Epidemiological and Clinical Profile of Hospitalized Children with Moderate and Severe Acute Malnutrition in South India

Devi, Usha; Krishnamurthy, Sriram; Bhat, B. Vishnu; Sahai, Ajit

doi:10.1007/s12098-014-1671-5

Cited by 12 publications

(24 citation statements)

References 19 publications

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“…Moderate anaemia: 7-9.9 g/dL 3. Severe anaemia: <7 g/dL Leukopenia and thrombocytopenia was defi ned according to the normal values for the age of the child 5 . Based on above methodology and defi nitions both cases and controls were classifi ed and mean values of various haematological indices were studied.…”

Section: Morphologic Classifi Cation Of Anaemiamentioning

confidence: 99%

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Study of Anaemia in Children with Severe Acute Malnutrition

Dwivedi

Singh

et al. 2018

J. Nepal Paedtr. Soc.

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Introduction: Severe anaemia is a leading cause of paediatric morbidity, hospitalization, and mortality and it is very important co morbidity in children with severe acute malnutrition. Severe Acute Malnutrition (SAM) with anaemia has been shown to have 2.62 times higher mortality as compared to SAM with no anaemia. So this study was done to evaluate this co-morbidity further. The aim of present study was to determine the prevalence and type of anaemia and to evaluate the possible aetiologies of anaemia in severe acute malnourished (SAM) children.Material and Methods: In tertiary care hospital a cross sectional study was conducted over a period of 8 month with 100 cases of SAM children and 101 cases of normal children. In both cases disorders of primary haematological problem were excluded. Auto analysers were used to measure blood counts. Blood smear was analysed by pathology consultant of institute and recorded for all patients with anaemia. Grade of anaemia and morphologic type of anaemia was analysed. Data were entered in Excel spreadsheets and analysed using SPSS 20.0.Results: Patient with SAM 42% had moderate anaemia and 19% had severe anaemia in contrast 41.6% and 16.8% in NON SAM child respectively. Predominant morphologic type in SAM patient was macrocytic anaemia (33%), while in controls microcytic anaemia (40.6%) was more prevalent.Conclusion: There was a high prevalence of anaemia in SAM children. Major morphologic type in SAM children was macrocytic anaemia which may indirectly show vitamin B12 or folic acid deficiency in these children.

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Section: Morphologic Classifi Cation Of Anaemiamentioning

confidence: 99%

“…Severe anaemia is a leading cause of paediatric morbidity, hospitalization, and mortality and it is very important co morbidity in children with severe acute malnutrition 3,4,5,6,7 . Severe Acute Malnutrition (SAM) with anaemia has been shown to have higher mortality as compared to SAM with no anaemia 8,9 .…”

Section: Introductionmentioning

confidence: 99%

Study of Anaemia in Children with Severe Acute Malnutrition

Dwivedi

Singh

et al. 2018

J. Nepal Paedtr. Soc.

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“…Few studies have reported on morbidity in children with moderate wasting or moderate acute malnutrition (MAM) [9][10][11][12][13][14][15] and most based only on symptom-recall. Current case definitions of MAM includes children with moderate wasting and/or a mid-upper arm circumference (MUAC) between 115 and 125 mm [16].…”

Section: Introductionmentioning

confidence: 99%

Children with moderate acute malnutrition have inflammation not explained by maternal reports of illness and clinical symptoms: a cross-sectional study in Burkina Faso

et al. 2016

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Background: Morbidity plays an important role in the development of and recovery from malnutrition. Morbidity in children with moderate acute malnutrition (MAM) has not been described in detail and it is unclear how morbidity compares to serum levels of acute phase proteins (APPs) which indicate systemic inflammation and which can impede response to therapeutic nutritional interventions. The objective of this study was to describe morbidity in children with MAM and to assess to what extent maternally reported and clinically diagnosed morbidity explain the variation in APPs. Methods: A cross-sectional sub study was conducted as part of a nutrition intervention trial among 6-23 months old children with MAM residing in Burkina Faso. Morbidity data collection at baseline included 2 week maternal recalls and physical examinations. Multivariate ANCOVA models were used to explore the associations between morbidity and C-reactive protein (CRP) as well as α 1 -acid glycoprotein (AGP). These models were also used to determine to what extent morbidity explains variation in APPs.

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“…Consequentemente, tais fatos podem influenciar no aumento da taxa de mortalidade nesta faixa etária (Devi et al, 2015;Chisti et al, 2014;Moreno et al, 2016).…”

Section: Discussionunclassified

“…Neste sentido, avaliamos a condição nutricional dos pacientes na admissão, e analisando o cálculo do Z escore estatura/idade, foi evidenciado uma baixa estatura para a idade, demonstrando acometimento nutricional crônico predominante, com retardo do crescimento linear (Isaac et al, 2012;Montejo et al, 2010;Martins et al, 2009 (Atalah et al, 2012). No entanto, resultados diferentes foram encontrados em uma análise realizada com crianças asiáticas por Devi et al (2015) e Fivez et al (2016), que ao avaliarem o Z escore peso/estatura, evidenciaram a condição nutricional classificada como magreza acentuada na população estudada, indicando acúmulo insuficiente de massa corporal ou catabolismo de tecidos corporais e, portanto situações de depleção nutricional aguda. Tal fato; e de grande relevância, já que a avaliação do peso/estatura significa a harmonia entre as dimensões de massa corporal e altura (Isaac et al, 2012;Montejo et al 2010;Martins et al, 2009;Atalah et a., 2012).…”

Section: Discussionunclassified

Administração de terapia nutricional em crianças gravemente doentes: fatores que prejudicam a oferta de nutrientes

Tôrres¹

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Aos meus pais, Quitéria e José, a quem tanto estimo e que sempre torceram por mim, me incentivaram a estudar e a não desistir dos meus sonhos, que tanto se dedicaram à minha educação, mesmo nos momentos mais difíceis, em especial a minha mãe que apesar de distante, sempre esteve disposta a me ajudar, escutar e pelas palavras de carinho e conforto nos momentos de angústia e cansaço. Aos meus irmãos, tios, tias, primos, primas e amigos que sempre torceram por mim e pelo o meu crescimento profissional, que souberam compreender cada ausência minha, para que pudesse conciliar e me dedicar ao trabalho e ao mestrado. À minha tia Preta, pelas orações e apoio espiritual em todos os momentos da minha vida. Aos meus queridos sobrinhos, Pedro Henrique, Maysa, Davi e Miguel, que tanto tenho carinho. Esta dissertação está de acordo com as seguintes normas, em vigor no momento desta publicação: Referências: adaptado de International Committee of Medical Journals Editors (Vancouver).

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Epidemiological and Clinical Profile of Hospitalized Children with Moderate and Severe Acute Malnutrition in South India

Cited by 12 publications

References 19 publications

Study of Anaemia in Children with Severe Acute Malnutrition

Study of Anaemia in Children with Severe Acute Malnutrition

Children with moderate acute malnutrition have inflammation not explained by maternal reports of illness and clinical symptoms: a cross-sectional study in Burkina Faso

Administração de terapia nutricional em crianças gravemente doentes: fatores que prejudicam a oferta de nutrientes

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