scholarly journals A review of the emerging pandemic of obesity in preschool children in Egypt: Exclusive breastfeeding is protective

2021 ◽  
Vol 8 (8) ◽  
pp. 289-296
Author(s):  
Ayoub Al-Jawaldeh ◽  
Azza Abul-Fadl

Introduction: Early exclusive breastfeeding (EBF) without foods or formula milk (FM) is recommended for the first six months of life, for optimum growth and development. Aim: This study aims to review studies in Egypt on nutritional status of preschool children by type of feeding. Methods: A two staged study was done: First; research was obtained from the Egyptian university libraries consortium (www.eulc.edu) on overweight, obesity stunting, and wasting in preschool children. We filtered 18 thesis fitting the criteria of the study. Next, analysis was done to compare EBF versus FM. Results: Comparison of nutritional status of children aged 6–59 months among formula versus EBF was as follows: Overweight 5.4% versus 3.45%, obesity 13.8% versus 5.65%, stunting 21.6% versus 1.15%, and wasting 9.7% versus 0.85%, respectively. Obesity and overweight were higher in males, whereas stunting and wasting were higher in females irrespective of mode of feeding. Early and extended formula feeding, foods before 6 months of life, packed foods, canned drinks, and low activity are risk factors for obesity. Colostrum feeding, exclusive and longer duration of breastfeeding, healthy food intake, and fruits and vegetables are protective. Studies report that deficiency of micronutrients is common with obesity. Conclusions: Prolonged formula feeding and unhealthy food intake are risk factors for the emerging and growing problem of obesity. Policies and legislations are needed to encourage exclusive breastfeeding and control marketing of unhealthy foods.

2020 ◽  
Vol 5 (2) ◽  
pp. 111-120
Author(s):  
Ribka Fransiska Youwe ◽  
Dary Dary ◽  
Rifatolistia Tampubolon ◽  
Gelora Mangalik

First nutritional intake supplied to newborn infants is exclusive breast milk because it contains a lot of nutrients and it is supplied for 6-month-old children without adding weaning foods. Global Nutrition Report (GNR) report in 2014 stated that Indonesia was included in 117 countries that had three highest nutritional problems in children, namely stunting (37.2%), wasting (12.1%), and overweight (11.9%). The result of Riskesdas prevalence in 2013 regarding to nutritional status of children in Papua Province was undernutrition (21.9%) while in Jayapura there were malnutrition (3.4%) for toddlers and undernutrition (17.8%). The purpose of the research was to analyze the relationship between exclusive breastfeeding with foods intake and nutritional status of 6-to-12-month-old children in the working area of Hamadi Primary Health Care in the city of Jayapura. Quantitative research methods with cross sectional study design using the spearman rank test were done which exclusive breastfeeding as independent variable, food intake and nutritional status as dependent variables. Statistical test results showed that there was no relationship between exclusive breastfeeding and nutritional status with parameter p = 0.658, there was no relationship between exclusive breastfeeding and food intake (TKE p = 0.335), (TKP p = 0.626), (TKL p = 0.715), (TKK p = 0.980), there was a relationship between food intake and nutritional status (TKE p = 0.050), (TKP p = 0.041), (TKL p = 0.032), (TKK p = 0.049). The conclusion of this research is either exclusive or non-exclusive breastfeeding children have the same nutritional status and food intake, while children's food intake affects nutritional status of children.


2019 ◽  
Vol 16 (1-2) ◽  
pp. 27-41 ◽  
Author(s):  
Lie Goan-Hong ◽  
Oey Kam-Nio ◽  
Dradjat D. Prawiranegara ◽  
Tudit Herlina ◽  
Geertruida Sihombing ◽  
...  

Ultimately, improvement of the nutritional status of children, in especially the preschool children, can only be achieved if the daily food intake is sufficient.This will ensure in the first instance the adequate provision -of energy, and secondly, the available protein in the diet will then be efficiently utilized. Sufficient intake of food can and must be realized through the combined use of inexpensive locally available foods from the food groups: Cereals, Legumes and Fish, Fat, Vegetables and Fruits, according to the existing menu-pattern "4 Sehat - 5 Sempurna" (4 means healthy- 5 is excellent). The diet therefore must not consist of rice alone. The role of fat in the diet must be stressed. The meal pattern of preschool children must be at least l times a day, preferably more. Depending on the available budget and the creative imagination of the mother, a variety of inexpensive but palatable dishes can be prepared at home which will stimulate the food intake.


