scholarly journals The nutritional status of children living within institutionalized care: a systematic review

PeerJ ◽  
2020 ◽  
Vol 8 ◽  
pp. e8484
Author(s):  
Emily DeLacey ◽  
Cally Tann ◽  
Nora Groce ◽  
Maria Kett ◽  
Michael Quiring ◽  
...  

Background There are an estimated 2.7 million children living within institutionalized care worldwide. This review aimed to evaluate currently available data on the nutrition status of children living within institutionalized care. Methods We searched four databases (Pubmed/Medline, CINHAL Plus, Embase and Global Health Database) for relevant articles published from January 1990 to February 2019. Studies that included information on anthropometry or micronutrient status of children living within institutionalized care were eligible for inclusion. The review is registered on PROSPERO: CRD42019117103. Results From 3,602 titles screened, we reviewed 98 full texts, of which 25 papers were eligible. Two (8%) studies reported data from multiple countries, nine (36%) were from Asia, four (16%) from Africa, three (12%) from Eastern Europe, four (16%) from the European Union and one (4%) from each of the remaining regions (Middle East, South America and the Caribbean). Twenty-two (88%) were cross sectional. Ten (40%) of the studies focused on children >5 years, seven (28%) on children <5 years, seven (28%) covered a wide age range and one did not include ages. Low birth weight prevalence ranged from 25–39%. Only five (20%) included information on children with disabilities and reported prevalence from 8–75%. Prevalence of undernutrition varied between ages, sites and countries: stunting ranged from 9–72%; wasting from 0–27%; underweight from 7–79%; low BMI from 5–27%. Overweight/obesity ranged from 10–32% and small head circumference from 17–41%. The prevalence of HIV was from 2–23% and anemia from 3–90%. Skin conditions or infections ranged from 10–31% and parasites from 6–76%. Half the studies with dietary information found inadequate intake or diet diversity. Younger children were typically more malnourished than older children, with a few exceptions. Children living within institutions were more malnourished than community peers, although children living in communities were also often below growth standards. High risk of bias was found. Conclusions This study highlights the limited amount of evidence-based data available on the nutritional status of children in institutions. Of the studies reviewed, children living within institutionalized care were commonly malnourished, with undernutrition affecting young children particularly. Micronutrient deficiencies and obesity were also prevalent. Data quality was often poor: as well as suboptimal reporting of anthropometry, few looked for or described disabilities, despite disability being common in this population and having a large potential impact on nutrition status. Taken together, these findings suggest a need for greater focus on improving nutrition for younger children in institutions, especially those with disabilities. More information is needed about the nutritional status of the millions of children living within institutionalized care to fully address their right and need for healthy development.

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 822-822
Author(s):  
Emily De Lacey ◽  
Cally Tann ◽  
Nora Groce ◽  
Maria Kett ◽  
Michael Quiring ◽  
...  

Abstract Objectives An estimated 2.7 million children live within institutionalized care worldwide. This systematic review aimed to evaluate available data on the nutritional status of children living within institutionalized care. Methods Four databases were searched for articles published between January 1990 to January 2019. Studies were eligible for inclusion if they contained information on anthropometry or micronutrient status of children living within institutionalized care. The review is registered on PROSPERO: CRD42019117103. Results We screened 3602 titles and reviewed 98 full texts, from which 25 papers were determined eligible. The majority of studies were cross sectional (88%). Low birth weight ranged from 25 to 39%. Five (20%) studies included information on children with disabilities reporting prevalence from 8 to 75%. Prevalence of undernutrition varied between ages, sites and countries: stunting ranged from 9 to 72%; wasting from 0 to 27%; underweight from 7 to 79%; low BMI from 5 to 27%. Overweight/obesity ranged between 10 to 32% and small head circumference from 17 to 41%. The prevalence of HIV was between 2 to 23% and anemia from 3 to 90%. Skin conditions or infections ranged between 10 to 31% and parasites from 6 to 76%. Institution-based children were more malnourished than community peers and younger children were more malnourished than older children. A high risk of bias was found in the studies. Conclusions Addressing the nutrition needs of this underrepresented vulnerable population of children is important in the fight against malnutrition worldwide. Prevention and treatment of poor nutrition in this population can have far reaching impacts but there is limited research on their nutritional status. Children in institutions were commonly malnourished; affected by undernutrition, overnutrition and micronutrient deficiencies. Few studies described disabilities, despite disabilities being common in this population and having a big potential impact on nutritional status. Together, these findings suggest a need for greater focus on prevention and treatment of malnutrition in this population, especially for younger children and children with disabilities. More information is needed to support the millions of children living within institutionalized care to address their rights and needs for healthy development. Funding Sources No funding.


