scholarly journals The nutritional status of children with cystic fibrosis

2006 ◽  
Vol 95 (2) ◽  
pp. 321-324 ◽  
Author(s):  
Alexia J. Murphy ◽  
Helen M. Buntain ◽  
Claire E. Wainwright ◽  
Peter S. W. Davies

The importance of nutritional intervention for children with cystic fibrosis (CF) is well recognised. It would be expected that the increase in knowledge over the past decade would be reflected in improvements in nutritional status for the CF paediatric population. The aim of the present paper was to evaluate the nutritional status of children with CF, cross-sectionally and longitudinally. Body cell mass adjusted for gender and size (BCM/Htp) was measured in sixty-four children with CF to represent nutritional status and expressed as a Z-score. The cross-sectional results showed a mean BCM/Htp Z-score of 0·54 (sd 1·21), with males having a slightly higher Z-score than females but with a larger variation. At the initial measurement, only one female and one male were considered sub-optimally nourished. The longitudinal analysis after 2 years showed that the mean population had a significantly decreased BCM/Htp Z-score; however, when each gender was analysed separately, this decrease was significant only in the males. At the final measurement, only two females and three males were considered sub-optimally nourished. It is evident from our results that children with CF are well nourished, with only a small percentage considered malnourished. It appears that nutritional status decreases with age, with this decline being more evident in males. These results signify that although children with CF are better nourished with current treatment support, intervention needs to continue throughout a CF patient's life to counteract the changes that occur with age.

2012 ◽  
Vol 1 (1) ◽  
pp. 11-20
Author(s):  
Cahaya Asdhany ◽  
Apoina Kartini

ABSTRACTBackground: Children under five years of age are included  in group of nutrition’s susceptible. They are on growth and development cycle which need a huge nutrient. The aim of this study is to understand the relationship between mother’s participation levels in posyandu and nutritional status of children under five years of age.Method: Study of analitical observation with cross sectional was used. Subject was a mother in Cangkiran, having children aged between 12-59 month. Subject was taken with proportional stratified random sampling technique. Mother’s participation in posyandu was taken from health care staff’s data, protein and energy intake were taken from food recall 3x24 hours, and nutritional status of children under five years of age was compared with Z-score of WHO 2005. Data was analyzed using Rank-Spearman and partial correlation used SPSS for Windows 19.0 software.Result: Approximately 56,4% of subjects have active participation’s levels in posyandu. Much of the children under five years of age from those have 80,6% good nutritional status (WAZ), 67,7% normal (WHZ), 61,3% normal (HAZ), and 61,3% normal (BMIAZ). There is a relationship mother’s participation levels in posyandu with nutritional status children under five years of age based on WAZ            (p = 0,030 ;  r = 0,651) but not for WHZ (p = 0,998 ;  r = 0,000), HAZ (p = 0,163 ; r = 0,191), and BMIAZ (p = 0,689 ; r = -0,055). This realtionship is also controlled by sufficient levels of energy             (p = 0,047 ;  r = 0,639) and protein (p = 0,003 ; r = 0,823).Conclusion: Increased participation levels of  mother’s in posyandu enhances nutritional status of children under five years of age (based on WAZ). This case is also influenced by sufficient levels of energy and protein.Keyword: mother’s participation levels, posyandu, nutritional status, children under five years of age


2015 ◽  
Vol 11 (3) ◽  
pp. 97
Author(s):  
Ni Luh Agustini Purnama ◽  
Lely Lusmilasari ◽  
Madarina Julia

Background: The issue of child nutrition is still a problem in developing countries, including Indonesia. Nowadays, there is double burden related to child nutrition, due to lack of nutrition that has not been resolved and at the same time, there is an increasing problem of excess nutrients. Parents are responsible for the care of children, including fulfilling a balanced nutritional intake.Objective: To identify the relationship between parent’s behavior in feeding and nutritional status of children aged 2-5 years.Method: Design used in this study was observational with the cross-sectional study was conducted 153 parents with children aged 2-5 years who fit the inclusion and exclusion criteria in the region of Integrated Health Center Catholic Hospital St. Vincentius a Paulo Surabaya. Parent’s behavior in feeding was assessed using the Comprehensive Feeding Practices Questionnaire (CFPQ) which consists of 49 questions and 12 behavioral aspects. The nutritional status of children assessed by weight indicator according to height (weight/height) were compared with z-score WHO 2006 standard. Data were analyzed using the Spearman correlation.Results: The average nutritional status of children aged 2-5 years based on the weight/height z-score indicator was 0.17 indicating that is in normal condition. Parent’s behavior that involves children in the planning and preparation of meals, positively associated with nutritional status of children in all conditions of nutritional status of children who are very thin to obese (ρ=0.43; p=0.001). Pressure, when children eat, was negatively associated with nutritional status of children aged 2-5 years in normal nutritional status to obese (ρ=-0.34; p=0.001). Restriction of food intake to control body weight was positively associated with nutritional status of children aged 2-5 years in all conditions of nutritional status of children who are very thin to obese (ρ=0.29; p=0.001).Conclusion: Parent’s behavior in feeding the children associated with nutritional status of children aged 2-5 years.


