Effect of Artificial Intelligence on Nutritional Status of children post cardiac surgery; A Randomized Controlled Trial (Preprint)

BACKGROUND Malnutrition is the most common problem in congenital heart diseases patients. Health based mobile applications play an important role in planning and tracking of diet for better nutritional status OBJECTIVE To assess the effect of artificial intelligence on nutritional status of children post cardiac surgery in comparison to usual care group. To assess usefulness of diet related mobile application in comparison to usual care group. METHODS This is a two arm randomized controlled trial that was conducted at a Tertiary Care Hospital, Rawalpindi. The study duration was 6 months from February 2021 till July 2021. Sample size was calculated to be 88. Intervention group was given a diet related mobile application and usual care group was handed a pamphlet with diet instructions on discharge. RESULTS Mean weight of all participants was 15 ± 5.7 kg at the time of discharge whereas at the end of 8th week mean weight of the participants in usual care group was 16.5 ± 7.2 kg and intervention group was 17.1 ± 5 kg. Average calories consumed by usual care group was 972 ± 252 kcal and 1000.75 ± 210 kcal by intervention group after 8 weeks of discharge. Average proteins consumed by the usual care group was 34.3 ± 12.5 grams and 39± 6.4 grams by intervention group after 8 weeks of discharge. At the end of intervention preferred diet planning tool for 79% of the participants was mobile application. At 8th week 93% of the participants considered the visual cues useful, 80% think that the mobile application language was understandable, 79% of the participants think nutritional goal setting is a useful feature in mobile application and 55% of the participants think the recipes in the application were useful. CONCLUSIONS The study showed strength for the future of scalable modern technology for self-nutrition monitoring. There was slight increase in the weight and nutritional intake of both groups as interventions period was limited. CLINICALTRIAL Study was registered on clinicaltrial.gov website with trial identity number NCT04782635.

WASH Practices and Its Association With Disease and Nutritional Status of Under Five Children: Evidence From Rural Bangladesh

This study aimed to assess knowledge and practice of caregivers and its relationship to the disease and nutritional status of children under five years of age in rural areas of Sylhet, Bangladesh. A total of 110 households having 6 to 59 months aged children was selected by simple random method from ten rural communities of three Upazila of Sylhet during September 2019 to February 2020. Descriptive statistics were used to assess the WASH knowledge & practice and multivariate chi-square analyses were performed to assess associations among diseases & nutritional status with WASH following a structured questionnaire. The study found a significant association of WASH with childhood disease and nutritional status, and 65% of children were found to be in a diseased state and 35% of children were found to be in a disease-free state within the last six months. The findings sketched that mother with poor wash knowledge and practice was at greater risk for disease outbreaks, disease frequency and duration. The highest incidence of diarrhea was 17% in children aged 12 to 23 months. Significant effect of WASH was also found in children nutrition status, that was reflected in the ratio of stunted, underweight and wasted children. Integrated convergent work focusing on the provision of clean water within the household, stop open defecation, promotion of hand washing, behavior change and poverty alleviation is needed to improve the situation. Health, nutrition and livelihood programs should be uninterrupted, and mothers or caregivers should be encouraged to participate in these programs.

Bentuk dan Peran Kapital Sosial dalam Percepatan Penurunan Stunting di Desa Pandawangi, Lombok Timur

The Poor nutritional status of children under five years of age remains a major concern in Indonesia. Based on RISKESDAS (Basic Health Survey) 2018, NTB province was listed as one of the 10 provinces with the highest stunting rates in Indonesia with 33,49 children are stunted, and Lombok Timur district was the highest stunting in NTB with prevalence reached 43, 5 %. Considering the long-lasting effects of child malnutrition, the district government of Lombok Timur put stunting reduction program as a priority. In 2017, Pandanwangi village was selected as one pilot village for implementing the national strategy to accelerate stunting prevention and reduction. Pandanwangi village successfully implemented integrated approach dealing with stunting reduction through specific and sensitive nutrition intervention. The aim of the study was to identify the form and role of social capital on stunting reduction program activities in Pandanwangi village. This was a qualitative study on collecting information from informants the health and non-health sector. Data were collected through in-depth interviews, observation and focus group discussion. The results showed that several forms of social capital included in social bonding, bridging, linking and played a role in the acceleration of the decline in stunting. Based on the research results, each type of social capital plays an important role in creating a enabling environment in stunting reduction efforts. The results of the study also showed a synergy between various forms of social capital that allowed the community to accelerate stunting reduction in Pandawangi Village.

Assessment of Undernutrition Using Composite Index of Anthropometric Failure (CIAF) and its Determinants: A Cross-Sectional Study in the Rural Area of Bogor District in Indonesia

