School Children’s Intestinal Parasite and Nutritional Status One Year after Complementary School Garden, Nutrition, Water, Sanitation, and Hygiene Interventions in Burkina Faso

Access to improved sanitation and hygiene may improve child nutritional status by reducing exposure to enteric pathogens. We evaluated this relationship as part of the Community Health with Azithromycin Trial, a community-randomized trial of azithromycin versus placebo for the prevention of child mortality in rural Burkina Faso. Before the baseline study visit, a door-to-door household survey was conducted for all households in the study area. During the baseline study census, which occurred approximately 9 months after the household survey, a mid-upper arm circumference (MUAC) measurement was obtained from each child. We evaluated the relationship between household improved latrine use compared with unimproved latrines or open defecation and MUAC in children aged 6–59 months. Among 32,172 children with household survey data and MUAC measurements, 931 (2.9%) had an MUAC less than 12.5 cm and were classified as having moderate acute malnutrition (MAM). The odds of MAM were higher in children living in households with an unimproved latrine than those with an improved latrine (adjusted odds ratio: 1.60; 95% CI: 1.11–2.31). Children in households with unimproved latrines and households that practiced open defection had approximate 0.15 cm reduced MUAC compared with those in households with an improved latrine. There was a small, but statistically significant, association between improved latrine and nutritional status in preschool children as measured by MUAC.

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Erratum to: Complementary school garden, nutrition, water, sanitation and hygiene interventions to improve children’s nutrition and health status in Burkina Faso and Nepal: a study protocol

BMC Public Health ◽

10.1186/s12889-016-3134-6 ◽

2016 ◽

Vol 16 (1) ◽

Author(s):

Séverine Erismann ◽

Akina Shrestha ◽

Serge Diagbouga ◽

Astrid Knoblauch ◽

Jana Gerold ◽

...

Keyword(s):

Health Status ◽

Burkina Faso ◽

Study Protocol ◽

School Garden ◽

Nutrition And Health ◽

Sanitation And Hygiene ◽

Children's Nutrition

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Childhood Malnutrition and the Association with Diarrhea, Water supply, Sanitation, and Hygiene Practices in Kersa and Omo Nada Districts of Jimma Zone, Ethiopia

Environmental Health Insights ◽

10.1177/1178630221999635 ◽

2021 ◽

Vol 15 ◽

pp. 117863022199963

Author(s):

Negasa Eshete Soboksa ◽

Sirak Robele Gari ◽

Abebe Beyene Hailu ◽

Bezatu Mengistie Alemu

Keyword(s):

Nutritional Status ◽

Water Supply ◽

Open Pit ◽

Breastfeeding Initiation ◽

Childhood Malnutrition ◽

Hygiene Practices ◽

Sanitation And Hygiene ◽

Jimma Zone ◽

Nutritional Status Of Children ◽

Critical Times

Background: Inadequate water supply, sanitation, hygiene practices, and diarrhea are related to malnutrition, but there is limited evidence in Ethiopia about their association. Thus, the objective of this study was to describe childhood malnutrition and the association with diarrhea, water supply, sanitation and hygiene practices. Methods: A case-control study design was performed from December 2018 to January 2019 in Kersa and Omo Nada districts of the Jimma Zone, Ethiopia. Both children aged 6 to 59 months were chosen randomly from malnourished and well-nourished children in 128 cases and 256 controls, respectively. Bodyweight, length/height, mid-upper arm circumference, and presence of edema of the children were measured according to the WHO references. Then, the nutritional status of the children was identified as a case or control using the cutoff points recommended by the WHO. To see the association-dependent and independent variables, logistic regression analysis was used. Results: A total of 378 children were included in this study (98.44%). Malnutrition was significantly increased among children who delayed breastfeeding initiation(AOR = 3.12; 95% CI: 1.62-6.00), had diarrhea (AOR = 9.22; 95% CI: 5.25-16.20), were living in households indexed as the poorest (AOR = 2.50; 95% CI: 1.12-5.62), defecated in a pit latrine without slab/open pit (AOR = 2.49; 95% CI: 1.17-5.30), collecting drinking water from less than/equal to 1 km distance (AOR = 4.77; 95% CI: 1.01-22.71) and sometimes practiced hand washing at the critical times (AOR = 2.58; 95% CI: 1.16-5.74) compared with their counterparts. However, lactating during the survey (AOR = 0.35; 95% CI: 0.18-0.67), water collection from unprotected sources (AOR = 0.22; 95% CI: 0.05-0.95) and collection and disposal of under-5 children feces elsewhere (AOR = 0.06; 95% CI: 0.01-0.49) significantly reduced the likelihood of malnutrition. Conclusions: Early initiation of exclusive breastfeeding, diarrhea prevention, and the use of improved latrine and handwashing practices at critical times could be important variables to improve the nutritional status of children.

