scholarly journals NUTRITIONAL STATUS AND NUTRITIONAL SUPPORT IN CHILDREN WITH CONGENITAL MALFORMATIONS OF BRAIN IN UKRAINE: SINGLE-CENTER OBSERVATIONAL DESCRIPTIVE CROSS-SECTIONAL STUDY

2020 ◽  
Vol 7 (2) ◽  
pp. 94-101
Author(s):  
O. Riga ◽  
N. Orlova ◽  
T. Ishchenko

NUTRITIONAL STATUS AND NUTRITIONAL SUPPORT IN CHILDREN WITH CONGENITAL MALFORMATIONS OF BRAIN IN UKRAINE: SINGLE-CENTER OBSERVATIONAL DESCRIPTIVE CROSS-SECTIONAL STUDY Riga O., Orlova N., Ishchenko T. In Ukraine, as one of low income and middle income countries (LMICs), PEM is detected and diagnosed not quite actively especially in children with neurologic impairment. Methods: Nutritive status and energy consumption was evaluated in 17 young and preschool children with congenital malformations of brain by anthropometry, 24-hour dietary recall and questionnaire of caregivers. Results: The study demonstrate nutritional disorders: Z-score BW for age in total cohort was -3.2, H/L for age was -2.7. The moderate PEM was diagnosed in 2/17 children, severe PEM in 12/17. The late appointment of nutritional support to such children has been demonstrated, its effect on increasing growth and body weight. Conclusion. The importance of drawing up individual plans for the energetic consumption of the children with congenital malformations of brain with training of caregivers and rehabilitative and palliative team was shown. Keywords: children, protein-energy malnutrition, congenital malformations of brain, LMICs.   Резюме. ХАРЧОВИЙ СТАТУС І ХАРЧОВА ПІДТРИМКА ДІТЕЙ З ВРОДЖЕНИМИ ВАДАМИ РОЗВИТКУ МОЗКУ В УКРАЇНІ: ОДНОЦЕНТРОВЕ НАОЧНО-ОПИСОВЕ КРОС-СЕКЦІЙНЕ ДОСЛІДЖЕННЯ Ріга О.О., Орлова Н.В., Іщенко Т.Б. В Україні, як одна із країн з низьким рівнем доходу та середнього доходу (LMICs), БЕН виявляється та діагностується не досить активно, особливо у дітей з порушеннями неврології. Методи: Харчовий статус та споживання енергії було оцінено у 17 дітей молодшого та дошкільного віку з вродженими вадами розвитку головного мозку за допомогою антропометрії, цілодобової дієти та анкетування опікунів. Результати: Дослідження демонструє харчові розлади: показник Z-score BW за віком у загальній когорті становив -3,2, H/L для віку -2,7. Помірну БЕН було діагностовано у 2/17 дітей, тяжку БЕН у 12/17. Продемонстровано несвоєчасне призначення харчової підтримки таким дітям, його вплив на збільшення росту та маси тіла. Висновки. Показано важливість складання індивідуальних планів енергетичного споживання дітей з вродженими вадами розвитку мозку під час навчання опікунів та реабілітаційно-паліативного колективу. Ключові слова: діти, білково-енергетична недостатність, вроджені вади розвитку мозку, LMICs.   Резюме. ПИЩЕВОЙ СТАТУС И ПИЩЕВАЯ ПОДДЕРЖКА ДЕТЕЙ С ВРОЖДЕННЫМИ ПОРОКАМИ РАЗВИТИЯ МОЗГА В УКРАИНЕ: ОДНОЦЕНТРОВОЕ НАГЛЯДНО-ОПИСАТЕЛЬНОЕ КРОСС-СЕКЦИОННОЕ ИССЛЕДОВАНИЕ Рига Е.А., Орлова Н.В., Ищенко Т.Б. В Украине, как одна из стран с низким уровнем дохода и среднего дохода (LMICs), БЄН оказывается и диагностируется недостаточно активно, особенно у детей с нарушениями неврологии. Методы: Пищевой статус и потребления энергии было оценено у 17 детей младшего и дошкольного возраста с врожденными пороками развития головного мозга с помощью антропометрии, круглосуточной диеты и анкетирования опекунов. Результаты: Исследование демонстрирует пищевые расстройства: показатель Z-score BW по возрасту в общей когорте составил -3,2, H/L для возраста -2,7. Умеренную БЄН было диагностировано у 2/17 детей, тяжелую БЄН у 12/17. Продемонстрировано несвоевременное назначение пищевой поддержки таким детям, его влияние на увеличение роста и массы тела. Выводы. Показана важность составления индивидуальных планов энергетического потребления детей с врожденными пороками развития мозга во время обучения опекунов и реабилитационно-паллиативного коллектива. Ключевые слова: дети, белково-энергетическая недостаточность, врожденные пороки развития мозга, LMICs.

