scholarly journals Early maternal menarche associated with overweight and obesity in children

2021 ◽  
Vol 8 (1) ◽  
pp. 103-109
Author(s):  
Putu Dianisa Rosari Dewi ◽  
I Made Arimbawa ◽  
I Gusti Ayu Putu Eka Pratiwi ◽  
I Wayan Gustawan

Background: The age of maternal menarche is thought to be intergenerationally associated with the incidence of overweight and obesity in their offspring, but studies are limited. Objective: To determine the intergenerational relationship between maternal age at menarche and the incidence of childhood obesity and overweight at preschool age. Methods: This research is an analytic cross-sectional study with a cluster sampling method which was conducted in preschool in Denpasar, Bali. Younger maternal menarche was defined as the age of maternal menarche less than 12 years. Overweight and obesity in children are expressed based on the growth curve of the World Health Organization (WHO) Body Mass Index/Age > +2 SD. Results: This study was conducted from October to November 2019 involving 204 samples, with the proportion of overweight and obese children were 28.9%. The mean age of menarche in mothers was 13.28 (SD +1.97) years with 11% of mothers experiencing early maturation. The adjusted ratio prevalence of maternal menarche <11 years was 3.96 (95% CI 1.56-10.08) and the nutritional status of overweight and obesity in the father was 3.22 (95% CI 1.67-6.26). Conclusion: In this study, it was found that there was a relationship between younger maternal age at menarche and overweight and obesity nutritional status in fathers with the incidence of overweight and obesity in children.

2017 ◽  
Vol 27 (3) ◽  
pp. 342 ◽  
Author(s):  
Marcelo De Maio Nascimento ◽  
Luiz Gabriel Dantas Pereira ◽  
Phillipe Ramon Nogueira Cordeiro ◽  
Luciana Márcia Gomes de Araújo

Introduction: The study of the nutritional status of the elderly deserves attention, since there is no consensus on the criteria for the evaluation of the Body Mass Index (BMI) of this population.Objective: To evaluate the nutritional status of elderly women practicing regular physical exercises, as well as to compare the World Health Organization (WHO) and Lipschitz criteria to the identification of health risk and to examine their agreement.Methods: Descriptive cross-sectional study with 76 elderly women in physical exercise groups in Petrolina-PE. The nutritional status was obtained by the calculation of BMI according to WHO and Lipschitz criteria. The analysis of Variance (ANOVA) was used to compare the variables, followed by Tukey post hoc. The Kappa statistic established the agreement between the BMI criteria, the Spearman coefficient determined the correlation between BMI and abdominal circumference (AC).Results: Elderly patients aged 60-79 years were classified as being overweight by WHO and eutrophic by Lipschitz. Octogenarian demonstrated eutrophy, according to the criterion of Lipschitz, WHO diverged for this group between thinness and eutrophy. There was a weak agreement between both criteria, Kappa (0.232, p = 0.002) and a strong correlation between BMI and CA (r = 0.722, p <0.001).Conclusion: There was a divergence between the WHO and Lipschitz criteria. The WHO proved to be more sensitive to identifying overweight and obesity and Lipschitz's normal weight and malnutrition. The CA measure was more competent to detect health risk, especially in elderly eutrophic women.


2009 ◽  
Vol 30 (3) ◽  
pp. 254-259 ◽  
Author(s):  
Madarina Julia

Background The National Center for Health Statistics/World Health Organization (NCHS/WHO) reference is considered unsuitable for assessing the nutritional status of breastfed children. It is gradually being replaced by the WHO Child Growth Standards in many countries. Objective To assess the implications of adopting the WHO Child Growth Standards to classify Indonesian children according to nutrition status. Methods Data were obtained from two cross-sectional surveys in two districts in Indonesia in 1998. Children under 2 years of age were randomly selected using a two-stage cluster sampling. Z-scores of weight-for-length (WLZ), length-for-age (LAZ), and weight-for-age (WAZ) were calculated based on both the NCHS/WHO reference and the WHO Child Growth Standards. Wasting, stunting, and underweight were defined as z-scores less than −2.0. Results We included 1,374 children, of whom 693 (50.4%) were male and 681 (49.6%) were female. Almost all of the children had initiated breastfeeding and were still being breastfed when the data were collected. According to the WHO Child Growth Standards, the prevalence of wasting did not change with age, but the prevalence rates of stunting and underweight rose steadily with age. Although the contribution of wasting to the classification of underweight was relatively constant, the contribution of stunting increased as the children grew. Conclusions The WHO Child Growth Standards are a better tool for assessing the nutritional status of Indonesian children than the NCHS/WHO reference. However, low WAZ is not a suitable indicator for commencing an extra feeding program, because it reflects stunting instead of wasting. The high prevalence of stunting indicates the need to perform preventive nutritional intervention beginning earlier in life, i.e., in utero.