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MO847PREVALENCE OF FATIGUE REPORTED BY PATIENTS ON HEMODIALYSIS THERAPY

Nephrology Dialysis Transplantation ◽

10.1093/ndt/gfab098.0039 ◽

2021 ◽

Vol 36 (Supplement_1) ◽

Author(s):

Mauricio Sanabria ◽

Cesar Mauricio Doria ◽

Edward Martinez ◽

Carlos Simon ◽

Jasmin Vesga ◽

...

Keyword(s):

Nutritional Status ◽

Chronic Hemodialysis ◽

Multicenter Cohort Study ◽

Care Services ◽

Protein Energy ◽

Confounding Variables ◽

Patient Reported ◽

High Prevalence ◽

One Year

Abstract Background and Aims Fatigue is a symptom with a high prevalence in patients on hemodialysis therapy due to uremic toxins, anemia, associated comorbidity, and hemodialysis treatment per se. Our objective is to evaluate the prevalence of fatigue reported by patients and their association with the nutritional status. Method This was a prospective observational, multicenter cohort study. Prevalent patients on HD therapy for at least 90 days, older than 18, at the Baxter Renal Care Services were included between September 1, 2017, to November 30, 2017 with one-year follow-up. Socio-demographic and clinical characteristics of all patients were summarized descriptively, the nutritional status was evaluated by protein Energy waste (PEW). Patient reported fatigue was measured with high flux membrane and medium cut-off membrane (Theranova). A generalized linear binomial multivariable model was conducted to assess the effect of PEW on fatigue symptom controlling for some confounding variables. Results We found that the fatigue reported by the patients has a prevalence of 55% [95% CI: 52.2 to 57.7] in our population, there are no statistical differences due to the use of different types of membranes p= 0.911, and neither did we find that the nutritional status is an independent factor that explains this symptom. If we find that women and diabetics have a higher risk of fatigue; RR=1.17 [95% CI: 1.06 to 1.29] and RR= 1.19 [95% CI: 1.00 to 1.42] respectively. Conclusion The fatigue is a prevalent symptom in the chronic hemodialysis population; being a woman and the diagnosis of diabetes are risk factors associated with this outcome. PEW and the type of dialysis membrane used were not associated with this symptom. Studies evaluating the recovery time from post-dialysis symptoms and its relationship with the type of membrane are necessary.

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O21 Is hypoalbuminaemia associated with amputation-free survival in chronic limb-threatening ischaemia? A retrospective cohort study

British Journal of Surgery ◽

10.1093/bjs/znab282.026 ◽

2021 ◽

Vol 108 (Supplement_5) ◽

Author(s):

A T O Nickinson ◽

I Black ◽

J S M Houghton ◽

R D Sayers

Keyword(s):

Nutritional Status ◽

Inflammatory Markers ◽

White Cell Count ◽

Tissue Loss ◽

Albumin Concentration ◽

Free Survival ◽

Cardiovascular Comorbidities ◽

Operative Outcomes ◽

One Year ◽

The Relationship

Abstract Introduction Serum albumin is a recognised marker of nutritional status. Whilst associated with post-operative outcomes, the relationship with amputation-related outcomes in chronic limb-threatening ischaemia (CLTI) remains unclear. It is also uncertain whether any relationship may be confounded by systematic inflammation. We aimed to investigate whether hypoalbuminaemia is associated with amputation-related outcomes and evaluate its relationship with other inflammatory markers. Method A retrospective study of patients managed for CLTI at a vascular centre between 01/01/2013–31/12/2015 was undertaken. Patients were identified from local coding databases. Patient demographics and comorbidities, results of admission bloods and procedural data were recorded from electronic records. Hypoalbuminaemia was defined as albumin concentration <35 g/L. One-year amputation-free survival (AFS) was the primary outcome. Cox’s proportional hazard models were calculated to compare the risk of amputation/death. Linear regression was performed to investigate the relationship between albumin and other inflammatory markers. Result 374 patients were included (mean albumin concentration = 38.8g/L [SD = 5.2]), with 72 patients being hypoalbuminaemic. No differences were observed in sex (P=0.678), age (P=0.207), history of tissue loss (P=0.057), or cardiovascular comorbidities between groups, however a greater proportion of patients with hypoalbuminaemia had COPD (P=0.002). Patients with hypoalbuminaemia had a significantly higher combined risk of 1-year amputation/death compared to those with normal albumin concentration (HR 1.94, 95% CI 1.29–2.91). White cell count and CRP concentration were significant predictors of albumin concentration (r2=0.113, P<0.001). Conclusion Hypoalbuminaemia is an important prognostic biomarker of AFS in CLTI, however this association may relate to a complex relationship between nutritional status and inflammation. Take-home Message Albumin is more than just a marker of nutritional status in patients with chronic limb-threatening ischaemia.

