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Undernutrition and Morbidity Profile of Exclusively Breastfeeding Children: A Cross-sectional Study
Sumon Chandra Debnath1, Md Ekramul Haque2, Dewan Md Mehedi Hasan3
1Bangladesh Breastfeeding Foundation, Mohakhali, Dhaka, Bangladesh.
Insights
High rates of child undernutrition in Bangladesh pose a public health challenge, impacting morbidity and development. Interventions like exclusive breastfeeding and timely feeding are crucial for improvement.
Area of Science:
- Pediatrics
- Public Health
- Nutrition Science
Background:
- Undernutrition is a significant public health issue in Bangladesh, affecting child morbidity and quality of life.
- Exclusive breastfeeding is a key factor in child nutrition, with its completion being the focus of this study.
Purpose of the Study:
- To assess the prevalence of undernutrition among children aged 6-12 months who have completed exclusive breastfeeding.
- To determine the morbidity profile in this specific pediatric population.
Main Methods:
- A descriptive cross-sectional study was conducted in a tertiary hospital in Bangladesh.
- Nutritional status was assessed using Z-scores for underweight, stunting, and wasting in 251 children (aged 6-12 months).
Main Results:
- The prevalence of undernutrition was 11.2% for stunting, 16.3% for underweight, and 12.0% for wasting.
- A majority of children (83.2%) experienced single or multiple diseases, with cough and fever being the most common (55.0%).
Conclusions:
- Undernutrition remains a substantial public health burden in Bangladesh, impacting child development.
- Promoting exclusive breastfeeding, timely complementary feeding, and effective disease management are vital strategies to address undernutrition.
Background:
Undernutrition is common and has been recognized as a public health problem in Bangladesh. It has devastating effects on any population as it increases morbidity children and reduces the quality of life of all affected. The study was done with the objective to assess the undernutrition and morbidity profile in children who have completed exclusive breastfeeding.
Methods:
This was a descriptive cross-sectional study, which was carried out among children aged 6-12 completed months attending a tertiary level hospital in Bangladesh. A total of 251 children were selected through convenient sampling from January to December 2015. Nutritional assessment was done in terms of underweight, stunting, and wasting.
Results:
One hundred and forty-three (57.0%) were boys while 108 (43.0%) were girls. The prevalence of undernutrition (Z-score ≤-2) was observed in 11.2%, 16.3%, and 12.0% based on stunting, underweight, and wasting. Among 251 children, 16.7% were not suffering any diseases, whereas majorities (69.7%) were suffering from single disease and 13.5% were suffering from multiple diseases. Cough and fever (55.0%), pneumonia (18.3%), measles (9.9%), and diarrhea (8.3%) were the most common cause of infectious morbidity observed in children.
Conclusions:
The prevalence of undernutrition was high in the study population, and it continues to be a public health burden because of its major effect on morbidity and impairment of intellectual and physical development in long-term. Increasing the practice of exclusive breastfeeding, the introduction of timely complementary feeding, and standard case management of morbidities would be beneficial to combat the problem of undernutrition.
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