Prevalence of underweight and wasting in Iranian children aged below 5 years: a systematic review and meta-analysis

Moradi, Yousef; Shadmani, Fatemeh Khosravi; Mansori, Kamyar; Hanis, Shiva Mansouri; Khateri, Rozhin; Mirzaei, Hossein

doi:10.3345/kjp.2018.61.8.231

Cited by 5 publications

(5 citation statements)

References 29 publications

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“…Studies have generally reported that sex-based differences may be due to various factors, such as differences in nutritional status, hormone levels, physiological and behavioral characters, and socioeconomic status. Cultural differences and sex-based differences can affect a child’s nutritional status, health, and care [34,38-42]. In the present study, the attitude of the Iranian people towards obesity and overweight in boys and girls and their degree of sensitivity to fitness can explain the higher prevalence of overweight and obesity in boys than in girls because obesity and overweight are less socially acceptable in girls than in boys [43].…”

Section: Discussionmentioning

confidence: 78%

Prevalence of obesity and overweight in Iranian children aged less than 5 years: a systematic review and meta-analysis

Mansori¹,

Khateri²,

Moradi³

et al. 2019

Korean J Pediatr

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The present study aimed to determine the prevalence of childhood obesity and overweight in Iranian children under 5 years of age using a systematic review and meta-analysis. Methods: We searched MEDLINE (PubMed), Web of Science, Google Scholar, Scopus, CINHAL, and the Iranian databases, including Scientific Information Database (www.sid.ir), Iranian Research Institute for Information Science and Technology (Irandoc.ac.ir), Iranmedex (www.iranmedex.com), and Magiran (www.magiran.com), for all articles published between January 1989 and August 2017. Sources of heterogeneity were determined using subgroup analysis and meta-regression. Results: Six articles were ultimately included in the meta-analysis to estimate the pooled prevalence, based on which the prevalence of obesity and overweight were estimated to be 8% (95% confidence interval [CI], 6%-10%) and 9% (95% CI, 7%-11%), respectively. The results of the subgroup analysis showed that the prevalence of obesity in boys and girls was 9% (95% CI, 6%-13%) and 7% (95% CI, 4-10%), respectively, and the prevalence of overweight in boys and girls was 10% (95% CI, 5%-15%) and 9% (95% CI, 5%-13%), respectively. Conclusion: Despite high heterogeneity among the results of the articles included in the meta-analysis, the prevalence of obesity and overweight is higher in Iranian children under 5 years of age. Therefore, parents and the health system must pay more attention to the lifestyle, nutritional habits, and physical activity of these children.

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Section: Discussionmentioning

confidence: 78%

Prevalence of obesity and overweight in Iranian children aged less than 5 years: a systematic review and meta-analysis

Mansori¹,

Khateri²,

Moradi³

et al. 2019

Korean J Pediatr

Self Cite

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“…[ 12 - 14 ] Previous studies have found insufficient food intake as the main reason for this finding. [ 12 - 14 ] Moreover, behavioral problems related to eating and lack of proper education of parents are the next influential factors in this deficiency. [ 12 - 14 ] Lack of adequate protein intake impairs height weight growth throughout affecting musculoskeletal growth.…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…PEM is the most common type of malnutrition among Iranian children,[ 12 - 14 ] and usually the median protein intake among Iranian children is less than recommended for their age group. [ 12 - 14 ] Previous studies have found insufficient food intake as the main reason for this finding. [ 12 - 14 ] Moreover, behavioral problems related to eating and lack of proper education of parents are the next influential factors in this deficiency.…”

Section: Introductionmentioning

confidence: 99%

“…[ 12 - 14 ] Moreover, behavioral problems related to eating and lack of proper education of parents are the next influential factors in this deficiency. [ 12 - 14 ] Lack of adequate protein intake impairs height weight growth throughout affecting musculoskeletal growth. On the other hand, lack of protein intake by affecting the process of carbohydrate metabolism (glycogen storage of liver and muscle) leads to insufficient supply of substrate for the anabolic process participating in growth.…”

Section: Introductionmentioning

confidence: 99%

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Evaluating the effect of cow’s milk fortified with albumin powder on malnutrition and anthropometric indices in primary-school children with mild-to-moderate underweight: A randomized double-blinded clinical trial

Davarpanah,

Ziaee,

Esmaeilinezhad

et al. 2023

Journal of Research in Medical Sciences

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Background: A proper diet plan is one of the necessary conditions for maintaining the children’s health. The aim of this study was to evaluate the effect of consumption of pasteurized cow’s milk fortified with albumin protein in primary-school children, in Yasuj, Iran. Materials and Methods: In this double-blind randomized clinical trial with 12 weeks of duration, 60 children aged 7–13 years, mild to moderate underweight (−1≥ weight-for-age z -score ≥−3), were randomly assigned to control and albumin groups. The albumin group and the control group received 200 cc of milk with 10 g of albumin powder and 200 cc of milk with 10 g of cornstarch powder, respectively. At the beginning and end of the study, food intake and anthropometric indices were measured. Results: After 12 weeks of intervention, none of the anthropometric indices (weight, weight-for-age z -score, body mass index (BMI), BMI-for-age z -score, and waist circumference) showed significant changes as compared to baseline in the control group, but weight-for-age z -score and BMI-for-age z -score showed significant increase as compared to baseline in the albumin group (before: −2.25 ± 0.40, after: −1.98 ± 0.35, P = 0.001 and before: −3.48 ± 0.86, after: −3.06 ± 0.71, P = 0.009, respectively). The comparison of the mean changes between the two groups showed significant difference regarding weight-for-age z -score (control group: −1.70 ± 0.31 in comparison with albumin group: −1.98 ± 0.35, P = 0.002), BMI (control group: 12.08 ± 1.96 in comparison with albumin group: 12.13 ± 1.49, P = 0.03), and BMI-for-age z -score (control group: −3.11 ± 0.91 in comparison with albumin group: −3.06 ± 0.71, P = 0.02). Conclusion: The consumption of albumin powder with milk can improve weight-for-age z -score and BMI-for-age z -score indices in children with mild-to-moderate underweight. Larger controlled interventional studies with longer duration are recommended.

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Mapping wasted children using data from the Ethiopia Demographic and Health Surveys between 2000 and 2019: A bayesian geospatial analysis

2023

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Prevalence of underweight and wasting in Iranian children aged below 5 years: a systematic review and meta-analysis

Cited by 5 publications

References 29 publications

Prevalence of obesity and overweight in Iranian children aged less than 5 years: a systematic review and meta-analysis

Prevalence of obesity and overweight in Iranian children aged less than 5 years: a systematic review and meta-analysis

Evaluating the effect of cow’s milk fortified with albumin powder on malnutrition and anthropometric indices in primary-school children with mild-to-moderate underweight: A randomized double-blinded clinical trial

Mapping wasted children using data from the Ethiopia Demographic and Health Surveys between 2000 and 2019: A bayesian geospatial analysis

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