Nutritional status of preschool children in informal settlement areas near Bloemfontein, South Africa

Abstract

Objective: To determine the nutritional status and household resources of preschool children. Design: A cross-sectional survey. Setting: Two informal settlement areas, Joe Slovo (JS) and JB Mafora (JBM) in Mangaung, near Bloemfontein, South Africa. Subjects: Preschool children (,72 months) of a randomly selected sample of households in JS (experimental) (n = 162) and JBM (control) (n = 186) were included. Standard methods were used to obtain household and care-giver particulars, weight and height measurements, blood and stool samples, and 24-hour dietary recalls. Results: Breast-feeding and dietary intake in the two areas were nearly similar; breastfeeding was continued for 12 months and longer. Although the children's total protein intake was suf®cient, their energy intake was low. A low median intake of micronutrients prevailed, including iron, zinc, calcium, niacin, ribo¯avin, thiamine and vitamins C, B 6 , A and D. The prevalence of being underweight (JS = 19.8%; JBM = 18.8%), stunted (JS = 29%; JBM = 21.5%) and wasted (JS = 6.5%; JBM = 3.7%) were fairly similar in both areas, as well as the prevalence of marginal vitamin A de®ciency, anaemia, iron de®ciency and parasite infestations. No signi®cant associations could be found between household and nutritional status indicators, probably due to the small number of well-nourished children and the generally poor household situation of the participants. Conclusions: The generally poor nutritional status and environmental conditions emphasize the urgency of intervention for these children.

Nutritional status of HIV-1 seropositive patients in the Free State Province of South Africa: Anthropometric and dietary profile

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