scholarly journals A Nutrition Education Intervention to Combat Undernutrition: Experience from a Developing Country

2013 ◽  
Vol 2013 ◽  
pp. 1-7 ◽  
Author(s):  
Ayesha Zahid Khan ◽  
Ghazala Rafique ◽  
Haneen Qureshi ◽  
Salma Halai Badruddin

Introduction. Undernutrition in children is a major public health concern in Pakistan. A number of interventions which focused only on providing nutrient supplementation have failed to change child undernutrition status during the last 2 decades. The present study aimed to assess the impact of nutrition education on the nutritional status of children living in resource-limited environments. Methods. Subjects were 586 children from Tando Jam and Quetta, Pakistan, aged from 6 months to 8 years. Children were characterized as mild, moderate, or severely wasted on Z-scores. Anthropometry and 24-hour dietary recall were used for nutritional assessment. Intervention strategy was nutrition counselling targeting mothers. Primary outcome was decrease in the severity of wasting and changes in the feeding practices. Results. Nearly 36% children in Tando Jam and 32% children in Quetta progressed to a normal nutritional status. There was a significant increase in the number of meals taken per day (Tando Jam—/Quetta—). In Tando Jam, significant increase was reported in the intake of high starch food items, vegetables, and fruits (). In Quetta, significant increase was noted in the intake of plant protein (), dairy foods (), and vegetables (). Conclusion. Nutrition education was successful in reducing undernutrition in food insecure households.

Nutrients ◽  
2019 ◽  
Vol 11 (3) ◽  
pp. 685 ◽  
Author(s):  
Sonia Blaney ◽  
Lylia Menasria ◽  
Barbara Main ◽  
Chhea Chhorvann ◽  
Lenin Vong ◽  
...  

Background: Child undernutrition is of public concern in Cambodia. An understanding of factors influencing child nutritional status is essential to design programs that will reduce undernutrition. Using the UNICEF conceptual framework of causes of malnutrition, our research investigates the relationship between nutritional status of children aged 6–23 months and its immediate and underlying determinants. Methods: Baseline data from a cluster-randomized controlled trial aiming to assess the impact of the promotion of optimal feeding practices combined or not with the provision of local foods among 360 children 6–23 months of age were used. Anthropometry and biochemical measurements were performed at baseline. Data on each determinant of undernutrition were collected through interviews and direct observations. Results: Our results show that the degree of satisfaction of proteins and zinc requirements as well as the access to improved water sources and sanitation were positively associated with length-for-age, while having a better health status and a higher degree of satisfaction of energy, protein, zinc, and iron requirements were associated to an improved weight-for-length. Only child health status was associated to ferritin. Conclusion: Our results reiterate the importance of improving child diet and health status, but also the access to a healthy environment to ensure an optimal nutritional status.


2019 ◽  
Vol 49 (2) ◽  
pp. 262-272 ◽  
Author(s):  
Vincent Adocta Awuuh ◽  
Collins Afriyie Appiah ◽  
Faustina O. Mensah

Purpose This study aims to determine the impact of nutrition education intervention on nutritional status of undernourished children aged 6-24 months in the East Mamprusi district of Ghana. Design/methodology/approach This was a pre-post interventional study. In all, 153 undernourished children of age 6-24 months and their mothers were recruited from five communities. Underweight, stunting, wasting, mid upper arm circumference (MUAC) and haemoglobin (Hb) levels were determined at baseline and after intervention. Nutrition education was given to the mothers for three months based on the nutrition problems identified at baseline assessment. Findings There were improvements in underweight, wasting, MUAC and Hb levels among the children after the nutrition education intervention. The level of improvement at post-intervention differed significantly for underweight (−2.4 ± 0.4, −2.2 ± 0.4; p = 0. 001), wasting (−2.2 ± 0.6, −1.9 ± 0.6; p = 0. 001), MUAC (12.3 ± 0.5, 12.9 ± 0.6; p = 0. 001) and Hb level (10.0 ± 1.4, 10.5 ± 1.4; p = 0. 001) of the children compared to pre-intervention (−1.4 ± 1.8, −1.3 ± 1.7; p = 0.314). Practical implications There was significant improvement in the nutritional status of the undernourished children after the nutrition education intervention. Community nutritionists and stakeholders involved in nutrition and health issues concerning infants and young children should consider nutrition education, as it could be an inexpensive and effective strategy in combating childhood undernutrition in resource-poor settings. Originality/value Findings of this study provide evidence, suggesting nutrition education as a potential strategy to curb the high rates of child undernutrition in resource-poor communities in Ghana. This study provides insight for larger studies on the effectiveness of nutrition education in curbing child malnutrition in deprived communities in Ghana.


