Evaluation of Acute and Chronic Malnutrition Indicators in Children at Tishreen University Hospital

International Journal of Medical Science

© 2024 by SSRG - IJMS Journal

Volume 11 Issue 5

Year of Publication : 2024

Authors : Omar Aljanati, Ahmad Chreitah, Oday jouni

10.14445/23939117/IJMS-V11I5P103

How to Cite?

Omar Aljanati, Ahmad Chreitah, Oday jouni, "Evaluation of Acute and Chronic Malnutrition Indicators in Children at Tishreen University Hospital," SSRG International Journal of Medical Science, vol. 11,  no. 5, pp. 17-21, 2024. Crossref, https://doi.org/10.14445/23939117/IJMS-V11I5P103

Abstract:

Background: malnutrition is a major public health concern, which could be associated with a high rate of mortality and morbidity. During the crisis, the pediatric population is the most vulnerable group. Objective: the study aimed to evaluate the prevalence of malnutrition indicators and the associated risk factors in children aged 2-10 years. Patients and Methods: an observational cross-sectional study was conducted for one year, starting January 2022, at Tishreen University Hospital in Latakia, Syria. Results: out of 1069 children, 13.8% were classified as stunted, and 11.2% were classified as underweight. 13.1% of children (aged 24-60 months) were wasted. The main risk factors associated with malnutrition were prematurity, low birth weight, low mother's and father's educational level, high Number of children, and residence (displaced). Conclusion: The prevalence of malnutrition was higher than the previous national and present global rates. Acute malnutrition indicators were more prevalent, which might turn into chronic malnutrition.

Keywords:

Anthropometric measurements, Malnutrition, Stunting, Underweight, Wasting.

References:

