The Dual Burden of Malnutrition and Associated Dietary and Lifestyle Habits among Lebanese School Age Children Living in Orphanages in North Lebanon

El-Kassas, Germine; Ziade, Fouad

doi:10.1155/2017/4863431

Cited by 17 publications

(20 citation statements)

References 37 publications

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“…Boys, compared to girls, spent almost twice as much time on physical activity. Kassas & Ziade (2017) Compared to the Dietary Guidelines for American Children and Adolescents 2015 and based on a semiquantitative food frequency questionnaire, more than half were estimated to have inadequate daily intake of vegetables, fruit, and proteins compared to the recommendation. 94.8% consumed three meals per day.…”

Section: Discussionmentioning

confidence: 99%

The nutritional status of children living within institutionalized care: a systematic review

DeLacey

Tann

Groce

et al. 2020

PeerJ

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Background There are an estimated 2.7 million children living within institutionalized care worldwide. This review aimed to evaluate currently available data on the nutrition status of children living within institutionalized care. Methods We searched four databases (Pubmed/Medline, CINHAL Plus, Embase and Global Health Database) for relevant articles published from January 1990 to February 2019. Studies that included information on anthropometry or micronutrient status of children living within institutionalized care were eligible for inclusion. The review is registered on PROSPERO: CRD42019117103. Results From 3,602 titles screened, we reviewed 98 full texts, of which 25 papers were eligible. Two (8%) studies reported data from multiple countries, nine (36%) were from Asia, four (16%) from Africa, three (12%) from Eastern Europe, four (16%) from the European Union and one (4%) from each of the remaining regions (Middle East, South America and the Caribbean). Twenty-two (88%) were cross sectional. Ten (40%) of the studies focused on children >5 years, seven (28%) on children <5 years, seven (28%) covered a wide age range and one did not include ages. Low birth weight prevalence ranged from 25–39%. Only five (20%) included information on children with disabilities and reported prevalence from 8–75%. Prevalence of undernutrition varied between ages, sites and countries: stunting ranged from 9–72%; wasting from 0–27%; underweight from 7–79%; low BMI from 5–27%. Overweight/obesity ranged from 10–32% and small head circumference from 17–41%. The prevalence of HIV was from 2–23% and anemia from 3–90%. Skin conditions or infections ranged from 10–31% and parasites from 6–76%. Half the studies with dietary information found inadequate intake or diet diversity. Younger children were typically more malnourished than older children, with a few exceptions. Children living within institutions were more malnourished than community peers, although children living in communities were also often below growth standards. High risk of bias was found. Conclusions This study highlights the limited amount of evidence-based data available on the nutritional status of children in institutions. Of the studies reviewed, children living within institutionalized care were commonly malnourished, with undernutrition affecting young children particularly. Micronutrient deficiencies and obesity were also prevalent. Data quality was often poor: as well as suboptimal reporting of anthropometry, few looked for or described disabilities, despite disability being common in this population and having a large potential impact on nutrition status. Taken together, these findings suggest a need for greater focus on improving nutrition for younger children in institutions, especially those with disabilities. More information is needed about the nutritional status of the millions of children living within institutionalized care to fully address their right and need for healthy development.

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Section: Discussionmentioning

confidence: 99%

The nutritional status of children living within institutionalized care: a systematic review

DeLacey

Tann

Groce

et al. 2020

PeerJ

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“…Data were collected by face to face interview using a pre-tested structured questionnaire adapted from previous studies. 6 , 23 - 25 The questionnaire was administered using local languages—either Afaan Oromoo or Amharic. Data on sociodemographic characteristics, diet, and related information were collected from their care givers and the orphan center directors.…”

Section: Methodsmentioning

confidence: 99%

Undernutrition among Institutionalized School-age Orphans in Harari Regional State, Eastern Ethiopia: A Cross-sectional Study

