Effects of Nutritional Status on Neurodevelopment of Children Aged Under Five Years in East Gojjam, Northwest Ethiopia, 2021: A Community-Based Study

Abstract

Introduction Scientific evidence regarding relationships between developmental status and nutritional status of children aged under five years old is scarce, particularly in Africa. Thus, the objective of the present study is to evaluate the relationships between nutritional status and developmental status among children aged under five in Gojjam, Ethiopia. Methods A cross-sectional study was conducted on 390 child–mother pairs from December 1–30 2021. Developmental status, nutritional status and related data were collected using age and stage questionnaire 3rd edition (ASQ-3) and measurements of body dimensions and other physical characteristics. Body dimensions data was obtained by measurement of height and weight of children aged under five years. Logistic regression analysis was executed to identify factors related with poor child developmental status. Adjusted odds ratio (AOR) and 95% CI was estimated to reveal the strength of association and statistical significance were declared at p-value less than 5%. Results The overall prevalence of developmental delay in the current study among under five years children was 22.6%. Moreover, in this study the prevalence of stunting, wasting and being underweight was 36.3%, 14.2% and 20.3%, respectively. Developmental delay among under-five children was significantly associated with experiencing repeated diseases during pregnancy (AOR: 2.43; 95% CI:1.38, 4.28), short birth interval (AOR: 2.78; 95% CI :1.52, 5.09), stunting (AOR: 2.61;95% CI: 1.41, 4.84), wasting (AOR: 3.68;95% CI: 1.61, 8.37) and being underweight (COR: 3.28;95% CI: 1.91, 5.63). Conclusion The overall developmental delay prevalence among under-five children in the present study was 22.6%. The prevalence of stunting, wasting and being underweight was 36.3%, 14.2% and 20.3%, respectively. Maternal diseases, birth interval and nutritional status of children aged under five years were among the factors which revealed statistically significant associations with developmental delay of under-five children. We recommend the concerned body to work on improving maternal health status during pregnancy, to enable mothers to adequately space subsequent births, and to work on improving the nutritional status of women and children in the current study area in order to improve the developmental status of children aged under five.

Malnutrition and Developmental Delay Presenting as Complications of Late Onset Hirschprung’s disease : A Case Report

“…Khandelwal et.al revealed that a Z-Score of less than three SD and the presence of anemia were significantly associated with developmental delay 7 . In the same way, other previous studies revealed that under-nutritional status, that is being underweight, stunting, and wasting, among under-five children was significantly associated with developmental delay 8 . These studies are in line with our findings that the patient underwent a delay in four major domains of development: gross-motor, fine-motor, language, and personal-social domain.…”

The influence of education by using 5J pregnancy nutrition guidebook for the prevention of fetal growth restriction and maternal nutritional sufficiency

“…Often, we don't realize that these interactions are very complex, so sometimes we don't have the opportunity to think about why someone exhibits a particular behavior. Therefore, it is very important to examine the Fonda Octarianingsih Shariff 1 *, Kevin Andhara Setya Prameswari 1 , Imelda Carolia 2 1 Fakultas Kedokteran, Universitas Malahayati 2 Puskesmas Gedong Tataan Corresponding author email: *fondashariff@malahayati.ac.id reasons behind an individual's behavior before being able to change that behavior (Wawan & Dewi, 2011).…”