scholarly journals The Nutritional Status of Individuals Adopted Internationally as Children: A Systematic Review

Nutrients ◽  
2021 ◽  
Vol 13 (1) ◽  
pp. 245
Author(s):  
Richard Ivey ◽  
Marko Kerac ◽  
Michael Quiring ◽  
Hang T. Dam ◽  
Susie Doig ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Nutritional Status ◽  
Body Mass ◽  
Head Circumference ◽  
Older Children ◽  
Z Scores ◽  
Catch Up ◽  
Height For Age ◽  
Weight For Age

Since 1955, international adoption has been a way of finding homes for children who have been orphaned or abandoned. We aimed to describe the nutritional status of individuals adopted internationally and their long-term nutritional and health outcomes. We searched four databases for articles published from January 1995 to June 2020, which included information on anthropometric or micronutrient status of children adopted internationally (CAI). Mean Z-scores on arrival to adoptive country ranged from −2.04 to −0.31 for weight for age; −0.94 to 0.39 for weight for height; −0.7 to 0 for body mass index; −1.89 to −0.03 for height for age; −1.43 to 0.80 for head circumference for age. Older children, those adopted from institutionalized care or with underlying disability, were more likely to be malnourished. Though long-term data was scarce, mean Z-scores post-adoption ranged from −0.59 to 0.53 for weight for age; −0.31 to 1.04 for weight for height; 0.39 to 1.04 for body mass index; −1.09 to 0.58 for height for age; −0.06 to 1.23 for head circumference for age. We conclude that though CAI are at high risk of malnutrition at baseline, marked catch-up growth is possible, including for those older than two years of age on arrival. This has implications not only for CAI but for the wider population of malnourished children worldwide. Research on how to optimize catch-up growth is a priority.

Catch-up growth in children after repair of Tetralogy of Fallot

2012 ◽  
Vol 22 (5) ◽  
pp. 507-513 ◽  
Author(s):  
Fabio Carmona ◽  
Lucas S. Hatanaka ◽  
Marco A. Barbieri ◽  
Heloisa Bettiol ◽  
Roseli B. D. Toffano ◽  
...  
Keyword(s):  
Tetralogy Of Fallot ◽  
Economic Status ◽  
Growth Restriction ◽  
Socio Economic Status ◽  
Z Scores ◽  
Catch Up ◽  
Residual Lesions ◽  
Height For Age ◽  
Weight For Age

AbstractPurposeTo evaluate the growth of children after repair of Tetralogy of Fallot, as well as the influence of residual lesions and socio-economic status.MethodsA total of 17 children, including 10 boys with a median age of 16 months at surgery, were enrolled in a retrospective cohort, in a tertiary care university hospital. Anthropometric (as z-scores), clinical, nutritional, and social data were collected.ResultsWeight-for-age and weight-for-height z-scores decreased pre-operatively and recovered post-operatively in almost all patients, most markedly weight for age. Weight-for-height z-scores improved, but were still lower than birth values in the long term. Long-term height-for-age z-scores were higher than those at birth, surgery, and 3 months post-operatively. Most patients showed catch-up growth for height for age (70%), weight for age (82%), and weight for height (70%). Post-operative residual lesions (76%) influenced weight-for-age z-scores. Despite the fact that most patients (70%) were from low-income families, energy intake was above the estimated requirement for age and gender in all but one patient. There was no influence of socio-economic status on pre- and post-operative growth. Bone age was delayed and long-term-predicted height was within mid-parental height limits in 16 children (93%).ConclusionChildren submitted to Tetralogy of Fallot repair had pre-operative acute growth restriction and showed post-operative catch-up growth for weight and height. Acute growth restriction could still be present in the long term.

Anthropometric Parameters among Children Under 6 Years with Stunting

2021 ◽  
Vol 8 (2) ◽  
pp. 221-227
Author(s):  
Abdul Malik Setiawan ◽  
Apriyani Puji Hastuti
Keyword(s):  
Body Mass Index ◽  
Nutritional Status ◽  
Body Mass ◽  
The Body ◽  
Anthropometric Measurement ◽  
Feeding Practice ◽  
Anthropometric Parameters ◽  
Anthropometric Parameter ◽  
Height For Age ◽  
Weight For Age

