Risk factors associated with wasting among children aged 6  to 24 months old in Gaza strip

Yassin, Maged M.; Taha, Mohanad Abd Elateef; Jamiea, Samar M Abu

doi:10.14419/ijm.v4i1.5989

Cited by 5 publications

(5 citation statements)

References 21 publications

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“…Children who were ill in the prior 2 weeks of data collection day were more likely to have wasting than children who were not ill. This finding is consistent with previous study findings in developing countries [16, 25, 26, 36, 39, 40]. This is due to the fact that illness decreases appetite and interfere digestion and absorption of nutrients which directly lead to under-nutrition and by reducing the immune response it exacerbates illness.…”

Section: Discussionsupporting

confidence: 93%

Food security is not the only solution to prevent under-nutrition among 6–59 months old children in Western Amhara region, Ethiopia

Demilew

Alem

2019

BMC Pediatr

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BackgroundIn spite of surplus food production, in Amhara region, a significant number of children had under-nutrition. Investigating factors associated with under-nutrition in food secured households is crucial to design preventive measures. Therefore, the objective of this study was to assess under-nutrition and associated factors among 6–59 months old children in food secured households in Western Amhara Region, Ethiopia.MethodsA community-based cross-sectional study was performed using interviewer-administered questionnaire on 6–59 months old children from Jun 01–30/ 2017. A multi-stage sampling strategy was used to select study participants. Prevalence of stunting, underweight, wasting and overweight/obesity were computed. Predictors were assessed using logistic regression analysis.ResultThe prevalence of stunting, underweight, wasting and overweight/obesity were 40%, 19.8%, 11.6%, and 2.7%, respectively. Having mother who have no formal education (AOR] =2.21, 95% CI: [1.5, 3.2]), taking less diversified food (AOR =1.7, 95% CI: [1.1, 2.5]), having mother who did not wash her hands before food preparation (AOR =1.46, 95% CI: [1.1, 2.0]) and living in the households where solid wastes managed by scattering in the field (AOR =1.6, 95% CI: [1.1, 2.1]) were predictors of stunting. Whereas, wasting was associated with having illness in the prior two weeks of data collection day (AOR =2.7, 95% CI: [1.6, 4.7]), lack of getting antenatal care (AOR =2.0, 95% CI: [1.1, 3.4]) and taking food less than four times per day (AOR =2.00, 95% CI: [1.2, 3.2]).ConclusionThe prevalence of under-nutrition was very high. Therefore, health professionals and health extension workers should give nutrition counseling about the frequency and diversity of meal, environmental and personal hygiene by giving emphasis to mothers who have no formal education.Electronic supplementary materialThe online version of this article (10.1186/s12887-018-1386-2) contains supplementary material, which is available to authorized users.

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Section: Discussionsupporting

confidence: 93%

Food security is not the only solution to prevent under-nutrition among 6–59 months old children in Western Amhara region, Ethiopia

Demilew

Alem

2019

BMC Pediatr

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“…In addition, household food insecurity was associated with mean MUAC in children in terms of age z-scores, underweight, and acute undernutrition, but not with stunting and wasting. Studies conducted in the Gaza strip and developing countries indicated an association between household food insecurity and child underweight (38)(39)(40)(41)(42). Moreover, this result was in accordance with the UNICEF conceptual framework for malnutrition in developing countries; household food insecurity adversely affects the nutritional status of children by reducing the quantity and quality of food intake (37).…”

Section: Discussionsupporting

confidence: 68%

Households' Food Insecurity and Their Association With Dietary Intakes, Nutrition-Related Knowledge, Attitudes and Practices Among Under-five Children in Gaza Strip, Palestine

