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Risk factors for protein-energy malnutrition in children under 5 years: study from Luangprabang province, Laos

Manilay Phengxay1, Moazzam Ali, Fumihiro Yagyu

  • 1Department of Developmental Medical Sciences, Graduate School of Medicine, University of Tokyo, Tokyo, Japan.

Pediatrics International : Official Journal of the Japan Pediatric Society
|April 21, 2007
PubMed

Insights

Protein-energy malnutrition (PEM) is highly prevalent in Laos, with stunting and underweight significantly affecting children under five. Key risk factors include low maternal education and inadequate feeding practices during illness.

Area of Science:

  • Pediatrics
  • Public Health
  • Nutrition Science

Background:

  • Laos faces high rates of chronic malnutrition, particularly in children under five.
  • Protein-energy malnutrition (PEM) is a significant public health concern in the region.

Purpose of the Study:

  • To determine the prevalence of PEM in children under five in Luangprabang province, Laos.
  • To identify risk factors associated with PEM in this vulnerable population.

Main Methods:

  • A cross-sectional study involving 798 children under five was conducted in Luangprabang province.
  • Anthropometric measurements (height-for-age, weight-for-age, weight-for-height) and maternal interviews were utilized.
  • Data analysis was performed using statistical software (Epi-Info, SPSS).

Main Results:

  • High prevalence rates were observed: 54.6% stunting, 35% underweight, and 6% wasting.
  • Children aged 12-23 months and Khmu ethnic children showed higher rates of stunting and underweight.
  • Risk factors identified include restricted meat/vegetable intake during illness and low maternal education.

Conclusions:

  • Socioeconomic factors, low maternal education, poor nutrition knowledge, and inadequate feeding practices for sick children contribute to malnutrition.
  • Addressing child malnutrition requires improved societal infrastructure, enhanced maternal education, and better nutritional support.
Abstract

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