scholarly journals Risk Factors of Protein Calorie Malnutrition Under Five Years; Tertiary Care Hospitals, Peshawar

2020 ◽  
Vol 6 (2) ◽  
pp. 3-9
Author(s):  
Mazhar Khan ◽  
Irum Naz ◽  
Farida Shirazi ◽  
Rifayat Ullah Afridi ◽  
Aneela Ambreen ◽  
...  

ABSTRACT: OBJECTIVES: The purpose of this study was to know about the risk factors of malnutrition and the incidence of risk factors among known cases of malnutrition admitted in tertiary care hospitals of Peshawar. METHODOLOGY: A descriptive cross-sectional study was done. Study was conducted in tertiary care hospitals of Peshawar from March 2019 to July 2019. Study included 100 patients of protein calorie malnutrition less than five years of age. Internationally recognized Gomez classification was used to label patient as malnourished. Risk factors of primary malnutrition including socioeconomic status, ignorance of weaning, poverty, lack of immunization and primary care, maternal illiteracy and risk factors of secondary malnutrition including infections, congenital diseases, malabsorptive disorders and metabolic disorders were assessed. Data was collected through a questionnaire. Tables and graphs were used to determine the frequency of risk factors for protein calorie malnutrition. RESULTS: Among 100 patients of PCM 59 were male and 41 were females. After assessment of both genders, risk factors that show close association with protein calorie malnutrition were low socioeconomic status, maternal illiteracy, lack of family planning, poor weaning and repeated infections. Among these risk factors the most frequently observed risk factors for protein calorie malnutrition were low socioeconomic status and repeated infections. CONCLUSION: Low socioeconomic condition and repeated infections are the leading cause of protein calorie malnutrition. KEYWORDS: Malnutrition, Gomez Classification, Frequency, Risk Factors

Author(s):  
Anam Junaid ◽  
Iqra Masood ◽  
Ms Khansa ◽  
Shahnai Basharat ◽  
Morad Yaser Al Mostafa

Iron deficiency anemia refers to the anemia caused by insufficient iron stores within the body. The main cause of anemia in obstetrics is iron deficiency, which has a worldwide prevalence estimated between 20%–80% and constitutes mainly female population.  Objective: To find out the determinants of iron deficiency anemia amongst pregnant women visiting Tertiary Care Hospitals, Lahore. Methods: A cross-sectional study was conducted at Sir Ganga Ram Hospital, Lahore. A sample of 245 pregnant female patients was selected through non-probability convenient sampling technique. Data were collected with the pre-tested questionnaires. SPSS version 21.0 was used for data analysis. Results: Amongst social determinants, socioeconomic status had a signifcant effect on iron defciency anemia; as 82% women belonged to low socioeconomic status. Among dietary determinants, less consumption of red meat was a major factor affecting IDA as 95% women were not consuming red meat more than two times a day thus contributing to overall iron defciency. Amongst clinical factors, lack of thorough clinical checkup before conception was a major factor as 79% women did not have regular clinical checkup before pregnancy. Conclusions: Major determinants linked with IDA were dietary habits and practices such as preferring vegetables over meat, less overall consumption of red meat and excessive consumption of tea and coffee. Other determinants affecting IDA include low socioeconomic status, little or no gap between pregnancies and lack of knowledge and education concerning dietary practices during pregnancy.   


2020 ◽  
Vol 60 (4) ◽  
pp. 186-91
Author(s):  
Hesti Lestari ◽  
Audrey Mety Iriani Wahani ◽  
Rocky Wilar ◽  
Permatami Herwansyah

