scholarly journals Faulty Breast Feeding Practice : A Risk Factor in Malnourished Children

2015 ◽  
Vol 14 (2) ◽  
pp. 43-47
Author(s):  
Sukhendu Shekhar Sen ◽  
Jhulan Das Sharma ◽  
Dhananjoy Das ◽  
Shahed Iqbal ◽  
Md Badruddoza
Keyword(s):  
Breast Feeding ◽  
Protein Energy Malnutrition ◽  
Control Group ◽  
Case Group ◽  
Feeding Practice ◽  
Prelacteal Feeding ◽  
College Hospital ◽  
Major Health Problem ◽  
Protein Energy ◽  
Breast Fed

Background: The predominant form of malnutrition is commonly called proteincalorie malnutrition. Protein Energy Malnutrition (PEM) is still a major health problem in children of developing countries including Bangladesh. The causes of malnutrition are multifactorial including nutritional factors, socioeconomic factors, health status of the mothers and repeated infections in children.Objective: To explore the information regarding the breast feeding practices of children suffering from Protein-Energy Malnutrition.Methods: This case control study was conducted in Chittagong Medical College Hospital from November 2006 to April 2007. A total of 65 controls and 65 cases were selected consecutively for the purpose of the study. Their mothers were interviewed with help of structured questionnaire containing all the variables of interest to attain the study objectives. The test statistics used to analyze the data were descriptive statistics and Chi-square (c2) or Fisher’s Exact Probability Test.Results: A significantly higher frequency of cases (67.7%) were given pre-lacteal feed, predominantly honey and sugar-water compared to control group (41.5%) (p = 0.008). Nearly 100% of controls were given colostrums compared to 75% of the cases. About one-third (31.3%) of the cases was exclusively breast-fed in comparison to 58.5% of the control group (p = 0.003). Over onequarter (27.7%) of the control were breast-fed upto 6 months of age, as opposed to only 1.5% cases (p < 0.001). Duration of predominant breast feeding for more than 6 months of age was also significantly higher in control group than that in case group (p = 0.001). Breast milk substitutes demonstrate their significant presence in cases (38.5%) than that in controls (9%) (p = 0.003).Conclusion: The study showed that rejection of colostrums, practice of prelacteal feeding, delayed initiation of breast feeding, early cessation of exclusive breast feeding and use of formula milk all were significantly higher in the malnourished group of children than those in their normal counterpart.Chatt Maa Shi Hosp Med Coll J; Vol.14 (2); Jul 2015; Page 43-47

scholarly journals A study of the age of onset, diet and the importance of infection in the pattern of severe protein-energy malnutrition in Ibadan, Nigeria

1976 ◽  
Vol 36 (3) ◽  
pp. 411-419 ◽  
Author(s):  
A. A. O. Laditan ◽  
P. J. Reeds
Keyword(s):  
Age Of Onset ◽  
Protein Energy Malnutrition ◽  
Acute Diarrhoea ◽  
Chronic Diarrhoea ◽  
Gastrointestinal Infections ◽  
College Hospital ◽  
Protein Energy ◽  
History Of ◽  
First Year Of Life ◽  
Breast Fed

1. Fifty unselected consecutive cases of protein-energy malnutrition (PEM) presenting at the General Out-patient Clinic of the University College Hospital, Ibadan were classified as marasmus (twenty), kwashiorkor (nineteen) marasmic-kwashiorkor (seven) and undernutrition (four) according to the Wellcome Classification of PEM (Lancet, 1970; Waterlow, 1972).2. The mean age of the children with marasmus (22.4 months) and of the children with kwashiorkor (25.4 months) were not significantly different. The children with marasmickwashiorkor (27.8 months) were significantly older than the children with marasmus.3. The deficits in weight- and length-for-age were similar to values previously reported (Waterlow, 1972) even though the children with marasmus tended to be older and the children with kwashiorkor younger than has been reported. Values obtained for the deficit in length-for-age suggested that the children with marasmus had been undernourished from birth whereas the children with kwashiorkor had apparently grown normally until they were 10 months old. It is possible that the history of growth in the first year of life influences the final form of PEM in these two groups of children.4. Forty-nine of the fifty children had been breast-fed for at least 9 months and nine children had been breast-fed for 2 years. Of the twenty children with marasmus nine were still receiving some breast milk. The diets fed to weaned children with marasmus and to children with kwashiorkor were identical and consisted solely of a maize-starch gruel with no supplementation of protein or vitamins. The similarity in the dietary histories of the two main groups of children suggests some uncertainty concerning a specific role for protein deficiency in the development of kwashiorkor.5. All the children had had similar infections. The most common of these were measles (morbilli) (40% of all cases) and gastrointestinal infections. However the children with marasmus had a history of chronic diarrhoea whereas the children with kwashiorkor had had more acute diarrhoea.6. The similar dietary histories but dissimilar histories of infection given by the mothers of the children with marasmus as opposed to those with kwashiorkor suggest that recurrent diarrhoea was at least partially responsible for the chronic undernutrition in the group of children with marasmus. Furthermore although the weaning diets were inadequate the final deterioration in nutritional status was precipitated by gastroenteritis, often following measles.