Anthropometric measurement is a quantitative measurement as a nutritional status and can describe composition of the body. Stunting is when children have a low height-for-age. There are potential causes of stunting in Indonesia, including factor maternal nutritional status, breastfeeding practice, complementary feeding practice, exposure to infection, and related distal determinants such as education, dietary pattern, health care, and water sanitation hygiene. The objective of the research was to assess the association between gender, age and anthropometric parameters (weight-for-age, weight-for-height, body mass index for age) among children-under-six-years with stunting.  The research used a cross sectional method which used documentation research of gender, weight, height or length and age reports of 25.158 children under six years. The anthropometric parameters of the children were categorized using weight-for-age (WAZ), weight-for-height (WHZ), body mass index for age. This research used spearman rank test and binary logistic regression to analyze association between gender, age, weight-for-age, weight-for-height, body mass index for age, and height or length-for-age. Results: There were male 14.027 (55.8%), 2-6 years 15.789 (62.8%), with normal anthropometric parameter (weight- for-age, weight-for-height, and body mass index for age in stunted children. There was no significantly correlation between the children's gender and height-for-age (=0.096) and OR 0.993 (0.933- 1.056). Furthermore, there was low significantly correlation between age, anthropometric parameter (weight-for-age WAZ, weight-for-height WHZ and body mass index for age) with height-for-age (=0.000). Stunted children who had normal nutritional status were 0.469 times more likely to experience stunting.

scholarly journals Water, sanitation and hygiene practices associated with improved height-for-age, weight-for-height and weight-for-age z-scores in Nepal.

2020 ◽  
Author(s):  
Som Kumar Shrestha ◽  
Don Vicendese ◽  
Bircan Erbas
Keyword(s):  
Nutritional Status ◽  
Water Purification ◽  
Rural Areas ◽  
Interactive Effects ◽  
P Value ◽  
Child Undernutrition ◽  
Sanitation And Hygiene ◽  
Z Scores ◽  
Height For Age ◽  
Weight For Age

Abstract Background: Evidence of the influence of water, sanitation and hygiene (WASH) behaviors on childhood nutritional status is inconsistent. Few studies have examined their interactive effects. This study aimed to examine associations and interactions between WASH variables and preschool child undernutrition. Methods: Data from a nationally representative sample of 2352 children assessed during the 2016 Nepal Demographic and Health Survey were analyzed by multi-variable linear regression to understand the association between height-for-age (HAZ), weight-for-height (WHZ) and weight-for-age (WAZ) z-scores and WASH variables. Interactions between WASH variables, sex and area of residence on childhood nutritional status were also examined. Results: The mean z-score [standard deviation] for children’s WAZ, HAZ and WHZ scores were -1.33 [1.1], -1.52 [1.3] and -0.65 [1.1], respectively. A unit increase in cluster sanitation coverage was associated with an increase of 0.30 (95%CI: 0.12 to 0.48) for WAZ and 0.28 (95%CI: 0.001 to 0.56) for HAZ scores. Household water purification practice was associated with an increase of 0.24 (95%CI: 0.07 to 0.41) in WHZ score. Handwashing practice with water and soap was associated with an increase of 0.15 (95%CI: 0.04 to 0.25) in WAZ and 0.13 (95%CI: 0.01 to 0.24) in WHZ scores. The effect of water purification practice was higher for rural areas compared to urban settings for HAZ scores (p-value for interaction=0.02). Conclusions: Consistent with findings from other countries in the South Asian region, findings of this study highlight the potential importance of good WASH practices, and therefore the potential of WASH interventions, to contribute to improved nutritional status in rural Nepal.

scholarly journals Differences between WHO Growth Standards and China Growth Standards in Assessing the Nutritional Status of Children Aged 0–36 Months Old

2019 ◽  
Vol 17 (1) ◽  
pp. 251
Author(s):  
Qianling Tian ◽  
Xiao Gao ◽  
Tingting Sha ◽  
Qiong He ◽  
Gang Cheng ◽  
...  
Keyword(s):  
Nutritional Status ◽  
World Health ◽  
Growth Standards ◽  
The World ◽  
Z Scores ◽  
Nutritional Status Of Children ◽  
Height For Age ◽  
Weight For Age ◽  
China’S Growth

Background: At present, whether to use the World Health Organization’s (WHO) growth standards or native growth standards to assess the nutritional status in a given population is unclear. This study aimed to compare the differences between the WHO’s growth standards and China’s growth standards in assessing the nutritional status of children aged 0~36 months. Methods: We used z-scores to evaluate the nutritional status of children. The weight-for-age z-scores (WAZs), length/height-for-age z-scores (LAZ/HAZs), and weight-for-length/height z-scores (WLZ/WHZs) were calculated using the WHO’s growth standards and China’s growth standards. MeNemar’s test was used to compare the nutritional status of children. Results: The results in this study showed that there were differences between the WHO’s standards and China’s standards in assessing children’s nutritional status except for stunting and obesity. The prevalence of underweight assessed using China’s standards was higher than when using the WHO’s standards (except when 3 and 36 months old). The prevalence of wasting was significantly higher when assessed using China’s standards than when using the WHO’s standards from 12 to 36 months. The prevalence of overweight was higher when assessed using the WHO’s standards from 3 to 8 months. Conclusions: Both the WHO’s and China’s growth standards are useful measures in assessing children’s nutritional status but with key significant differences. Therefore, caution should be taken in selecting appropriate measures in a given population.

