Determinants of Undernutrition among Young Children Living in Soth Nikum District, Siem Reap, Cambodia

Blaney, Sonia; Menasria, Lylia; Main, Barbara; Chhea, Chhorvann; Vong, Lenin; Chiasson, Lucie; Hun, Vannary; Raminashvili, David

doi:10.3390/nu11030685

Cited by 7 publications

(5 citation statements)

References 34 publications

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“…The full adjusted models also showed that the child’s sex, child’s age, wealth index, caretaker’s education, and hygiene practices were significantly associated with the HAZ. Similar to our results, a study in Cambodia found that access to improved water source and sanitation were significantly associated with a child’s HAZ [ 38 ]. A child’s age caretaker’s education, and wealth index were associated with their WHZ and WaSt.…”

Section: Discussionsupporting

confidence: 91%

Adherence to Child Feeding Practices and Child Growth: A Retrospective Cohort Analysis in Cambodia

Som

Hoeven

Laillou³

et al. 2020

Nutrients

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Appropriate feeding in the first 1000 days of a child’s life is critical for their health and growth. We determined associations between adherence to age-appropriate feeding practices and child growth in Cambodia. Children (n = 1079) were included in the first follow-up (FU) data analyses and followed for 30 months (six FUs). Data were analyzed by generalized linear mixed-effect models. Children who adhered to feeding practices on at least three FUs, with an adequate minimal dietary diversity (MDD), a minimal acceptable diet (MAD), and age-appropriate daily feeding (ADF) were less stunted (14.8%, 12.3%, and 6.4%, respectively) than children who never adhered to these indicators (25.2%, 30.1%, and 24.8%, respectively). A higher adherence to MDD and ADF was associated with a higher height-for-age Z-score (HAZ) (β: 0.13, 95% CI: 0.01–0.25 and β: 0.36, 95% CI: 0.22–0.50), while a higher adherence to the MDD and MAD was associated with a higher weight-for-height Z-score (WHZ) (β: 0.19, 95% CI: 0.08–0.30; and β: 0.16, 95% CI: 0.05–0.27). A higher adherence to a minimum meal frequency (MMF) was associated with a lower HAZ (β: −0.99, 95% CI: −1.28–−0.70). Our findings showed that to reduce wasting and stunting in Cambodia, interventions should focus on improving both the quality and quantity of food intake of children under two while targeting the whole complementary feeding period.

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Section: Discussionsupporting

confidence: 91%

Adherence to Child Feeding Practices and Child Growth: A Retrospective Cohort Analysis in Cambodia

Som

Hoeven

Laillou³

et al. 2020

Nutrients

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“…By taking the prevalence of anemia (61%) among undernourished (stunted) children which was conducted in Ethiopia. 17 The total sample size was calculated as follows: n= (Z α/2) 2 p (1-p)/d 2 = (1.96) 2 x 0.61 (1-0.61)/ (0.05) 2 then n i =366. But, the estimated number of undernourished children attending the hospital is <10,000.…”

Section: Sample Size Determination and Sampling Techniquementioning

confidence: 99%

“… 1 It is a major health concern particularly in developing countries, mainly in under-five children. 2 , 3 Globally in 2019, 144 million (21.3%) and 47 million (6.9%) under-five children suffer from stunting and wasting, respectively. Of them, 40% and 27% of stunted and wasted children lived in Africa, respectively.…”

Section: Introductionmentioning

confidence: 99%

<p>Hematological Abnormalities and Associated Factors Among Undernourished Under-Five Children Attending University of Gondar Specialized Referral Hospital, Northwest Ethiopia</p>

Getawa

Getaneh

Melku

2020

JBM

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Introduction The hematopoietic system is one of the systems which can be affected by malnutrition, leading to impaired production of all blood cell lines. Undernourished children with hematological abnormalities like anemia are at higher risk of mortality. Therefore, this study aimed at determining the magnitude and associated factors of hematological abnormalities among undernourished under-five children attending at the University of Gondar Specialized Referral Hospital, Northwest Ethiopia. Methods and Materials An institution-based cross-sectional study was conducted on a total of 251 undernourished under-five children at University of Gondar Specialized Referral Hospital from January to May 2020. A convenient sampling technique was employed to select study participants. Data were collected using a pretested structured questionnaire. Blood samples were collected for complete blood count which were determined by Sysmex KX-21N analyzer. Stool sample was processed via direct wet mount. Thin and thick blood films were examined to assess malaria parasite. The data were entered to EpiData version 4.6.0.0 and analyzed using SPSS version 23 software. Bi-variable and multi-variable binary logistic regression model were fitted to identify factors associated with hematological abnormalities. A p-value <0.05 in the multivariable analysis was considered as statistically significant. Results The overall magnitude of anemia, leukocytosis, thrombocytosis, thrombocytopenia, and leukopenia was 53.4%, 26.7%, 23.9%, 8%, and 2.8%, respectively. Being male, age 6–23 months, high birth order, intestinal parasite infection, edema, not eating vegetables and fruits, and paternal occupation were found to be associated with anemia. Only the age of a child was associated with leukocytosis in undernourished children. Conclusion The current study demonstrated the predominant existence of anemia, leukocytosis, and thrombocytosis among undernourished under-five children. Therefore, early diagnosis, monitoring and setting intervention strategies for anemia especially among children under two years old are required to prevent further complication.

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“…Also, they avoided visiting AWC as well. Low uptake of health and nutrition services has been documented in various studies in India and other developing countries [14][15][16][17][18][25][26][27][28][29][30]. Inadequate infant and young child feeding practices may affect the nutritional status of children.…”

Section: Discussionmentioning

confidence: 99%

Sociocultural Determinants of Nutritional Status Among Children Under Five Years of Age: An Ethnographic Study From Gujarat

Umallawala¹,

Puwar²,

Pandya³

et al. 2022

Cureus

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BackgroundThe magnitude of child malnutrition, including severe child malnutrition, is high in India, and Gujarat has a higher prevalence of child malnutrition. Prior studies have employed anthropometric measures to identify the prevalence and associated factors of children's undernutrition. The present study explored communitylevel determinants of malnutrition among malnourished and well-nourished children in Devbhumi Dwarka district of Gujarat State, India. MethodsA qualitative research employing focused ethnographic methodologies was used. In-depth observations of 60 families in a home food environment were carried out. Each child was observed at their respective homes for three consecutive days. Data were analyzed using thematic analysis techniques. ResultsThe study revealed that lack of knowledge on malnutrition, inadequate feeding practices, poor socioeconomic status, insufficient hygiene and sanitation practices, lack of food variety, use of health facilities, and birth complications were the major community-based determinants of malnutrition. ConclusionThe study identified community-level determinants of malnutrition among children under five years in the Devbhumi Dwarka district. To tackle the immediate and underlying causes of malnutrition, interventions are urgently needed to create community awareness about malnutrition as a disease and optimal infant and young child feeding (IYCF) practices using behavior change communication strategies.

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Determinants of Undernutrition among Young Children Living in Soth Nikum District, Siem Reap, Cambodia

Cited by 7 publications

References 34 publications

Adherence to Child Feeding Practices and Child Growth: A Retrospective Cohort Analysis in Cambodia

Adherence to Child Feeding Practices and Child Growth: A Retrospective Cohort Analysis in Cambodia

<p>Hematological Abnormalities and Associated Factors Among Undernourished Under-Five Children Attending University of Gondar Specialized Referral Hospital, Northwest Ethiopia</p>

Sociocultural Determinants of Nutritional Status Among Children Under Five Years of Age: An Ethnographic Study From Gujarat

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