Inappropriate child feeding practice and primary health care as major correlates of stunting and underweight among infants and young children 6-23months of age in food insecure households of Amhara and Oromia Regions, Ethiopia. A community based cross sectional study

Wondimagegne, Zelalem Tafese; Alemayehu, Fekadu Reta; Adole, Anchamo Anato; Yimam, Kaleab Baye; Berhan, Yifru; Stoecker, Barbara J.

doi:10.21203/rs.2.12461/v2

Cited by 2 publications

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“…Dietary diversity is vital for satisfying energy and other basic nutritional needs, especially for individuals at risk of nutrient deficiencies, such as children from low-income families. have been linked to an increased risk of poor development trajectory in children, which becomes more obvious as they grow [34][35][36].…”

Section: Discussionmentioning

confidence: 99%

A systematic review and meta-analysis of the association of dietary diversity with undernutrition in school-aged children

et al. 2023

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Background Malnutrition in childhood has lasting consequences; its effects not only last a lifetime but are also passed down from generation to generation such as short stature, school-aged children are the most vulnerable section of the population and require special attention, including nutrition. Method We searched Medline through PubMed, Scopus, and Web of Science to identify all observational studies published before Jun 2022. Observational studies with a pediatric population aged 5–18 years that evaluated risk estimate with 95% confidence intervals the relationship between dietary diversity and undernutrition (wasting, stunting, and thinness) were included. The Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) were followed. Results This is a first systematic review and meta-analysis with a total of 20 studies were eligible (n = 18 388). Fourteen data evaluated stunting resulting in a pooled effect size estimated odds ratio of 1.43 (95% CI: 1.08–1.89; p = 0.013). Ten data evaluated Thinness resulting in a pooled effect size estimated odds ratio of 1.10 (95% CI: 0.81–1.49; P = 0.542). Two studies were revealed wasting with a odds ratio of 2.18 (95% CI: 1.41–3.36; p-value < 0.001). Conclusion According to the conclusions of this meta-analysis of cross-sectional studies, inadequate dietary diversity increases the risk of undernutrition in growth linear but not in thinness in school-aged children. The findings of this analysis suggest that initiatives that support improvements to the diversity of children’s diets to reduce the risk of undernutrition may be warranted in LMICs.

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Section: Discussionmentioning

confidence: 99%

A systematic review and meta-analysis of the association of dietary diversity with undernutrition in school-aged children

et al. 2023

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“…Moreover, those studies also showed the chances of a child being stunted increase as they get older. This has been mainly explained by poor child feeding practice ( 37 , 38 ) and more exposure to environmental enteropathy accompanied by diarrhoea ( 22 , 39 ) . In the present study, the association might be influenced by the high performance (94⋅2 %) of vaccination ( 31 ) in the city that enables the children to cope with some enteric pathogens ( 40 , 41 ) .…”

Section: Discussionmentioning

confidence: 99%

The association of socio-demographic and environmental factors with stunting among under-five children in Hawassa City, Sidama National Regional State, Ethiopia

et al. 2022

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Undernutrition in children is a challenging problem in developing countries, including Ethiopia. Stunting is the most prevalent form of undernutrition. The majority of studies on childhood stunting and its associated factors focused on children, maternal and socioeconomic components. However, a few studies reported poor WaSH status and antibiotic exposure as environmental risk factors for child stunting, and the case of socio-demographic factors also lacks consistency. Concerning this, there is a lack of information in Ethiopia. Therefore, the present study assessed the association of socio-demographic, WaSH, and antibiotic exposure with stunting among under-five children. A cross-sectional study was conducted involving 340 mother–child pairs. Anthropometric data were collected using standard and calibrated height and weight scales. For factorial data, an interviewer-guided standard questionnaire was used. Logistic regression analyses were used to identify factors determining childhood stunting. In the present study, the prevalence of stunting, underweight and wasting was 14⋅7 % (95 % CI 10⋅9, 18⋅5), 4⋅4 % (95 % CI 2⋅4, 6⋅8) and 2⋅1 % (95 % CI 0⋅6, 3⋅5), respectively. Low dietary diversity, being born from a mother with an education level of secondary school, and belonging to a female-headed household were positively associated (P < 0⋅05) with stunting. The prevalence of overall undernutrition was lower (21⋅2 %) in the study area. Stunting was significantly associated with dietary diversity, maternal educational level and sex of households head. The government policy should focus on enhancing the dietary diversity of households, and encouraging women's education.

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Inappropriate child feeding practice and primary health care as major correlates of stunting and underweight among infants and young children 6-23months of age in food insecure households of Amhara and Oromia Regions, Ethiopia. A community based cross sectional study

Abstract: The authors have withdrawn this preprint due to author disagreement.

Cited by 2 publications

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A systematic review and meta-analysis of the association of dietary diversity with undernutrition in school-aged children

A systematic review and meta-analysis of the association of dietary diversity with undernutrition in school-aged children

The association of socio-demographic and environmental factors with stunting among under-five children in Hawassa City, Sidama National Regional State, Ethiopia

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