2017 ◽  
Vol 47 (2) ◽  
pp. 240-253 ◽  
Author(s):  
Sadia Chishty ◽  
Monika Monika ◽  
Nimali Singh

Purpose The aim of the study was to compare the nutritional status of children having celiac disease (CD) with those not having the disease in the age group of 7-12 years. Children not having CD were from first- and second-degree siblings of the children affected to match for family and environment. In Indian celiac pediatric population, studies on nutritional status of celiac children and comparisons with their siblings as reference have not been reported. Design/methodology/approach Children with CD (n = 50) and without CD (n = 25) were matched for age and were purposively selected. Nutritional assessment included anthropometry, biochemical, clinical and nutrient intake. Weight and height measurements were recorded as per the standardized techniques. Biochemical investigations were done by skilled technicians. A two-day 24-h dietary recall method was used for calculation of nutrient intake. The observations were categorized as celiac and non-celiac children and pre-adolescents in age group of 7-9 years and 10-12 years. Findings The issues of being underweight and of low height according to age among celiac children were rampant. The non-celiac children were comparatively taller than children with CD. The hemoglobin and serum iron were significantly lower in celiac than non-celiac group (p < 0.01). Energy intake was significantly higher (p < 0.05) in celiac pre-adolescents as compared to non-celiac children (7-9 years). The protein intake was higher in non-celiac children, and the difference was highly significant (p < 0.01). The fat consumption was higher in celiac pre-adolescents. The nutritional status of celiac children was poor as compared to non-celiac children. Originality/value The present study is an attempt to compare the nutritional status of celiac children with their siblings.


Author(s):  
Siti Maryani ◽  
Noviyati Rahardjo Putri

Background The effects of the COVID-19 pandemic covers all aspects of life, one of which is food security (Masniadi, Angkasa, Karmeli, Esabella, 2019). The number of malnutrition especially among mothers and children globally during the pandemic is increasing. Pandemics can increase poverty, cut food supply chains and malfunction in nutrition education programs for the community (Akseer, Kandru, Keats, Bhutta, 2020). The effects of the pandemic also have an impact on the nutritional adequacy of mothers and children (including infants and toddlers) in Indonesia. The availability of household food, limited access and affordability of healthy food ingredients are the three main problems in the scope of fulfilling nutrition during the pandemic in Indonesia (Unicef Indonesia, 2020). The method in this research is literature review, the journals used in the literature review are obtained through a database of international journal providers such as Google Scholar, Pubmed, and Proquest. Researchers write the appropriate keywords, namely food security and pandemic. The year limit used is 10 years, namely 2010 to 2020. Results and discussion of online surveys show that 36% of respondents “often reduce” their food portions due to financial problems, of course this will affect the nutritional status of the family, especially children and mothers (Unicef Indonesia, 2020). However, regional research in one district shows that the nutritional status of children aged 3 - 5 years is not affected by this pandemic. Although data on the mapping of the impact of a pandemic on nutritional status is still limited, it is hoped that the community will be able to maintain family nutrition adequacy with various household-based efforts that can be implemented effectively and efficiently. Keywords: Food Security, Nutrition, Pandemic Period


2007 ◽  
Vol 0 (0) ◽  
Author(s):  
Denise P. Gigante ◽  
Márcia Buchweitz ◽  
Elizabete Helbig ◽  
Ângela S. Almeida ◽  
Nelson A. Neumann ◽  
...  