2021 ◽  
Vol 11 (11) ◽  
pp. 1002-1014
Author(s):  
Youdi Cai ◽  
Meinong Zhong ◽  
Ya Jiang ◽  
Xueling Zhou ◽  
Xiaolan He ◽  
...  

2019 ◽  
Vol 4 (2) ◽  
pp. 111
Author(s):  
Masyudi Masyudi ◽  
Mulyana Mulyana ◽  
T. M Rafsanjani

Nutritional status with WFA provides an description of acute nutritional problems, due to fluctuating changes in body weight. Breastfeeding is not until two years is a factor causing weight not to rise, so weaning toddlers very well even at 2 years. Mothers with poor parenting such as breastfeeding, complementary feeding and health services also affect the condition of the nutritional status of children under five acutely. The aim of study was to determine the impact of parenting and weaning age on the nutritional status of toddler. The research was cross-sectional study design, with 65 toddlers in Muara Batu District, North Aceh Regency. Samples are taken randomly. Parenting and weaning data were collected through interviews, while nutritional status data used a WFA z-score index. Analysis using Chi-square test. The results show the relationship between parenting (p= 0,021; OR= 3,6) and weaning age (p= 0,042; OR= 3,5) with the nutritional status of toddlers. In conclusion, poor parenting and the fast age of weaning have an impact on the high number of cases of malnutrition in children under five in Muara Batu District, North Aceh. Suggestions, it is necessary to support health promotion such as counseling related to parenting and weaning, and it is hoped that positive follow-up by relevant stakeholders in improving the nutritional status of toddlers.Status gizi BB/U memberikan gambaran masalah gizi akut, karena perubahan berat badan yang fluktuatif. Pemberian ASI tidak sampai dua tahun merupakan faktor penyebab berat badan tidak naik, sehingga menyapih balita sangat baik genap pada 2 tahun. Ibu dengan pola asuh tidak baik seperti pemberian ASI, MP-ASI dan pelayanan kesehatan berdampak juga terhadap kondisi status gizi balita secara akut. Tujuan penelitian untuk mengetahui dampak pola asuh dan usia penyapihan terhadap status gizi balita. Penelitian berdesain Cross-sectional study, pada balita sebanyak 65 balita di Kecamatan   Muara Batu, Kabupaten Aceh Utara. Sampel diambil secara acak. Data pola asuh dan penyapihan dikumpulkan melalui wawancara, sedangkan data status gizi menggunakan z-score indeks BB/U. Analisis menggunakan uji Chi-square. Hasil menunjukkan hubungan antara pola asuh (p= 0,021; OR= 3,6) dan usia penyapihan (p= 0,042; OR= 3,5) dengan status gizi balita. Kesimpulan, pola asuh yang kurang baik serta cepatnya usia penyapihan berdampak terhadap tingginya kasus gizi kurang pada balita di Kecamatan Muara Batu, Aceh Utara. Saran, perlu dukungan promosi kesehatan seperti penyuluhan terkait pola asuh pada balita dan penyapihan, serta diharapkan tindak lanjut positif oleh stakeholder terkait dalam meningkatkan status gizi balita.


2019 ◽  
Vol 9 (1) ◽  
pp. 34 ◽  
Author(s):  
Elshaday Kasim ◽  
Nancy Malonda ◽  
Marsella Amisi

