Risk factors for childhood malnutrition in Roma settlements in Serbia

Janević, Teresa; Petrovič, Oliver; Bjelic, Ivana; Kubera, Amber

doi:10.1186/1471-2458-10-509

Cited by 84 publications

(91 citation statements)

References 18 publications

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“…The sociodemographic background reflects that of undernourished children reported from Botswana 7 and other developing countries in that the majority of caregivers were single mothers (78%) 7,11 from lowincome households (96%), 12-14 large families (>5 members) (73%) 12,14 and rural areas (71%). 15 In contrast to studies by Chakraborty et al, 16 Turyashemererwa et al 17 and Janevic et al, 13 which reported an association between poor educational background of the caregiver and child undernutrition, most caregivers (65.3%) in our study had attained a higher level of education (secondary/tertiary education). At a population level, the South African National Food Consumption Survey 18 found that nationally the prevalence of undernutrition decreased significantly with increasing maternal education levels.…”

Section: Discussioncontrasting

confidence: 53%

The clinical and anthropometric profile of undernourished children aged under 5 admitted to Nyangabgwe Referral Hospital in Botswana

2012

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Background. Although Botswana is a middle-income country, undernutrition among children younger than 5 years of age is still seen in various parts of the country. There is little information on the clinical and anthropometric profile of undernourished children in this age group admitted to hospitals in Francistown, Botswana. Purpose. To determine the clinical profile and the severity of anthropometric failure of undernourished children aged under 5 admitted to Nyangabgwe Referral Hospital in Francistown. Method. Data were collected from 113 caregiver-child pairs using a researcher-administered questionnaire targeting caregivers together with the children's hospital records. The children's anthropometric measurements were taken. Data were analysed using the WHO Anthro 2006 software and Stata 10. Proportions were then calculated. Results. The median age of the children was 14 months and 55% were boys. The majority of the caregivers were single, younger than 30 years and lived in rural villages. The most common symptoms on admission were oedema (50%) and coughing (35%). Ten per cent of the children were HIV-infected and the HIV status of half the children was unknown. The majority (87%) did not present with secondary diagnoses. Severe wasting (<-3 standard deviations (SD)) (73%) was found in all age groups. Stunting (<-2 SD) was prevalent in 68% of the boys, and 95% of the children were severely underweight (<-3 SD). Conclusion. Oedematous undernutrition was common and 73% of the children presented with severe wasting (<-3 SD). In order to prevent severe forms of undernutrition, avoid the necessity for complicated care and improve the chances of survival, health education to caregivers on various forms of undernutrition is crucial.S Afr J CH 2012;6(4):123-127.

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Section: Discussioncontrasting

confidence: 53%

The clinical and anthropometric profile of undernourished children aged under 5 admitted to Nyangabgwe Referral Hospital in Botswana

2012

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“…The amount of schooling completed by mothers is highly associated with improved child health, diet and nutritional outcomes, especially in low-income settings (26,(29)(30)(31)(32) . Therefore, it is surprising that this association does not hold in our study.…”

Section: Discussionmentioning

confidence: 99%

Household food security and infant feeding practices in rural Bangladesh

Owais

Kleinbaum

Suchdev

et al. 2015

Public Health Nutr.

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Objective: To determine the association between household food security and infant complementary feeding practices in rural Bangladesh. Design: Prospective, cohort study using structured home interviews during pregnancy and 3 and 9 months after delivery. We used two indicators of household food security at 3-months' follow-up: maternal Food Composition Score (FCS), calculated via the World Food Programme method, and an HHFS index created from an eleven-item food security questionnaire. Infant feeding practices were characterized using WHO definitions. Setting: Two rural sub-districts of Kishoreganj, Bangladesh. Subjects: Mother-child dyads (n 2073) who completed the 9-months' follow-up. Results: Complementary feeding was initiated at age ≤4 months for 7 %, at 5-6 months for 49 % and at ≥7 months for 44 % of infants. Based on 24 h dietary recall, 98 % of infants were still breast-feeding at age 9 months, and 16 % received ≥4 food groups and ≥4 meals (minimally acceptable diet) in addition to breast milk. Mothers' diet was more diverse than infants'. The odds of receiving a minimally acceptable diet for infants living in most food-secure households were three times those for infants living in least food-secure households (adjusted OR = 3·0; 95 % CI 2·1, 4·3). Socio-economic status, maternal age, literacy, parity and infant sex were not associated with infant diet. Conclusions: HHFS and maternal FCS were significant predictors of subsequent infant feeding practices. Nevertheless, even the more food-secure households had poor infant diet. Interventions aimed at improving infant nutritional status need to focus on both complementary food provision and education.

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“…Stunting, wasting, and underweight are among those Anthropometric indicators are commonly use to measure malnutrition in a population of under five children. Underweight (low weight-for-age) reflects both low height-for-age and low weight-for-age and therefore reflects both cumulative and acute exposures of malnutrition [3].…”

Section: Introductionmentioning

confidence: 99%