Ciencia Unemi ◽  
2018 ◽  
Vol 11 (26) ◽  
pp. 143
Author(s):  
Betty Judith Pazmiño-Gómez ◽  
Lizán Ayol-Pérez ◽  
Luis López-Orozco ◽  
William Vinueza- Freire ◽  
Juan Cadena-Alvarado ◽  
...  

La parasitosis intestinal es una infección que se puede presentar en cualquier ser humano, sin embargo, es evidente su prevalencia en la población infantil, situación que incide en su estado nutricional, los infantes infectados tienden a tener variantes en su comportamiento y nutrición, una situación que puede obstaculizar seriamente su desarrollo físico e intelectual. El objetivo del presente trabajo fue identificar la relación entre la parasitosis intestinal y estado de nutricional en los niños de 1 a 3 años del Centro Infantil del Buen Vivir María Paz de la Ciudadela Almeida en el cantón Milagro durante el periodo de noviembre 2016 a mayo 2017. La metodología responde a los paradigmas cuantitativos de carácter descriptivo, apoyadas por una investigación de campo que permitió la recolección de datos antropométricos y las muestras fecales para la realización de exámenes coprológicos: 23 de los niños y niñas presentaron parasitosis intestinal (60,5%), mientras que 15 niños dieron negativos (39,5%) de los que presentaron parasitosis; 14 infantes se vieron afectados con bajo peso, debido a la presencia de parásitos (37%), Además, en la encuesta a los padres de familia, más del 65% de los hogares no tienen una adecuada norma de cuidado para prevenir la infección por parásitos intestinales, y el consumo de agua sin hervir así como la ingesta de frutas y legumbres sin lavado previo. Se puede concluir que la carencia de servicios básicos, hábitos de higiene alimentaria y el desconocimiento de los riesgos es determinantes para la presencia de parásitos intestinales en los infantes y por ende afecta el estado nutricional. AbstractIntestinal parasitosis is an infection that can occur in any human being; however, its prevalence could affect mostly the nutritional status of children. Therefore, infected infants tend to have variations in their behavior and nutrition, a situation that can seriously impede their physical and intellectual development. The objective of the present work was to identify the relationship between intestinal parasitosis and nutritional status in children from 1 to 3 years old of Centro Infantil del Buen Vivir María Paz of Ciudadela Almeida in Milagro Canton during the period from November 2016 to May 2017. The methodology responds to quantitative paradigms of a descriptive nature, supported by a field investigation that allowed the collection of anthropometric data and fecal samples for the performance of coprological examinations. From those who presented parasitosis: 23 of the children showed parasitosis intestinal (60.5%) while 15 children were negative (39.5%); 14 are affected with low weight due to the presence of parasites (37%). Also, more than 65% of households do not have an adequate standard of care to prevent infection by intestinal parasites, and consumption of water without boiling as well as the intake of fruits and vegetables without previous washing was observed in the survey of parents. It can be conclude that the lack of basic services, habits of food hygiene, the ignorance of the risks are determinant for the presence of intestinal parasites in infants and therefore affects the nutritional status.


2015 ◽  
Vol 100 (8) ◽  
pp. 758-762 ◽  
Author(s):  
Hayley Syrad ◽  
Cornelia H M van Jaarsveld ◽  
Jane Wardle ◽  
Clare H Llewellyn

ObjectiveParental decision-making around extended formula feeding (12 months+) has not been explored previously. This study tested the hypotheses that extended formula milk use (i) is associated with poorer appetite and (ii) supplements lower food intake.MethodsAppetite was assessed with the Child Eating Behaviour Questionnaire (CEBQ) in 3854 twin children aged 16 months. Diet was assessed from 3-day diaries in 2714 children at 21 months. Parents reported their children's weight at 24 months. Associations between formula feeding and (1) appetite, (2) energy intake and (3) weight were examined. 35 mothers were interviewed when the children were 7 years old to explore retrospectively their reasons for extended formula feeding.ResultsFormula consumers (13% of the sample) scored significantly differently than non-formula consumers on five of the six CEBQ subscales, indicating lower appetite avidity: ‘food responsiveness’ (2.02 vs 2.22, respectively),‘enjoyment of food’ (3.99 vs 4.20), ‘satiety responsiveness’ (2.89 vs 2.65), ‘slowness in eating’ (2.63 vs 2.46) and ‘food fussiness’ (2.34 vs 2.14). Formula consumers had a significantly lower percentage of daily energy intake from food (70% vs 74%); however, total daily energy intake did not differ significantly from non-consumers (4315 vs 4373 kJ). At interview, mothers reported supplementing their child's diet with formula because of ‘picky eating’ and concerns about inadequate food intake.ConclusionsHigh formula milk intake is associated with picky-eating behaviours, but seems to act as a substitute for rather than a supplement to solid food. Prospective and intervention studies are needed to determine whether extended formula feeding has an enduring impact on weight trajectories, eating behaviours or health.