2018 ◽  
Vol 9 (02) ◽  
pp. 192
Author(s):  
Wiwid Wahyuningsih ◽  
Atik Setiyaningsih

ABSTRAKLatar Belakang : Keberadaan kader di posyandu sebagai salah satu sistem penyelenggarakan pelayanan sangat dibutuhkan. Mereka adalah ujung tombak  pelayanan kesehatan yang merupakan kepanjangtanganan puskesmas Jawa Tengah tahun 2011 jumlah gizi kurang 5,35% dan gizi buruk 0,10%. Untuk Kabupaten Semarang dari 23.562 balita yang ditimbang pada tahun 2011 gizi lebih 1,13%, gizi baik 93,51%, gizi kurang 4,86% dan gizi buruk 0,49% (DepKes Prov Jateng, 2011). Tujuan Penelitian : Penelitian ini bertujuan untuk mengetahui hubungan peran kader posyandu dengan status gizi balita. Metode Penelitian : Desain penelitian ini adalah survey analitik dengan menggunakan pendekatan cross sectional. Populasi dalam penelitian ini adalah seluruh balita di Posyandu Mawar di Desa Gedangan sejumlah 40 responden, dengan teknik total sampling dan analisa data chi square. Hasil Penelitian : Hasil perhitungan chi square di peroleh X² hitung 10.644 pada df=4, P.value 0.031 dimana probabilitas lebih kecil dari level of significant 5 % (0,001 < 0,05) berarti Ha diterima dan Ho ditolak. Kesimpulan : ada hubungan antara peran kader posyandu dengan status gizi pada balita.Kata Kunci : peran kader , status gizi balitaCADERE ROLE RELATIONSHIP WITH NUTRITIONAL STATUS OF CHILDREN POSYANDUABSTRACTBackground : posyandu cadre in Existence as one of the 56th's service system is urgently needed. They are the tip of the Spear is a kepanjangtanganan health services clinics in Central Java in 2011 the amount of nutrition less 5.35% 0.10% and malnutrition. To Semarang from 23.562 toddler who weighed in 2011 more nutritional 1.13%, 93,51%, good nutrition nutrition less 4.86% and 0.49% poor nutrition (Department of Health Central Java Prov., 2011). Objective : the research aims to find out the relationship role of posyandu cadre with the nutritional status of children. Methods : the design of this research is a survey using the analytic approach of cross sectional. The population in this study are all the toddlers at the Rose in the village of Posyandu Gedangan some 38 respondents, with total sample techniques and data analysis a chi square. The results :. The chi square calculation results in getting X ² count 10.644 on df = 4, P. value 0.031 where probability is smaller than the level of significant 5% (0.001 < 0.05) mean Ha Ho accepted and rejected. Conclusion : there is a connection between the role of cadres of posyandu with nutritional status on toddlers.Keywords : the role of cadres, toddler nutrition status


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 11 (01) ◽  
pp. 24
Author(s):  
Wiwid Wahyuningsih ◽  
Atik Setiyaningsih

