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Nutritional status of displaced children including unaccompanied minors on Lesvos, Greece
H Benjeddi1, M P Gruppen2, S A Post1
1Amsterdam UMC, location University of Amsterdam, Amsterdam Institute for Global Child Health, Emma Children's Hospital, Meibergdreef 9, Amsterdam, Netherlands.
Insights
Displaced children in Greece face significant nutritional challenges, including stunting and overweight. Unaccompanied minors are particularly vulnerable, with nearly one-third experiencing stunting.
Area of Science:
- Global Health
- Pediatrics
- Nutrition Science
Background:
- The global refugee crisis impacts over 120 million individuals, with children comprising 40%.
- Limited data exists on the health and nutritional status of children in refugee camps.
- This study focuses on displaced children in the Mavrovouni Closed Controlled Access Centre (CCAC) on Lesvos, Greece.
Purpose of the Study:
- To assess the nutritional status of 304 displaced children (0-18 years) residing in CCAC Mavrovouni.
- To identify the prevalence of wasting, stunting, and overweight within this population.
- To analyze nutritional status in unaccompanied minors (UAMs) and explore factors like breastfeeding.
Main Methods:
- An observational study conducted from February to August 2023 at CCAC Mavrovouni.
- Data collected included demographics, dietary habits, and health indicators.
- Nutritional status assessed using World Health Organization (WHO) criteria for wasting, stunting, and overweight.
Main Results:
- Overall prevalence: 11% stunting, 10% wasting (under-five), 5% underweight, 13% overweight.
- Nutritional status showed no significant change during camp stay.
- Unaccompanied minors exhibited a significantly higher prevalence of stunting (31%).
- Breastfeeding showed an association with weight-for-height Z-scores in children up to five years old.
Conclusions:
- Poor nutritional status is prevalent among displaced children in Lesvos, indicating vulnerability.
- Unaccompanied minors are a particularly vulnerable subgroup, with high rates of stunting.
- The co-existence of undernutrition and overweight presents complex nutritional challenges in this population.
Introduction:
The number of displaced people worldwide has reached an unprecedented 120 million, of whom 40% are children. There is limited knowledge about the health of children in refugee camps, particularly regarding their nutritional status. This study examines the nutritional status of 304 displaced children (0-18 years) in Closed Controlled Access Centre (CCAC) Mavrovouni, Lesvos, Greece.
Methods:
An observational study was conducted between February and August 2023 at CCAC Mavrovouni. Data collection included demographics, dietary details, health and nutritional status. The primary outcome was the prevalence of wasting, stunting and overweight using World Health Organization (WHO) criteria. We also conducted subgroup analyses for unaccompanied minors (UAMs) separately. Secondary outcomes of our study included the role of breastfeeding and other factors that potentially affect nutritional status.
Results:
The overall prevalence of stunting among minors in CCAC at baseline was 11%. 10% of children under five were wasted. Of all children, 5% underweight and 13% were overweight. Nutritional status does not change during their stay in the camp: wasting (improvement in Z-score by 0.2, 95% CI -0.5-0.1), stunting (decrease in Z-score by 0.07, 95% CI -0.2-0.3). There was a significantly higher prevalence of stunting in the UAM sub-group (31%, p < 0.01). No association was found between breastfeeding and weight-for-height Z-scores under two years old (Z-score difference of 1.3, p = 1.18), but there was in the larger age group up to five (Z-score difference of 0.82, p < 0.01).
Conclusions:
Our results show that poor nutritional status is prevalent amongst displaced children on Lesvos, highlighting their vulnerability. Our results underline the compromised health and vulnerability of UAMs, with nearly one third of this group being stunted.. The unexpected prevalence of overweight highlights complex nutritional challenges.
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