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.


PLoS ONE ◽  
2021 ◽  
Vol 16 (10) ◽  
pp. e0258033
Author(s):  
Prince Kubi Appiah ◽  
Bright Osei ◽  
Hubert Amu

Background Nutritional deficiencies are generally associated with increased risk and severity of tuberculosis. This study investigated the nutritional status, knowledge, and attitudes of tuberculosis (TB) patients receiving treatment in the Tema Metropolis. Method A cross-sectional design was used to collect data on the nutritional knowledge, attitude, and status of TB patients. Nutritional status was analysed using World Health Organization’s formula for body mass index. Pearson’s chi-square and logistic regression models were used to assess associations between predictor and outcome variables. All statistical analyses were considered significant at p-values < 0.05. Result The prevalence of malnutrition among TB patients was 39.7%, 14.4%, and 4.8% for underweight, overweight, and obesity respectively. There was a high (61.0%) knowledge of nutrition among the patients. Also, 65.8% had good attitude towards nutrition. There were significant associations between normal nutritional status and age of the TB patients (p = 0.041), highest educational level attained (p = 0.036), employment status (p = 0.019), status of alcohol intake (p = 0.031), number of months on TB treatment (p = 0.021), and attitude towards nutrition (p = 0.028). Conclusion There was a reasonable nutrition-related knowledge and attitude towards nutrition among the TB patients. However, that did not reflect on their nutritional status. We recommend continuing education on smoking cessation, avoidance of harmful use of alcohol, and the establishment of food aid and other livelihood intervention programs for TB patients.


2021 ◽  
Vol 15 (6) ◽  
pp. e0009506
Author(s):  
Yenny Djuardi ◽  
Gilbert Lazarus ◽  
Difa Stefanie ◽  
Umi Fahmida ◽  
Iwan Ariawan ◽  
...  

Background Soil-transmitted helminth (STH) infections are still prevalent in Indonesia, with roughly one-third of infected population being preschool-age children (PSC), which are generally at higher risk of morbidity such as malnutrition and anemia. This study aimed to investigate the association of STH infections with nutritional status and anemia among PSC in Nangapanda subdistrict, Ende, East Nusa Tenggara. Methods A cross-sectional survey involving PSC ranging from 12 to 59 months old from Nangapanda subdistrict, Ende district, East Nusa Tenggara was performed. Socio-demographic, breastfeeding, and complementary feeding information was obtained from structured questionnaires, while nutritional and anemia status was determined from anthropometry and hemoglobin measurements, respectively. Anthropometric z-scores were calculated based on the World Health Organization 2006 standards and stool samples were examined using Kato-Katz method. Results A total of 393 PSC randomly selected from 22 villages were examined. The prevalence of underweight, stunting, wasting, and anemia were 33.1%, 40.2%, 17.1%, and 60.3%, respectively. STH infection, predominated by Ascaris lumbricoides, was found in 160 (58.8%) PSC. Single STH infection, but not multiple infection, was independently associated with a lower risk of anemia (odds ratio [OR] 0.320, 95% confidence interval [CI]: 0.126–0.809, p = 0.016). Similar association with anemia was also found on mild STH infection (OR 0.318 [95% CI: 0.114–0.887], p = 0.029). On the other hand, younger children were found to have a higher risk of anemia and stunting. None of the examined variables were independently associated with underweight and wasting. Conclusion STH infection as well as anemia and malnutrition were prevalent in this region. However in this study, current STH infections seemed to have minimal negative impact on children’s nutritional status.


