A case-control study to investigate determinants of undernutrition in community-dwelling children

Raden Ahmad Dedy Mardani1,2, Zuhratul Hajri2, Zurriyatun Thoyibah2

  • 1School of Nursing, College of Nursing, Taipei Medical University, Taipei City, Taiwan.

Insights

Mothers' knowledge of nutrition and complementary feeding practices significantly reduces undernutrition risk in children under 2. Healthcare providers should assess and support maternal knowledge for better child health outcomes.

Area of Science:

  • Pediatric Nutrition
  • Public Health
  • Maternal and Child Health

Background:

  • Child undernutrition remains a significant global health challenge, particularly in children under 2 years of age.
  • Understanding the determinants of undernutrition is crucial for developing effective prevention and intervention strategies.
  • Maternal knowledge and practices are recognized as key factors influencing child nutritional status.

Purpose of the Study:

  • To investigate the factors associated with undernutrition among children under two years of age.
  • To identify specific maternal knowledge and practices that act as determinants of child undernutrition.
  • To provide evidence for targeted interventions to reduce the prevalence of undernutrition.

Main Methods:

  • A matched case-control study involving 300 mothers (100 with undernourished children, 200 with healthy children).
  • Data collection included child demographics, maternal characteristics, household information, and maternal knowledge of nutrition and complementary feeding.
  • Conditional logistic regression analysis was employed to identify significant determinants of undernutrition.

Main Results:

  • Maternal knowledge of undernutrition (AOR: 0.95) and nutrition (AOR: 0.90) were significant protective factors against child undernutrition.
  • Knowledge and behavior related to complementary feeding practices also showed a significant protective effect (AOR: 0.97).
  • All identified factors were statistically significant (p < .05), indicating their importance in preventing undernutrition.

Conclusions:

  • Enhancing maternal knowledge in undernutrition, general nutrition, and complementary feeding is vital for reducing undernutrition in children under 2.
  • Healthcare professionals should prioritize assessing and educating mothers on these critical knowledge areas.
  • Early and targeted interventions focusing on maternal education can significantly mitigate the risk of child undernutrition.
Abstract

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