2021 ◽  
Vol 67 (1) ◽  
pp. 115
Author(s):  
Ahmad Yeyen Fidyani ◽  
I Dewa Gede Karma Wisana

Poor nutritional status, especially during childhood, has a negative impact on one’s early life as well as throughout their life. One of the factors that influences the improvement of children’s nutritional status is the bargaining power of the mother. Previous studies have limitations in that they often use cross-sectional data and indirect approaches to measuring bargaining power. This study aims to measure the impact of maternal bargaining power on children’s nutritional status in Indonesia. The unit of analysis is children aged 7–19 years (IFLS5) who still have and live with their parents (IFLS4). Using the OLS estimation method, the results show that maternal bargaining power significantly and positively influences the nutritional status of children (HA z-score).


2017 ◽  
Vol 35 (1) ◽  
pp. 9-14
Author(s):  
Nazmun Nahar Shampa ◽  
Md Abid Hossain Mollah ◽  
Mallick Masum Billah ◽  
ARM Luthful Kabir ◽  
Narayan Chandra Saha

Background: Acute Bronchiolitis and pneumonia pose significant morbidity and mortality of under five children. This outcome is further influenced by poor nutritional status of the affected child because of depressed immunity.Objective: We sought to evaluate nutritional status of children suffering from acute bronchiolitis and pneumonia in Bangladesh.Methods: This cross sectional study was conducted in the Department of Pediatrics of Dhaka Medical College Hospital and Dhaka Shishu Hospital from July, 2010 to June, 2011. A total of 50 patients of pneumonia aged 2-24 months and 50 patients of acute bronchiolitis of same age were enrolled in this study according to case definitions. After enrolment, the patients were thoroughly assessed with particular emphasis on the anthropometric measurements. Weight, length, MUAC and OFC were measured and recorded in a pretested semi structured questionnaire. For each group Z score of weight for age, weight for length, length for age, OFC and MUAC were calculated. Z score +2 to -1 was defined as normal, -1 to -2 z score as mild poor, -2 to -3 z score as moderate poor and <-3 z score was defined as severe poor status.Results were compared between pneumonia group and bronchiolitis group by using calculated Z value. A calculated Z value more than 1.96 was regarded significant (calculated z value > 1.96 is equivalent to p value< 0.05). Results: Children with pneumonia more often had severe underweight (weight for age <-3 SD) (50% vs. 30%, p= 0.04), microcephaly (OFC <-3SD) (30% vs. 12%, p= 0.03), and low MUAC (<115 mm) (40% vs. 10%, p= 0.03) compared to those with bronchiolitis. Although, there was an increased trend of severe wasting (weight for length <-3 SD) and severe stunting (length for age <-3 SD) in children with pneumonia compared to those with bronchiolitis, the difference was not significant.Conclusion: There thus, the overall nutritional status in children having pneumonia was poor compared to those with bronchiolitis. However, multicenter case control study with larger sample is imperative to consolidate our observation.J Bangladesh Coll Phys Surg 2017; 35(1): 9-14


