Severity of Diarrhea and Malnutrition among Under Five-Year-Old Children in Rural Bangladesh

Ferdous, Farzana; Das, Sumon Kumar; Ahmed, Shahnawaz; Farzana, Fahmida Dil; Latham, Jonathan; Chisti, Mohammod Jobayer; Ud-Din, Abu Iftiaf Md Salah; Azmi, Ishrat J.; Talukder, Kaisar A.; Faruque, Abu Syed Golam

doi:10.4269/ajtmh.12-0743

Cited by 96 publications

(76 citation statements)

References 33 publications

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“…The association between malnutrition and childhood diarrhea has been documented. 24,25 This association may be related to impaired immunity in children with malnutrition. Diarrhea could result in a large loss of body fluid and make ill children appear underweight, which could be sensitive in the short term.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of Diarrhea Among Children Less Than 36 Months of Age in Rural Western China in 2001 and 2005

Gao¹,

Liu²,

Yan³

2014

The American Society of Tropical Medicine and Hygiene

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Abstract. We collected for rural western China data for 14,658 children less than 36 months of age in 2001 and for 14,112 children in 2005. A generalized estimated equation log-binomial model was used to identify the determinants of childhood diarrhea. In 2005, prevalence of diarrhea was approximately 7.4%, which compared with that for 2001, had decreased by 8.7%. The generalized estimated equation analysis showed that region affected the prevalence of childhood diarrhea significantly. Age was negatively associated with childhood diarrhea. Although childhood upper respiratory infections increased the risk of diarrhea, the risk could be decreased by use of vitamin A in the previous year. In addition, children of Han ethnicity or those living in one-child families had a lower risk of diarrhea in 2001, but underweight children had a higher risk in 2005. These findings may have some implications for formulating policies of childhood diarrhea prevention and control in rural western China.

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Section: Discussionmentioning

confidence: 99%

Prevalence of Diarrhea Among Children Less Than 36 Months of Age in Rural Western China in 2001 and 2005

Gao¹,

Liu²,

Yan³

2014

The American Society of Tropical Medicine and Hygiene

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“…A recent study among children 5 years of age in rural Bangladesh revealed an association between malnutrition and more severe diarrheal illness. 13 In turn, intestinal infections may lead to a loss of key nutrients, damage to the intestinal mucosa, and impairment of nutrient absorption, which worsen malnutrition. Continued feeding during diarrheal episodes and continuing or increasing breastfeeding is critical for breaking the vicious cycle of diarrhea and malnutrition.…”

Section: Introductionmentioning

confidence: 99%

Feeding of Young Children During Diarrhea: Caregivers' Intended Practices and Perceptions

Pantenburg¹,

Ochoa²,

Ecker³

et al. 2014

The American Society of Tropical Medicine and Hygiene

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Abstract. Childhood diarrhea is an important cause of malnutrition, which can be worsened when caretakers limit nutritional support. We queried 390 caregivers and their children in a peri-urban community in Lima, Peru regarding general perceptions of feeding and feeding practices during diarrhea. Overall, 22.1% of caregivers perceived feeding during diarrhea to be harmful. At baseline, 71.9% of caregivers would discontinue normal feeding or give less food. Most would withhold milk, eggs, and meats. Approximately 40% of caregivers would withhold vegetables and fruits. A pilot educational intervention was performed to improve feeding during diarrhea. At follow-up survey 3 months later, none of the caregivers would recommend withholding food. Only 23.2% would recommend discontinuing normal feeding and 1.8% perceived food to be damaging. Misperceptions of the role of feeding during diarrhea pose a significant health risk for children, but a simple educational intervention might have a major impact on these perceptions and practices.

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“…Maternal gainful employment was defined as current maternal engagement in any activities that generate a cash income for the family, in addition to their childcare and household activities. According to the WHO guidelines (10) , children with undernutrition are defined as those with stunting (height-for-age Z-score <− 2·00), with wasting (weight-for-height Z-score <− 2·00) or who are underweight (weight-for-age Z-score <− 2·00) (11) . Statistical analyses were performed using the statistical software package IBM SPSS Statistics Version 22·0.…”

mentioning

confidence: 99%

Nutritional status of children <5 years of age who have a working mother: an epidemiological perspective of diarrhoeal children in urban Bangladesh

Ferdous¹,

Das²,

Ahmed³

et al. 2016

Public Health Nutr.

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Objective: The present analysis aimed to observe nutritional impacts among children <5 years of age by mother's engagement in paid employment. Design: Between 1996 and 2012, 21 443 children <5 years of age with diarrhoea attended the International Centre for Diarrhoeal Disease Research, Bangladesh (icddr, b), Dhaka Hospital. They were enrolled in the hospital-based Diarrhoeal Disease Surveillance System and their relevant information was extracted from the electronic database. Setting: The icddr,b, Bangladesh. Subjects: The analytic sample was 19 597 children aged <5 years who had a mother aged ≤35 years with or without engagement in paid employment. Results: Eleven per cent of the mothers (n 2051) were currently engaged in paid employment on behalf of the family. Univariate analysis showed that children with mothers engaged in paid employment had a 1·14 times higher risk of being undernourished, a 1·20 times of higher risk of being stunted, a 1·21 times higher risk of being wasted and a 1·31 times higher risk of being underweight (risk ratios) than were children with mothers not likewise engaged. Multivariate analysis showed that such associations remained significant for stunting (1·08; 95 % CI 1·00, 1·16), wasting (1·15; 95 % CI 1·06, 1·25) and underweight (1·09; 95 % CI 1·02, 1·17) after controlling for covariates. Conclusions: Mothers' engagement in income-generating employment was associated with undernutrition in children <5 years of age in urban Bangladesh.

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Severity of Diarrhea and Malnutrition among Under Five-Year-Old Children in Rural Bangladesh

Cited by 96 publications

References 33 publications

Prevalence of Diarrhea Among Children Less Than 36 Months of Age in Rural Western China in 2001 and 2005

Prevalence of Diarrhea Among Children Less Than 36 Months of Age in Rural Western China in 2001 and 2005

Feeding of Young Children During Diarrhea: Caregivers' Intended Practices and Perceptions

Nutritional status of children <5 years of age who have a working mother: an epidemiological perspective of diarrhoeal children in urban Bangladesh

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