Wiwid Wahyuningsih 1) Atik Setiyaningsih2)1)  2) Program Studi D-III Kebidanan Stikes Estu Utomo BoyolaliE-mail: [email protected], [email protected] Belakang : Keberadaan kader di posyandu sebagai salah satu sistem penyelenggarakan pelayanan sangat dibutuhkan. Mereka adalah ujung tombak  pelayanan kesehatan yang merupakan kepanjangtanganan puskesmas Jawa Tengah tahun 2011 jumlah gizi kurang 5,35% dan gizi buruk 0,10%. Untuk Kabupaten Semarang dari 23.562 balita yang ditimbang pada tahun 2011 gizi lebih 1,13%, gizi baik 93,51%, gizi kurang 4,86% dan gizi buruk 0,49% (DepKes Prov Jateng, 2011). Tujuan Penelitian : Penelitian ini bertujuan untuk mengetahui hubungan peran kader posyandu dengan status gizi balita. Metode Penelitian : Desain penelitian ini adalah survey analitik dengan menggunakan pendekatan cross sectional. Populasi dalam penelitian ini adalah seluruh balita di Posyandu Mawar di Desa Gedangan sejumlah 40 responden, dengan teknik total sampling dan analisa data chi square. Hasil Penelitian : Hasil perhitungan chi square di peroleh X² hitung 10.644 pada df=4, P.value 0.031 dimana probabilitas lebih kecil dari level of significant 5 % (0,001 < 0,05) berarti Ha diterima dan Ho ditolak. Kesimpulan : ada hubungan antara peran kader posyandu dengan status gizi pada balita.Kata Kunci : peran kader , status gizi balitaCADERE ROLE RELATIONSHIP WITH NUTRITIONAL STATUS OF CHILDREN POSYANDUABSTRACTBackground : posyandu cadre in Existence as one of the 56th's service system is urgently needed. They are the tip of the Spear is a kepanjangtanganan health services clinics in Central Java in 2011 the amount of nutrition less 5.35% 0.10% and malnutrition. To Semarang from 23.562 toddler who weighed in 2011 more nutritional 1.13%, 93,51%, good nutrition nutrition less 4.86% and 0.49% poor nutrition (Department of Health Central Java Prov., 2011). Objective : the research aims to find out the relationship role of posyandu cadre with the nutritional status of children. Methods : the design of this research is a survey using the analytic approach of cross sectional. The population in this study are all the toddlers at the Rose in the village of Posyandu Gedangan some 38 respondents, with total sample techniques and data analysis a chi square. The results :. The chi square calculation results in getting X ² count 10.644 on df = 4, P. value 0.031 where probability is smaller than the level of significant 5% (0.001 < 0.05) mean Ha Ho accepted and rejected. Conclusion : there is a connection between the role of cadres of posyandu with nutritional status on toddlers.Keywords : The Role of cadres, Toddler Nutrition Status


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.


1970 ◽  
Vol 5 (2) ◽  
pp. 115
Author(s):  
Suwoyo Suwoyo

The prevalence of autism in Indonesia continues to increase. Children with autism have limited choices of food that may be consumed. This limitation can affect the low or excess intake of nutrients needed by children with autism. Various factors can affect the nutritional status of children with autism. One of them is the pattern of consumption of foods that do not diet GFCF. This study aims to determine the factors that affect nutritional status in children with autism in the School of Special Needs, Kediri. The design used was cross sectional analytic. The population in this study were all children with autism in the School of Special Needs, Kediri, as many as 31 children. The sampling technique used was simple random sampling, with a sample size of 29 children with autism. The result of ordinal regression test to analyze the influence of knowledge on nutritional status was obtained p = 0,038 <α (0,05), socio-economic influence with nutritional status got p = 0,004 ;α (0,05), influence of education level with nutrient status got p = 0,412; α (0,05), and the effect of activity pattern with nutritional status obtained p = 0,059; α (0,05). The conclusion of this research is that based on the results of spearmen test, s then the variables of education, socioeconomic and educational level have correlation with nutritional status of autistic children, while the activity pattern variable is not related to nutritional status of children with autism. Based on testing of ordinal regression analysis it is found that knowledge and socioeconomic of parents influence nutritional status, sedagkan level of education and activity pattern does not affect nutritional status. Therefore, parents at home and school teachers have a very strategic role in providing nutritional intake according to the needs of children with autism, and set the pattern of activities both controlled and uncontrolled. Keywords: factors that affect Nutrition Status, Autis Children


2020 ◽  
Vol 1 (2) ◽  
pp. 38
Author(s):  
Marniati Marniati ◽  
Enda Silvia Putri ◽  
Susy Sriwahyuni ◽  
Khairunnas Khairunnas ◽  
Maiza Duana

Toddler Nutrition Status Is a state of balance or manifestation of nutrition in the form of certain variables. The high incidence of malnutrition in Suka Makmue Subdistrict is centered as the main target in improving nutrition. The objective is to analyze the Knowledge Study of Income and Social Culture Level of Toddler Nutrition status in Blang Muling Village, Suka Makmue Subdistrict, Nagan Raya Regency. This type of research is Analytical Surveys with cross-sectional approach. The total number of samples is 33 mothers of toddlers. Univariate and Bivariate analyzes were further tested with Chi Square. The results after a deeper study of the three variables have an influence on the nutritional status of children under five namely Knowledge (Pvalue 0,000 <α 0.05), income level (Pvalue 0.001 <α 0.05), and socio-cultural (Pvalue 0.003 <α 0.05) . Suggestion Health workers should be more active in delivering information about the importance of the nutritional status of children under five.