Author(s):  
Lucia N.M. Meko ◽  
Marthinette Slabber-Stretch ◽  
Corinna M. Walsh ◽  
Salome H. Kruger ◽  
Mariette Nel

Background: The continued existence of undernutrition, associated with a steady increase in the prevalence of overweight and obesity in children and adolescents, necessitates identification of factors contributing to this double burden of disease, in order for effective treatment and prevention programmes to be planned.Aim: To determine the nutritional status of 13–15-year-old children in Bloemfontein and its association with socioeconomic factors.Setting: Bloemfontein, Free State Province, South Africa (2006).Methods: This was a cross-sectional analytical study. Randomly selected children (n = 415) completed structured questionnaires on socioeconomic status. The children’s weight and height were measured and body mass index-for-age and height-for-age z-scores were computed according to World Health Organization growth standards in order to determine the prevalence of underweight, overweight, obesity and stunting. Waist circumference was measured to classify the children as having a high or very high risk for metabolic disease.Results: Of the 415 children who consented to participate in the study, 14.9% were wasted and 3.4% were severely wasted. Only 6% of the children were overweight/obese. Significantly more boys (23.0%) were wasted than girls (10%) and severe stunting was also significantly higher in boys than in girls (10.3% and 4.2%, respectively). Children whose parents had graduate occupations were significantly more overweight/obese than those with parents working in skilled occupations. Stunting was significantly higher in low (31.4%) and medium (30.4%) socioeconomic groups compared to the high socioeconomic group (18.1%).Conclusion: A coexistence of underweight and overweight was found and gender and parental occupation were identified as being predictors of nutritional status.


2021 ◽  
Vol 9 (B) ◽  
pp. 687-691
Author(s):  
I Gusti Ayu Trisna Windiani ◽  
Ni Kadek Wiwik Agustini ◽  
I. Gusti Agung Ngurah Sugitha Adnyana ◽  
Soetjiningsih Soetjiningsih ◽  
Ni Luh Sukma Pratiwi Murti

BACKGROUND: Preschool age is an important period for growth and development. Malnutrition that occurs during this period can have negative impacts on growth, cognitive development, and academic performance in children. AIM: The objective of the study is to know the association between nutritional status and the risk of developmental disorder in preschool children in Denpasar. METHODS: An observational analytic study with a cross-sectional design and cluster sampling method was conducted on children under 5 years old who attended Early Childhood Education in Denpasar Bali in 2019. RESULTS: From 468 samples, the median age was 5 years old (range, 1–5), the majority of children were well-nourished (52.6%), and caretaken by parents (82.9%). Child development was prescreened using an Indonesian child development pre-screening questionnaire/Kuesioner Pra Skrining Perkembangan (KPSP) that had 75% sensitivity, 99.16% specificity, 85.71% positive predictive value,and 98.33% negative predictive value compared to Capute Scale test as a gold standard. It showed that the majority of participants had an appropriate developmental stage (91.3%), followed by doubtful (5.3%) and possible deviations (3.4%). The results of the bivariate analysis showed that malnutrition was significantly related to the risk of developmental delay (PR 2; confidence interval [CI] 95%, 1.05-3.97). The result of multivariate analysis for variables that were considered to be significant as a risk for developmental disorder showed that malnutrition was related to the possibility of developmental disorder (PR 2; CI 95%, 1.04–3.95). Caretakers other than parents and lack of physical activity were not significantly related to the risk of developmental disorder. CONCLUSION: Malnutrition was found to be significantly associated with the risk of developmental disorder in preschool children. Further prospective study by standard assessment tools is required to evaluate the association between nutritional status and developmental level in children.


2013 ◽  
Vol 42 (5) ◽  
pp. 378-383 ◽  
Author(s):  
Angela Xavier ◽  
Roosevelt Da Silva Bastos ◽  
Aline Megumi Arakawa ◽  
Magali De Lourdes Caldana ◽  
José Roberto De Magalhães Bastos

INTRODUCTION: Dental caries and nutritional status in children in preschool age are serious public health problems, with multifactorial etiology, with diet as a common risk factor. OBJECTIVE: This cross-sectional study assessed the relationship between dental caries and nutritional status of preschool children attending public schools in a city in the State of Sao Paulo. MATERIAL AND METHOD: The study population was comprised of 3-5 year-old preschool children (n = 229) attending public schools, in which dmft (decay, missing, filled, teeth) was used for dental caries assessment and Body Mass Index (BMI) was used for nutritional status in accordance with the recommendations of the World Health Organization. Statistical analysis was performed in a descriptive way through absolute and relative frequencies and Spearman Correlation test and Kruskal Wallis (P<0.05). RESULT: A dmft of 1.65 (2.87) and a SiC index (Significant Caries Index) of 4.88 (3.20) have been found, indicating polarization of dental caries. It was observed that 66.81% of children presented with nutritional status within the normal range and children with malnutrition had a mean dmft of 4.0 (3.66), which is two times higher than the other categories of nutritional status. No statistically significant correlation has been found by correlating dmft and components with Body Mass Index. CONCLUSION: This research did not identify a significant correlation between the occurrence of dental caries and nutritional status of preschool children, researches should be conducted to elucidate this relationship.