Mohammed¹,

Musa

Fage

et al. 2021

Nutr Metab Insights

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Background: Although orphans are at increased risk of undernutrition, studies assessing prevalence of undernutrition are limited to orphans residing with their relatives or on street. This study was conducted to assess magnitude of undernutrition and its associated factors among institutionalized school-age orphans in Harari Regional State, eastern Ethiopia. Methods: An institution based cross-sectional study was conducted among all school-age (6-12 years) orphans living in all orphan centers in Harari Regional State, eastern Ethiopia. Data were collected by using a structured pretested questionnaire supplemented with anthropometric measurements. Data were entered using EpiData 3.1 and analyzed using SPSS 22. Logistic regression models were fitted to identify factors associated with undernutrition. Statistical significance was declared at P-value <.05. Results: A total of 265 orphans residing in all orphan centers in the region were included. The prevalence of stunting, wasting, and underweight were 15.8% (95% CI: 11.9, 20.7), 10.9% (95% CI: 7.7, 15.3), and 8.7% (95% CI: 4.3, 10.5), respectively. Staying in orphan center for 6 to 10 years (AOR = 6.2; 95% CI: 2.6, 15.10), having recent illness (AOR = 3.9; 95% CI: 1.4, 10.4), and being aged 10 to 12 years (AOR = 11.2; 95% CI: 3.5, 35.4) were significantly associated with stunting whereas having recent illness (AOR = 4.3; 95% CI: 1.4, 7.3) and being aged 6 to 7 years (AOR: 10.4; 95% CI: 3.2, 33.6) were significantly associated with wasting. Underweight was more likely (AOR: 8.9; 95% CI: 2.7, 29.5) among children with recent illness. Conclusions: Almost 1 in 6, 1 in 9, and 1 in 11 institutionalized school-age orphans in Harari Regional State were stunted, wasted, and underweight respectively. Younger children and those with recent illness were more likely to be undernourished. Underlying reasons for undernutrition among orphans being cared in orphan centers should be further explored.

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“…Although the Lebanese guidelines specifically target the adult population, a need exists for greater attention to dietary guidelines in the paediatric population as well. A study of orphaned children in Tripoli showed a high prevalence of sedentary behaviour and inadequate intakes of vegetables, fruits and proteins, as well as high intakes of sweet and salty snacks, compared with the American dietary guidelines ( 41 ) . Promotion of the traditional Lebanese dietary pattern and the messages of the Lebanese Cedar Food Guide could help to inform policy for the most vulnerable children.…”

Section: The Food-based Dietary Guideline Manual For Promoting Healthmentioning

confidence: 99%

Food-based dietary guidelines of Arabic-speaking countries: a culturally congruent profile

Coats¹,

Bernstein²,

Dodge³

et al. 2019

Public Health Nutr.

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ObjectiveDietary guidelines for food groups, types and portion sizes are common practice at the national level. As the relationship between nutrition and disease and the influence of cultural identity on individual behaviour become clearer, dietary guidelines necessarily evolve. Today, the Arabic-speaking region is experiencing a dual burden of undernutrition and increasing rates of overweight and obesity. Cultural congruency among dietary guidelines in the Arabic-speaking region and how they affect health education, health promotion, and nutrition programme planning or individual dietary behaviours have yet to be examined. The present work provides dietitians and public health professionals a narrative review of proposed food guidelines for the Arabic-speaking region.DesignThe current review examined five established dietary guidelines within the Arabic-speaking region, namely the Arab Food Dome (Arab Gulf states), the Healthy Food Palm (Saudi Arabia), the Lebanese Dietary Guidelines, the Omani Guide to Healthy Eating and the Qatar Dietary Guidelines, and compared findings with the regional Eastern Mediterranean guidelines developed by the WHO. Individual guideline recommendations are tabled for comparative review.SettingThe Arabic-speaking region.ParticipantsRespective Arabic-speaking populations.ResultsHealth educators, community health practitioners and nutrition professionals can benefit from the cultural contexts associated with dietary guidelines in this region.ConclusionsCommunity-level policy and individual behaviour change will benefit from cultural sensitivity; health communication and behaviour change programming require cultural competence provided in the present review; and programme evaluation efforts (prior to and after implementation) should include a detailed understanding of how culture shapes regional policy and individual nutrition behaviours.

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The Dual Burden of Malnutrition and Associated Dietary and Lifestyle Habits among Lebanese School Age Children Living in Orphanages in North Lebanon

Cited by 17 publications

References 37 publications

The nutritional status of children living within institutionalized care: a systematic review

The nutritional status of children living within institutionalized care: a systematic review

Undernutrition among Institutionalized School-age Orphans in Harari Regional State, Eastern Ethiopia: A Cross-sectional Study

Food-based dietary guidelines of Arabic-speaking countries: a culturally congruent profile

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