scholarly journals Serum albumin and total protein level as plausible marker for diagnosis of protein energy malnutrition in children under age 5 years

2020 ◽  
Vol 7 (8) ◽  
pp. 1758
Author(s):  
Saroj Sanjeev Gupta ◽  
Pranav Sanjeev Gupta
Keyword(s):  
Serum Albumin ◽  
Total Protein ◽  
Protein Energy Malnutrition ◽  
Venous Blood ◽  
Bromocresol Green ◽  
Control Group ◽  
Case Group ◽  
Healthy Controls ◽  
Serum Total Protein ◽  
Protein Energy

Background: The circulating concentration of transport protein, traditionally albumin, has been used to define protein deficiency. However, few studies have been conducted to see if there is any correlation between serum total protein and albumin levels in children with PEM. Hence the study was planned to estimate serum total protein, serum albumin levels in children with PEM and healthy controls.Methods: All the children were divided in two groups. Case Group A consist of 250 children with protein energy malnutrition and control Group B consist of healthy 250 children. Venous blood of amount 3 ml was collected with full aseptic precautions. The blood was collected in the EDTA vacutainer and test tube. Serum total protein was estimated by Biuret method, serum albumin was estimated by Bromocresol green dye method (BCG dye).Results: When the mean serum levels of albumin levels and the total protein levels were measured in the controls as well as case groups, there was decrease in levels in case group as compared to control group. This difference of decrease when evaluated statistically it was found to be statistically significant. When the albumin/globulin ratio was calculated in both the groups, it was found to be statistically lower in case group as compared to control group. PEM children have low serum total protein and albumin levels as compared to healthy controls (p<0.001), this is probably due to decreased intake of proteins and reduced biosynthesis. PEM children have lower hemoglobin levels as compared to healthy controls; this is probably due to deficiency of iron and other micronutrients, which is often found in a child with malnutrition.Conclusions: Early diagnosis and prompt management of PEM and its complications can prevent development of permanent physical and mental retardation.

scholarly journals EXCLUSIVE BREAST FEEDING

2010 ◽  
Vol 17 (02) ◽  
pp. 286-290
Author(s):  
SOHAIL ASLAM ◽  
FAROOQ AKRAM ◽  
MEHBOOB SULTAN
Keyword(s):  
Breast Feeding ◽  
Feeding Practice ◽  
Care Hospital ◽  
Cross Sectional ◽  
Exclusive Breast Feeding ◽  
Lower Socioeconomic ◽  
Primary Care Hospital ◽  
Breast Feed ◽  
Study Setting ◽  
Breast Fed

Objective To study the duration and factors influencing exclusive breast feeding practice. Design: A cross sectional descriptive study Setting: A primary care hospital Gilgit, northern area of Pakistan. Period: Ten months from March 2007 to December 2007. Material & Method This study include 125 mothers with mean age of 24.3 years (SD 4.8),37% were illiterate while only 14% were matriculate or above among 125 babies (male 61%: female 39%). Results Out of total 125, eighty one (64.8%) babies were exclusively breast fed (EBF) for first six months of life and only five(4%) infants were not given breast milk at all . among 76 male infants ,52 (68.4%) were EBF for six months in comparison to 29 female (59.2%) out of 49. among 36 first born infants only 15 (41.7%) were EBF for six months in comparison to 66 (74.2%)out of 89 not first born(p<0.05). Conclusion: Exclusive breast feeding for complete 6 months is still not routinely practised by most of mothers and first born are deprived of this right in majority lower socioeconomic group and illiterate mothers are more likelyto breast feed, gender bias was also observed as a significantly high percentage of male babies were observed to be breast fed as compared to females. More efforts are required by health depart. And NGO’s to promote good breast feeding practices in our setup. 

A STUDY OF HYPERURICACIDEMIA AND THE PRESENCE AND SEVERITY OF ACUTE CORONARY SYNDROME IN INDEX MEDICAL COLLEGE, HOSPITAL AND RESEARCH CENTER, INDORE ( M.P.)