[1] GBD 2019 Risk Factors Collaborators, “Global Burden of 87 Risk Factors in 204 Countries and Territories, 1990–2019: A Systematic Analysis for the Global Burden of Disease Study 2019,” Lancet, vol. 396, no. 10258, pp. 1223-1249, 2020.
[CrossRef] [Google Scholar] [Publisher Link]
[2] M. Pavani Varma, and K.S.V. Prasad, “Malnutrition and its Related Factors among Children 0–5 Years in Rural Shamirpet Mandal, Ranga Reddy District, India,” International Journal of Bioassays, vol. 6, no. 4, pp. 5340-5342, 2017.
[CrossRef] [Google Scholar] [Publisher Link]
[3] E.M. Young, Food and Development, 1st ed., Routledge, pp. 36-38. 2012.
[CrossRef] [Google Scholar] [Publisher Link]
[4] World Health Organization, WHO Child Growth Standards: Training Course on Child Growth Assessment, 2008. [Online]. Available: https://www.who.int/publications/i/item/9789241595070
[5] Carlos Serón-Arbeloa et al., “Malnutrition Screening and Assessment,” Nutrients, vol. 14, no. 12, pp. 1-30, 2022.
[CrossRef] [Google Scholar] [Publisher Link]
[6] Lisa C. Smith, and Lawrence James Haddad, Explaining Child Malnutrition in Developing Countries: A Cross-Country Analysis, International Food Policy Research Institute, 2000.
[Google Scholar] [Publisher Link]
[7] Gretchen A Stevens et al., “Trends in Mild, Moderate, and Severe Stunting and Underweight, and Progress towards MDG 1 in 141 Developing Countries: A Systematic Analysis of Population Representative Data,” Lancet, vol. 380, no. 9844, pp. 824-834, 2012.
[CrossRef] [Google Scholar] [Publisher Link]
[8] United Nation International Children’s Emergency Fund (UNICEF), Levels and Trends in Child Malnutrition. 2014. [Online]. Available: http://www.unicef.org/media/files/Levels_and_Trends_in_Child_ Mortality_2014.pdf
[9] Jennifer Bryce et al., “WHO Estimates of the Causes of Death in Children,” Lancet, vol. 365, no. 9465, pp. 1147-1152, 2005.
[Google Scholar] [Publisher Link]
[10] World Health Organization, Children: Reducing Mortality, 2017. [Online]. Available: http://www.who.int/mediacentre/factsheets/fs178/en/
[11] Nava Asad, and Ammara Mushtaq, “Malnutrition in Pakistani Children, Its Causes, Consequences and Recommendations,” The Journal of the Pakistan Medical Association, vol. 62, no. 3, 2012.
[Google Scholar] [Publisher Link]
[12] Syed Sanawar Ali et al., “Association of Literacy of Mothers with Malnutrition among Children Under Three Years of Age in Rural Area of District Malir, Karachi,” The Journal of the Pakistan Medical Association, vol. 55, no. 12, pp. 550-553, 2005.
[Google Scholar] [Publisher Link]
[13] The Integrated Food Security Phase Classification (IPC). [Online]. Available: http://www.ipcinfo.org.
[14] Veronica Tuffrey, and Andrew Hall, “Methods of Nutrition Surveillance in Low-Income Countries,” Emerging Themes in Epidemiology, vol. 13, no. 4, pp. 1-21, 2016.
[CrossRef] [Google Scholar] [Publisher Link]
[15] World Health Organization, United Nations Children's Fund (UNICEF) & International Bank for Reconstruction and Development/The World Bank. (2023). Levels and Trends in Child Malnutrition: UNICEF / WHO / World Bank Group Joint Child Malnutrition Estimates: Key Findings of the 2023 edition, 2023. [Online]. Available: https://iris.who.int/handle/10665/368038
[16] NCD Risk Factor Collaboration, “Worldwide Trends in Underweight and Obesity from 1990 to 2022: A Pooled Analysis of 3663 Population-Representative Studies with 222 Million Children, Adolescents, and Adults,” Lancet, vol. 403, no. 10431, pp. 1027-1050, 2024.
[CrossRef] [Google Scholar] [Publisher Link]
[17] Hassan Joulaei et al., “The Prevalence of Stunting among Children and Adolescents Living in the Middle East and North Africa region (MENA): A Systematic Review and Meta-Analysis,” Journal of Glob Health, vol. 11, 2021.
[CrossRef] [Google Scholar] [Publisher Link]
[18] Saskia de Pee et al., “How to Ensure Nutrition Security in the Global Economic Crisis to Protect and Enhance Development of Young Children and Our Common Future,” The Journal of Nutrition, vol. 140, no. 1, pp. 138S-142S, 2010.
[CrossRef] [Google Scholar] [Publisher Link]
[19] Keriann H. Paul et al., “Beyond Food Insecurity: How Context Can Improve Complementary Feeding Interventions,” Food and Nutrition Bulletin, vol. 32, no. 3, pp. 244-253, 2011.
[CrossRef] [Google Scholar] [Publisher Link]
[20] Chris Hillbruner, and Rebecca Egan, “Seasonality, Household Food Security, and Nutritional Status in Dinajpur, Bangladesh,” Food and Nutrition Bulletin, vol. 29, no. 3, 221-231, 2008.
[CrossRef] [Google Scholar] [Publisher Link]
[21] A. Richard Stephanie et al., “Wasting is Associated with Stunting in Early Childhood,” The Journal of Nutrition, vol. 142, no. 7, pp. 1291-1296, 2012.
[CrossRef] [Google Scholar] [Publisher Link]
[22] Hiwot Yisak, Tesfaye Gobena, and Firehiwot Mesfin, “Prevalence and Risk Factors for Under Nutrition among Children Under Five at Haramaya District, Eastern Ethiopia,” BMC Pediatrics, vol. 15, no. 212, pp. 1-7, 2015.
[CrossRef] [Google Scholar] [Publisher Link]
[23] Chopra Mickey, “Risk Factors for Undernutrition of Young Children in a Rural Area of South Africa,” Public Health Nutrition, vol. 6, no. 7, pp. 645-652, 2003.
[CrossRef] [Google Scholar] [Publisher Link]