Hubungan Antara Riwayat Pemberian Imunisasi dan Penyakit Infeksi dengan Status Gizi pada Anak Usia 24-59 Bulan di Kecamatan Ratahan Kabupaten Minahasa Tenggara.(Relationship Between History of Immunization and Infectious Disease with Nutritional Status in Children aged 24-59 Months in Ratahan Subdistrict, Southeast Minahasa Regency) Elshaday Kasim1)*, Nancy Malonda1), Marsella Amisi1)*Fakultas Kesehatan Masyarakat Universitas Sam Ratulangi, Manado 95115*Email korespondensi:[email protected]  15 Februari 2019, diterima untuk dipublikasi 28 Februari  2019 ABSTRAK Riwayat pemberian imunisasi dan penyakit infeksi erat kaitannya dengan pertumbuhan dan perkembangan anak berusia di bawah lima tahun. Penelitian ini bertujuan untuk menganalisis hubungan antara riwayat pemberian imunisasi dan penyakit infeksi dengan status gizi pada anak usia 24-59 bulan di Kecamatan Ratahan Kabupaten Minahasa Tenggara. Metode observasional analitik dengan rancangan penelitian cross sectional study. Penelitian ini adalah anak usia 24-59 bulan dengan jumlah 447 balita, teknik pengambilan sampel yaitu simple random sampling dengan penentuan jumlah sampel dilakukan dengan cara perhitungan menggunakan rumus slovin sehingga jumlah sampel yang diambil yaitu 88 sampel. Riwayat pemberian imunisasi, penyakit infeksi dan status gizi diukur menggunakan kuesioner dan pengukuran antropometri dengan alat timbangan untuk mengukur berat badan, serta microtoise untuk mengukur tinggi badan, kemudian menghitung z-score. Berdasarkan hasil uji chi square mendapati tidak adanya hubungan antara riwayat pemberian imunisasi dengan status gizi menurut indeks antropometri TB/U, BB/U, BB/TB dan tidak adanya hubungan antara penyakit infeksi dengan status gizi menurut TB/U, BB/U dan BB/TB. Kata Kunci : Imunisasi, penyakit infeksi, status gizi. Kabupaten Minahasa Tenggara. ABSTRACT History of Immunization and Infectious Disease is a factor that is very closely related to the growth and development of children under the age of five. This study aims to determine the relationship between the History of Immunization and Infectious Disease with Nutritional Status in Children aged 24-59 Months in Ratahan Subdistrict, Southeast Minahasa Regency. Analytical observational method with cross sectional study design. This study is a child aged 24-59 months with a total of 447 toddlers, the sampling technique is simple random sampling by determining the number of samples carried out by calculation using the slovin formula so that the number of samples taken is 88 samples. History of immunization, infectious disease and nutritional status was measured using a questionnaire and anthropometric measurements with a scale tool to measure weight, and microtoise to measure height, then calculate the z-score. Based on the results of the chi square test, there was no correlation between the history of immunization and nutritional status according to the anthropometric index TB / U, BB / U, BB / TB and the absence of an association between infectious diseases and nutritional status according to TB / U, BB / U and BB / TB.Keywords: Immunization, infectious disease, nutritional status, Southeast Minahasa Regency


2018 ◽  
Vol 64 (5) ◽  
pp. 18-29 ◽  
Author(s):  
Ana Livia de Olieira ◽  
Ana Paula Boroni Moreira ◽  
Michele Pereira Netto ◽  
Isabel Cristina Goncalves Leite

Author(s):  
Zeinab E. Afifi ◽  
Rania I. Shehata ◽  
Asmaa F. El Sayed ◽  
El Sayed M. Hammad ◽  
Marwa R. Salem

Abstract Background Nutrition was claimed to be a factor in MS causation, course, complications, and management. Several studies were conducted to assess the nutritional status of MS patients; however, few studies were conducted to assess this problem in Egypt. Therefore, the purpose of the current study was to assess the nutritional status of a sample of MS patients. Methods The researchers conducted an exploratory cross-sectional study among 76 relapsing-remitting MS (RRMS) patients attending Kasr Alainy Multiple Sclerosis Unit (KAMSU) from October 2018 to January 2019 to assess the nutritional status of a sample of MS patients. Data were collected using a structured interview questionnaire including an inquiry about the socioeconomic status, and nutritional status using anthropometric measurements, patient-generated subjective global assessment (PG-SGA), semi-quantitative food frequency questionnaires (SQFFQ), and hemoglobin level measurement. Assessment of fatigue was done using the Modified Fatigue Impact Scale 5-items version. Results The mean age of the study participants was 30 ± 6 years. The disease duration ranged from 2 to 264 months. Malnutrition was prevalent among 67.1% (27.6 % overweight, 36.8% obese, and 2.6% underweight). Half of the investigated patients were anemic. According to the PG-SGA, more than half of the studied patients (53.9%) were classified as moderately or suspected malnourished. The unhealthy dietary habits such as taking only a few meals, junk food intake and skipping breakfast were observed in considerable proportions of the group. The SQFFQ revealed overconsumption of energy and fat, and less than acceptable consumption of dietary fibers by most of the studied patients. Conclusions Overweight, obesity, anemia, and unhealthy dietary habits were prevalent among the RRMS patients attending the KAMSU. Nutrition care service is extremely needed for this group of patients.