2019 ◽  
Vol 57 (216) ◽  
Author(s):  
Basudev Bhattarai ◽  
Yadav K.C ◽  
Dip Narayan Thakur ◽  
Kiran Pandey

Introduction: Adequate nutrition is essential for proper growth and development of the child. We conducted a cross-sectional descriptive study to find the prevalence of nutritional status of 6–59 month old Tharu children in Duruwa VDC of Dang District. This study also deliberate the socio-economic and demographic character, maternal and child character and child feeding status of the Tharu community children. Methods: This study is a cross-section descriptive study and was done between February and March, 2017 in Tharu community of Duruwa VDC, Dang. Total 189 children of age group 6 – 59 months were selected by using systematic random sampling technique; anthropometric measurements were performed to find the nutritional status of children. Pre-coded questionnaire was used to collect information from caretaker. WHO Anthro version 3.2.2 and SPSS version 20 were used to analyze data. Results: Prevalence of wasting, stunting, and underweight were 25 (13.2%), 51 (27%), and 40 (21.2%) respectively. The prevalence of stunting was seen more in females than in males while underweight was higher among males, whereas wasting was very similar in both sexes. Conclusions: The findings showed that there is still high prevalence of malnutrition in Tharu children of Duruwa VDC. So monitoring of nutrition status in Tharu children should be taken seriously and needs to be addressed.


Author(s):  
Risma . ◽  
Adiyanti . ◽  
Siti Helmiyati

ABSTRACT<br /><br />Background: The fi rst three years is a golden period or critical period for optimum growth and development process. Mothers at work will affect their role in taking care of their children resulting in limited time to feed the children.  In 2004 it was estimated that 23% of children had development disorder; abnormal growth of infants occured 80% in mothers at work. In 2007 in Indonesia the prevalence of malnourished underfi ves was 8.8% and malnourished was 19.2%. At the Province of Sulawesi Tenggara the prevalence of under nutrition is 2.7% and undernourishment is 13.6%. At Kendari Municipality the prevalence of malnutrition is 0.9% and undernourishment is 3.2%.<br /> <br />Objective: To identify the association between occupational status of mothers and nutrition status and development of children of 1 – 3 years at Subdistrict of Kendari Municipality.<br /><br />Method: This observational research used a cross sectional design and was carried out at Subdistrict of Kendari Municipality. Population were all children of 1–3 years. Subjects consisted of 150 children taken with systematic random sampling technique. Research instruments were questionnaire, recall list, Denver II Scale and length measurement. Data analysis used chi square statistical test and logistic regression with confi dence interval (CI) 95%.<br /><br />Result: There were no signifi cant association between occupation of mothers (p=0.106; OR=1.84), education of mothers (p=0.518; OR=1.31), income percapita (p=0.934; OR=0.91) and nutritional status of children. There was signifi cant association between feeding pattern (p=0.008; OR=2.58), duration of rearing (p=0.024; OR=2.28) and nutritional status of children. There was no signifi cant association between occupation of mothers (p=0.275; OR=1.57), education of mothers (p=0.674; OR=1.23) income percapita (p=0.516; OR=0.74) and child development. There was signifi cant association between duration of rearing and child development (p=0.029; OR=2.30). There was signifi cant association between occupation of mothers and feeding pattern of children (p=0.32; OR=2.30). Factor of feeding pattern had the greatest contribution (3%) to undernourished nutrition status; and duration of rearing contributed as much as 3% to delayed child development.<br /> <br />Conclusion: There was no association between occupational status of mothers and nutrition status and development of children of 1-3 years. There was association between occupational status of mothers and feeding pattern of children of 1 – 3 years. There was association between feeding pattern and nutrition status of children of 1- 3 years at Subdistrict of Kadia, Kendari Municipality.<br /><br />KEYWORDS: occupational status of mothers, nutritional status, child development <br /><br />ABSTRAK<br /><br />Latar belakang: Tiga tahun pertama merupakan periode keemasan (golden period)ataumasakritis (critical period) untuk optimalisasi proses tumbuh kembang. Ibu yang bekerja akan menghambat peran ibu dalam merawat dan mengasuh anak sehingga anak tidak mendapat waktu cukup untuk urusan makan. Pada tahun 2004 diperkirakan sekitar 23% anak mengalami gangguan perkembangan dan 80% perkembangan bayi tidak normal pada ibu yang bekerja. Pada tahun 2007, di Indonesia prevalensi balita gizi buruk 8,8% dan gizi kurang 19,2 %. Untuk daerah Provinsi Sulawesi Tenggara, gizi buruk dan kurang  masing-masing sebesar 2,7% dan 13,6%, sedangkan di Kota Kendari 0,9%  dan 3,2%. <br /><br />Tujuan: Mengetahui hubungan status pekerjaan ibu dengan status gizi dan perkembangan anak usia 1–3 tahun di Kecamatan Kadia, Kota Kendari.<br /><br />Metode: Penelitian ini merupakan penelitian observasional dengan rancangan cross sectional. Wilayah penelitian di Kecamatan Kadia, Kota Kendari. Populasi adalah seluruh anak balita dengan usia 1–3 tahun di Kecamatan Kadia Kota Kendari. Sampel dalam penelitian sebanyak 156 subjek. Pengambilan sampel dengan systematic random sampling. Instrumen yang digunakan dalam penelitian adalah kuesioner, daftar recall, Denver II Dacin dan panjang badan. Analisis data dengan uji Chi-Square dan regresi logistik dengan confi dence interval (CI) 95%.<br /><br />Hasil: Tidak terdapat hubungan signifi kan antara pekerjaan ibu (p=0,106; OR=1,84), pendidikan ibu (p=0,518; OR=1,31), pendapatan per kapita (p=0,934; OR=0,91) dengan status gizi anak. Terdapat hubungan yang signifi kan antara pola asuh makan (p= 0,008; OR=2,58), waktu pengasuhan (p=0,024; OR=2,28) dengan status gizi anak. Tidak terdapat hubungan yang signifikan antara pekerjaan ibu (p=0,275; OR=1,57), pendidikan ibu (p=0,674; OR=1,23), pendapatan per kapita (p=0,516;<br />OR=0,74) dengan perkembangan anak. Terdapat hubungan signifi kan antara waktu pengasuhan dengan perkembangan anak (p=0,029; OR=2,30). Terdapat hubungan signifi kan antara pekerjaan ibu dengan pola asuh makan anak (p=0,030; OR=2,30). Faktor yang kontribusinya paling besar terhadap status gizi kurang adalah pola asuh makan yaitu sebesar 3%, sedangkan terhadap keterlambatan perkembangan anak adalah waktu pengasuhan yaitu sebesar 3%.<br /><br />Kesimpulan: Status pekerjaan ibu tidak berhubungan dengan status gizi dan perkembangan anak usia 1-3 tahun, Status pekerjaan ibu berhubungan dengan pola asuh makan anak usia 1-3 tahun, Pola asuh makan berhubungan dengan status gizi anak usia 1-3 tahun di Kecamatan Kadia, Kota Kendari.<br /><br />KATA KUNCI: pekerjaan ibu, perkembangan anak, status gizi anak