Bilbeisi

Al-Jawaldeh

Albelbeisi

et al. 2022

Front. Public Health

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The present study aimed to determine the households' food insecurity and their association with dietary intakes, nutrition-related knowledge, attitudes and practices (KAP) among under-five children in the Gaza Strip, Palestine. This cross-sectional study was conducted in 2021 among a representative sample of under-five children. A total of 350 children and their proxy were selected from all Gaza strip governorates, using a cluster random sampling method. The Radimer/Cornell food-security scale was used. A 24-h dietary recall was employed for dietary intakes assessment. Nutrition-related KAP for feeding under-five children, anthropometric measurements, and demographic-socioeconomic characteristics were obtained with an interview-based questionnaire. Statistical analysis was performed using SPSS version 25. The children from food-insecure households had a high prevalence of moderate underweight (30.4%), stunting (32.8%), wasting (9.6%), and acute undernutrition (30.4%). Between food-insecure and food-secure groups there were significant differences in weight, height/length, mid-upper arm circumference, weight-for-age and mid-upper arm circumference z-scores, underweight, acute undernutrition, intakes of protein, fat, vitamin D, zinc, continued breastfeeding, having nutrition-related adequate knowledge, having nutrition-related positive attitudes, and achieved minimum dietary diversity score (P < 0.05 for all). Additionally, about (56.0%) food-insecure households have inadequate nutrition-related knowledge, (77.6%) have nutrition-related negative attitudes, and (95.2%) did not achieve a minimum dietary diversity score. In conclusion, the children from food-insecure households had a high prevalence of moderate underweight, stunting, wasting, and acute undernutrition. Moreover, low economic status, poor dietary intakes, low levels of nutrition-related KAP, and lack of dietary diversity could contribute to the high levels of food insecurity among under-five children.

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“…Hal ini sejalan dengan penelitian yang menyebutkan bahwa pekerjaan orangtua tidak memiliki hubungan yang signifikan terhadap kejadian wasting pada balita. 16 Sedangkan penelitian lainnya menyebutkan bahwa ibu yang tidak bekerja cenderung lebih banyak menghabiskan waktu di rumah dan memiliki kesempatan yang lebih banyak untuk memberi makan anak-anak mereka, memberi pola pengasuhan yang baik karena dengan kesempatan waktu yang lebih banyak. Sementara ibu yang bekerja, lebih banyak menghabiskan waktu untuk bekerja dan kurang memiliki waktu bersama anak-anak.…”

Section: Pembahasanunclassified

“…Penelitian lainnya menyebutkan bahwa riwayat penyakit pada balita yang menyerang sistem pencernaan dan sistem pernafasan akan meningkatkan risiko untuk menyebabkan terjaidnya wasting sebesar 2,9 kali. 16 Dalam penelitian ini kemungkinan orang tua responden tidak mengingat frekuensi riwayat diare maupun demam yang pernah dialami anak. Selain itu, orangtua cenderung menagnggap demam dan diare yang dialami balita sebagai kondisi normal yang tidak sampai membutuhkan perawatan khusus di RS.…”

Section: Pembahasanunclassified

Faktor Biologis dan Sosial yang Berpengaruh terhadap Kejadian Wasting pada Balita

Sari

Maringga²

2022

JIKM

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Gizi buruk merupakan kondisi kekurangan zat gizi dalam kurun waktu yang lama, yang juga dipengaruhi oleh penyakit infeksi yang menyebabkan terganggunya proses metabolisme pencernaan dalam tubuh. Tujuan penelitian ini adalah untuk mengetahui faktor resiko yang berpengaruh terhadap kejadian wasting pada balita. Metode penelitian yang digunakan dalam penelitian ini adalah penelitian case control. Jumlah responden dalam penelitian ini sebesar 100 orang balita, yang terdiri dari 32 responden kelompok kasus dan 68 responden kelompok kontrol. Kelompok kasus yang dipilih adalah anak-anak di bawah lima tahun dengan wasting sedangkan kelompok kontrol adalah anak-anak di bawah lima tahun dengan berat badan normal. Hasil penelitian ini menunjukkan terdapat hubungan yang bermakna antara jenis kelamin (P-value = 0,001) , pendidikan (P-value = 0,001), pekerjaan (P-value = 0,001), pemberian ASI (P-value = 0,001), BB lahir (P-value = 0,013), imunisasi (P-value = 0,001), dan infeksi (P-value = 0,001) terhadap kejadian wasting pada balita. Hasil regresi logistic menunjukkan jenis kelamin memiliki resiko lebih tinggi terhadap kejadian wasting pada anak (P-value = 0,06; OR= 10,28). Diperlukan suatu upaya pencegahan terhadap kejadian wasting pada balita dan deteksi dini secara rutin, untuk meminimalkan risioko morbiditas maupun mortalitas pada balita.

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Risk factors associated with wasting among children aged 6 to 24 months old in Gaza strip

Cited by 5 publications

References 21 publications

Food security is not the only solution to prevent under-nutrition among 6–59 months old children in Western Amhara region, Ethiopia

Food security is not the only solution to prevent under-nutrition among 6–59 months old children in Western Amhara region, Ethiopia

Households' Food Insecurity and Their Association With Dietary Intakes, Nutrition-Related Knowledge, Attitudes and Practices Among Under-five Children in Gaza Strip, Palestine

Faktor Biologis dan Sosial yang Berpengaruh terhadap Kejadian Wasting pada Balita

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