Does birth season correlate with childhood stunting? An input for astrological nutrition
Melese Linger Endalifer1, Gedefaw Diress2, Bedilu Linger Endalifer3
1Department of Human Nutrition, College of Health Science, Debre Markos University, Debre Markos, Ethiopia. melselinger@gmail.com.
Insights
Children born in Ethiopia
Area of Science:
- Public Health
- Pediatrics
- Epidemiology
Background:
- Chronic malnutrition, particularly stunting, is a significant public health issue in Ethiopia, with prevalence exceeding 40% over the past three decades.
- Despite numerous interventions, progress in combating childhood chronic malnutrition has been limited.
- The impact of birth season on childhood malnutrition in Ethiopia remains understudied.
Purpose of the Study:
- To investigate the association between the season of birth and childhood chronic malnutrition (stunting) in Ethiopia.
- To identify potential predictors of stunting in Ethiopian children.
- To inform nutritional interventions and policies by considering seasonal birth patterns.
Main Methods:
- Utilized data from the 2016 Ethiopian Demographic and Health Survey, encompassing 8,855 children.
- Employed a two-stage stratified sampling technique for data collection.
- Analyzed data using SPSS version 20, with descriptive statistics and binary/multivariable logistic regression models. A p-value < 0.05 and 95% Confidence Interval (CI) were used to determine statistical significance.
Main Results:
- The overall prevalence of stunting in Ethiopian children was 38.7% (95% CI: 36.8, 40.6).
- A significant association was found between the season of birth and stunting.
- Children born during the spring season had a 16% lower odds of being stunted compared to those born in winter.
Conclusions:
- Children born in the spring season exhibit a reduced likelihood of stunting, a phenomenon sometimes referred to as the 'October effect'.
- The precise biological mechanisms linking birth season to child anthropometric indicators require further elucidation.
- Nutritional strategies and public health policies in Ethiopia should incorporate considerations of birth season.
Introduction:
Chronic malnutrition is highly prevalent in Sub-Saharan Africa and a severe public health problem in Ethiopia.At country level in the past three decades,the prevalence of stunting is above 40%.Different researchs and intervention were implemented in the past;but the progresss is non-remarkable.Despite; the effect of birth season on childhood chronic malnutrition was not studied yet in Ethiopia.
Methods:
This research was extracted from the 2016 demographic health survey of Ethiopia. The data was collected based on national and international scientific protocols. A total of 645 enumeration areas were selected for the national survey.The surevey uses two stage stratified sampling technique to gather data from the sampling unit. After excluding non eligible children a total of 8855 participants were included for final analysis.Height and weight were measured based on the standards nutritional assessment procedure.SPSS version 20 was used to analyze the data.Descriptive statistics were used to present the data. Binary and multivariable logistic regression models were regressed to identify the potential predictors.A p-value of less than 0.05 with 95% CI were used to declare an association.
Result:
The prevalence of stunting in Ethiopia was 38.7% (95% CI: 36.8, 40.6). Season of birth had a significant association with stunting. The odds of being stunted among children born in the spring season were decreased by 16% as compared to children born in the winter season.
Conclusion:
Children born in the spring season were less likely to be stunted (the so called October effect). The clear scientific relation between the season of birth and child anthropometric indicator is not well understood. Nutritional interventions and policies are better to consider the birth season of the child.
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