Prevalence and associated factors of chronic undernutrition among under five children in Adama town, Central Ethiopia: a cross-sectional study design

Mekonen, Jalane; Addisu, Samrawit; Mekonnen, Hussen

doi:10.1186/s13104-019-4552-1

Cited by 19 publications

(18 citation statements)

References 13 publications

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“…In the present study, maternal education was associated with child stunting, which is a similar finding to other reports ( 40 , 41 , 43 – 53 ) . This could be explained by the close interaction between mother and child, and the role of formal education in awareness creation regarding hygiene, dietary diversity, child feeding practice and the capability of decision making.…”

Section: Discussionsupporting

confidence: 93%

The association of socio-demographic and environmental factors with stunting among under-five children in Hawassa City, Sidama National Regional State, Ethiopia

et al. 2022

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Undernutrition in children is a challenging problem in developing countries, including Ethiopia. Stunting is the most prevalent form of undernutrition. The majority of studies on childhood stunting and its associated factors focused on children, maternal and socioeconomic components. However, a few studies reported poor WaSH status and antibiotic exposure as environmental risk factors for child stunting, and the case of socio-demographic factors also lacks consistency. Concerning this, there is a lack of information in Ethiopia. Therefore, the present study assessed the association of socio-demographic, WaSH, and antibiotic exposure with stunting among under-five children. A cross-sectional study was conducted involving 340 mother–child pairs. Anthropometric data were collected using standard and calibrated height and weight scales. For factorial data, an interviewer-guided standard questionnaire was used. Logistic regression analyses were used to identify factors determining childhood stunting. In the present study, the prevalence of stunting, underweight and wasting was 14⋅7 % (95 % CI 10⋅9, 18⋅5), 4⋅4 % (95 % CI 2⋅4, 6⋅8) and 2⋅1 % (95 % CI 0⋅6, 3⋅5), respectively. Low dietary diversity, being born from a mother with an education level of secondary school, and belonging to a female-headed household were positively associated (P < 0⋅05) with stunting. The prevalence of overall undernutrition was lower (21⋅2 %) in the study area. Stunting was significantly associated with dietary diversity, maternal educational level and sex of households head. The government policy should focus on enhancing the dietary diversity of households, and encouraging women's education.

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Section: Discussionsupporting

confidence: 93%

The association of socio-demographic and environmental factors with stunting among under-five children in Hawassa City, Sidama National Regional State, Ethiopia

et al. 2022

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“…Sex and regional disparities exist in child malnutrition. In present study, we found that the prevalence of child stunting, wasting, overweight, and obesity were higher among boys than girls in China, which is in accordance with the worldwide nutrition trends based on 2416 population-based measurement studies [24], as well as the studies in European [25,26], American [27], African [28,29], and Asian [30][31][32][33] countries. Consistent with results from other studies [34,35], we found girls have a higher prevalence of underweight in China.…”

Section: Discussionsupporting

confidence: 88%

Child Nutrition Trends Over the Past Two Decades and Challenges for Achieving Nutrition SDGs and National Targets in China

Yang

Huang

Liu

et al. 2020

IJERPH

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Background: The objectives of the current study were to identify the trends in child nutrition, the gaps in achieving child nutrition-related goals, and implications for program and policy options for the Chinese government. Methods: Eight child nutrition-related indicators from the Sustainable Development Goals (SDGs) and China's national nutrition plans, and two datasets, Global Burden of Disease 2016 and Chinese National Nutrition and Health Surveillance, were used in our analysis. Results: Over the past 26 years, the prevalence of stunting, wasting, and underweight for children under 5 years was reduced by 58.7%, 53.4%, and 69.2%, respectively. Overweight for children aged 1-4 years increased 88.9% and obesity increased 2.14 times. Exclusive breastfeeding of newborns (7-28 days) was stable, at about 30%. We estimated child wasting would be 3.0% lower than the target of 5.0% based on predictive values for meeting the SDGs in 2025. The number of stunted children under five years would be reduced by 39.7%, while overweight would increase 2.2% throughout China. Conclusion: These results highlight the urgent need for targeted policies and interventions to reduce child stunting and overweight and increase exclusive breastfeeding to improve child health and meet the SDG targets and China's national goals.

