Bias in age was thought to be mainly responsible for the inconsistencies in the measures of malnutrition in the different child nutrition surveys in Bangladesh. A method for accurately collecting age data needs to be developed on the basis of a study in a demographic surveillance area where accurate age data are available. Until such a method is fully developed, midupper arm circumference should be routinely collected in all nutrition surveys. The importance of accuracy in weight and height data is emphasized.
Background To delineate the clinico-epidemiological characteristics of pediatric coronavirus disease-2019 (COVID-19) patients was the objective of the study. Method: This observational study included 290 pediatric patients with a definite diagnosis of COVID-19 admitted to Dhaka Shishu Hospital, Bangladesh, from April 2021 to October 2021. Clinical and epidemiological characteristics were analyzed based on demographic data, medical history, laboratory tests, and outcome information. Data analysis was performed with SPSS 26. Ethical measures were taken in compliance with the current declaration of Helsinki, and final analysis was performed using SPSS 26. Result Of all, 42 (14.5%) were neonates (< 28 days), 88 (30.3%) were infants (28 days to < 1 year) and 160 (55.2%) were children (1–17 years). The median age of the children was 18 (0.3–204) months, 58.3% were male, 62% had malnutrition, and presented with various clinical presentations. The main symptoms were fever (5.7%) and breathlessness (20%). Approximately 22% of children were asymptomatic, and 57% had at least one comorbidity. Fever and abdominal pain were predominant presenting symptoms in children compared with neonates and infants (p < .01 for both), while cough and breathlessness were more frequent in infants (p < .01 for both). The infants suffered significantly from neutropenia and lymphocytosis than neonates and children (p < .001 for both). The discharge and death rates were 77.8% with 6.9%. Overall case fatality was higher among neonates than others. Conclusion Compared to other pediatric groups, neonatal case fatality was higher, and COVID-19 in neonates, infants, and children has similar epidemiological and clinical manifestations. The findings from this study might help to guide the development of measures to prevent and treat this ongoing global pandemic of these particular age groups.
Objective: Not only has COVID-19 caused unprecedented changes in every sphere of human lives, but it has also simultaneously triggered a wide range of psychological problems within the community. Naturally, parents are prone to being anxious about their children amidst this pandemic. This becomes particularly serious when their children are being affected and hospitalized due to exposure to COVID-19, leading to increased anxiety and depression. Our study aims to assess the level of anxiety and depression and the predictor factors for depression and anxiety among the parents of hospitalized COVID-19-infected children. Method: This cross-sectional study incorporated 160 parents of COVID-19 infected children who were admitted to Mugda Medical College Hospital, Dhaka Shishu (Children) Hospital, and Kurmitola General Hospital between April 2020 and October 2020. Result: The study has revealed that among the 160 participants, every one in five parents (19.37%) was suffering from moderate to severe anxiety, while 43.10% of parents were suffering from moderate and moderately severe depression. More than fifty per cent of the respondents were suffering from minimal anxiety (54.38%), while 43.80% of parents were suffering from minimal depression. City dwellers were more prone to developing both anxiety and depression. Conclusion: About 43.1% of parents suffered from moderate and moderately severe depression, while 54.38% of parents suffered from minimal anxiety. These parents need to be addressed, and proper support & intervention must be ensured.
Background: Now a days unhealthy lifestyle primarily responsible for the dramatic increase obesity among children and adolescents. Objective: The purpose of the study is to see the effects of a multidisciplinary lifestyle intervention to reduce obese children and adolescents. The main outcome was cardiometabolic risk based on the waist-to-height ratio (WHTR) measurement. Secondary outcomes were (1) changes in body composition; (2) adherence to a Mediterranean diet; and (3) physical performance. Methods: The study involved 64 overweight/obese children or adolescents conducted at Dhaka Shishu Hospital from October 2017 to September 2018. The intervention was multidisciplinary including nutrition, exercise, and psychological aspects based on a family-based approach; it was delivered for six months for children and three months for adolescents. Before and after the intervention, several anthropometric measures height, body weight, body mass index (BMI), waist circumference, and body composition, cardiometabolic risk index waist-to-height ratio (WHTR), and dietary habits of the participants and their families were evaluated. In addition, a set of functional motor fitness tests was performed to evaluate physical performance measures. Results: After the intervention both children and adolescents showed a significant reduction in body weight, BMI, waist circumference, fat mass, and WHTR index and an improvement of fat-free mass, adherence to the Mediterranean diet, and physical fitness performance. Conclusion: A short term family-based multidisciplinary approach is effective in ameliorating the health status, dietary habits, and physical performance in children and adolescents. DS (Child) H J 2019; 35(2) : 111-118
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