Prevalence and Predictors of Acute Malnutrition in Children Aged 6–59 Months: A Hospital-Based Study Using Logistic Regression
DOI:
https://doi.org/10.58342/MJ.V.3.I.2.8Keywords:
Acute malnutrition, child physical growth, mid-upper arm circumference, logistic regression, anthropometric indicatorsAbstract
Background: Acute malnutrition in children is a major public health challenge in developing countries, with serious consequences for physical and cognitive development.
Methods: This descriptive cross-sectional study was conducted on 685 children aged 6 months to 5 years who visited the Abu Ali Sina Regional Hospital in Balkh in 2023. Data on weight, height, mid-upper arm circumference (MUAC), age, sex, and age group were collected and analyzed using the chi-square test and logistic regression to examine the relationship between demographic and anthropometric indicators and malnutrition.
Results: Sex showed no significant association with the prevalence of malnutrition (p=0.582). Decreased weight and height significantly increased the risk of malnutrition (p < 0.001), while age and age group had no significant effect. The mean weight, height, and MUAC increased with age but remained below global standards.
Conclusion: Early monitoring of anthropometric indicators is essential for timely prevention and intervention in malnutrition. Strengthening primary healthcare and family education can help reduce the prevalence of malnutrition.
References
Salois MJ, Tiffin R, Balcombe KG. Impact of income on nutrient intakes: implications for undernourishment and obesity. J Dev Stud. 2012;48(11):1716–1730. https://doi.org/10.1080/00220388.2012.658376
World Health Organization, UNICEF. Levels and trends in child malnutrition. New York: UNICEF; 2021.
Khanam M, Shimul SN, Sarker AR. Individual-, household-, and community-level determinants of childhood undernutrition in Bangladesh. Health Serv Res Manag Epidemiol. 2019;6:2333392819876555. https://doi.org/10.1177/2333392819876555
Schroeder K, Schuler BR, Kobulsky JM, Sarwer DB. The association between adverse childhood experiences and childhood obesity: a systematic review. Obes Rev. 2021;22(7):e13204. https://doi.org/10.1111/obr.13204
World Health Organization. WHO issues new guideline to tackle acute malnutrition in children under five. 2023.
World Health Organization. WHO guideline on the prevention and management of wasting and nutritional oedema in infants and children under 5 years. 2023.
Christian P, Smith ER, Lee SE, Vargas AJ, Bremer AA, Raiten DJ. The need to study human milk as a biological system. Am J Clin Nutr. 2021;113(5):1063–1072. https://doi.org/10.1093/ajcn/nqab075
Kim J, Lim H. Nutritional management in childhood obesity. J Obes Metab Syndr. 2019;28(4):225–235. https://doi.org/10.7570/jomes.2019.28.4.225
Edmunds LD. Social implications of overweight and obesity in children. Journal for Specialists in Pediatric Nursing. 2008 Jul;13(3):191-200. https://doi.org/10.1111/j.1744-6155.2008.00156.x
Han JC, Lawlor DA, Kimm SY. Childhood obesity. Lancet. 2010;375(9727):1737–1748. https://doi.org/10.1016/S0140-6736(10)60171-7
Adair LS, Fall CHD, Osmond C, Stein AD, Martorell R, Ramirez-Zea M, et al. Associations of linear growth and relative weight gain during early life with adult health and human capital. Lancet. 2013;382(9891):525–534. https://doi.org/10.1016/S0140-6736(13)60103-8
World Health Organization. Assessing and managing children at primary health-care facilities to prevent overweight and obesity. Geneva: WHO; 2017.
World Health Organization. WHO guideline: integrated management of children in all their diversity with obesity. 2022.
Carsetti R, Quintarelli C, Quinti I, Piano Mortari E, Zumla A, Ippolito G, et al. The immune system of children: the key to understanding SARS-CoV-2 susceptibility? Lancet Child Adolesc Health. 2020;4(6):414–416. https://doi.org/10.1016/S2352-4642(20)30135-8
Valiathan R, Ashman M, Asthana D. Effects of ageing on the immune system: infants to elderly. Scand J Immunol. 2016;83(4):255–266. https://doi.org/10.1111/sji.12413
Gombart AF, Pierre A, Maggini S. A review of micronutrients and the immune system–working in harmony to reduce the risk of infection. Nutrients. 2020;12(1):236. https://doi.org/10.3390/nu12010236
Maldonado Galdeano C, Cazorla SI, Lemme Dumit JM, Vélez E, Perdigón G. Beneficial effects of probiotic consumption on the immune system. Ann Nutr Metab. 2019;74(2):115–124. https://doi.org/10.1159/000496426
Xiaogang H, Sharma M, Saif I, Ali G, Li X, Salama ES. The role of nutrition in harnessing the immune system: a potential approach to prevent cancer. Medical Oncology. 2022 Sep 30;39(12):245.
Wubante AA. Determinants of infant nutritional status in Dabat District, North Gondar, Ethiopia: a case control study. PLoS One. 2017;12(3):e0174624. https://doi.org/10.1371/journal.pone.0174624
Mackay IR, Rosen FS, Delves PJ, Roitt IM. The immune system. N Engl J Med. 2000 Jul;343(1):37-49.
Mörbe UM, Jørgensen PB, Fenton TM, von Burg N, Riis LB, Spencer J, et al. Human gut-associated lymphoid tissues (GALT): diversity, structure, and function. Mucosal Immunol. 2021;14(4):793–802. https://doi.org/10.1038/s41385-021-00389-4
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