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“…Nine studies were from Amhara [ 26 , 42 , 65 , 76 , 79 , 80 , 84 , 86 , 89 ] and SNNP regions [ 55 , 58 , 60 , 67 , 73 , 75 , 78 , 82 , 83 ]. Studies from Oromia Region ( n = 7) [ 25 , 56 , 59 , 66 , 71 , 77 , 87 ], Tigray Region( n = 3) [ 64 , 69 , 70 ], Somalia Region, Ethiopia ( n = 2) [ 57 , 74 ], Benishangul-Gumz Region ( n = 1) [ 88 ], and Afar Region ( n = 2) [ 68 , 81 ], and six studies were nation-based [ 61 , 62 , 72 , 85 , 90 , 91 ] ( Table 1 ).…”

Section: Resultsmentioning

confidence: 99%

Low Economic Class Might Predispose Children under Five Years of Age to Stunting in Ethiopia: Updates of Systematic Review and Meta-Analysis

Kassaw

Bitew

Gebremariam

et al. 2020

Journal of Nutrition and Metabolism

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Background. Malnutrition is major public health problem worldwide, particularly in developing countries including Ethiopia. In 2016, out of 667 million children under five years of age, 159 million were stunted worldwide. The prevalence of stunting has been decreasing greatly from 58% in 2000 to 44% in 2011 and 38% in 2016 in Ethiopia. However, the prevalence of stunting is still high and considered as public health problem for the country. The aim of this systematic review and meta-analysis is to assess the prevalence of stunting and its associations with wealth index among children under five years of age in Ethiopia. Methodology. The databases searched were MEDLINE, Scopus, HINARI, and grey literature studies. The studies’ qualities were assessed by two reviewers independently, and any controversy was handled by other reviewers using the Joanna Briggs Institute (JBI) critical appraisal checklist. The JBI checklist was used in assessing the risk of bias and method of measurement for both outcome and independent variables. Especially, the study design, study participants, definition of stunting, statistical methods used to identify the associations, results/data presentations, and odds ratios (ORs) with confidence intervals (CIs) were assessed. In the statistical analysis, the funnel plot, Egger’s test, and Begg’s test were used to assess publication bias. The I2 statistic, forest plot, and Cochran’s Q-test were used to deal with heterogeneity. Results. In this review, 35 studies were included to assess the pooled prevalence of stunting. Similarly, 16 studies were used to assess the estimated effect sizes of wealth index on stunting. In this meta-analysis, the pooled prevalence of stunting was 41.5% among children under five years of age, despite its considerable heterogeneity (I2 = 97.6%, p < 0.001 , Q = 1461.93). However, no publication bias was detected (Egger’s test p = 0.26 and Begg’s test p = 0.87 ). Children from households with a medium or low/poor wealth index had higher odds of stunting (AOR: 1.33, 95% CI 1.07, 1.65 or AOR: 1.92, 95% CI 1.46, 2.54, respectively) compared to children from households with a high/rich wealth index. Both of the estimated effect sizes of low and medium wealth indexes had substantial heterogeneity (I2 = 63.8%, p < 0.001 , Q = 44.21 and I2 = 78.3%, p < 0.001 , Q = 73.73) respectively). In estimating the effect, there was no publication bias (small-studies effect) (Egger and Begg’s test, p > 0.05 ). Conclusions. The pooled prevalence of stunting was great. In the subgroup analysis, the Amhara region had the highest prevalence of stunting, followed by the Oromia and Tigray regions, respectively. Low economic status was associated with stunting in Ethiopia. This relationship was found to be statistically more accurate in Oromia and Amhara regions. The government should emphasize community-based nutrition programs by scaling up more in these regions, just like the Seqota Declaration.

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Prevalence and associated factors of chronic undernutrition among under five children in Adama town, Central Ethiopia: a cross-sectional study design

Cited by 19 publications

References 13 publications

The association of socio-demographic and environmental factors with stunting among under-five children in Hawassa City, Sidama National Regional State, Ethiopia

The association of socio-demographic and environmental factors with stunting among under-five children in Hawassa City, Sidama National Regional State, Ethiopia

Child Nutrition Trends Over the Past Two Decades and Challenges for Achieving Nutrition SDGs and National Targets in China

Low Economic Class Might Predispose Children under Five Years of Age to Stunting in Ethiopia: Updates of Systematic Review and Meta-Analysis

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