Urban-Rural Differences in Nutritional Status and Dietary Intakes of School-Aged Children in Cambodia

Horiuchi, Yoko; Kusama, Kaoru; Sar, Kanha; Yoshiike, Nobuo

doi:10.3390/nu11010014

Cited by 32 publications

(59 citation statements)

References 14 publications

(43 reference statements)

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“…In urban areas, the increased prevalence of overweight condition and obesity drive the increased rate of double burden of malnutrition. The incidence of overweight condition and obesity was higher in urban than rural areas in Indonesia [27,38], Mauritius [75], Malaysia [76] and Cambodia [77]. However, the increase was not exclusive to urban areas.…”

Section: Resultsmentioning

confidence: 99%

Socio-Ecological Model of Correlates of Double Burden of Malnutrition in Developing Countries: A Narrative Review

Mahmudiono

Segalita

Rosenkranz

2019

IJERPH

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(1) Background: The double burden of malnutrition (DBM) is a complex problem involving the coexistence of under- and over-nutrition within the same individual, household or population. This review aimed to discuss the correlates of the double burden of malnutrition through the socio-ecological model (SEM); (2) Methods: The PubMed database was systematically searched for peer-reviewed articles related to the double burden of malnutrition. Information on correlates of the double burden of malnutrition was extracted for analysis and discussion in alignment with the levels of the socio-ecological model.; (3) Results and Discussion: The correlates of the double burden of malnutrition identified from previous literature were: Race/genetics; maternal short stature; breastfeeding status; low maternal education; family size; household food security; household dietary diversity; and rural and urban settings. In the absence of evidence linking factors in a certain level of the SEM and the double burden of malnutrition, we employed correlates of overweight status and obesity to complete this narrative. Potential intervention strategies were proposed in alignment with the targets and settings identified, based on the socio-ecological approach; (4) Conclusions: The double burden of malnutrition is a public health phenomenon associated with a variety of socio-ecological determinants. An integrated approach is needed to address the root causes of malnutrition in all its forms, and at all life stages.

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Section: Resultsmentioning

confidence: 99%

Socio-Ecological Model of Correlates of Double Burden of Malnutrition in Developing Countries: A Narrative Review

Mahmudiono

Segalita

Rosenkranz

2019

IJERPH

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“…Previous study showed the prevalence of stunting in Nepal was 38% [10], 57% (3.5% severe stunted, 27.3% moderate stunted and 26.4% mild stunted) in Southern Ethiopia [1], 43% in Bureau [3], 15% in Srilanka [4], 23.3% in Vietnam [11]. Stunting was more prevalent in children under five whom living in rural areas than in those in urban areas [12]. The prevalence of stunted children in the rural area of Indonesia was 18% [13].…”

Section: Resultsmentioning

confidence: 99%

The Prevalence and Associated Factors of Stunting Children in Rural Area, Yogyakarta, Indonesia

Huriah¹,

Fitriami²,

Erviana³

et al. 2019

Proceedings of the Third International Conference on Sustainable Innovation 2019 – Health Science and Nursing (IcoSIHSN 2019)

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The case of stunting in Indonesia was higher and still becomes an important issue in poor rural areas. Research objective is to examine the prevalence rate and associated factors with stunting in children aged 6-59 months in rural areas of Bantul, Yogyakarta, Indonesia. This study applied a case-control design. The cases group were stunted children and the control group was not stunted children from October to December 2018. The data was collected by interviewing selected mothers of 6-59 months children and measuring the length/height of 23 children as a case group and 91 children as a control group. Research location used two rural areas in Bantul Yogyakarta. This study used logistic regression analysis to identify the best model of factors leading to stunting in rural areas. Analysis to measure of association used 95% CIs and "Adjusted" ORs. The prevalence of stunting was 20.8% out of which 52.2% were mild, 4.3% were moderate and 43.5% were severe. The mean of children age in the case and control group were 31.78 16.8 and 29.92 15.96 months with the mean of height for age Z score were-3.23 1.03 and-0.14 1.22 respectively. Diarrhea was found significantly as the determinant factor of stunted children in rural areas (AOR=7.79, 95% CI 2.59-23.33, p = 0.001). The results showed diarrhea as determinants factor of stunting in children under five in rural areas, it is important to assist the Indonesian government to develop a program to address the problem of stunting associated with the environment

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“…Prevalence of stunting was more than double among our study participants compared to non-infected school-age children living in urban areas in Cambodia. A recent study revealed that the overall prevalence of stunting among Cambodian children aged 6-17 years was 33.2% in 2014/2015, and that stunting was more prevalent in children living in rural areas than in children living in urban areas (36.4% vs. 20.4%, respectively) [26]. The high prevalence of stunting among our study participants coincides with a report indicating that HIV-infection was associated with growth delays in both weight and height [27,28].…”

Section: Discussionmentioning

confidence: 99%

Nutritional status and dietary diversity of school-age children living with HIV: a cross sectional study in Phnom Penh, Cambodia

Yasuoka¹,

Okawa

et al. 2020

Preprint

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Background: HIV/AIDS continues to be a major public health concern for children. Each day, worldwide, approximately 440 children became newly infected with HIV, and 270 children died from AIDS-related causes in 2018. Poor nutrition has been associated with accelerated disease progression, and sufficient dietary diversity is considered a key to improve children’s nutritional status. Therefore, this study aims to 1) examine nutritional status of school-age children living with HIV in Phnom Penh, Cambodia, and 2) identify factors associated with their nutritional status, especially taking their dietary diversity into consideration.Methods: This cross-sectional study was conducted in May 2018 within the catchment area of the National Pediatric Hospital, Cambodia. Data from 298 children and their caregivers were included in the analyses. Using semi-structured questionnaires, face-to-face interviews were conducted to collect data regarding sociodemographic characteristics, quality of life, and dietary diversity. To assess children’s nutritional status, body weight and height were measured. Viral load and duration of antiretroviral therapy (ART) were collected from clinical records. Multiple logistic regression analyses were performed to identify factors associated with stunting and wasting.Results: Of 298 children, nearly half (46.6%) were stunted, and 13.1% were wasted. The mean number of food groups consumed by the children in the past 24 hours was 4.6 out of 7 groups. Factors associated with children’s stunting were age (adjusted odds ratio [AOR] 2.166, 95% confidence interval [CI]: 1.151, 4.077), household wealth (AOR 0.543, 95%CI: 0.299, 0.986), duration of receiving ART (AOR 0.510, 95%CI: 0.267, 0.974), and having disease symptoms during the past one year (AOR 1.871, 95%CI: 1.005, 3.480). The only factor associated with wasting was being male (AOR 5.304, 95%CI: 2.210, 12.728).Conclusions: Prevalence of stunting was more than double that of non-infected school-age children living in urban areas in Cambodia. This highlights the importance of conducting nutritional intervention programs, especially tailored for children living with HIV in the country. Although dietary diversity was not significantly associated with children’s nutritional status in this study, the findings will contribute to implementing future nutritional interventions more efficiently by indicating children who are most in need of such interventions in Cambodia.

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Urban-Rural Differences in Nutritional Status and Dietary Intakes of School-Aged Children in Cambodia

Cited by 32 publications

References 14 publications

Socio-Ecological Model of Correlates of Double Burden of Malnutrition in Developing Countries: A Narrative Review

Socio-Ecological Model of Correlates of Double Burden of Malnutrition in Developing Countries: A Narrative Review

The Prevalence and Associated Factors of Stunting Children in Rural Area, Yogyakarta, Indonesia

Nutritional status and dietary diversity of school-age children living with HIV: a cross sectional study in Phnom Penh, Cambodia

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