2019 ◽  
Vol 3 (1) ◽  
Author(s):  
Undatun Ni'mah ◽  
Nia Sari ◽  
Yuly Peristiowati

Nutrition problems are still a serious problem. Nutrition disorders that occur in infants and toddlers affect the growth and development, both in infancy and future, so it needs attention. The role of cadres, parenting parents and food intake given to infants. The purpose of this study was to determine the factors that affect the nutritional status of children under five years in the working area of ​​Puskesmas Kertosari Banyuwangi. This research design use analytic design with cross sectional approach. The population of all under-fives suffering from malnutrition status in the work area of ​​Kertosari Puskesmas is 47 children. The sampling technique used cluster random sampling with a sample of 42 respondents. The research instrument used questionnaires, 24 hour recall obeservation sheet and anthropometry. The results were analyzed using logistic regression test. The result of this research is the influence of the role of cadre to the nutritional status of under-five children with ρ = 0.005 <0.05 and OR = 22.8 which means the chance to help the toddler in overcoming the nutritional status is 22.8 times bigger than the role of the inactive cadre. While in the pattern of care obtained ρ = 0.003 <0.05 denagn = 0.112 means there is influence between parental parenting to the nutritional status of children. Where the parenting patterns are applied authoritarian, then the parenting pattern has a risk of no nutritional problems 0.112 times greater in the parent's patterns permissive or democratic. There is influence between food intake on nutritional status of children under five years in working area of ​​Puskesmas Kertosari of Banyuwangi Regency with ρ = 0,004 <0,05. The most dominant factor affecting the nutritional status of children under five is the factor of food intake given to toddlers, with the effect of 13,924.To be able to increase the intake of food that is by observing the diet and eating consumption in accordance with the nutritional needs of every toddler, in consuming everyday foods familiarize with balanced nutrition menu.


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