2021 ◽  
Vol 5 (7) ◽  
Author(s):  
B. Khanam ◽  
M. Imran Khan ◽  
Ajay Kumar Singh ◽  
Sumit Solanki ◽  
S.M. Holkar
Keyword(s):  
Acute Coronary Syndrome ◽  
Control Group ◽  
Case Group ◽  
College Hospital ◽  
Medical College ◽  
Coronary Syndrome ◽  
Luminal Stenosis ◽  
Angiographic Evidence ◽  
The Mean ◽  
High Uric Acid

Background: Few studies have assessed the relation of hyperuricacidemia with the acute coronary syndrome (ACS). This study investigated the association between high uric acid levels with the presence and severity of ACS.  Methods: Three hundred and seventy patients having angiographic evidence of atherosclerosis (CAD + case group) compared to 170 patients with no luminal stenosis (n=110) or with <50% luminal stenosis (n=60) at coronary angiography (CAD – control group). Results: The mean age of the patients was 60 ± 10 years (317 men, 58.7%). Hyperuricacidemia was more likely associated with a trend toward higher vessel scores, indicating a more severe CAD (adjusted OR=1.51, 95% CI=1.09-2.09; P=0.005) in the whole population. A comparison of sex-specific values showed a significant association existed only in men. Conclusions: Asymptomatic hyperuricacidemia may be associated with the presence and severity of ACS. Keywords: Hyperuricacidemia, Severity & Acute Coronary Syndrome.

NUTRITION, IMMUNITY, AND INFECTIONS: T LYMPHOCYTE SUBPOPULATIONS IN PROTEIN-ENERGY MALNUTRITION

PEDIATRICS ◽  
1995 ◽  
Vol 96 (1) ◽  
pp. 77-77
Author(s):  
H Ozkan ◽  
N Olgun ◽  
E Sasmaz
Keyword(s):  
T Lymphocytes ◽  
Case Control Study ◽  
Protein Energy Malnutrition ◽  
Control Group ◽  
Humoral And Cellular Immunity ◽  
Protein Energy ◽  
Group I ◽  
Suppressor T Lymphocytes ◽  
Degrees Of Severity ◽  
Control Study

This study was a case-control study of 44 children ages 3 to 24 months. The purpose of the study was to compare the humoral and cellular immunity of 29 patients (Group I) who were less than the 3rd percentile for weight by Turkish standards versus a control group of 15 patients (Group II) with weights between the 25th and 90th percentiles. The Group I patients were considered to have protein energy malnutrition (PEM) with various degrees of severity based on a Turkish classification method established by Dogramaci and Wray in 1958. None of the Group I patients had frank kwashiorkor, but 19 had bronchopneumonia, six had gastroenteritis, and four had both forms of infection at the time studies were done. Detailed immunologic evaluation was carried out on all the subjects including IgG, IgM, IgA, C3, mature T lymphocytes (CD3+), helper/inducer T Lymphocytes (CD4+) and suppressor/cytotoxic T lymphocytes (CD8+). The authors chose to study patients with PEM and infections because the immune response is more likely to be suppressed at this time. In the PEM group all of the immunoglobulins (IgG, IgM, IgA) were significantly elevated over the controls level (P &lt; .01). This hyperimmunoglobulinemia state has been previously reported and could be secondary to reduced suppressor T lymphocytes (C8+). C3 complement levels were also significantly lower (P &lt; .01) than controls, which have been previously noted. These low C3 levels could be secondary to decreased production from the liver or increased utilization with an intercurrent infection. In evaluating the lymphocyte series CD3+, CD4+, and CD8+ were all significantly reduced while CD4/CD8 levels were normal.

scholarly journals Outcome of Premature Rupture of Membranes – A Study of 120 Cases in Dhaka Medical College Hospital

2017 ◽  
Vol 25 (2) ◽  
pp. 82-86
Author(s):  
Afrina Begum ◽  
Tabassum Ghani ◽  
Subinoy Krishna Paul ◽  
Taufiqua Hussain ◽  
Noorjahan ◽  
...  
Keyword(s):  
Medical College Hospital ◽  
Control Group ◽  
P Value ◽  
Case Group ◽  
Hypertensive Disorder ◽  
Premature Rupture ◽  
Maternal Complications ◽  
College Hospital ◽  
Medical College ◽  
Group A

