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Malnutrition in acutely ill children at the paediatric emergency unit in a tertiary hospital in Nigeria.

Ocheke IE, Thandi P - Niger Med J (2015 Mar-Apr)

Bottom Line: It has been shown that children who are malnourished have poorer outcomes from other illnesses than well-nourished children.Wasting (WFH z-scores ≤-3 to <-1SD) was evident in one hundred children, giving an overall prevalence of 26.9%.Seventeen (4.6%) were severely stunted (HFA z-score <-3).

View Article: PubMed Central - PubMed

Affiliation: Department of Paediatrics, University of Jos, Jos, Plateau, Cape Town, Nigeria ; Faculty of Community and Health Sciences, School of Public Health University of the Western Cape, Cape Town, South Africa.

ABSTRACT

Background: In many developing countries, malnutrition remains an important cause of morbidity and mortality particularly in under-five children. The factors responsible for malnutrition could be immediate, underlying or basic, acting either alone or together. It has been shown that children who are malnourished have poorer outcomes from other illnesses than well-nourished children. It is important therefore to periodically describe the extent and pattern of childhood malnutrition so that effective preventive measures can be put in place.

Objective: To describe the prevalence and pattern of malnutrition in children presenting with acute illnesses at the Jos University Teaching Hospital.

Patients and methods: A cross-sectional descriptive study in children aged 6 to 59 months seen at the paediatric emergency unit from April to October 2012. The subjects were recruited consecutively. Each child had both clinical assessment and appropriate laboratory evaluations done alongside anthropometric measurements. The nutritional/dietary and socio-demographic histories were also obtained.

Results: Of the 379 children, 224 (59.1%) were males and 155 (40.9%) females. The median age was 17 months, range (6-57). Wasting (WFH z-scores ≤-3 to <-1SD) was evident in one hundred children, giving an overall prevalence of 26.9%. Severe wasting (WFH z-score <-3), was present in 22 (5.9%) children indicating the prevalence of marasmus, whereas only two children (0.53%) had oedematous malnutrition (kwashiorkor). Stunting or chronic malnutrition, (HFA z-scores ≤-3 to <-1SD) was present in 67 children (18.0%). Seventeen (4.6%) were severely stunted (HFA z-score <-3).

Conclusions: Wasting was the most common form of malnutrition in the study.

No MeSH data available.


Related in: MedlinePlus

Prevalence of severe stunting (HFA z scores <−3SD) according to age groups
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Figure 2: Prevalence of severe stunting (HFA z scores <−3SD) according to age groups

Mentions: Overall, the prevalence of chronic malnutrition was (18.0%) n = 67. Severe stunting HFA z-scores <−3SD was present in (4.6%) n = 17 while moderate stunting, HFA z-score <−2 was (13.4%) n = 50. Of all the severely stunted children, the highest prevalence of 6.3% was noted in age group 12-23 months as shown in Figure 2.


Malnutrition in acutely ill children at the paediatric emergency unit in a tertiary hospital in Nigeria.

Ocheke IE, Thandi P - Niger Med J (2015 Mar-Apr)

Prevalence of severe stunting (HFA z scores <−3SD) according to age groups
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4382600&req=5

Figure 2: Prevalence of severe stunting (HFA z scores <−3SD) according to age groups
Mentions: Overall, the prevalence of chronic malnutrition was (18.0%) n = 67. Severe stunting HFA z-scores <−3SD was present in (4.6%) n = 17 while moderate stunting, HFA z-score <−2 was (13.4%) n = 50. Of all the severely stunted children, the highest prevalence of 6.3% was noted in age group 12-23 months as shown in Figure 2.

Bottom Line: It has been shown that children who are malnourished have poorer outcomes from other illnesses than well-nourished children.Wasting (WFH z-scores ≤-3 to <-1SD) was evident in one hundred children, giving an overall prevalence of 26.9%.Seventeen (4.6%) were severely stunted (HFA z-score <-3).

View Article: PubMed Central - PubMed

Affiliation: Department of Paediatrics, University of Jos, Jos, Plateau, Cape Town, Nigeria ; Faculty of Community and Health Sciences, School of Public Health University of the Western Cape, Cape Town, South Africa.

ABSTRACT

Background: In many developing countries, malnutrition remains an important cause of morbidity and mortality particularly in under-five children. The factors responsible for malnutrition could be immediate, underlying or basic, acting either alone or together. It has been shown that children who are malnourished have poorer outcomes from other illnesses than well-nourished children. It is important therefore to periodically describe the extent and pattern of childhood malnutrition so that effective preventive measures can be put in place.

Objective: To describe the prevalence and pattern of malnutrition in children presenting with acute illnesses at the Jos University Teaching Hospital.

Patients and methods: A cross-sectional descriptive study in children aged 6 to 59 months seen at the paediatric emergency unit from April to October 2012. The subjects were recruited consecutively. Each child had both clinical assessment and appropriate laboratory evaluations done alongside anthropometric measurements. The nutritional/dietary and socio-demographic histories were also obtained.

Results: Of the 379 children, 224 (59.1%) were males and 155 (40.9%) females. The median age was 17 months, range (6-57). Wasting (WFH z-scores ≤-3 to <-1SD) was evident in one hundred children, giving an overall prevalence of 26.9%. Severe wasting (WFH z-score <-3), was present in 22 (5.9%) children indicating the prevalence of marasmus, whereas only two children (0.53%) had oedematous malnutrition (kwashiorkor). Stunting or chronic malnutrition, (HFA z-scores ≤-3 to <-1SD) was present in 67 children (18.0%). Seventeen (4.6%) were severely stunted (HFA z-score <-3).

Conclusions: Wasting was the most common form of malnutrition in the study.

No MeSH data available.


Related in: MedlinePlus