Influence of various demographic factors on nutritional status of children under five years of age
Abstract
Background: Malnutrition in under five children is prevalent in our country. It makes them prone to infections and increases child mortality. This can be controlled by identifying and modifying the predisposing factors.
Objective: To assess nutritional status and to analyze the influence of various demographic factors on nutritional status of under five children.
Methodology: This cross-sectional study was conducted in Shifa Falahi and Community Health center in Islamabad. Children under five years of age were included. Information was collected from mothers on a self-designed questionnaire. Weight and height of children was recorded and classified according to WHO Z score. Data was evaluated on SPSS 20. Univariate analysis was done to determine independent effect of each predictor on outcome.
Results: Total of 280 patients were enrolled. 162 (57. 9%) of them were malnourished. Stunting was seen in 24.6% cases, while 26.1% were underweight. Wasting was seen in 19.6% cases. More males were stunted (27.9%) and underweight (27.27%) as compared to females (21.2%) and (24.8%) respectively. Low household income (p value 0.014), poor maternal education (p value 0.018), joint family system (0.002), unboiled drinking water (0.008) and repeated diarrheas (0.02) were found significantly associated with malnutrition. Most of the mothers (>75%) had adequate knowledge of breast feeding, vaccination, seeking medical advice for their babies.
Conclusion: All forms of childhood malnutrition are prevalent. Poor socioeconomic status and maternal illiteracy are strong contributors towards malnutrition. Unboiled drinking water and diarrheas are further aggravating the nutritional status of children.
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References
Asim M, Nawaz Y. Child malnutrition in Pakistan: evidence from literature. Children. 2018; 5(5):60.
DOI: https://doi.org/10.3390/children5050060
Khan GN, Turab A, Khan MI, Rizvi A, Shaheen F, Ullah A, Hussain A, Hussain I, Ahmed I, Yaqoob M, Ariff S. Prevalence and associated factors of malnutrition among children under-five years in Sindh, Pakistan: a cross-sectional study. BMC Nutrition. 2016; 2(1):1-7.
DOI: https://doi.org/10.1186/s40795-016-0112-4
United Nation International Children’s Emergency Fund (UNICEF). Levels and Trends in Child Malnutrition,2014 (online). Available from:
http://www.unicef.org/media/files/Levels_and_Trends_in_Child_Mortality_2014.pdf
United Nations Children's Fund, World Health Organization, World Bank Group. Levels and trends in child malnutrition UNICEF – WHO World Bank Group joint child malnutrition estimates Key findings of the 2015 edition.(online)
Available from: URL: http://www.who.int/nutrition/publications/jointchildmalnutrition.
Di Cesare M, Bhatti Z, Soofi SB, Fortunato L, Ezzati M, Bhutta ZA. Geographical and socioeconomic inequalities in women and children's nutritional status in Pakistan in 2011: an analysis of data from a nationally representative survey. Lancet Glob Health. 2015; 3(4):e229-39.
DOI: https://doi.org/10.1016/S2214-109X(15)70001-X
Masibo PK, Makoka D. Trends and determinants of undernutrition among young Kenyan children: Kenya Demographic and Health Survey; 1993, 1998, 2003 and 2008–2009. Public Health Nutr. 2012; 15(9):1715-27.
DOI: https://doi.org/10.1017/S1368980012002856
Human Rights Commission of Pakistan. State of Human Right in 2014 Lahore: Human Rights Commission of Pakistan; (online) 2015.
Available from: http://hrcpweb.org/hrcpweb/data/HRCP%20Annual%20Report%202014%20-%20English.pdf.
Ahsan S, Mansoori N, Mohiuddin SM, Mubeen SM, Saleem R, Irfanullah M. Frequency and determinants of malnutrition in children aged between 6 to 59 months in district Tharparkar, a rural area of Sindh. J Pak Med Assoc. 2017; 67(9):1369-73.
Mahmood A, Sultan M. National Institute of Population Studies (NIPS)(Pakistan), and Macro International Inc. Pakistan Demographic and Health Survey. 2006; 7:123-45.
