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Regional disparity in prevalence of malnutrition in Saudi children
Mohammad I El-Mouzan1, Abdullah S Al-Herbish, Abdullah A Al-Salloum
1Department of Pediatrics, King Saud University, PO Box 2925, Riyadh 11461, Kingdom of Saudi Arabia. drmouzan@gmail.com
Insights
Malnutrition prevalence varies significantly among Saudi children. The Southwestern region shows a higher prevalence of underweight, wasting, and stunting compared to other areas, requiring focused health interventions.
Area of Science:
- Pediatrics
- Public Health
- Nutritional Epidemiology
Background:
- Childhood malnutrition remains a significant public health concern globally.
- Regional disparities in health outcomes are often observed within countries.
- Understanding these disparities is crucial for targeted interventions.
Purpose of the Study:
- To assess and compare the prevalence of malnutrition indicators among children under five years of age across different regions of Saudi Arabia.
- To identify specific regions with a higher burden of malnutrition for further investigation and intervention.
Main Methods:
- A cross-sectional study utilizing data from 2004-2005 on healthy Saudi children under five.
- Prevalence of underweight, wasting, and stunting calculated using WHO/NCHS growth references and Lambda, Mu, Sigma (LMS) methodology.
- Statistical analysis (Chi-square test) employed to determine significant regional differences (p<0.05).
Main Results:
- The Southwestern region exhibited significantly higher prevalence rates for underweight (19.7%), wasting (16.7%), and stunting (13.2%) compared to Central and Northern regions.
- Prevalence of underweight, wasting, and stunting in Central regions were 4%, 6.5%, and 6.4% respectively.
- Prevalence of underweight, wasting, and stunting in Northern regions were 5.5%, 6.5%, and 6.4% respectively.
Conclusions:
- The Southwestern region of Saudi Arabia demonstrates a disproportionately high prevalence of key malnutrition indicators.
- These findings highlight the urgent need for targeted research in the Southwestern region to identify underlying causes of malnutrition.
- Prioritization of health promotion programs and further epidemiological studies in the Southwestern region is recommended.
Objective:
To evaluate the regional difference in the prevalence of malnutrition in Saudi children.
Methods:
Data for this study were collected over 2 years (2004 and 2005). A cross-sectional representative sample of the Saudi population of healthy children below 5 years of age was used to calculate the prevalence of malnutrition. The study was carried out in the College of Medicine, King Saud University, Riyadh, Kingdom of Saudi Arabia. Body measurements of the weight, length, and height were performed according to standard recommendations. Standard deviation scores were determined using the Lambda, Mu, and Sigma (LMS) statistical methodology. The 1978 NCHS/WHO growth reference was used for the calculation of prevalence of underweight, wasting, and stunting defined as the proportion of children whose weight for age, weight for height, and height for age was below minus standard deviation (-2 SD) for Northern, Southwestern, and Central regions of the Kingdom of Saudi Arabia. Chi-square test was used to assess the difference in prevalence between regions, and a p<0.05 was considered significant.
Results:
The sample size of children <5 years of age in Central region was 5067, Southwestern 2285, and Northern 2933. The prevalence of underweight was 4%, 19.7% and 5.5%, that of wasting was 6.5%, 16.7% and 6.5% and of stunting was 6.4%, 13.2% and 6.4% in the Central, Southwestern, and Northern regions indicating a significantly-higher prevalence in Southwestern compared to other regions (p<0.001).
Conclusion:
This report revealed a high prevalence of significant nutritional indicators in the Southwestern regions than in other regions. This finding indicates that this region should be given priority for further studies to identify causes, and to design health promotion programs.
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