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Published on: August 22, 2012
Childhood asymptomatic malaria and nutritional status among Port Harcourt children
1Postgraduate Haematology Unit, Department of Medical Laboratory Science, Rivers State University of Science & Technology, Port Harcourt, Nigeria. zacjerry@yahoo.com
Insights
Undernourished children, particularly those under five, face a higher risk of malaria infection and related illness in malaria-endemic regions. Adequate nutrition is crucial for children to combat the adverse effects of malaria.
Area of Science:
- Pediatric infectious diseases
- Nutritional epidemiology
- Public health in developing nations
Background:
- Malaria remains a significant health challenge in tropical regions, disproportionately affecting young children.
- Asymptomatic malaria infections in children can still impact their nutritional status and overall health.
- Understanding the interplay between nutrition and malaria is vital for effective public health interventions.
Purpose of the Study:
- To assess the nutritional status of children in Port Harcourt, Nigeria, with asymptomatic malaria.
- To determine if undernutrition confers any advantage or disadvantage in malaria-endemic areas.
- To investigate the relationship between nutritional status and malaria parasitaemia in children.
Main Methods:
- A cross-sectional study was conducted in Rumueme Community, Port Harcourt, Nigeria.
- 240 apparently healthy children aged 1-8 years participated.
- Nutritional status was assessed using anthropometric indices, and malaria infection was diagnosed.
Main Results:
- 27.5% of children were infected with Plasmodium falciparum malaria.
- Underweight (17.5%), stunting (3.75%), and wasting (22.5%) were prevalent.
- Underweight children had a higher risk of malaria infection (RR = 1.02).
- Children under 5 years had higher rates of undernutrition and malaria parasitaemia.
- Parasitized children had significantly lower hemoglobin levels.
Conclusions:
- Undernutrition, especially in children under five, increases the risk of malaria-related morbidity.
- Adequate nutrition is essential for children in malaria-endemic areas to mitigate the negative impacts of malaria.
- Interventions should focus on improving nutritional status to enhance malaria resilience in children.
Objective:
Our study in Port Harcourt children with asymptomatic malaria aimed at assessing the baseline anthropometric indices of nutritional status, and whether their nutritional status (especially under nutrition) offers any advantage for living in malaria endemic areas.
Design:
Cross-sectional study was used.
Setting:
Rumueme Community in Port Harcourt, Nigeria.
Subjects:
Apparently healthy children aged 1-8 years of both sexes (Boys = 117, Girls = 123; Ratio 1:1.05), 240 children from randomly selected households within the study community participated in the study.
Results:
Of the 240 children, 66 (27.5%) were infected with malaria (P falciparum). Children below 5 years had a higher parasitaemic rate (36.36%) than those in 5-8 years group (21.27%). Our baseline data showed that 17.5% were underweight (WFA Z < -2), 3.75% were stunted (HFA Z < -2) and 22.5% were wasting (WFH Z < -2). Children who are underweight were found to be at higher risk of acquiring malaria infection than the well nourished children (RR = 1.02, chi2 = 0.320, p < 0.02, 95% CI 0.34-2.37). Under nutrition was more prominent in the children below 5 years than the older children (RR = 3.625, chi2 = 10.36, p < 0.006, 95% CI 1.81-5.43). The haemoglobin value of parasitized children (10.8 +/- 1.9 g/dl) was significantly lower than the non-parasitized group (11.3 +/- 1.7 g/dl,) (p < 0.01).
Conclusion:
We concluded that the presence of under nutrition places children (especially below 5 years of age) at higher risk of malaria related morbidity. Children in malaria endemic areas need adequate nutrition to withstand the negative impact of malaria.
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