scholarly journals Associations of Nutritional Status with Full Immunization Coverage and Safe Hygiene Practices among Thai Children Aged 12–59 Months

Nutrients ◽  
2021 ◽  
Vol 14 (1) ◽  
pp. 34
Author(s):  
Chisa Shinsugi ◽  
Ann Mizumoto

Prevailing prevention measures against morbidity, such as vaccination and safe hygiene practices, vary among local cultural contexts, and little is known about the extent to which these behaviors mitigate poor nutritional status in young children in Southeast Asia. We examined the associations between nutrition status with full immunization coverage, and water, sanitation and hygiene status among children aged 12–59 months in the 2015–2016 Thailand Multiple Indicator Cluster Survey (n = 9060). When adjusted for confounding factors, children with incomplete immunization status were more likely to be stunted (adjusted odds ratio (aOR) 1.47; 95% confidence interval (CI): 1.24–1.75, p < 0.001), wasted (aOR 1.67, 95% CI: 1.31–2.12, p < 0.001), and overweight (aOR 1.24, 95% CI: 1.01–1.51, p < 0.05), whereas children who used unimproved water sources were more likely to be overweight (aOR 2.43, 95% CI: 1.27–4.64, p < 0.01). The further implementation of simple and cost-effective health promotion activities and practices at the household level may be important interventions for healthy child growth and development, particularly under restricted living conditions due to COVID-19.

2019 ◽  
Vol 26 (03) ◽  
Author(s):  
Farah Batool ◽  
Samina Kausar ◽  
Shaier Khan ◽  
Mansoor Ghani ◽  
Meshal Margrate

Background: Malnutrition is one of the major public health concerns in developing countries. In Pakistan more than 38% of the children are under weight and stunted. Malnutrition in children has been found associated with nutritional knowledge of mothers. The current study has been conducted to assess the nutrition status of children from 6 months to 5 years of age. Objectives: To determine the association of child’s nutritional status to immunization and maternal nutritional knowledge. Study Design: Cross sectional descriptive study design was used. Setting: Mustafa Abad, District Kasur, Pakistan. Period: April to June 2018. Methods: Convenient sampling technique was used. For data collection a self-structured questionnaire was used. Nutritional status of children was measured in term of stunting, wasting and under-weight, according to the WHO’s criteria of malnutrition. Data were entered in SPSS version-20 and analyzed. Results: There was significant association (p-value <0.05) between child’s nutrition status with mothers’ nutritional knowledge. The majority of the mothers with adequate knowledge had children with normal nutrition status whereas the children whose mothers had poor nutritional knowledge were presented with stunting. The immunization coverage of this area was good as it was 99%. Conclusion: Malnutrition is prevalent in our children at alarming level. There is a need to improve the nutritional knowledge of mothers because it has a definite association with nutritional status of children under the age of five years.


2019 ◽  
Vol 15 (4) ◽  
pp. 137
Author(s):  
Agus Santosa ◽  
Sri Mulatsih ◽  
Susetyowati Susetyowati

Identification of malnutritional risk and nutrition status evaluation of pediatric cancer patients with chemotherapy treatmentBackground: Hospitalized childhood cancer patients had a high risk for malnutrition, either caused by the disease or effects of cancer treatment. Malnutrition in cancer patients gives negative impacts on treatment outcomes in the form of increasing morbidity and mortality rates. Nutrition screening for identifying malnutrition risks could prevent malnutrition in hospitals.Objectives: Investigating the influence of malnutrition risk during hospitalization on the changes in the nutritional status of childhood cancer patients with chemotherapy treatment. Methods: This research was observational research with the nested case-control design. The research subjects were childhood cancer patients aged 2-18 years old meeting the inclusion criteria. They were 64 in number consisting of the case group involving 32 patients and a control group involving the rest. During hospitalization, analyses of nutritional intake, change in body weight, nutritional status, and hospitalization period. Furthermore, the analyses of the influence of malnutrition risk on the outcome between those two groups were then compared. Results: There was a significant influence of malnutrition risk on less energy intake (p<0.001), less protein intake (p=0.002), weight loss >2% (p<0.001), poor nutritional status based on the BMI/U (p=0.011), and longer hospitalization (p=0.034). The group of patients with malnutrition risks had risks of 15.5 (CI 95%: 3.991-63.359) times higher for less energy intake, 6.12 (CI 95%: 1.675-24.906) times higher for less protein intake, and 45.3 (CI 95%: 5.666-1940.768) times higher for weight loss > 2% than the group of patients without malnutrition risks.Conclusions: Patients with a significant risk of malnutrition had less energy and protein intake, weight loss > 2%, poor nutritional status based on BMI/U, and longer hospitalization.


2015 ◽  
Vol 115 (5) ◽  
pp. 495-514 ◽  
Author(s):  
Maria Nnyepi ◽  
Maurice R. Bennink ◽  
Jose Jackson-Malete ◽  
Sumathi Venkatesh ◽  
Leapetswe Malete ◽  
...  

