Background
Malnutrition presents a major global health burden. In Egypt, it remains an important issue in children under 5 years especially in urban communities. This increased the interest in screening the pediatrics outpatient clinics for early detection and proper management of malnutrition.
Aim of the study:
The aim of the study was to screen 2–5 years old children enrolled from Egyptian hospitals in rural and urban areas for the risk of malnutrition using Screening Tool for Assessment of Malnutrition in Pediatric (STAMP) and to evaluate the effectiveness of nutritional intervention program.
Subjects and Methods:
This cross-sectional study was conducted on 90 patients recruited from Bolaque El-Dakror hospital in urban Cairo, and El-Badrashine hospital representing rural areas. Dietary history and anthropometric measurements were assessed. Patients at intermediate and severe risk of malnutrition according to STAMP were given tailored nutritional programs and were followed up.
Results
In the rural hospital, 4.4% of the screened children were underweight, 22.2% were marginally underweight, and 73.3% had normal weight. Regarding the urban hospital, 15.6% were marginally underweight, 84.4% had normal weight and no patients were underweight. Among the rural group 46.7% were at low risk of malnutrition, 17.8% were at intermediate risk and 35.6% were at high risk according to STAMP score results. In the urban group 71.1% were at low risk, 8.9% were at intermediate risk and 20% were at high risk. Nevertheless, the only significant differences were the more stunting and higher BMI in rural hospital patients. After nutritional intervention, high-risk category patients decreased in both groups coupled by significant improvement in the anthropometric parameters and nutrition data with no significant differences between them.
Conclusion
Nutritional education and prompt implementation of nutritional rehabilitation program for malnourished children detected by screening tools result in improvement in their nutritional status disregards their location whether urban or rural.
This study was carried out on 6 th instar larvae of Spodoptera littoralis treated in 2 nd instar larvae with LC 50 of Match and Protecto at 0.0057 ppm, and 0.1099 gm/ml., respectively, Five random primers were used in this study to generate a fragmenting pattern as a tool to investigate the molecular differences between treated samples and control. The numbers of unique and common fragments generated by using these primers (OPO1, OPO2, OPO3, OPO4 and OPO5) was recorded. It has been found that primer OPO2 was the most powerful in generating a unique informative fragmenting pattern, it gave 4 specific unique fragments. The primer OPO4 was the poorest one in generating an informative fragmenting pattern.
Background
Malnutrition presents a major global health burden. In Egypt, it remains an important issue in children under 5 years especially in urban communities. This increased the interest in screening the pediatrics outpatient clinics for early detection and proper management of malnutrition.
Aim of the study:
The aim of the study was to screen 2–5 years old children enrolled from Egyptian hospitals in rural and urban areas for the risk of malnutrition using Screening Tool for Assessment of Malnutrition in Pediatric (STAMP) and to evaluate the effectiveness of nutritional intervention program.
Subjects and Methods:
This cross-sectional study was conducted on 90 patients recruited from Bolaque El-Dakror hospital in urban Cairo, and El-Badrashine hospital representing rural areas. Dietary history and anthropometric measurements were assessed. Patients at intermediate and severe risk of malnutrition according to STAMP were given tailored nutritional programs and were followed up.
Results
In the rural hospital, 4.4% of the screened children were underweight, 22.2% were marginally underweight, and 73.3% had normal weight. Regarding the urban hospital, 15.6% were marginally underweight, 84.4% had normal weight and no patients were underweight. Among the rural group 46.7% were at low risk of malnutrition, 17.8% were at intermediate risk and 35.6% were at high risk according to STAMP score results. In the urban group 71.1% were at low risk, 8.9% were at intermediate risk and 20% were at high risk. Nevertheless, the only significant differences were the more stunting and higher BMI in rural hospital patients. After nutritional intervention, high-risk category patients decreased in both groups coupled by significant improvement in the anthropometric parameters and nutrition data with no significant differences between them.
Conclusion
Nutritional education and prompt implementation of nutritional rehabilitation program for malnourished children detected by screening tools result in improvement in their nutritional status disregards their location whether urban or rural.
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