Author(s):  
Sambedana Mohanty ◽  
Manasee Panda

AbstractBackgroundAdolescent girls are vulnerable to many problems, undernutrition being the most common. This results in growth restriction resulting in stunting, wasting, underweight and last but not the least iron-deficiency anaemia. Nutritional needs are high during puberty which later leads to complications during pregnancy and its outcomes.Materials and methodsA field based cross-sectional study was carried out to assess the nutritional status of the girls and to determine the various factors responsible for undernutrition. After clearance from the Institution Ethical Committee (IEC) and permission from Child Development Programme Officer (CDPO), the study was conducted in the anganwadi centres (AWC) of urban slums in the field practice area of the Department of Community Medicine from the 1st October 2014 to the 31st October 2016. All the adolescent girls enlisted in the seven anganwadi centres were included as study subjects with their consent. A pre-designed, pre-tested and semi-structured questionnaire was used to collect data on following sections. (a) socio-demographic profile and (b) nutritional status. Dietary intake was taken using the 24-h recall method. Anthropometry was measured and haemoglobin (Hb) was estimated. SPSS version 21 was used for descriptive and analytic statistics.ResultsAmong the 160 girls 98(61.3%), 69(43.1%), 53(33.1%) were underweight, stunted and wasted, respectively. Anaemia was present among 144(90%) of the girls.ConclusionStrict monitoring of weekly iron and folic acid supplementation (WIFS) as well as nutrition education are essential measures to solve the problem of undernutrition among adolescent girls.


Nutrients ◽  
2021 ◽  
Vol 13 (8) ◽  
pp. 2628
Author(s):  
Marius Baguma ◽  
Espoir Bwenge Malembaka ◽  
Esto Bahizire ◽  
Germain Zabaday Mudumbi ◽  
Dieudonné Bahati Shamamba ◽  
...  

This comparative cross-sectional study aimed to better understand the respective contributions of protein malnutrition and cassava-derived cyanide poisoning in the development of konzo. We compared data on nutritional status and cyanide exposure of school-age adolescent konzo-diseased patients to those of non-konzo subjects of similar age from three areas in the Eastern Democratic Republic of the Congo. Our results show that konzo patients had a high prevalence of both wasting (54.5%) and stunting (72.7%), as well as of cyanide poisoning (81.8%). Controls from Burhinyi and those from Idjwi showed a similar profile with a low prevalence of wasting (3.3% and 6.5%, respectively) and intermediate prevalence of stunting (26.7% and 23.9%, respectively). They both had a high prevalence of cyanide poisoning (50.0% and 63.0%, respectively), similar to konzo-patients. On the other hand, controls from Bukavu showed the lowest prevalence of both risk factors, namely chronic malnutrition (12.1%) and cyanide poisoning (27.6%). In conclusion, cassava-derived cyanide poisoning does not necessarily coexist with konzo outbreaks. The only factor differentiating konzo patients from healthy individuals exposed to cyanide poisoning appeared to be their worse nutritional status. This further suggests that, besides the known role of cyanide poisoning in the pathogenesis of konzo, malnutrition may be a key factor for the disease occurrence.


2021 ◽  
pp. 103656
Author(s):  
Pedro Paulo de Almeida Dantas ◽  
Paulo Roberto Grafitti Colussi ◽  
Koriandher da Silva Dezingrini ◽  
Diandra Genoveva Sachetti ◽  
Francisco Wilker Mustafa Gomes Muniz

Author(s):  
Margit Steinholt ◽  
Shanshan Xu ◽  
Sam Ol Ha ◽  
Duong Trong Phi ◽  
Maria Lisa Odland ◽  
...  

We conducted a cross-sectional study among 194 pregnant women from two low-income settings in Cambodia. The inclusion period lasted from October 2015 through December 2017. Maternal serum samples were analyzed for persistent organic pollutants (POPs). The aim was to study potential effects on birth outcomes. We found low levels of polychlorinated biphenyls (PCBs) and organochlorine pesticides (OCP), except for heptachlors, β-hexachlorocyclohexane (HCH), heptachlor epoxide, and p,p’-DDE. There were few differences between the two study locations. However, the women from the poorest areas had significantly higher concentrations of p,p’-DDE (p < 0.001) and hexachlorobenzene (HCB) (p = 0.002). The maternal factors associated with exposure were parity, age, residential area, and educational level. Despite low maternal levels of polychlorinated biphenyls, we found significant negative associations between the PCB congeners 99 (95% CI: −2.51 to −0.07), 138 (95% CI: −1.28 to −0.32), and 153 (95% CI: −1.06 to −0.05) and gestational age. Further, there were significant negative associations between gestational age, birth length, and maternal levels of o,p’-DDE. Moreover, o,p’-DDD had positive associations with birth weight, and both p,p’-DDD and o,p’-DDE were positively associated with the baby’s ponderal index. The poorest population had higher exposure and less favorable outcomes.


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