A longitudinal assessment of the diet and growth of malnourished children participating in nutrition rehabilitation centres in Accra, Ghana

Colecraft, Esi K; Marquis, Grace S; Bartolucci, Alfred A.; Pulley, LeaVonne; Owusu, William; Maetz, H. Michael

doi:10.1079/phn2003553

Cited by 30 publications

(31 citation statements)

References 11 publications

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“…9 Cole craft et al in a study at four day care NRCs also reported a significant increase in weight for age for the admitted children. 10 Present study showed that mean MUAC at admission was 11.8±0.7 cm and at discharge was 12.13±0.7cm. The difference was observed to be statistically highly significant (t=12.54, p<0.001).…”

Section: Discussionmentioning

confidence: 83%

Evaluation of the effects of nutrition intervention measures on admitted children in nutritional rehabilitation center, Gulbarga, India

Hashmi

Kumar

2016

Int J Community Med Public Health

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INTRODUCTIONNutrition is one of the most important factor affecting the growth and development of children and nutritional status is the best global indicator of well-being in children. However, even after a decade of galloping economic growth, India is facing the problem of malnutrition among fewer than five children. Malnutrition weakens immune response and aggravates the effects of infection and so, children who are malnourished tend to have more severe diarrheal episodes and are at a higher risk of pneumonia trapping the children in a vicious cycle of malnutrition.1 Globally, 162 million under-five year children were stunted in 2012, of which 56 percent of all stunted children lived in Asia and 36% in Africa.99 million under-five children were underweight of which 67% lived in Asia and 29% in Africa.2 In India, 42.5% under five children are underweight, 48 % are stunted and 19.8 % are wasted. 3ABSTRACT Background: Children with severe acute malnutrition require immediate attention along with proper nutritional rehabilitation for which nutritional rehabilitation centers (NRC) has been established. Even with establishment of NRCs the proportion of severe acute malnutrition in community has not been reduced. Thus it is necessary to know the effect of nutritional interventions on children admitted to these centers. Present study was done to analyze the effect of nutritional interventions on the children admitted to nutritional rehabilitation centre by reviewing the anthropometric indicators. Methods: A longitudinal observational study was done among the children admitted to NRC from January 2013 to June 2014. A predesigned and pre-tested proforma was used to collect the socio demographic information. Admitted children were observed to analyze the effects of interventional measures on select anthropometric indicators. The data collected was entered in Microsoft excel sheet and analyzed. Results: Majority of the admitted children (41.77%) was in 12-23 months age group. 88(51.76%) were females and 82(48.24%) were males. Overall mean weight at admission was 7.19±1.57 kgs; for males it was 7.23±1.54 kgs and for females it was 7.16±1.60 kgs. The overall mean weight at discharge is 7.94±1.77 kgs for males it was 8.01±1.82 kgs and for females it was 7.88±1.72 kgs. The average weight gain for the study group during their stay at the centre was 7.9±1.6 g/kg/day. The target weight was achieved only by 26% of admitted children. Conclusions: Nutritional rehabilitation centers are effective in management of severe malnutrition. However improvements are necessary to ensure the full recovery of all children admitted.

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Section: Discussionmentioning

confidence: 83%

Evaluation of the effects of nutrition intervention measures on admitted children in nutritional rehabilitation center, Gulbarga, India

Hashmi

Kumar

2016

Int J Community Med Public Health

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“…It is normally reported that the average age at admission in centres for nutritional recovery is 12 months or less (6,17) . In the present study, no difference was found among groups of patterns of recovery and the average age at admission was 24 months, twice that reported in other studies.…”

Section: Recovery Processmentioning

confidence: 99%

“…Thus, treatment of the chronically undernourished child is necessary and perhaps is best done away from the daily living conditions, giving rise to 'daily care', but non-residential, treatment centres. However, the effectiveness of such centres on growth and maturation has rarely been reported (6,7) . Generally, national policies to fight undernutrition have consisted of food distribution to high-risk groups (e.g.…”

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confidence: 99%

Height and weight gains in a nutrition rehabilitation day-care service

Vieira

Ferraro

Souza

et al. 2010

Public Health Nutr.

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Objective: To evaluate nutritional recovery patterns in 106 undernourished children assisted by the Center of Nutritional Recovery and Education (CREN, in Portuguese) between January 1995 and December 1999. Design: CREN assists undernourished children aged 0 to 72 months living in the southern regions of Sao Paulo, in an outpatient setting. Nutritional status was assessed by Z-scores of weight-for-age, height-for-age and weight-for-height. Nutritional recovery evaluation considered Z-score gains in weight-for-age and height-for-age, grouping into four categories (Z-score increment of 0?50 between groups). Children with birth weight less than 2500 g were classified as low birth weight (LBW), while those born at term and with LBW were classified as small for gestational age. Setting: CREN (Center of Nutritional Recovery and Education in Portuguese), Sao Paulo, Brazil. Subjects: One hundred and six children from CREN. Results: Among the 106 evaluated children, ninety-eight (92?5 %) recovered their weight or height and seventy-two (67?9 %) recovered both. Nearly half of studied children presented a nutritional recovery (increase in Z-score) of more than 0?50 in height-for-age (46?2 %) and about 40 % in weight-for-age (38?7 %). Multivariate analysis showed that treatment duration and initial weight-for-age contributed to weight-for-age Z-score increment, explaining 25 % of the variation; and treatment duration, initial height-for-age and weight-for-age Z-score increment contributed to height-for-age Z-score increment, explaining 62 % of the variation. Conclusions: Our findings show that nutritional recovery among children who attended CREN was influenced primarily by the degree of nutritional deficit at admission. It has also been shown that biological variables are more important than socio-economic status in determining the rate of nutritional recovery.

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“…9 Cole craft et al in a study at four day care NRCs also reported a significant increase in weight for age for the admitted children. 10 The children were on therapeutic diets F75, F100 as starter and catch up formula feeds while in NRC. Older children were given solid feeds like halwa, khichri, etc.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the Effects of Nutritional Intervention Measures on Sam Children in a Nutritional Rehabilitation Centre, Acsr Government Medical College, Nellore, A. P.

Nirmala¹,

Varalaxmi²,

Ratnamanjula³

et al. 2016

jemds

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BACKGROUNDMalnutrition among children is widely prevalent in developing countries including India. More than 33% of deaths in children less than 60 months of age are associated with malnutrition. 1 To reduce the mortality and morbidity among children with severe acute malnutrition, the government has established nutritional rehabilitation centres across India in the districts and in the teaching medical colleges. A study was done at ACSR Govt. Medical College to analyse the effects of nutritional interventions on SAM children in a facility based Nutritional Rehabilitation Centre.

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A longitudinal assessment of the diet and growth of malnourished children participating in nutrition rehabilitation centres in Accra, Ghana

Cited by 30 publications

References 11 publications

Evaluation of the effects of nutrition intervention measures on admitted children in nutritional rehabilitation center, Gulbarga, India

Evaluation of the effects of nutrition intervention measures on admitted children in nutritional rehabilitation center, Gulbarga, India

Height and weight gains in a nutrition rehabilitation day-care service

Evaluation of the Effects of Nutritional Intervention Measures on Sam Children in a Nutritional Rehabilitation Centre, Acsr Government Medical College, Nellore, A. P.

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