Introduction: Premature rupture of membrane or PROM means when membrane ruptures before the onset of labour at a gestational age less than 37 completed weeks. In Bangladesh, every year, around 28,000 women die due to complications of pregnancy and childbirth. Nonscientific intervention in PROM made at various levels intensify the pregnancy complications several times, thereby leading many more deaths of foetus and newborn. Aetiology of PROM is largely unknown. The possible causes are either reduction of membrane strength or an increase in intrauterine pressure or both. Proper diagnostic facilities, proper monitoring and standard protocol in the management can improve the maternal and fetal outcome.Aim and objective: The aim of the study was to observe the incidence, type and maternal and fetal outcome of PROM.Materials and Method: A prospective case control analytical study was carried out at Dhaka Medical College Hospital, Dhaka from May ‘2000 to December‘2000. Total 120 patients were selected for this study among them 60 patients as case (Group A) and 60 patients were taken as control (Group B). Both primi and multigravida with Pregnancy more than 28 weeks with intact membrane as control and spontaneous rupture of membrane taken as case. High- risk patients such as hypertensive disorder of pregnancy, APH, cardiac disease, previous H/O caesarean section were excluded from the study. After taking proper history, speculum examination, some diagnostic investigations were carried out. Findings were recorded in predesigned questionnaire and statistical analysis were done using computerized software SPSS for Windows. A P value < 0.05 was taken as significant.Results: In our study maternal complications were significantly higher in Group A patients (Chi-square test: X2 = 6.263, df= 1, P< 0.05). Number of premature babies in PROM patients (25%) was significantly higher than control group. Perinatal morbidity was found higher in PROM (36.66%) compared to control group (31.66%). Most common morbidity was neonatal jaundice in PROM patients (13.33%) compared to babies of control group (8.33%).Conclusion: This study focused on certain risk factors in relation to PROM which can be preventable and reduce incidence and improvement of maternal and fetal outcome.J Dhaka Medical College, Vol. 25, No.2, October, 2016, Page 82-86

scholarly journals Expansion of the humoral effector cell compartment of both systemic and mucosal immune systemsin a weanling murine model which duplicates critical features of human protein-energy malnutrition

1996 ◽  
Vol 75 (3) ◽  
pp. 445-460 ◽  
Author(s):  
C.-L. Ha ◽  
L.E. Paulino ◽  
B.D. Woodward
Keyword(s):  
Epithelial Transport ◽  
Biological Fluids ◽  
Protein Energy Malnutrition ◽  
Human Protein ◽  
Control Group ◽  
High Concentration ◽  
Low Protein ◽  
Protein Energy ◽  
Mucosal Antibody ◽  
Zero Time

AbstractA direct comparison of systemic (spleen) and mucosal (intestine) antibody-producing systems was made in weanling male C57BL/6J mice subjected to wasting protein-energy malnutrition (PEM) by means of a low-protein protocol known to duplicate immunological and physiological features of human malnutrition. ELISA revealed low concentrations of biliary and gut lumen immunoglobulin (Ig) A in malnourished mice concomitantly with a high concentration of blood IgA. The low-protein model, therefore, exhibited fidelity to human protein-energy malnutrition in its influence on the concentrations of the mucosal Ig, IgA, in critical biological fluids. The number of IgA-, IgM- and IgG-containing cells was estimated morphometrically on a per organ basis. The low-protein protocol supported expansion in numbers of mucosal IgA-containing cells (18 x relative to a zero-time control group) and of splenic IgG- containing cells (135 x ), albeit an attenuated expansion in comparison with that of well-nourished control animals (132x and 571x respectively relative to zero-time controls). Up to terminal differentiation of Ig-containing cells, systemic and mucosal antibody-producing systems exhibited similarly remarkable resistance to wasting malnutrition. Epithelial transport of IgA may be an aspect of the mucosal antibody response which is particularly sensitive to PEM.

scholarly journals Association between Infectious Disease and Hygiene Practice on Stunting Toddler Aged 24-59 Months

2021 ◽  
Vol 5 (2) ◽  
pp. 149
Author(s):  
Natasya Putri Audiena ◽  
Marintan Laura Siagian
Keyword(s):  
Infectious Disease ◽  
Child Nutrition ◽  
Observational Research ◽  
Control Group ◽  
Case Group ◽  
Major Health Problem ◽  
Hygiene Practices ◽  
Control Research ◽  
Observation Method ◽  
Nutrition Problem