Author(s):  
Dini Kesumah Dini Kesumah

ABSTRACT According to World Health Organization Health Organization (WHO) in 2005 showed 49% of deaths occur in children under five in developing countries. Nutritional problems can not be done with the medical and health care approach alone. Causes related to malnutrition that maternal education, socioeconomic families, poor environmental sanitation, and lack of food supplies. This study aims to determine the relationship between education and socioeconomic status of families with nutrition survey using a cross sectional analytic approach, with a population of all mothers of children under five who visited the health center in Palembang Keramasan Accidental sampling Sampling the number of samples obtained 35 respondents. Variables include the study independent and dependent variables and univariate analysis using Chi-Square test statistic with a significance level α = 0.05. The results from 35 respondents indicate that highly educated mothers earned as many as 16 people (45.7%), and middle and upper income families as many as 12 people (34.3%) and bivariate test results show that highly educated respondents toddler nutritional status good for 81.3% (13 people) is larger than the less educated respondents balitanya good nutritional status 26.3% (5 persons) as well as respondents who have middle and upper socioeconomic families with good nutritional status of children at 91.7% ( 11 people) is larger when compared to respondents who have family socioeconomic medium with good nutritional status of children at 30.4% (7 people). Statistical tests show that education has a significant relationship with nutritional status of children P value = 0.004 and socioeconomic families have a meaningful relationship with nutritional status of children P value = 0.002. Based on the results of the study suggested the health professionals in the health center should further improve the education, information about the importance of nutrition to the development of the child in the mothers through the selection and processing of good food and a good diet through health centers and integrated health.   ABSTRAK  Menurut badan kesehatan World Health Organization (WHO) tahun 2005 menunjukkan 49% kematian yang terjadi pada anak dibawah umur lima tahun di negara berkembang. Masalah gizi ini tidak dapat dilakukan dengan pendekatan medis dan pelayanan kesehatan saja. Penyebab yang berhubungan dengan kurang gizi yaitu pendidikan ibu, sosial ekonomi keluarga, sanitasi lingkungan yang kurang baik,dan kurangnya persediaan pangan. Penelitian ini bertujuan untuk mengetahui hubungan antara pendidikan dan sosial ekonomi keluarga dengan status gizi balita dengan menggunakan metode survei analitik pendekatan secara Cross Sectional, dengan populasi semua ibu yang memiliki anak balita yang berkunjung ke Puskesmas Keramasan Palembang dengan pengambilan sampel secara Accidental Sampling diperoleh jumlah sampel 35 responden. Variabel penelitian meliputi variabel independen dan dependen serta analisis univariat menggunakan uji statistik Chi-Square dengan tingkat kemaknaan α = 0,05. Hasil penelitian ini menunjukkan dari 35 responden didapatkan ibu yang berpendidikan tinggi sebanyak 16 orang  (45,7%), dan keluarga yang berpenghasilan menengah keatas sebanyak 12 orang (34,3%) dan hasil uji bivariat menunjukkan bahwa responden yang berpendidikan tinggi status gizi balitanya baik sebesar 81,3% (13 orang) lebih besar bila dibanding responden yang berpendidikan rendah status gizi balitanya baik 26,3% (5 orang) serta responden yang mempunyai sosial ekonomi keluarga menengah keatas dengan status gizi balita baik sebesar 91,7% (11 orang) lebih besar bila dibanding responden yang mempunyai sosial ekonomi keluarga menengah kebawah dengan status gizi balita baik sebesar 30,4% (7 orang). Uji statistik menunjukkan bahwa pendidikan mempunyai hubungan yang bermakna dengan status gizi balita P value = 0,004 dan sosial ekonomi keluarga mempunyai hubungan yang bermakna dengan status gizi balita P value = 0,002. Berdasarkan hasil penelitian disarankan pada petugas kesehatan di Puskesmas hendaknya lebih meningkatkan penyuluhan-penyuluhan tentang pentingnya gizi terhadap tumbuh kembang anak pada ibu-ibu melalui cara pemilihan dan pengolahan bahan makanan yang baik serta pola makanan yang baik melalui kegiatan Puskesmas dan Posyandu.


2018 ◽  
Vol 9 (02) ◽  
pp. 192
Author(s):  
Wiwid Wahyuningsih ◽  
Atik Setiyaningsih

ABSTRAKLatar Belakang : Keberadaan kader di posyandu sebagai salah satu sistem penyelenggarakan pelayanan sangat dibutuhkan. Mereka adalah ujung tombak  pelayanan kesehatan yang merupakan kepanjangtanganan puskesmas Jawa Tengah tahun 2011 jumlah gizi kurang 5,35% dan gizi buruk 0,10%. Untuk Kabupaten Semarang dari 23.562 balita yang ditimbang pada tahun 2011 gizi lebih 1,13%, gizi baik 93,51%, gizi kurang 4,86% dan gizi buruk 0,49% (DepKes Prov Jateng, 2011). Tujuan Penelitian : Penelitian ini bertujuan untuk mengetahui hubungan peran kader posyandu dengan status gizi balita. Metode Penelitian : Desain penelitian ini adalah survey analitik dengan menggunakan pendekatan cross sectional. Populasi dalam penelitian ini adalah seluruh balita di Posyandu Mawar di Desa Gedangan sejumlah 40 responden, dengan teknik total sampling dan analisa data chi square. Hasil Penelitian : Hasil perhitungan chi square di peroleh X² hitung 10.644 pada df=4, P.value 0.031 dimana probabilitas lebih kecil dari level of significant 5 % (0,001 < 0,05) berarti Ha diterima dan Ho ditolak. Kesimpulan : ada hubungan antara peran kader posyandu dengan status gizi pada balita.Kata Kunci : peran kader , status gizi balitaCADERE ROLE RELATIONSHIP WITH NUTRITIONAL STATUS OF CHILDREN POSYANDUABSTRACTBackground : posyandu cadre in Existence as one of the 56th's service system is urgently needed. They are the tip of the Spear is a kepanjangtanganan health services clinics in Central Java in 2011 the amount of nutrition less 5.35% 0.10% and malnutrition. To Semarang from 23.562 toddler who weighed in 2011 more nutritional 1.13%, 93,51%, good nutrition nutrition less 4.86% and 0.49% poor nutrition (Department of Health Central Java Prov., 2011). Objective : the research aims to find out the relationship role of posyandu cadre with the nutritional status of children. Methods : the design of this research is a survey using the analytic approach of cross sectional. The population in this study are all the toddlers at the Rose in the village of Posyandu Gedangan some 38 respondents, with total sample techniques and data analysis a chi square. The results :. The chi square calculation results in getting X ² count 10.644 on df = 4, P. value 0.031 where probability is smaller than the level of significant 5% (0.001 < 0.05) mean Ha Ho accepted and rejected. Conclusion : there is a connection between the role of cadres of posyandu with nutritional status on toddlers.Keywords : the role of cadres, toddler nutrition status