Purpose – Identifying and addressing poor nutritional status in school-aged children is often not prioritized relative to HIV/AIDS treatment. The purpose of this paper is to elucidate the benefits of integrating nutrition (assessment and culturally acceptable food supplement intervention) in the treatment strategy for this target group. Design/methodology/approach – The authors conducted a randomized, double blind pre-/post-intervention trial with 201 HIV-positive children (six to 15 years) in Botswana. Eligibility included CD4 cell counts < 700/mm3 (a marker for the severity of HIV infection), documented treatment with antiretroviral (ARV) drugs, and no reported evidence of taking supplemental food products with one or more added nutrients in the six-month period prior to the study. The intervention (12 months) consisted of two food supplements for ethical reason, one with a higher protein content, bean (bean-sorghum based) group (n=97) and a cereal (sorghum) group (n=104) both of which contained added energy- and micro- nutrients. Anthropometric and biochemical nutritional status indicators (stunting, wasting, underweight, skinfolds for fat and muscle protein reserves, and hemoglobin levels) were compared within and between the bean and the cereal groups pre- and post-intervention separately for children six to nine years and ten to 15 years. Findings – Older children (ten to 15 years) fared worse overall compared to those who were younger (six to nine years) children in anthropometric and protein status indicators both at baseline and post-intervention. Among children six to nine years, the mid arm circumference and blood hemoglobin levels improved significantly in both the bean and cereal groups (p < 0.01 and p < 0.05, respectively). Although the BMI for age z-score and the triceps skinfold decreased significantly in the bean group, the post-intervention subscapular skinfold (fat stores) was significantly higher for the bean group compared to the cereal group (p < 0.05). Among children ten to 15 years, both the bean and the cereal groups also showed improvement in mid arm circumference (p < 0.001), but only those in the bean group showed improvement in hemoglobin (p < 0.01) post-intervention. Originality/value – Similar significant nutritional status findings and trends were found for both food interventions and age within group pre- vs post-comparisons, except hemoglobin in the older children. Post-intervention hemoglobin levels for the type food supplement was higher for the “bean” vs the “cereal” food in the younger age group. The fact that all children, but especially those who were older were in poor nutritional status supports the need for nutrition intervention in conjunction with ARV treatment in children with HIV/AIDS, perhaps using a scaled up future approach to enhance desired outcomes.


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 ◽  
pp. 1-13
Author(s):  
Vinod Joseph Kannankeril Joseph

Abstract The importance of childhood immunization for healthy child growth and development is well recognized and is considered to be the best and most cost-effective lifesaver. Low socioeconomic status has been shown to be associated with low child immunization and health care utilization, but the inequalities in immunization coverage due to social and economic factors are poorly understood. This study aimed to explore the association between child immunization coverage and various socioeconomic factors and to quantify their contributions to generating inequalities in immunization coverage in India. The study data are from the National Family Health Survey-4 conducted in 2015–16. The association between socioeconomic determinants and child full immunization coverage was estimated using the χ2 test and binary logistic regression. Concentration indices were estimated to measure the magnitude of inequality, and these were further decomposed to explain the contribution of different socioeconomic factors to the total disparity in full immunization coverage. The results showed that the uptake of immunization in 2015–16 was highly associated with mother’s educational status and household wealth. The concentration index decomposition revealed that inequality (immunization disadvantage) was highest among poorer economic groups and among children whose mothers were illiterate. The overall concentration index value indicates that the weaker socioeconomic groups in India are more disadvantaged in terms of immunization interventions. The results offer insight into the dynamics of the variation in immunization coverage in India and help identify vulnerable populations that should be targeted to decrease socioeconomic inequalities in the country.


2021 ◽  
Author(s):  
Gloria Ofosu Tenkorang ◽  
Emmanuel Kobla Atsu Amewu ◽  
Samuel Opoku Asiedu ◽  
Priscilla Kini ◽  
Bill Clinton Aglomasa ◽  
...  

Abstract Background Lymphatic filariasis (LF) is a neglected tropical disease with several infection phenotypes. In addition to mass drug administration, host immune response contributes to microfilariae clearance. An important influence of immunity, nutritional status, remains to be evaluated among filarial lymphedema patients. This study sought to assess the nutritional status of LF patients and its association with the pathology. Methods As cross-sectional study was conducted to determine the nutrition status of lymphedema patients in Ahanta West, Ghana. To obtain sociodemographic and nutrition data, a structured questionnaire was administered to the study participants. Anthropometry and 24-hour food recall were used to assess the nutritional status of participants. Results While all and 71 (82.6%) had adequate carbohydrate and protein intakes respectively, 83 (96.5%) had inadequate intake of fat. There were widespread inadequate nutrients intakes that were associated with stage of lymphedema: fat, r = -0.267, p = .024; carbohydrate, r = 0.305, p = .010; sodium, r = -0.259, p = .029; copper, r = -0.249, p = .036; selenium, r = -0.265, p = .025; pantothenic acid, r = -0.265, p = .025; vitamin B6, r = -0.270, p = .023; vitamin B12, r = -0.288, p = .015; and vitamin A, r = -0.276, p = .020. Conclusion The study shows widespread malnutrition among the participants. A nutritional intervention is recommended to complement current management strategies of filarial lymphedema.


