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Updated: Jun 25, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Risk of child undernutrition in households with life-limiting illness: A cross-sectional study
Janni B Petersen1, Irene Naleba, Josephine Namugambe
1Department of Public Health, Faculty of Health, Aarhus University, Aarhus Denmark; and Emergency Department, Regional Hospital Horsens, Horsons. janni-bp@hotmail.com.
Insights
Children in households with a life-limiting illness are not at increased risk of undernutrition. Home-based palliative care may offer a protective effect on child nutritional status, contrary to initial concerns about undernutrition risk.
Area of Science:
- Global Health
- Pediatric Nutrition
- Palliative Care
Background:
- Identifying children at risk of undernutrition remains a significant global health challenge.
- Children in households with a member experiencing a life-limiting illness may be vulnerable to undernutrition.
Purpose of the Study:
- To investigate the risk of undernutrition in children residing in households with a member diagnosed with a life-limiting illness.
- To explore the potential impact of home-based palliative care on child nutritional status.
Main Methods:
- A comparative cross-sectional study was conducted in Uganda.
- Data included anthropometric measurements of children under five, household dietary diversity, food security, and healthcare access.
- Participants were recruited from households receiving home-based palliative care (high-risk group) and neighboring households (comparison group).
Main Results:
- No statistically significant difference in undernutrition prevalence was observed between the groups.
- A trend towards less undernutrition was noted in the high-risk group compared to the comparison group.
- The high-risk group reported higher food insecurity, despite lower-than-expected acute malnutrition rates in both groups.
Conclusions:
- The study did not find an increased risk of undernutrition in children from households with a life-limiting illness.
- Higher-than-expected stunting in both groups suggests potential seasonal influences on undernutrition.
- Home-based palliative care may confer a protective effect on child nutritional status, warranting further investigation into its key components.
Background:
An ongoing challenge within the field of undernutrition is to identify children at risk.
Aim:
The objective of this study was to investigate whether children who are living in households inhabiting a household member with a life-limiting illness are at risk of undernutrition.
Setting:
A comparative cross-sectional study was performed in Uganda.
Methods:
We collected anthropometric data on children under the age of five and information on household dietary diversity, food security and healthcare barriers. Study participants for the hypothesised high-risk group were recruited within households receiving home-based palliative care. The comparison group included neighbouring households.
Results:
Data collection from 145 paired households was performed from April to July 2021. There was no statistically significant difference in prevalence of undernutrition. For all continuous nutrition indicators there was a trend towards less undernutrition in the hypothesised high-risk group than in the comparison group. We found lower overall prevalence of acute malnutrition than expected. The hypothesised high-risk group was associated with higher food insecurity than the comparison group.
Conclusion:
Lower overall acute malnutrition than expected may be because of the season variability. Stunting was higher than expected in both groups, which may suggest season variability in undernutrition. The results suggest a protective effect of receiving home-based palliative care on child nutritional status.Contribution: The study did not show a risk of child undernutrition in households inhabiting a household member with life-limiting illness. Future research may identify key elements responsible for the potential protective effects of home-based palliative care on child undernutrition.
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