2017 ◽  
Vol 30 (4) ◽  
pp. 477-487 ◽  
Author(s):  
Naiara SPERANDIO ◽  
Cristiana Tristão RODRIGUES ◽  
Sylvia do Carmo Castro FRANCESCHINI ◽  
Silvia Eloiza PRIORE

ABSTRACT Objective: To assess and compare the impact of the Bolsa Família Program (Family Allowance) on the nutritional status of children and adolescents from the Brazilian Northeastern and Southeastern regions. Methods: The study used data from a database derived from a subsample of the Family Budget Survey conducted from 2008 to 2009. The ratios of underweight, stunted, and overweight children were calculated. Impact measurement analysis was preceded by propensity score matching, which matches beneficiary and non-beneficiary families in relation to a set of socioeconomic features. The nearest-neighbor matching algorithm estimated the program impact. Results: The ratio of underweight children and adolescents was, on average, 1.1% smaller in the beneficiary families than in the non-beneficiary families in the Northeastern region. As for the Southeastern region, the ratio of overweight children and adolescents was, on average, 4.2% smaller in the beneficiary families. The program did not affect stunting in either region. Conclusion: The results showed the positive impact and good focus of the program. Thus, once linked to structural actions, the program may help to improve the nutritional status and quality of life of its beneficiaries.


2010 ◽  
Vol 5 (3) ◽  
pp. 171
Author(s):  
Dadang Sukandar ◽  
Ali Khomsan ◽  
Faisal Anwar ◽  
Hadi Riyadi ◽  
Eddy Setyo Mudjajanto

<p class="MsoNormal" style="margin: 0cm 5.65pt 6pt 14.2pt; text-align: justify; text-indent: 1cm;"><span style="font-size: 10pt;" lang="en-us" xml:lang="en-us">The objectives of this research were to analyze health, nutritional status of children under five years and its influential factor</span><span style="font-size: 10pt;">s</span><span style="font-size: 10pt;" lang="en-us" xml:lang="en-us">. This research was carried out in two sub-districts of Bogor: Sub-District of Ciomas and Sub-District of Darmaga. As many as 16 posyandu </span><span style="font-size: 10pt;">nutrition program </span><span style="font-size: 10pt;" lang="en-us" xml:lang="en-us">were obtained. A total number of 240 mothers had been divided into </span><span style="font-size: 10pt;">c</span><span style="font-size: 10pt;" lang="en-us" xml:lang="en-us">ontrol and intervention groups. Baseline data were collected during the pre-study, while endline data were collected after conducting intervention (experiment). The experiment had been conducted for five months in the form of providing nutrition education once in two weeks and implementing home gardening. The data analysis included estimation of mean, standard deviation, minimum value, maximum value and proportion. Based on the General Linear Model (GLM) analysis, it was found that intervention had significant impact on the nutritional status</span><span style="font-size: 10pt;"> (WAZ)</span><span style="font-size: 10pt;" lang="en-us" xml:lang="en-us"> of children under five years. Intervention did not have significant effects on the nutritional status according to </span><span style="font-size: 10pt;">HAZ and WHZ. </span><em></em></p><em><span style="font-size: 10pt;" lang="en-us" xml:lang="en-us">Key words<strong>: </strong></span><strong><span class="longtext"><span style="font-size: 10pt;" lang="en-us" xml:lang="en-us">.</span></span></strong></em>


2020 ◽  
Vol 73 (9-10) ◽  
pp. 265-270
Author(s):  
Vesna Petrovic ◽  
Vesna Vujic-Aleksic ◽  
Tanja Rozek-Mitrovic ◽  
Aleksandra Hristov

Introduction. Asthma and obesity are the most common chronic health disorders in children. Although heredity plays a significant role in their development, environmental factors and early exposure have contributed to the increasing incidence of both disorders in recent decades. The aim of the study was to estimate asthma prevalence in schoolchildren in Indjija, Srem District, Serbia, and to investigate differences in nutritional status of children with asthma as well as differences between their nutritional status and prescribed asthma medications. Material and Methods. A cross-sectional retrospective cohort study was conducted at the Primary Health Center in Indjija. Of all the medical records of children aged 6 - 14 years, a cohort of children with asthma was formed. The retrospective study evaluated their nutritional status and the prescribed asthma medications. Results. The prevalence of asthma in children aged 6 - 14 was 6.9%. Children with asthma were significantly more overweight and obese (40.5%) than children without asthma. Boys accounted for 63.7% of children with asthma, with a statistically significant gender difference. Abnormal nutritional status was found in 44.3% of children with asthma and boys with asthma were significantly more obese (23%) compared to girls (7.8%). Overweight and obese children with asthma were not prescribed significantly more medications to relieve asthma symptoms than normal-weight children. Conclusion. The prevalence of asthma among schoolchildren in Indjija was 6.9%. Children with asthma were more likely to be overweight and obese than children without asthma, whereas boys with asthma were significantly more obese than girls. No significant differences were found between their nutritional status and prescribed asthma medications.