SinkrOn ◽  
2019 ◽  
Vol 4 (1) ◽  
pp. 19 ◽  
Author(s):  
Mohammad Badrul ◽  
Rusdiansyah Rusdiansyah ◽  
Cahyani Budihartanti

The nutritional status of children under five is measured by age, weight and height. The weight and height variables are presented in the form of three anthropometric indicators namely weight by age, height by age, and weight by height. By using these indicators the Cipadu-Kreo health center sometimes determines the nutritional status of children under five years of age. Therefore the simple additive weighting (SAW) method is able to decide the nutritional status of toddlers by adding a toddler's body mass index variable, so as to produce the right and valid decision. Then from 20 samples of toddlers categorizing by age group. Obtained the nutritional status results there are 1 toddler get a SAW value of 0.44 with poor nutritional status, 3 toddlers with undernourished status, 8 toddlers with excess nutrition status and 8 toddlers with a balanced nutrition status with the highest SAW value with a value


2020 ◽  
Vol 16 (2) ◽  
pp. 200-206
Author(s):  
Dahwan Dahwan ◽  
Fazidah Aguslina ◽  
Wirsal Hasan

Pulmonary Tuberculosis is an important and serious public health problem throughout the world. It is caused by Mycobacterium tuberculosis which attacks lungs and other body organs. This study aimed to determine the effects of nutritional status and dwelling density on the risk of pulmonary TB incidence in Medan, North Sumatera. This was a case control study conducted at Pulmonary Disease Hospital, Medan, North Sumatera, from January to June in 2018. A sample of 120 patients was selected for this study, consisting 60 patients with TB and 60 patients without TB. The dependent variable was TB incidence. Data were collected through observations and interviews using questionnaires. Data was analyzed by bivariate using simple logistic regression test and multivariate by multiple logistic regression. The result showed poor nutritional status is closely associated with pulmonary TB infection. Impact of nutritional status and occupancy density on incidence of Pulmonary contact TB at Median Specialized Hospital in 2018.


2014 ◽  
Vol 2014 ◽  
pp. 1-8 ◽  
Author(s):  
Georgia Tsaousi ◽  
Stavros Panidis ◽  
George Stavrou ◽  
John Tsouskas ◽  
Dimitrios Panagiotou ◽  
...  

Background. To ascertain the potential contributors to nutritional risk manifestation and to disclose the factors exerting a negative impact on hospital length of stay (LOS), by means of poor nutritional status, in a nonselected hospitalized population.Materials and Methods. NutritionDay project questionnaires were applied to 295 adult patients. Study parameters included anthropometric data, demographics, medical history, dietary-related factors, and self-perception of health status. Body Mass Index (BMI) and Malnutrition Universal Screening Tool (MUST) were calculated for each participant. MUST score was applied for malnutrition assessment, while hospital LOS constituted the outcome of interest.Results. Of the total cohort, 42.3% were at nutritional risk and 21.4% malnourished. Age, gender, BMI, MUST score, autonomy, health quality, appetite, quantity of food intake, weight loss, arm or calf perimeter (P<0.001, for all), and dietary type (P<0.01) affected nutritional status. Poor nutrition status (P=0.000), deteriorated appetite (P=0.000) or food intake (P=0.025), limited autonomy (P=0.013), artificial nutrition (P=0.012), weight loss (P=0.010), and arm circumference <21 cm (P=0.007) were the most powerful predictors of hospital LOS >7 days.Conclusion. Nutritional status and nutrition-related parameters such as weight loss, quantity of food intake, appetite, arm circumference, dietary type, and extent of dependence confer considerable prognostic value regarding hospital LOS in acute care setting.


Author(s):  
Helpi Sitanggang ◽  
Fazidah Aguslina Siregar ◽  
Nurmaini Nurmaini

Background: Pulmonary tuberculosis is an infection diseases that continues to increase morbidity and mortality in Indonesia. In 2017, the cases of pulmonary TB in Samosir District was 252 cases, with incidence rate a smear-positive of 126 per 100,000 population. Smear positive pulmonary tuberculosis potential to infect other people who living in the same environtment.   Materials and Methods: This study aims to determine the association of nutritional status and lighting withsmear positive pulmonary tuberculosis. Methods: A case-control study was conducted among 63 cases of smear-positive pulmonary tuberculosis and 63 controls without pulmonary tuberculosis. The cases were retrieved from the TB Registry at health centre in Samosir District. The cases were recruited from June 2018 to March 2019. Data was collected using a set of questionnaireby interview. Simple logistic regressionwas used to compute the crude odds ratio for the association of nutritional and lighting with smear-positive pulmonary tuberculosis.   Result: This study indicated that there was an association of poor nutrition status (OR = 4.280; 95% CI: 1.849, 9.906), and an overcrowded (OR = 5.084;95% CI: 1.852, 13,995) with the incidence of smear-positive pulmonary TB in Samosir District.   Conclusion: The conclusion of this study there was an association between poor nutritional status and an overcrowded with smear-positive pulmonary TB in Samosir District. Some interventions needed including strengthening health promotion and supplementary feeding to TB patient.  


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