Dietary determinant of severe acute malnutrition among infants: Evidence from a case controlled study at a Central Indian district

Pandey, Pavan; Singh, Shivendra Kumar

doi:10.3329/seajph.v6i1.30342

Cited by 6 publications

(9 citation statements)

References 13 publications

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“…A diversified diet is essential to fulfill high requirements of energy and micronutrients to sustain rapid physical growth and development during early childhood and is an effective intervention to tackle undernutrition ( 41 ) . Optimal complementary feeding is critical to reduce undernutrition ( 42 ) , but low coverage of complementary feeding interventions in developing countries, poor maternal literacy about optimal breast-feeding and complementary feeding practices ( 43 , 44 ) , as well as limited production of diverse foods and lack of accessibility and affordability of nutrient-dense foods can be constraints associated with sub-optimal complementary feeding ( 45 , 46 ) . Although sup-optimal complementary feeding practice is common in Sub-Saharan Africa, children from the poorest households are the most affected ( 47 ) .…”

Section: Discussionmentioning

confidence: 99%

Predictors of wasting among children under-five years in largely food insecure area of north Wollo, Ethiopia: a cross-sectional study

Anato

2022

J Nutr Sci

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Child undernutrition is widespread in low- and middle-income countries and is linked with weakened immunity and increased risks of morbidity and mortality. Ethiopia has made a marked reduction in stunting, but there has, however, been little progress in wasting reduction and limited evidence in food insecure areas may hamper the design of effective interventions. Therefore, the aim of the present study was to determine the contributing factors to persistent high prevalence of wasting among 6–59-month-old children. A community-based cross-sectional study was employed in February to March 2020, and included 384 mother–child pairs. Data were collected using a structured interviewer-administered questionnaire. Bivariate and multivariable logistic regression analyses were conducted. The overall prevalence of wasting was 12⋅8 % (95 % CI 9⋅1, 16⋅1); with 5⋅8 % severely wasted. Factors significantly associated with wasting were child age 6–23 (v. 24–59 months), delayed initiation of breast-feeding, diarrhoeal illness in the last 2 weeks, poor dietary diversity and low socioeconomic status. The present findings support that aligning poverty reduction interventions and healthcare services is important to accelerate wasting reduction more equitably and achieve the World Health Assembly's target and SDG goal #2 in the coming years. Improving accessibility and affordability of nutritious foods and early diagnosis and treatment of childhood morbidity are critical to address childhood wasting in the context of food insecure areas.

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Section: Discussionmentioning

confidence: 99%

Predictors of wasting among children under-five years in largely food insecure area of north Wollo, Ethiopia: a cross-sectional study

Anato

2022

J Nutr Sci

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“…Dietary intake >3 times is associated with SAM, and these findings suggest that the best feeding practices of under-five children are essential for their growth and immunity. Good feeding practice among under-five children helps to prevent acute malnutrition and growth retardation [31].…”

Section: Discussionmentioning

confidence: 99%

Maternal profiles and social determinants of severe acute malnutrition among children under-five years of age: A case-control study in Nepal

Hossain¹,

Niroula²,

Duwal³

et al. 2020

Heliyon

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Background: Addressing the determinants of severe acute malnutrition (SAM) among children remains a challenge in Nepal. This study investigated the effect of maternal and social determinants of SAM among under-five children of Nepal. Methods: We conducted a hospital-based unmatched case-control study with 256 under-five children (128 cases and 128 controls). The children aged 6-59 months were taken, and the cases and controls were defined based on mid-upper arm circumference (MUAC). Results: Backward Stepwise logistic regression analysis of 6-59 months children showed that the odds of SAM were lower among male children (AOR ¼ 0.50, 95% CI ¼ 0.27-0.92), mothers from high socioeconomic status (AOR ¼ 0.469, 95% CI ¼ 0.26-0.83), breastfeeding 6-12 months (AOR ¼ 0.21, 95% CI ¼ 0.05-0.68), breastfeeding !13 months (AOR ¼ 0.18, 95% CI ¼ 0.05-0.54) and optimal complementary feeding (AOR ¼ 0.40, 95% CI ¼ 0.22-0.70). SAM was significantly higher among children of the age group 6-24 months (AOR ¼ 2.57, 95% CI ¼ 1.30-5.22) and children with a history of diarrhea (AOR ¼ 1.75, 95% CI ¼ 0.92-3.39). Conclusions: In order to reduce the children's SAM, it is necessary to scale up services to improve the socioeconomic status which includes the education, occupation, and monthly income of the mother. Girls of age group 6-24 months were more likely to develop SAM. Two contributing factors to decrease SAM are the importance of exclusive breastfeeding practices and the availability and usage of soap in hand washing, which are ideal for low cost interventions. To reduce SAM in Nepal, a focus on enhancing complementary feeding through increased affordability of nutritious foods is also needed.

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“…7,8 We seriously believe this be due to a multifactorial cause of malnourishment; several studies have mentioned an array of social, nutritional, water, sanitation and hygiene, and other determinants of malnourishment. [9][10][11][12] We thus recommend the design of holistic programmes for preventing the onset of malnourishment, which must involve strategies for increasing awareness about correct infant and young child feeding practices (IYCF), providing clean drinking water, sanitary toilets and family planning services (to parents) in addition to providing nutritious food to children. 13 Recent scientific evidence suggests that nutritional status (especially height for age) of a child during the first two years of life is crucial for proper cognitive development.…”

Section: Discussionmentioning

confidence: 99%

“…[25][26][27][28][29][30] Although most such trials predominantly focused on feeding SAM children with a variety of ready-to-use therapeutic foods (RUTF), [28][29][30] we stress that this alone will not totally reduce the burden of severe malnourishment because of its multifactorial origin. [9][10][11][12] Limitations, suggestions and direction for future research…”

Section: Discussionmentioning

confidence: 99%

Time spent being malnourished during the first five years of life! An unseen aspect of child malnutrition

Pandey¹,

Jain²,

Parihar³

et al. 2018

Trop Doct

Self Cite

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The burden of malnutrition is often estimated in terms of 'prevalence' without considering two important contributing factors: incidence and duration. To illustrate this, we conducted a community-based retrospective cohort study involving 24,278 children enrolled in an integrated child development scheme in India. Anthropometric data of study participants from birth to five years of age were collected from the growth charts maintained by Anganwadi workers. Of all the growth charts reviewed, 1460 (6.0%) children died before their fifth birthday and 4013 (16.5%) were excluded after initial screening because either the growth chart was incomplete (4.8%) or had missing entries (11.7%). Of the remaining 20,265 children included in the study, in the first five years of their life, 35.6% suffered from exclusive moderate malnourishment and 9.4% from severe malnourishment. The most common age groups for the onset of moderate and severe malnutrition were 9-11 months and 12-15 months, respectively. The mode, median and mean duration of time spent by children being severely underweight was 3, 7 and 8.4 months respectively, and being moderately underweight was 8, 11 and 15.1 months, respectively. Thus, a comprehensive strategy for preventing the onset of malnutrition (both moderate and severe) among children is urgently needed.

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Dietary determinant of severe acute malnutrition among infants: Evidence from a case controlled study at a Central Indian district

Cited by 6 publications

References 13 publications

Predictors of wasting among children under-five years in largely food insecure area of north Wollo, Ethiopia: a cross-sectional study

Predictors of wasting among children under-five years in largely food insecure area of north Wollo, Ethiopia: a cross-sectional study

Maternal profiles and social determinants of severe acute malnutrition among children under-five years of age: A case-control study in Nepal

Time spent being malnourished during the first five years of life! An unseen aspect of child malnutrition

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