2020 ◽  
Vol 35 (7) ◽  
pp. 829-841 ◽  
Author(s):  
D J Momberg ◽  
P Mahlangu ◽  
B C Ngandu ◽  
J May ◽  
S A Norris ◽  
...  

Abstract Associations between different forms of malnutrition and environmental conditions, including water, sanitation and hygiene (WASH), contribute to poor child health, nutritional status and physical growth. The primary responsibility for the provision of water and sanitation, as a basic service and human right, lies with the State, as such, a number of stakeholders are involved. Despite relatively high levels of WASH infrastructure coverage in South Africa, enteric infections and stunting remain high for a middle-income country. The aim of this study is to elucidate the landscape of WASH in South Africa in relation to nutritional status of children under the age of 5 years in the South African, Gauteng and City of Johannesburg contexts. The authors detailed the national and provincial public sector departments and through purposive sampling proceeded to map the various departments and associated policies that are responsible for the provision of WASH facilities, as well the nutritional status of children. Of the six policies identified for review, three mentioned WASH, nutrition and children; however, none explicitly linked WASH to nutritional status in children. An in-depth review and analysis of these three crucial policy documents was conducted. Finally, a set of expert interviews were conducted and a consensus development conference convened, with experts at the intersection between WASH and nutritional status. The authors found that the public sector would benefit from better integration of the concept of WASH into their policy, planning and implementation frameworks. The WASH sector should emphasize the role in which WASH plans consider the impact of WASH on the nutritional status of children. The various public sector departments involved in WASH service provision, and other WASH stakeholders, including community-based organizations, non-governmental organizations and intergovernmental organizations, should be involved in the decision-making of the nutrition sector.


2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Courtney Allen ◽  
Lindsay Mallick

Abstract Objectives The height-for-age index, a useful marker of health, is not sensitive to recent nutritional insufficiencies but instead reflects cumulative growth deficiencies and linear growth retardation. Low height-for-age, known as stunting, reflects malnutrition over an extended period and can be affected by long-term or chronic morbidity. The weight-for-height index reveals malnourished children at a point in the time and the weight-for-age index reflects underweight children. This study examined trends and sociodemographic inequities in the nutritional status of children under 5 over a 14-year period (2000-2014) in Cambodia. Methods This analysis used data from four Cambodia Demographic and Health Surveys (CDHS) surveys in 2000, 2005, 2010, and 2014 to investigate child nutritional status over time. We conducted tests of association to identify significant changes between each survey, as well as between the first survey and the most recent survey. We performed additional tests of associations to assess the significance of relationships between these indicators and sociodemographic and health covariates within each survey and across surveys. These variables included place of residence (urban or rural), region, wealth quintile, and mother's education. We also included maternal age at birth, birth order, birth interval, ANC, facility delivery, and assistance at birth. Results The percentage of children who are stunted in Cambodia significantly decreased over the period of the four surveys, from 50% in 2000 to 32% in 2014. We found persisting significant differences in the percentages of stunted children in nearly all background characteristics including rural-urban residence, region, wealth, mother's education, age, and smoking status, location of and assistance at delivery, and child's current age. Conclusions Cambodia did not meet the MDG target for stunting by 2015, but the 17% significant decrease achieved in stunting from 2000 to 2014 is promising. This analysis shows gains in every background characteristic over the 14-year period. These gains reflect the impact of the several national programs that have focused on improving nutrition over the past decade; nevertheless, regional and wealth disparities persist and should be addressed. Funding Sources USAID.


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