2021 ◽  
pp. 238008442110021
Author(s):  
O.O. Olatosi ◽  
A.A. Alade ◽  
T. Naicker ◽  
T. Busch ◽  
A. Oyapero ◽  
...  

Introduction: Malnutrition in children is one of the most prevalent global health challenges, and malnourished children have a higher risk of death from childhood diseases. Early childhood caries (ECC) is the most common chronic disease of childhood. Complications from ECC such as pain, loss of tooth/teeth, and infection can undermine a child’s nutrition and growth. Aim: This study aims to evaluate the severity of decay, missing, and filled tooth (dmft) by nutritional status using the z scores of the anthropometric measurements: height for age (HFA), weight for age (WFA), weight for height (WFH), and body mass index for age (BMIA) among children with ECC in Nigeria. Study Design: This is a cross-sectional study conducted in 5 local government areas (LGAs) in Lagos State, Nigeria. A multistage sampling technique was used. Results: A total of 273 cases of ECC were included in the analyses (mean age 4.19 ± 0.96 y). Overall, the mean dmft was 3.04 ± 2.28, and most (96%) were accounted for by untreated decay. The distribution of dmft within the different z score categories of BMIA (<–3 = severely wasted, –2 to –3 = wasted, –2 to +2 = normal, +2 to +3 = overweight and >+3 = obese) showed the highest dmft scores among the combined severely wasted and wasted groups, lowest among children with normal z scores, and intermediate in the overweight and obese groups. There was a significant negative correlation between BMIA z score, WFH z score, and dmft ( r = −0.181, P < 0.05 and r = −0.143, P < 0.05, respectively). However, the correlations between HFA z score, WFA z score, and dmft were positive but not significant ( r = 0.048, P = 0.44 and r = 0.022, P = 0.77, respectively). Conclusion: Our study showed an increased severity of dental caries among severely wasted or wasted children with ECC compared to those of normal or overweight. Knowledge Transfer Statement: The results from this study will raise awareness among clinicians and policy makers on the need for a primary prevention program for early childhood caries in countries with high burden of malnutrition and limited resources. Also, it will help draw the attention of clinicians to the caries status of malnourished children that can be managed to improve the nutritional outcomes.


2008 ◽  
Vol 29 (1) ◽  
pp. 59-66 ◽  
Author(s):  
Bich Huu Tran

Background Malnutrition is a public health problem in Vietnam. Child health and the status of women have been targets for various health programs in the country. In general, reports in the literature suggest that care is positively correlated with positive nutritional status of children. In the household, the father is considered a resource for care. However, the role of paternal care in health programs has not received the attention it deserves. Objective To identify associations between the involvement of fathers in child care and housework and the nutritional status of children under 3 years of age. Methods This cross-sectional study was based on a random sample of 547 children under 3 years of age from intact families and their biological parents. The main outcome variable was child nutrition. Predictor variables represented two domains of father's involvement. Multivariable general linear modeling and multivariable logistic regression modeling were performed with the use of a combination of stepwise and hierarchical approaches in data analysis. Results The overall prevalence of underweight among children was 19.1%, and the prevalence of stunting was 14.4%. Children whose fathers did not bring them to a medical facility for immunization were about 1.7 times more likely to be underweight and stunted than those whose fathers did bring them for immunization after child's age, household economic status, and mother's education were controlled for. Father's involvement in housework was not found to be related to the prevalence of malnutrition. Conclusions Paternal involvement in child immunization should be encouraged by health-care providers who manage immunization programs.


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