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Relationship of Personal Hygiene and Nutritional Status to Intestinal Parasitic Infection in Simo, Boyolali

Journal of Biodiversity and Biotechnology ◽

10.20961/jbb.v1i1.50237 ◽

2021 ◽

Vol 1 (1) ◽

pp. 38

Author(s):

Sherlina Rintik Tirta Ayu ◽

Sri Haryati ◽

Yulia Sari ◽

Sutartinah Handayani

Keyword(s):

Elementary School ◽

Nutritional Status ◽

Intestinal Parasite ◽

Parasitic Infection ◽

Observational Research ◽

Personal Hygiene ◽

Parasitic Infections ◽

School Students ◽

Intestinal Parasitic Infections ◽

Parasite Infections

Intestinal parasitic infections are caused by protozoa, STH and non-STH worms. Immunity, which can be determined by measuring nutritional status, and personal hygiene can affect the occurrence of intestinal parasite infections. This study aims to determine the relationship between personal hygiene and nutritional status against intestinal parasite infections in elementary school students in Simo Boyolali. This type of analytic observational research with a cross sectional approach. Total sampling was taken at elementary school of Wates, Talakbroto 1, and Kedunglengkong 1 Simo, Boyolali. There were 11 students with worms infections, 16 with protozoa infections, and 4 with worms and protozoa infection. There was a relationship between washing hands before eating (p = 0.004), after eating (0.027), after defecating (p = 0.04), biting nails (p = 0.008), wearing footwear when leaving the house (p = 0.008) , removing shoes while playing during school breaks (p = 0.001), and nutritional status (p = 0.002) with intestinal parasite infection. There was no relationship between nail clipping once a week (p = 0.118) and the availability of a latrine (p = 0.416) with intestinal parasitic infections. So, there is a relationship between personal hygiene (washing hands before eating, after eating, after defecating, biting nails, wearing footwear when leaving the house, removing shoes when playing during school breaks, and nutritional status) and intestinal parasitic infections. Keywords: elementary school; protozoa; worms.

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Water, sanitation and hygiene practices associated with improved height-for-age, weight-for-height and weight-for-age z-scores in Nepal.

10.21203/rs.2.17090/v3 ◽

2020 ◽

Author(s):

Som Kumar Shrestha ◽

Don Vicendese ◽

Bircan Erbas

Keyword(s):

Nutritional Status ◽

Water Purification ◽

Rural Areas ◽

Interactive Effects ◽

P Value ◽

Child Undernutrition ◽

Sanitation And Hygiene ◽

Z Scores ◽

Height For Age ◽

Weight For Age

Abstract Background: Evidence of the influence of water, sanitation and hygiene (WASH) behaviors on childhood nutritional status is inconsistent. Few studies have examined their interactive effects. This study aimed to examine associations and interactions between WASH variables and preschool child undernutrition. Methods: Data from a nationally representative sample of 2352 children assessed during the 2016 Nepal Demographic and Health Survey were analyzed by multi-variable linear regression to understand the association between height-for-age (HAZ), weight-for-height (WHZ) and weight-for-age (WAZ) z-scores and WASH variables. Interactions between WASH variables, sex and area of residence on childhood nutritional status were also examined. Results: The mean z-score [standard deviation] for children’s WAZ, HAZ and WHZ scores were -1.33 [1.1], -1.52 [1.3] and -0.65 [1.1], respectively. A unit increase in cluster sanitation coverage was associated with an increase of 0.30 (95%CI: 0.12 to 0.48) for WAZ and 0.28 (95%CI: 0.001 to 0.56) for HAZ scores. Household water purification practice was associated with an increase of 0.24 (95%CI: 0.07 to 0.41) in WHZ score. Handwashing practice with water and soap was associated with an increase of 0.15 (95%CI: 0.04 to 0.25) in WAZ and 0.13 (95%CI: 0.01 to 0.24) in WHZ scores. The effect of water purification practice was higher for rural areas compared to urban settings for HAZ scores (p-value for interaction=0.02). Conclusions: Consistent with findings from other countries in the South Asian region, findings of this study highlight the potential importance of good WASH practices, and therefore the potential of WASH interventions, to contribute to improved nutritional status in rural Nepal.

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