version 3.2.2 software. Nutritional status was determined based on criteria from World Health Organization (WHO). Among the 372 children, 35 (9.4%) children were underweight and 7 (1.9%) were severely underweight. Twenty one (5.7%) children were stunted and 12 (3.2%) were severely stunted. As many as 23 (6.2%) children were found to be wasted and 6 (1.6%) were severely wasted. The percentages of children with malnutrition found in this survey were lower than the percentages for Indonesia and Papua overall, but percentages in two posyandus were higher than the national and Papua percentages. The relatively low total percentages may be accounted for by concentration of malnutrition cases in districts other than Agats and lack of coverage of children absent from posyandu. Prevalence of malnutrition varied in different age groups possibly due to inadequacy of complementary foods, changes in incidence of infections, and addition of siblings. Further surveys are needed using home visitsthat will also enable to analyze of socioeconomic factors at the same time as nutritional status determinants in Agats and other districts in Asmat.


1997 ◽  
Vol 18 (2) ◽  
pp. 1-14 ◽  
Author(s):  
Nyovani Janet Madise ◽  
Mabel Mpoma

The 1992 Malawi and Demographic Health Survey data are used to assess the association between breast-feeding practices, socio-economic and morbidity variables, and the nutritional status of children under the age of five years using multilevel models. About 27% of under-five children in Malawi are underweight, and nearly 50% are stunted. The results of this study suggest that socio-economicfactors, morbidity, and inappropriate feeding practices are some of the factors associated with malnutrition in Malawi. High socio-economic status, as measured by urban residence, the presence of modern amenities, and some maternal education, is associated with better nutritional status, whereas morbidity within two weeks before the survey is associated with low weight-for-age Z scores. Breast-feeding is almost universal and is carried on for about 21 months, but the introduction of complementary food starts much too early; only 3% of Malawian children under the age of 4 months are exclusively breastfed. Children aged 12 months or older who were still breastfeeding at the time of the survey were of lower nutritional status than those who had stopped breastfeeding. The analysis also showed a significant intra-family correlation of weight-for-age Z scores of children of the same family of about 39%.


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