Background Sleep disorders in infants can cause developmental problems, suboptimal growth, behavioral disorders, fatigue, irritability, impulsiveness, and poor mother-infant bonding. Objective To evaluate possible risk factors for sleep disorders in infants. Methods This cross-sectional study was conducted in healthy infants aged 3-6 months. Subjects were selected using proportional random sampling from four different primary healthcare facilities in Manado, North Sulawesi. Their parents completed the Brief Infant Sleep Questionnaire. Sleep disorder was defined as the presence of one or more conditions including sleep duration less than 9 hours at night (from 19.00 until 07.00), waking up at night (from 22.00 until 06.00) more than 3 times, and more than 1 hour waking at night. Results Of 112 subjects, 58 (51.8%) were male. Subjects’ mean age was 4.21 (SD 0.829) months and 76 (67.86%) experienced sleep disorders. Sleep disorders had significant associations with low socioeconomic status (OR 17; 95%CI 3.8 to 75.8), middle school or lower maternal education (OR 44.5; 95%CI 9.8 to 202), non-supine sleeping position (OR 8.8; 95%CI 1.9 to 39.7), parental use of electronic devices (OR 156.2; 95%CI 35.1 to 692.9), and non-exclusive breastfeeding (OR 85.2; 95%CI 21.1 to 344.2). Correlative analyses also revealed that electronic media usage had the strongest association with sleep disorders, followed by breastfeeding pattern, maternal education, socioeconomic status, and sleeping position ( 0.839, 0.771, 0.624, 0.433, and 0.309, respectively).  However, there were no significant correlations upon  multivariate analysis. Conclusion Parental use of electronic media before sleeping is the strongest risk factor for sleep disorders among infants, followed by non-exclusive breastfeeding pattern, low maternal education, low socioeconomic status, and non-supine sleeping position. However, none of these correlations were significant upon multivariate analysis, this show that all these factors influence sleep together


e-CliniC ◽  
2017 ◽  
Vol 5 (2) ◽  
Author(s):  
Pirania Ch. Tatipang ◽  
Adrian Umboh ◽  
Praevilia M. Salendu

Abstract: Acute post-streptococcal glomerulonephritis (APSGN) is a part of acute nephritic syndrome characterized by gross hematuria, edema, hypertension, and renal insufficiency. This APSGN is common in children, caused by infection of Streptococcus β-hemoliticus group A nephritogenic strain, and 97% of cases were in developing countries including Indonesia. This study was aimed to obtain the risk factors of APSGN and their association with APSGN. This was a retrospective descriptive study with a cross sectional design. Samples were medical record data of Prof. Dr. R. D. Kandou Hospital Manado during the period of January 2013-October 2017. There were 67 samples in this study consisted of 48 (71.6%) cases of APSGN and 19 (25.3%) cases without APSGN. The bivariate analysis found five variables related to APSGN incidence, as followed: male gender (P =0.005), age ≥5 years (P=0.000), low socioeconomic status (P=0.000), good nutrition (P =0.000), and rainy season (P=0.005). Parents’ education was not related to APSGN incidence. Conclusion: The risk factors of APSGN in children were male gender, age ≥5 years, low socioeconomic status, good nutritional status, and rainy season.Keywords: APSGN, risk factors, childrenAbstrak: Glomerulonefritis akut pasca streptokokus (GNAPS) adalah bagian dari sindrom nefrotik akut (SNA) yang ditandai dengan gross hematuria, edema, hipertensi, dan insufisiensi ginjal. Gangguan ini sering terjadi pada anak-anak, disebabkan oleh infeksi kuman Streptococcus β-hemolyticus group A strain nephritogenic, dan 97% kasus terjadi di negara berkembang termasuk Indonesia. Penelitian ini bertujuan untuk mengetahui faktor risiko GNAPS dan hubungan faktor risiko tersebut dengan kejadin GNAPS. Jenis peneltiian ialah deskriptif retrospektif dengan desain potong lintang. Pengambilan sampel menggunakan data rekam medik RSUP Prof. R. D. Kandou Manado periode Januari 2013-Oktober 2017. Terdapat 67 sampel terdiri dari 48 (71,6%) kasus GNAPS dan 19 (25,3%) kasus yang tidak mengalami GNAPS. Berdasarkan analisis bivariat di temukan 5 varibel yang berhubungan dengan kejadian GNAPS yaitu jenis kelamin laki-laki P=0,005), usia ≥5 tahun (P=0,000), status sosial ekonomi rendah (P=0,000), gizi baik (P=0,000), dan musim hujan (P=0,005). Faktor risiko yang tidak berhubungan dengan kejadian GNAPS ialah pendidikan orang tua (P=0,20). Simpulan: Faktor risiko GNAPS pada anak ialah jenis kelamin laki-laki, usia ≥5 tahun, status sosial ekonomi rendah, status gizi, dan musim hujan.Kata Kunci: GNAPS, faktor risiko, anak


2021 ◽  
Vol 1 (3) ◽  
pp. 239-245
Author(s):  
Katelino Marpaung ◽  
Husna Yetti ◽  
Defrin Defrin