Background: Composite Index of Anthropometric Failure (CIAF) can assess anthropometric failure by combining the three conventional index measurements of weight-for-age, length/height-for-age, and weight-for-length/height to determine the nutritional status of children under five years. This study aims to assess undernutrition using the CIAF and its determinants on children under five years in the rural area of ​​Bogor District, in Indonesia.Methods: A cross-sectional study was conducted during February-May 2019 among 330 pairs of mother-children (under five years). Sample selected by systematic random sampling from four villages as undernutrition pockets in the rural area of ​​Bogor District, Indonesia. The nutritional status of children was assessed by measuring weight and length/height. Then, Z-score was calculated using WHO Anthro software and categorized based on conventional indices that included weight-for-age (WAZ), length/height-for-age (HAZ), weight-for-length/height (WHZ). CIAF is measured based on a combination of conventional index measurements. In addition, the characteristics of mother’s and child, and clean living behavior measured by structured questionnaires. Meanwhile, environmental sanitation is assessed by the environment meter. Binary logistic regression analysis with SPSS version 22.0 was used to analyze the dominant factors associated with undernutrition.Results: The prevalence underweight, stunted, and wasted was 27.8%, 29.7%, and 10.6% respectively. Children who are undernutrition are 42.1% according to the CIAF of which about a quarter (17.8%) of undernutrition children experience a single anthropometric failure, about half (22.2%) had dual failure, and 2.1% had multiple failures. The most dominant factor associated with underweight, stunted, and wasted is family income [p-value=0.018; AOR=5.44; 95% CI: 1.34-22.11], mother's height [p-value=<0.001; AOR=3.29; 95% CI:1.83-5.91], and child's age [p-value=0.013; AOR=2.59; 95% CI: 1.22-5.47] respectively. Mother's height is the most dominant factor associated with anthropometric failure (CIAF) [p-value=0.008; AOR=1.95; 95% CI: 2.19-3.19].Conclusion: CIAF is worthwhile in preventing undernutrition in children under five years. The CIAF can identify more malnourished children than the conventional index. CIAF can use more widely in various regions in Indonesia and other developing countries. Furthermore, improvements in improving nutrition for mother’s in the child since the First 1000 days of life period are needed to determine optimal nutritional status as an indicator of growth success.

The Effect Of Family Characteristics And Parenting Patterns On The Nutritional Status Of Toddlers In Sigumpar Village, Sigumpar District, Toba Regency In 2020

Toddler age 12-59 months is a period when children really need nutrients in sufficient and balanced amounts. Lack of nutrients at this time can cause growth disorders. At this time too, the child is still completely dependent on the care and nurturing by his mother and family characteristics. The purpose of this study was to analyze the effect of family characteristics and parenting patterns on the nutritional status of children under five in Sigumpar Village, Sigumpar District. This type of research is a survey with the type of explanatory research. The population is all mothers who have children under five totaling 52 people. The collection of data on family characteristics, eating patterns using interviews guided by questionnaires and health parenting patterns using interviews guided by questionnaires. The nutritional status of children under five is based on the BB/TB index. Data analysis used multiple logistic regression test at a significance level of 95%. The results showed that the nutritional status of children under five (1-5 years old) based on the BW/TB index was normal (40.4%) and overweight (fat) 59.6%. Family characteristics consisting of knowledge of mothers in the good category 65.4%, higher education 75.0%, family income > 1,200,000 (100%), working mothers (59.6%), eating patterns applied by mothers to children good toddler 55.8%. Likewise, the health pattern of children under five is good 61.5%. There is an effect of parenting (eating and health) on the nutritional status of children under five.

Effects of an integrated intervention on the nutritional status and IYCF practices under two years of children in the southern part of Bangladesh

Objective: The significance of appropriate infant and young children feeding (IYCF) to ensure proper nutrition for children is well-documented. Although nutrition interventions with agricultural components have the potential, the evidence for this relationship is insufficient. The objective of this study was to evaluate the effects of an integrated health-based intervention on the dietary pattern and nutritional status of children under two years of age. Methodology: This study was a pre-post analysis of secondary data of the project titled “Integrated Agriculture and Health-Based Interventions for Improved Food and Nutrition Security in Selected Districts of Southern Bangladesh”, which were collected from Barisal and Khulna district. We used data of 268 children aged 0-23 months from baseline and 554 children from endline which comprised the study population to assess socio-demographic, anthropometric and IYCF indicators. Further, horticulture, cooking and hygiene indices were created to analyze the effectiveness of the project interventions. Results: A significant reduction of stunting and underweight and insignificant reduction of wasting were observed from baseline to end line. Compared to baseline, the horticulture index, hygiene index and cooking index differ significantly between the baseline and end line surveys. Further, significant improvement of 6 months exclusive breastfeeding and insignificant improvement of continued breastfeeding up to 1 year were found from baseline to end line. Conclusion: This study shows that integrated agriculture and health-based interventions with nutrition components have a positive impact on stunting and underweight but exert a mixed effect on wasting and IYCF practices. Bioresearch Commu. 8(1): 1077-1087, 2022 (January)

Comparison of Anthropometric Indicators That Assess Nutritional Status From Infancy to Old Age and Proposal of Percentiles for a Regional Sample of Chile

Objectives: Anthropometric variables are used to evaluate health, dietary status, disease risks, and changes in body composition. The purpose of this study was to compare weight, height, and Body Mass Index (BMI) with American references from the National Center for Health Statistics (NCHS-2012), using BMI and Tri-Ponderal Mass Index (TMI) to propose percentiles for evaluating nutritional status of children, adolescents, and adults, ages 5–80 years old.Methods: A descriptive cross-sectional study was conducted in 15,436 (8,070 males and 7,366 females) children, youths and adults in the Maule region (Chile). The age range ranged from 5.0 to ~80 years of age. Weight and height were assessed. Body mass index BMI and tri-ponderal mass index (TMI) were calculated. The LMS method was used to generate percentiles.Results: The results illustrated that children were heavier and had more BMI during childhood compared to the NCHS references. During adolescence, reference values were greater until approximately ages 70–79. For height, children were relatively similar to those of the NCHS references, but during adolescence, differences became evident. Adolescence until approximately age 80, the population showed lower values for height. Percentiles were calculated using BMI and TMI by age range and sex. Differences occurred between the American NCHS references and the population with regard to the anthropometric variables of weight, height, and in BMI.Conclusion: Discrepancies with the American NCHS reference were verified in the anthropometric variables of weight, height and BMI. Reference percentiles of BMI and TMI were developed for the evaluation of the nutritional status of the regional population of Maule (Chile). Its use is suggested in clinical and epidemiological contexts.