Nutritional Status of Under-five Siblings of Severely Wasted Children in Bhopal
Yachana Choudhary1, Bharat Choudhary2, Manju Dubey1
1Department of Community Medicine, Gandhi Medical College, Bhopal, Madhya Pradesh.
Insights
High rates of severe acute malnutrition (SAM) were found in siblings of children with SAM. Families with more than seven members, underweight mothers, and Muslim religion were associated with increased risk.
Area of Science:
- Pediatrics
- Public Health
- Nutrition Science
Background:
- Severe acute malnutrition (SAM) poses a significant threat to child survival and development.
- Understanding the familial context of SAM is crucial for effective intervention strategies.
Purpose of the Study:
- To determine the prevalence of undernutrition among siblings of children diagnosed with severe acute malnutrition (SAM).
- To identify factors associated with undernutrition in these siblings.
Main Methods:
- A community-based cross-sectional study was conducted.
- The study included 128 siblings under five years of age, who had a sibling with SAM.
Main Results:
- A high prevalence of undernutrition was observed: 30% of siblings had SAM and 20% had moderate acute malnutrition (MAM).
- Significant risk factors included larger family size (>7 members), underweight mothers, pre-lacteal feeding practices, and Muslim religious affiliation.
Conclusions:
- There is a substantial burden of severe malnutrition in siblings of children with SAM.
- Routine screening for undernutrition in all siblings under five years of age is recommended when a child is diagnosed with SAM.
Objective:
To study the prevalence and associated factors of undernutrition in siblings of children with severe acute malnutrition (SAM).
Method:
It was a community-based cross-sectional study of under-five year siblings of children with SAM.
Results:
A total of 128 under-five years siblings were studied, 30% had SAM whereas 20% had moderate acute malnutrition (MAM). More than 7 members in a family (OR=4.23, CI 1.9-9.6, P<0.001), underweight mothers (OR=5.2, CI 2.08-13.0, P<0.001), children who received pre-lacteal feeds (OR=3.24, CI 1.33-7.87, P=0.007), and Muslim religion (OR=4.44, CI 1.78-11.1, P<0.001) were significantly associated with finding of another child with SAM in the family.
Conclusion:
There was high proportion of severe malnutrition in siblings of children with SAM. Consideration should be given to actively screen all under-5 children in the family of a newly diagnosed child with SAM for undernutrition.
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