NUTRITIONAL STATUS AND ASSOCIATED FACTORS IN UNDER-FIVE CHILDREN OF RAWALPINDI
Insights
Malnutrition affects 32% of children under 5 in Pakistan. Maternal illiteracy and family members with special needs are significant risk factors for child malnutrition.
Area of Science:
- Pediatrics
- Public Health
- Nutrition Science
Background:
- Malnutrition is a critical child health concern in developing nations.
- Pakistan faces high infant and child mortality rates, underscoring the need for nutritional assessments.
- Understanding malnutrition's prevalence and determinants is vital for targeted interventions.
Purpose of the Study:
- To evaluate the nutritional status of children under five years old.
- To determine the frequency of malnutrition within this age group.
- To identify demographic factors associated with malnutrition in Pakistani children.
Main Methods:
- A multi-center, cross-sectional study was conducted across three hospitals in Rawalpindi.
- Data was collected from 100 healthy children under five using a structured questionnaire.
- Nutritional status was assessed using weight-for-age, and associations with demographic variables were analyzed.
Main Results:
- Malnutrition was prevalent in 32% of the study population.
- Moderately and severely malnourished children constituted 14% and 18%, respectively.
- Significant associations were found between malnutrition and maternal illiteracy (p=0.01) and having a family member with special needs (p=0.05).
Conclusions:
- Maternal education and family circumstances are key factors influencing child nutrition.
- Interventions should address socioeconomic and familial factors to combat child malnutrition.
- Further research is needed to develop comprehensive strategies against childhood malnutrition.
Background:
Malnutrition is a serious child health issue throughout the developing world. Pakistan has the second highest infant and child mortality rate in South Asia. This study was carried out to assess the nutritional status of children under 5 years of age and to determine the frequency and association of malnutrition with various demographic variables in the study group.
Methods:
A multi-centre, cross sectional study was conducted at the immunization centres of the 3 allied hospitals of Rawalpindi Medical College during March-May 2014. Healthy children of under 5 years of age without confirmed diagnosis of any disease/ailment were included. Guardians of 100 children were interviewed using a structured questionnaire. Demographic variables include age, gender, family size, family income, breastfeeding, maternal education, presence of a family member with special needs and presence of siblings under 5 years in family. Weight (kg) was measured and malnutrition was assessed by weight for age.
Results:
Malnutrition was found to be present in 32% of children. Adequately nourished children were 68%, while moderately and severely malnourished children were 14% and 18% respectively. Our study indicated malnutrition to be significantly associated with maternal illiteracy (p = 0.01) and presence of a family member with special needs (p = 0.05). No significant association was found between malnutrition and gender, family size, family income, breast feeding and presence of siblings under 5 years of age.
Conclusion:
There is a need to plan composite interventions to elucidate the factors that place children at greater risk for malnutrition.
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