scholarly journals Biochemical nutritional indicators in children with protein energy malnutrition attending Kanti Children Hospital, Kathmandu, Nepal

1970 ◽  
Vol 7 (2) ◽  
pp. 129-134 ◽  
Author(s):  
SK Mishra ◽  
SP Bastola ◽  
B Jha

Background: Nutrition is the science of food and its relationship to health. Nutritional status is one of the key indicators of health Nutritional status of Nepal is not satisfactory. Especially Protein Energy Malnutrition (PEM) in Nepal is a very common problem in children under five years of age. There are number biochemical parameters which become altered during protein energy malnutrition. Objectives: The objectives of the study are to determine biochemical nutritional indicators among children suffering from PEM and to compare all biochemical parameters with well nourished children and also to determine the factors affecting PEM among children under five years. Materials and methods: The study design was cross sectional, descriptive study with control. Children between ages 6 to 59 months attending outpatient department (OPD) and wards of Kanti Children's Hospital (KCH), Maharajgunj, Kathmandu, Nepal were purposively selected. The sample size was calculated by using prevalence of malnutrition in Nepalese context and allowable error of 10 %, a total of 120 cases which include 60 PEM cases and 60 controls were selected. They were grouped into two groups based on whether they are above or below the 80% of 50th percentile of weight for height based on growth chart of National Centre of Health Statistics 3 (NCHS), USA. Results: The educational status of parents of children with PEM was found to be significantly less (p<0.05) as compared to their non-PEM counterparts. Occupations of parents whose children were in PEM group include mainly housewives and labourers. Larger proportions of children in our study were born at home and exact birth weights of children were not known. Most of the children are colostrum fed. Most of the children in our study were immunized. Almost equal proportion of children belonged to nuclear family type and joint family type. The mean serum glucose, sodium, potassium, cholesterol, haemoglobin was not significantly different in both groups while mean total protein, albumin, and calcium were significantly (p<0.05) low in PEM group when compared to well nourished children (control). There was significantly (p<0.05) higher incidence of hypoproteinemia, hypoalbuminaemia, and hypocalcaemia, in PEM group when compared to control group. Conclusion: A significant proportion of children with protein energy malnutrition had altered biochemical parameters which were related to food intake and biochemical metabolism mandatory during growth and development of children less than five years of age. There was significantly higher proportion of hypoglycaemia, hypoproteinemia, hypoalbuminaemia, anaemia, hypocholesterolemia and hypocalcaemia in children with PEM when compared to normally nourished children. Key words: PEM; Biochemical nutritional indicators; anthropometry DOI: 10.3126/kumj.v7i2.2705 Kathmandu University Medical Journal (2009) Vol.7, No.2 Issue 26, 129-134

2003 ◽  
Vol 17 (1) ◽  
pp. 21-27 ◽  
Author(s):  
E.O. Ojofeitimi ◽  
O.O. Owolabi ◽  
A. Aderonmu ◽  
A.O. Esimai ◽  
S.O.H. Olasanmi

Ten variables were assessed as they influence the under five (U5) nutritional status of children at Oranfe, a semi-rural community in Ife East Local Government Area of Osun state, Nigeria. The two types of protein energy malnutrition (PEM) that are prevalent in the community are stunting and wasting. Of the 230 children assessed using Waterlow's technique, 23% and 22.6% were stunted and wasted respectively. The results confirmed that mothers' educational level, age, parity, types of family and children's immunization status and age are some of the key determinants of nutritional status of U5 children. The intensification of exclusive breast feeding, female education, a compulsory food demonstration unit in all health centres, use of complementary feeds from 7 months upwards, growth monitoring and promotion are some of the strategies to reduce the high prevalence of PEM in both rural and urban areas of developing countries.


Author(s):  
M.Hussein Ahmed ◽  
Dawria Adam ◽  
Abdelbasit. M. Burma Salim ◽  
Belal Abdallah

We  conduct  this  study  to  study risk factors of   protein energy malnutrition  Among Children Under Five years .This  study was conducted in Nyala  Locality in south  Darfur  State in  Sudan. Cross-sectional descriptive study to measure the Prevalence of protein energy malnutrition. This study designed to cover (n=402 child).


2018 ◽  
Vol 1 (2) ◽  
pp. 134
Author(s):  
Titih Huriah ◽  
Ema Waliyanti ◽  
Hanjayadi Hanjayadi

Introduction. Prevalence of children under five with malnutrition is an indicator of Millenium Development Goals (MDGs) that should be reach in a region (Regency/City) in 2015. Prevalence of nutrition base on weight for height (WFH) in Daerah Istimewa Yogyakarta showed that children under five prevalence with very lean nutrition status was about 2,6 percent and lean about 6,5 percent. Community Therapeutic Care combining three approaches to handling under five malnutrition children including community intervention, home based treatment for under five malnutrition children without complication and stabilitation center for under five malnutrition children with complication. The aim of this research was to find out the changing of malnutrition children under five through home care program in Yogyakarta. Method. This research used quantitative method through home care intervention for children under five with malnutrition and was conducted by nurse in public health center. Design of this research was pretest-posttest control group design. The population of this research was all children under five with malnutrition or not complication. Sample divided into two groups, 35 children for the intervention group and 25 children for control group. Analysis used was Paired t-test and independent t-test. Results. The result showed that before home care intervention, there is no significant difference of two groups. The result after intervention for three month with 7 times of visiting, home care intervention can increase nutritional status of children under five with malnutrition. The value of Independent t-test for control group and intervention group was significant with p<0,05. Discussion. The researcher conclude that Home Care has effect to increase nutrition status of children under five with malnutrition and also Z score value which is weight for height (WFH) was increase. Keywords: Home Care, Nutrition status , Malnutrition.


2021 ◽  
Vol 28 (01) ◽  
Author(s):  
Zafar Iqbal Bhatti ◽  
Khuram Nawaz ◽  
Muhammad Ali

Objectives: To investigate the prevalence and determinants of Protein energy malnutrition among children under five years of age in rural areas of Lahore, Pakistan. Study Design: Cross-sectional study. Setting: Four Rural Communities (Hussainabad, Shershah Colony, Dubai Town and Bhobtia Pind) of Lahore, Pakistan. Period: September 2016 to March 2017. Material & Methods: Convenient sampling technique was used to collect data. Anthropometric measures were obtained from children under five years of age. Results: Prevalence of PEM was found to be 52.8% in children under five years of age in the rural communities of Lahore, Pakistan. Significant association was found in PEM and number of siblings, mother’s literacy, father’s educational level, socioeconomic status, Knowledge of mother regarding diet, housing condition. So, all these factors are considered as significant determinants of PEM. Conclusion: More children suffer from the burden of PEM. Risk factors like age, sex, type of family, number of siblings, mother’s literacy, father’s educational level, socioeconomic status, Knowledge of mother regarding diet, housing condition contribute greatly to develop PEM. There is a need to take measures to prevent the nation from this suffering. Steps must be taken to implement polices to prevent PEM. Government should launch educational interventions on large scale to alleviate this suffering. Health professional must pay special attention to this debilitating issue.


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