2020 ◽  
Author(s):  
Xian Zhu ◽  
Chenglu Liu ◽  
Chang Xu ◽  
Mingjing Li ◽  
Wei Jiang ◽  
...  

Abstract Background: To investigate the nutritional status and household sanitation among children under 5 in Tibetan and Sichuan minority areas and to analyse the association between nutritional status and household sanitation. Methods: A cross-sectional survey was conducted by the probability proportional to size sampling method between August and October 2016. Nutritional status was evaluated according to the standards of growth and development recommended by the World Health Organization. Bivariate and multivariate logistic regression analyses were used to analyse the association between nutritional status and household sanitation. Results: A total of 965 children under the age of 5 and their caregivers were included. The rates of normal development, stunting, underweight, wasting, overweight and obesity of children in Sichuan and Tibet were 69.0%, 19.8%, 8.0%, 5.2%, 4.6% and 1.8%, respectively. The multivariable logistic regression analyses shows that other unprotected water sources (AOR=3.21, 95%CI=1.41~7.32), unboiled drinking water (AOR=2.05, 95%CI=1.41~2.97), sanitary and dry toilets (AOR=2.04, 95%CI=1.12~3.71), unsanitary and dry toilets (AOR=2.80, 95%CI=1.42~5.51), usually do not washing hands at critical times (AOR=2.11, 95%CI=1.15~3.90), washing hands only with water (AOR=1.53, 95%CI=1.03~2.26) and unsanitary treatment of children's faeces (AOR=1.56, 95%CI=1.11~2.20) were the risk factors for stunting in children. Protected well water (AOR=4.28, 95%CI=1.46~12.52), other unprotected water sources (AOR=4.30, 95%CI=1.36~13.61), unsanitary and dry toilets (AOR=4.44, 95%CI=1.26~15.59), washing hands at only one critical moment (AOR=2.77, 95%CI=1.15~6.65), washing hands only with water (AOR=2.22, 95%CI=1.20~4.09) and unsanitary treatment of children’s faeces (AOR=2.01, 95%CI=1.23~3.28) were risk factors for underweight in children. Conclusion: The malnutrition of children under 5 years of age in the rural areas home to ethnic minorities in Sichuan and Tibet is serious, and the problem of stunting is particularly prominent. The children's household sanitation status is poor, and the family's economic income has an impact on household sanitation; thus, household sanitation has an impact on both the height and the weight of the child. The relevant departments should increase the family's economic income while conducting household sanitation interventions, thereby reducing the incidence and mortality due to malnutrition.


Author(s):  
Hedayat Nazari ◽  
Mohamad Reza Mohammadi ◽  
Seyed-Ali Mostafavi ◽  
Ali Khaleghi ◽  
Nastaran Ahmadi ◽  
...  

Background: Anthropometric studies in children and adolescents are important to screen changes in growth and puberty. Hence, standard percentiles and cutoffs are set by the World Health Organization (WHO), Centers for Disease Control and Prevention (CDC), and Iranian national criteria. This study aimed to examine and compare the prevalence of weight disorders in children and adolescents in Lorestan province according to different criteria. Methods: Children and adolescents (6–18 years) were randomly selected from the urban and rural areas by the multistage stratified cluster sampling method. All Iranian citizens aged who resided in Lorestan province for at least one year were eligible to participate in this study. After obtaining consent forms, researchers gathered the accurate anthropometrics and body mass index (BMI) measurements. Results: A total of 866 children and adolescents took part in the study, 447(51.6%) of whom were girls and 419 (48.4%) were boys. The overall prevalence of overweight and obesity was 17% in boys and 12.5% in girls. The prevalence of underweight in girls was 5.8%; while in boys it was 4.5%. The total prevalence rate of underweight according to the national criteria was 5.2%. However, this rate increased to 12% and 12.6% by using WHO and CDC cut-off points, respectively. The highest prevalence of overweight was obtained by CDC (15.8%), followed by WHO (13%); while national cut-off points resulted in 9.7%. Furthermore, 9.2% of the studied population was found to be obese by WHO; while this rate was 4.2%, and 5% by CDC and national cut-off points. Conclusion: This study indicated the coexisting prevalence of underweight and obesity and high prevalence of overweight among children and adolescents in Lorestan province. Furthermore, using the WHO and CDC criteria leads to overestimating the prevalence of weight disorder compared to the national cut-off points in Iran.


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