Abstrak Latar Belakang. Bayi Berat Lahir Rendah (BBLR) adalah bayi yang mempunyai berat lahir kurang dari 2500 gram yang ditimbang pada saat setelah lahir. Saat ini BBLR menjadi salah satu penyebab kematian neonatus terbanyak di Kota Padang. Banyak faktor yang dapat memengaruhi kejadian bayi berat lahir rendah, seperti usia ibu, paritas, jarak kehamilan, status gizi, antenatal care, anemia, pendidikan, sosial ekonomi, penyakit saat hamil, plasenta previa, solusio plasenta, kelainan kongenital, dan kehamilan ganda. Objektif. Penelitian ini bertujuan untuk mengetahui gambaran faktor risiko bayi berat lahir rendah yang dirawat di RSUP Dr. M. Djamil Padang pada periode 1 Januari – 31 Desembar tahun 2019. Metode. Penelitian ini merupakan penelitian deskriptif dengan desain penelitian cross-sectional. Teknik pengambilan sampel yang digunakan adalah simple random sampling dengan jumlah sampel sebanyak 71 sampel. Hasil. Hasil penelitian didapatkan beberapa faktor risiko sebagai berikut : usia ibu berisiko (28,17%), paritas nullipara (35,21%), jarak kehamilan berisiko (8,45%), riwayat antenatal care berisiko (4,23%), ibu anemia (33,80%), status pendidikan rendah (73,24%), status sosial ekonomi rendah (54,93%), penyakit saat hamil (76,06%), kelainan plasenta (5,63%), kelainan kongenital (8,45%), dan kehamilan ganda (22,54%). Kesimpulan.  Faktor risiko yang paling banyak terjadi pada bayi berat lahir rendah adalah penyakit saat hamil, status pendidikan rendah, dan status sosial ekonomi rendah. Kata kunci: BBLR, faktor risiko, neonatus   Abstract Background. Low Birth Weight (LBW) baby is when the infant is weighed less than 2500 grams at the time after birth. Low Birth Weight baby is one of the leading causes of neonates deaths in Padang. There are several factors causing LBW babies, such as maternal age, parity, space between pregnancy, nutrition, antenatal care, anemia, low educational status, low socioeconomic status, disease during pregnancy, placenta previa, placenta abruption, congenital abnormality, and multiple pregnancies. Objective.This study was aimed to describe the risk factors of LBW babies who were treated at RSUP Dr. M. Djamil Padang from 1st January – 31st December 2019. Methods. This study was a descriptive study with a cross-sectional design. Seventy-one samples were selected by simple random sampling. Results. The results of the study describe risk factors of LBW babies as follows mother with threatening age (28.17%), nullipara parity (35.21%), the distance of hazardous pregnancies (8.45%), nutritional status of underweight (12.68%), history of risky antenatal care ( 4.23%), maternal anemia (33.80%), low educational status (73.24%), low socioeconomic status (54.93%), illness during pregnancy (76.06%), placental disorders (5.63) %), congenital abnormalities (8.45%), and multiple pregnancies (22.54%). Conclusion. The most critical risk factors for low birth weight babies are illness during pregnancy, low education status, and low socioeconomic status. Keywords: low birth weight baby, risk factors, neonates


2017 ◽  
Vol 16 (1) ◽  
pp. 29-32
Author(s):  
Sabina Yeasmin ◽  
M Jalal Uddin

Background: Pre-eclampsia is an idiopathic disorder of pregnancy characterized by proteinuric hypertention and still one of the important causes of maternal and fetal mortality.The identification of its predisposing factors before and during early stage of pregnancy will help in reducing the mortality.Objective:The objective of the present study is to determine the risk factors for pre-eclampsia among pregnant women in a tertiary level hospital.Methods: This study was conducted in the Department of Obstetrics and Gynaecology of a tertiary care hospital in Chittagong, Bangladesh, from January to June 2015.A total number of 50 pregnant women with pre-eclampsia who admitted in this hospital were selected as study group.This was hospital based descriptive study.Results: Most of the partcipants were within 21-30 years of age group and mean age 24.06 ± 3.71.The factors that were found to be significant predictors of risk for development of PE were primigravida, low socioeconomic condition,family history of PE & hypertension, past history of PE and hypertention, past history of diabetes mellitus was also associated with development of PE.Chatt Maa Shi Hosp Med Coll J; Vol.16 (1); Jan 2017; Page 29-32


2010 ◽  
Vol 2 (1) ◽  
Author(s):  
Ramachandran Meenakshisundaram ◽  
Dipti Agarwal ◽  
Chinnaswamy Rajendiran ◽  
Ponniah Thirumalaikolundusubramanian

Sign in / Sign up

Export Citation Format

Share Document