2020 ◽  
Vol 17 (7) ◽  
pp. 3016-3020
Author(s):  
Dona Muji Fitriana ◽  
Ni Ketut Alit Armini ◽  
Eka Mishbahatul

Nutritional status is an important matter that needs to be paid attention during preschool. Malnutrition during this period will cause irreversible damage which cannot be recovered as an adult. The role of mothers in fulfilling the nutritional status of preschoolers is essential. Maternal perceptions influence the intentions and behavior of mothers in the nutritional needs of preschool children. This study aims to determine the effect of maternal perceptions on the development of children’s nutritional status at preschool age. This research was conducted at Slendro 1 Kindergarten, Slendro 2 Kindergarten, and Slendro Village PAUD Post, Gesi District, Sragen Regency (Central Java, Indonesia). The research used descriptive correlational design with cross-sectional approach. A total of 61 female student guardians who have preschool age children were used as samples. This study utilized two variables, namely maternal perception (support and barrier) as the independent variable and the nutritional status of preschool children as the dependent variable. The data were collected using a questionnaire and anthropometric measurements (BW/BH), then the data were analyzed using the Sperman Rho test (α ≤ 0.05). The results show that 59% of mothers had high perceptions and 41% of mothers had low perceptions of the nutritional status of preschool children. Statistical test results show that there is a significant relationship (ρ = 0.029) with a correlation coefficient (r = 0.280) between maternal perceptions and the nutritional status of children at preschool age. Perception has a huge influence on a mother’s intention in improving the nutritional status of a child. A positive maternal perception of the fulfillment of a child’s nutritional needs at preschool age can improve a child’s nutritional status.


2016 ◽  
Vol 118 (7) ◽  
pp. 1568-1578 ◽  
Author(s):  
Oyepeju Mary Onifade ◽  
Jesse Abiodun Otegbayo ◽  
Joshua Odunayo Akinyemi ◽  
Titus Ayodeji Oyedele ◽  
Ademola Richard Akinlade

Purpose – Improving the health of children under the age of five is one of the main objectives of primary healthcare services in most developing countries. The purpose of this paper is to identify the nutritional status of children under the age of five and its impact on cognitive function. Design/methodology/approach – The cross-sectional study was carried out in a semi-urban community in south-western Nigeria. The sample consisted of 220 school children under the age of five. Anthropometric measurements including weight, height and mid arm circumference were carried out to determine the nutritional status of the children. Cognitive function of the children was assessed using a developmental checklist developed by the American Academy of Pediatrics and their performance was graded as good, fair and poor. Findings – The overall prevalence of malnutrition in this study was low with stunting, underweight and wasting recording 8.2, 6.8 and 1.8 percent, respectively thereby making stunting the most common malnutrition indicator in this study. A large proportion of the children (88.6 percent) had good cognitive performance while 11.4 and 5.5 percent had fair and poor cognitive performance, respectively. Among the various malnutrition indicators measured in this study, stunting was found to have a statistically significant association with cognitive development (p=0.005).Stunted children have multiple functional disadvantages that persist throughout childhood and poor nutrition almost certainly plays a role. This paper calls for a need for the Nigerian Government to intervene by ensuring that policies are implemented that will ensure that health and nutritional needs of preschool children are guaranteed right from conception. Originality/value – In view of the importance of nutrition for cognition in children, this research has shown that the cognitive function of preschool children can be affected by stunting and it has contributed to global data on nutrition and cognition particularly in South-Western Nigeria.


2021 ◽  
Vol 7 (1) ◽  
pp. 28-38
Author(s):  
Frisna Dwika Maheni Maheni ◽  
Abdiana ◽  
Rafika Oktova

World Health Organization (WHO) recommends that babies remain given exclusive breast milk for the first six months of a baby's life. However, there were some obstacles that cause the mother to be unable to give exclusive breast milk to her baby. By the time the baby becoming 4 to 6 months, the opportunity to provided exclusive breast milk is reduced because of many factor such as working mother can be an obstacle to providing exclusive breast milk. Often for mothers prefer to provide formula milk or complementary food for their babies to make it simply.This literature review aims to determine the differences in nutritional status of infants who were exclusively breastfed and those who were not exclusively breastfed at the age of 4 to 6 months. This literature review is semi-quantitative using the narrative review method. The search for articles accessed from the PubMed, Google Scholar, and Science Direct database found 40 articles that met the criteria. There were differences in the nutritional status of infants who were exclusively breastfed and those who were given non-exclusive breastfeeding. Babies who were exclusively breastfed at the age of 4 to 6 months had a better nutritional status than babies who were given nonexclusive breastfeeding.


