Study of risk factors of severe acute malnutrition (SAM) in children 6 months to 5 years of age and evaluation of effect of micronutrient supplementation (WHO protocol) on serum zinc and magnesium levels: a case control study

Madhusudhan, Kamatham; P.K, Rajeev; Shireesha, A; Ushashree, Gummadi Vandana

doi:10.18203/2349-3291.ijcp20172112

Cited by 9 publications

(7 citation statements)

References 6 publications

(9 reference statements)

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“…With-holding colostrum was a risk factor for underweight at 6 months of age in our study. Infants fed colostrum had better nutritional status than those who did not which is consistent with the previous studies [20]. In this study, irregular antenatal checkups have shown a significant relationship with SAM, as shown in other studies also [21].…”

Section: Discussionsupporting

confidence: 93%

Infant and maternal risk factors of severe acute malnutrition under 6 months of age

Sharma¹,

Das²

2020

IJCH

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Section: Discussionsupporting

confidence: 93%

Infant and maternal risk factors of severe acute malnutrition under 6 months of age

Sharma¹,

Das²

2020

IJCH

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“…Additionally, children with small birth weights are often born to households with low socioeconomic status and mothers with poor health conditions [ 36 ]. Due to the irregular distribution of food for children in poverty-stricken households, and the knowledge gap of parents/caregivers for adequate micronutrient supplementation, children can be deprived of nutritious food intake and eventually suffer from acute undernutrition [ 12 , 14 ]. Again, parental illiteracy is frequently connected with low birth weight and other variables, such as inadequate maternal healthcare access and child caregiving.…”

Section: Discussionmentioning

confidence: 99%

Urban-rural differences in the associated factors of severe under-5 child undernutrition based on the composite index of severe anthropometric failure (CISAF) in Bangladesh

Anik

Chowdhury²,

Khan

et al. 2021

BMC Public Health

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Introduction Severe undernutrition among under-5 children is usually assessed using single or conventional indicators (i.e., severe stunting, severe wasting, and/or severe underweight). But these conventional indicators partly overlap, thus not providing a comprehensive estimate of the proportion of malnourished children in the population. Incorporating all these conventional nutritional indicators, the Composite Index of Severe Anthropometric Failure (CSIAF) provides six different undernutrition measurements and estimates the overall burden of severe undernutrition with a more comprehensive view. This study applied the CISAF indicators to investigate the prevalence of severe under-5 child undernutrition in Bangladesh and its associated socioeconomic factors in the rural-urban context. Methods This study extracted the children dataset from the 2017–18 Bangladesh Demographic Health Survey (BDHS), and the data of 7661 children aged under-5 were used for further analyses. CISAF was used to define severe undernutrition by aggregating conventional nutritional indicators. Bivariate analysis was applied to examine the proportional differences of variables between non-severe undernutrition and severe undernutrition group. The potential associated socioeconomic factors for severe undernutrition were identified using the adjusted model of logistic regression analysis. Results The overall prevalence of severe undernutrition measured by CISAF among the children under-5 was 11.0% in Bangladesh (rural 11.5% vs urban 9.6%). The significant associated socioeconomic factors of severe undernutrition in rural areas were children born with small birth weight (AOR: 2.84), children from poorest households (AOR: 2.44), and children aged < 36 months, and children of uneducated mothers (AOR: 2.15). Similarly, in urban areas, factors like- children with small birth weight (AOR: 3.99), children of uneducated parents (AOR: 2.34), poorest households (APR: 2.40), underweight mothers (AOR: 1.58), mothers without postnatal care (AOR: 2.13), and children’s birth order ≥4 (AOR: 1.75), showed positive and significant association with severe under-5 undernutrition. Conclusion Severe undernutrition among the under-5 children dominates in Bangladesh, especially in rural areas and the poorest urban families. More research should be conducted using such composite indices (like- CISAF) to depict the comprehensive scenario of severe undernutrition among the under-5 children and to address multi-sectoral intervening programs for eradicating severe child undernutrition.

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“…Risk factors for single malnutrition indicators (i.e. stunting, wasting or underweight) are multifaced ranging from access to nutrients, socio-demographic factors, poverty, access to healthcare and geographical location [3,9,10,11,12]. However, determinants of coexistence of stunting, wasting and underweight is not previously explored particularly in Bangladesh to inform context-speci c evidence-based prevention strategies.…”

Section: Introductionmentioning

confidence: 99%

The prevalence and socio-demographic risk factors of coexistence of stunting, wasting and underweight among children under five years in Bangladesh

Chowdhury

Rahman

Billah

et al. 2021

Preprint

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Background Childhood malnutrition in all its forms is a significant public health challenge for developing countries like Bangladesh. There is a gap in knowledge of the coexistence of various forms of malnutrition among children under five years (under-5) in Bangladesh. This study aims (i) describe prevalence and risk factors for the coexistence of stunting, wasting and underweight among children under-5 in Bangladesh. Methods This study included 6,610 and 7,357 under-5 children from Bangladesh Demographic Health Surveys (BDHS) 2014 and 2017/18 respectively. Associations between coexistence stunting, wasting and underweight and socio-demographic factors were assessed by the Chi-square test and negative binomial regression. Results The prevalence of coexistence of stunting, wasting and underweight gradually declined from 5.2% in 2014 to 2.7% in 2017/18. Children of uneducated mothers ((Adjused incidence rate ratio (aIRR) 5.0, 95% CI 2.3, 11.0)); with low birth weights (aIRR 2.7, 95% CI 1.4, 5.1); children of age group 36–47 months (aIRR 2.5, 95% CI 1.5, 4.1); and children of underweight mothers (aIRR 1.9, 95% CI 1.4, 2.7) were the most important risk factors. However, maternal educational status was not associated with coexistence of stunting, wasting and underweight among children under-5 in 2014 whereas in 2017/18 it was the most influential risk factor. Moreover, watching television less than once a week increased the risk of coexistence of stunting, wasting and underweight by 54% (aIRR 1.54, 95% CI 1.0, 2.4). Conclusions one out of thirty-five under-5 children were identified to have coexistence of stunting, wasting and underweight in Bangladesh. The burden of malnutrition was disproportionate among uneducated mother, underweight mother, low birth weight and socio-economically poorest household. Our study indicates that there is a need for multi-level interventions from household level to societal level to reduce consequences of childhood malnutrition.

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Study of risk factors of severe acute malnutrition (SAM) in children 6 months to 5 years of age and evaluation of effect of micronutrient supplementation (WHO protocol) on serum zinc and magnesium levels: a case control study

Cited by 9 publications

References 6 publications

Infant and maternal risk factors of severe acute malnutrition under 6 months of age

Infant and maternal risk factors of severe acute malnutrition under 6 months of age

Urban-rural differences in the associated factors of severe under-5 child undernutrition based on the composite index of severe anthropometric failure (CISAF) in Bangladesh

The prevalence and socio-demographic risk factors of coexistence of stunting, wasting and underweight among children under five years in Bangladesh

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