Owoaje E, Onifade O, Desmennu A. Family and socioeconomic risk factors for undernutrition among children aged 6 to 23 Months in Ibadan, Nigeria. Pan Afr Med J. 2014;17.
DOI: https://doi.org/10.11604/pamj.2014.17.161.2389.
Beer SS, Juarez MD, Vega MW and Canada NL. Pediatric malnutrition: Putting the new definition and standard into practice. Nutr Clin Pract.2015; 30(5):609-24.
DOI: https://doi.org/10.1177/0884533615600423
Abbasi S, Mahmood H, Zaman A, Farooq B, Malik A, Saga Z. Indicators of malnutrition in under 5 Pakistani children: a DHS data secondary analysis. J Med Res Heal Edu. 2018; 2:1-0.
Yadav SS, Yadav ST, Mishra P, Mittal A, Kumar R, Singh J. An epidemiological study of malnutrition among under five children of rural and urban Haryana. J Clin Diagn Res: JCDR. 2016; 10(2):LC07.
DOI: https://doi.org/10.7860/JCDR/2016/16755.7193.
Laghari ZA, Soomro AM, Tunio SA, Lashari K, Baloach FG, Baig NM, et al. Malnutrition among children under five years in District Sanghar, Sindh, Pakistan. Gomal J Med Sci. 2015; 13: 54-7
Achakzai P, Khan R. Nutritional status and associated factors among children less than five years of age in tehsil Zarghoon town, District Quetta, Baluchistan. J Ayub Med Coll Abbottabad. 2016; 28(1):146-51.
Khan S, Ammara U, Arshad R, Naz F, Ishfaq K. A descriptive study of double burden of malnutrition in mothers of children with severe acute malnutrition admitted in Children Hospital and Institute of Child Health, Multan. J Pak Med Assoc. 2020; 70(3):417-420.
DOI: https://doi.org/10.5455/JPMA.290318
Petrou S, Kupek E. Poverty and childhood undernutrition in developing countries: a multi-national cohort study. Soc Sci Med. 2010; 71(7):1366-73.
DOI: https://doi.org/10.1016/j.socscimed.2010.06.038.
SandA, Kumar R, Shaikh BT, Somrongthong R, Hafeez A, Rai D. Determinants of severe acute malnutrition among children under fve years in a rural remote setting: A hospital based study from district Tharparkar-Sindh, Pakistan. Pak J Med Sci. 2018; 34(2):260-265.
DOI: https://doi.org/10.12669/pjms.342.14977
Harris J, Nisbett N. The Basic Determinants of Malnutrition: Resources, Structures, Ideas and Power. Int J Health Policy Manag. 2020 Dec 26. Epub ahead of print. PMID: 33590741.
DOI: https://doi.org/10.34172/ijhpm.2020.259.
Ghosh S. Factors Responsible for Childhood Malnutrition: A Review of the Literature. Curr Res Nutr Food Sci J..2020; 8(2) 360-370
DOI: https://doi.org/10.12944/CRNFSJ.8.2.01
Daud MK, Nafees M, Ali S, Rizwan M, Bajwa RA, Shakoor MB, Arshad MU, Chatha SA, Deeba F, Murad W, Malook I. Drinking water quality status and contamination in Pakistan. Biomed Res Int. 2017; 2017:7908183.
DOI: https://doi.org/10.1155/2017/7908183.
Waters H, Saadah F, Surbakti S, Heywood P. Weight-for-age malnutrition in Indonesian children, 1992–1999. Int J Epidemiol. 2004; 33(3):589-95.
DOI: https://doi.org/10.1093/ije/dyh074
Karunaratne R, Sturgeon JP, Patel R and Prendergast AJ. Predictors of inpatient mortality among children hospitalized for severe acute malnutrition: a systematic review and meta-analysis. Am J Clin Nutr. 2020; 112(4):1069-79.
DOI: https://doi.org/10.1093/ajcn/nqaa182.
Bari A, Sultana N, Mehreen S, Sadaqat N, Imran I, Javed R. Patterns of maternal nutritional status based on mid upper arm circumference. Pak J Med Sci. 2020; 36(3):382-86.
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