2018 ◽  
Vol 1 (3) ◽  
Author(s):  
Okta Vianis

<p>Based on monitoring reports nutritional status of children in Lubuk Kilangan Puskesmas Padang in 2014, from 291 infants who weighed by BB / U, known malnutrition by 10 people (3.44%), malnutrition as many as 54 people (18.56%), and good nutrition as much as 222 (76.3%). The purpose of this study to see if Factors Associated with the Nutritional Status In Toddlers in Sub Bandar Buat Padang District of Lubuk Kilangan 2016.</p><p>Types and methods of this research is analytic survey with cross sectional design. The research was conducted in the village of Lubuk Kilangan Bandar Buat District of Padang in May 2016. The population is all the mothers who have children amounted to 755 people. Samples taken as many as 88 people with cluster random sampling techniques and sample used for the randomization Simple Random Sampling technique. Data collected by using a questionnaire. Processing of data by univariate and bivariate data analysis performed using Chi-Square test.</p><p>The results were obtained over the majority 51.1% children have malnutrition. Mothers who are knowledgeable low of 3.6%, which the family income &lt;1.615 million as much as 47.7%. Mothers who do not give exclusive breastfeeding much as 52.3%. Of test statistics in get a significant relationship between the nutritional status of children with a mother knowledge (p value 0.000), there was a significant relationship between the nutritional status of children with family incomes (p value 0.000), and no significant correlation between the nutritional status of children with exclusive breastfeeding ( p value 0.034).</p><p> It was concluded that there is a relationship between the nutritional status of children with the knowledge of the mother, family income and exclusive breastfeeding in Lubuk Kilangan Puskesmas Padang Year 2016. For the Lubuk Kilangan health center in order to do counseling at least 1 time a month on Nutrition in infants in order to improve knowledge of mothers on nutritional status.</p>


2018 ◽  
Vol 5 (1) ◽  
pp. 88-97
Author(s):  
Anak Agung Ayu Sudilestari ◽  
I Gusti Ayu Putu Satya Laksmi ◽  
Ika Setya Purwanti

Pendahuluan: Kekurangan gizi merupakan masalah kesehatan utama di negara yang sedang berkembang, dan melatarbelakangi lebih dari 50% kematian balita. Pemberian ASI paling sedikit 6 bulan direkomendasikan untuk menurunkan kesakitan dan kematian anak akibat gangguan gizi. Metode: Desain penelitian ini menggunakan metode penelitian non eksperimental dengan desain penelitian cross sectional. jumlah sampel pada menelitian ini sebanyak 83 responden dengan Teknik purposive sampling. Hasil: uji analitik menggunakan uji korelasi Rank Spearman didapatkan nilai signifikan p = 0,002 (p < 0,05) dan r = -0,333, sehingga dapat disimpulkan ada hubungan antara riwayat pemberian ASI eksklusif dengan status gizi balita usia 7-24 bulan. Diskusi: Pemberian ASI secara eksklusif sampai bayi berumur 6 bulan sangat penting untuk menunjang status gizi balita sehingga pertumbuhan dan perkembangannya menjadi optimal.   Kata Kunci: ASI eksklusif, gizi, balita   ABSTARCT Introduction: Malnutrition is a major health problem in developing countries, and underlies more than 50% of under-five mortality. Breast feeding of at least 6 months is recommended to reduce morbidity and mortality of children due to nutritional disorders. Method: This research design using non experimental research method with cross sectional research design. the number of samples in this research as many as 83 respondents with purposive sampling technique. Result: analytic test using Rank Spearman correlation test got significant value p = 0,002 (p <0,05) and r = -0,333, so it can be concluded there is correlation between history of exclusive breastfeeding with nutritional status of children aged 7-24 months. Discussion: Breastfeeding exclusively until 6 months old baby is very important to support the nutritional status of toddlers so that growth and development become optimal.   Keywords: Exclusive breastfeeding, nutrition, toddlers


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