Background : Child nutrition problem is still a major health problem in Indonesia. Toddlers are a period where children experience rapid growth and development, so they need a high nutrient. The problem of malnutrition can be identified from the children’s slow growth, one of which is in terms of body length or height. A condition where a children’s length or height is not optimal is called stunting. The incidence of stunting affected by several factors, such as infectious disease and bad hygiene practices.Method : The method of this study is observational research with case control research design. The sample of this study was grouped into two, case group and control group, with the number of each group is 28 respondents. The case group was a group of toodlers with stunting ages 24 – 59 months, while the control group was a group of toodlers ages 24 – 59 months with no stunting case. The study was conducted in Bulak Banteng Public Health work area from January -  May 2019. Data collection was carried out by collecting questionnaire about infectious disease and hygiene practices which were carried out by interview and observation method. Results : The result showed that there was an influence between the incidence of infectious disease (p=0,000) (OR= -3.402), and hygiene practices (p=0,000) (OR= -2.442) on stunting.Conclusion : The conclusion in this study is that there is a significant relationship between infectious diseases and hygiene practices with the incidence of stunting in toddler aged 24-59 months  (in Bulak Banteng Health Center, Surabaya).

scholarly journals Study of correlation between breast feeding and wheezing in children

2018 ◽  
Vol 6 (1) ◽  
pp. 191
Author(s):  
Sagar Potharajula ◽  
Shreedhara Avabratha Kadke
Keyword(s):  
Family History ◽  
Breast Feeding ◽  
Cow’S Milk ◽  
Control Group ◽  
P Value ◽  
Chi Square ◽  
College Hospital ◽  
Cow's Milk ◽  
Breast Feed ◽  
History Of

Background: Wheezing is the most common chronic health problem in childhood. Many studies have found protective effect of breastfeeding on wheezing, while few others have not. Hence this study was taken up to find out the correlation between breastfeeding and wheezing in children.Methods: Case control study done in a Medical College Hospital. Cases were children of 2-5yrs age with history of wheezing or who had received nebulisation. Controls were children without history of wheezing or nebulisation. Mothers were interviewed with a predesigned proforma. Results were analysed by Chi square test and Odd’s ratio and p value <0.05 was considered significant.Results: There were 92 cases and 184 controls. Sixteen (53.4%), 48 and 27 cases were breastfed less than 1year, till 2yrs and beyond 2yrs respectively. 14 (46.6%), 128, and 40 were the numbers in control group. Breast feeding duration till 1 year of age is statistically correlated with wheezing with p value of 0.02, higher proportion of children who were breastfed for less than 1 year had wheezing when compared to controls. 26 cases out of 69 were not exclusively breast fed till 6 months and 66 cases out of 207 were exclusively breastfed. Higher proportion of cases who were not exclusively breastfed had developed wheeze although it was not significant statistically. 45 cases (36.8%) were initiated on cow’s milk before 1yr of age, 47 cases (30.5%) were initiated after 1year. Higher proportion of children who were initiated on cow’s milk early had developed wheeze but was not significant statistically. 34 cases and 24 controls had family history of asthma. With family history wheezing episodes were 3.72 times more likely irrespective of breast-feeding duration.Conclusions: Breast feeding gives protection against wheezing in children. Mothers should be encouraged to breast feed their children.

scholarly journals HUBUNGAN FAKTOR REPRODUKSI DENGAN KEJADIAN KANKER PAYUDARA PADA WANITA DI RSUP DR. M. DJAMIL PADANG

2018 ◽  
Vol 3 (2) ◽  
pp. 58
Author(s):  
Sukmayenti Sukmayenti ◽  
Nirmala Sari
Keyword(s):  
Breast Cancer ◽  
At Risk ◽  
Reproductive Factors ◽  
Bivariate Analysis ◽  
Control Group ◽  
Case Group ◽  
Major Health Problem ◽  
Risk Parity ◽  
History Of ◽  
Age Of Menarche

Breast cancer is a non-contagious disease, currently a major health problem both in the world and in Indonesia. The incidence of breast cancer is believed to be related to several risk factors. This study aims to determine the relationship of reproductive factors (age of menarche, parity and history of breastfeeding) with the incidence of breast cancer in women. Case control research was carried out at DR. M. Djamil Padang with univariate and bivariate analysis using Chi-square test. Of the 72 samples (36 cases and 36 controls) it was found that respondents with menarche age were 80.6% at risk in the case group and 19.4% in the control group, respondents with risk parity were 33.3% in the case group and 66 , 7% in the control group, respondents with a breastfeeding history were at risk of 65.6% in the case group and 34.4% in the control group. There is a relationship between age of menarche and history of breastfeeding with the incidence of breast cancer. There is no relationship between parity and the incidence of breast cancer. Strengthen health promotion efforts as an effort to prevent breast cancer.Keywords: Reproductive factors, breast cancer

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