Nutritional Status of Pre-School Children from Urban Low Income Families

2019 ◽  
Vol 56 (3) ◽  
pp. 265
Author(s):  
R. V. Lakshmi ◽  
M. Sylvia Subapriya ◽  
Kalaivani Krishnamurthy ◽  
Prema Ramachandran
Keyword(s):  
Nutritional Status ◽  
School Children ◽  
Low Income ◽  
Adult Life ◽  
Noncommunicable Diseases ◽  
Community Based ◽  
Z Scores ◽  
Low Income Families ◽  
Height For Age ◽  
Weight For Age

India is currently the home of the largest number of under-nourished and over-nourished children in the world. Data from longitudinal studies in India indicate that both under nutrition and over-nutrition in childhood is associated with higher risk of over-nutrition and noncommunicable diseases in adult life. A community based mixed longitudinal study of underfive children from urban low income families was taken up to assess their nutritional status. Weight was taken every month in all; length was measured every month in infants and height was measured once in three months in 1-5 year children. BMI was computed in all. Nutritional status was assessed using the WHO anthro software package. Between 2012 and 2015, 3888 pre-school children were enrolled (49.4% boys and 50.6% girls); mean age of these children at enrolment was 22.5±16.17 months. The mean Z scores for height for age was - 1.79; weight for age was - 1.41 and -0.47 for BMI for age. Prevalence of stunting was 43.4%; underweight was 31.9%, wasting was 12% and over-nutrition was between 3-5%. The reduction in wasting rate between 0-3 years was mainly due to the increase in prevalence of stunting. With universal screening for early detection of wasting and over-nutrition and effective management of these, it will be possible to achieve the WHA targets of reducing and maintaining wasting below 5% and preventing increase in over-nutrition in this population. This may reduce the risk of over-nutrition and non-communicable diseases in these children during their adult life.

scholarly journals Growth assessment in children with extra-hepatic portal vein obstruction and portal hypertension

2003 ◽  
Vol 40 (4) ◽  
pp. 247-250 ◽  
Author(s):  
Maria Angela Bellomo-Brandão ◽  
André Moreno Morcillo ◽  
Gabriel Hessel ◽  
Silvia Regina Cardoso ◽  
Maria de Fátima P. C. Servidoni ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Portal Hypertension ◽  
Portal Vein ◽  
Portal Vein Obstruction ◽  
Z Scores ◽  
Hepatic Portal Vein ◽  
The Mean ◽  
Hepatic Portal ◽  
Height For Age ◽  
Weight For Age

BACKGROUND: Several studies carried out to examine the growth of children with extra-hepatic portal vein obstruction and portal hypertension have reported a variety of findings. AIM: To assess anthropometric indices in children with portal hypertension due to extra-hepatic portal vein obstruction and who were treated by endoscopic variceal sclerotherapy. METHODS: Anthropometric data were obtained retrospectively from the medical records of 24 patients who had been followed for 3.8 ± 2.5 years at the Pediatric Gastroenterology Outpatient Clinic of the University Hospital, Campinas, SP, Brazil. The mean Z scores of weight for age, height for age and body mass index at diagnosis and at the last consultation were compared to reference data of the National Center for Health Statistics. The two recordings were compared to assess the long-term effect of the condition. RESULTS: The mean Z scores at diagnosis and at the last follow-up visit were all within normal ranges when compared to the reference population, with the following respective values: weight for age, 0.042 ± 1.09 and 0.132 ± 1.29; height for age, 0.200 ± 1.04 and 0.466 ± 1.24, and body mass index, -0.223 ± 0.98 and -0.198 ± 0.98. In addition, there were no significant differences between the Z score values obtained in the two recordings. CONCLUSION: Portal hypertension due to extra-hepatic portal vein obstruction was not associated with growth impairment in the group of children studied.

scholarly journals Body Mass Index, Underweight and Overweight in Children 3 to 5 Years of Age from Skopje/ Индекс На Телесната Тежина, Неисхранетост И Прекумерна Исхранетост Кај Деца На 3–5 Години Од Скопје

PRILOZI ◽  
2015 ◽  
Vol 36 (1) ◽  
pp. 197-203
Author(s):  
Biljana Trpkovska ◽  
Dobrila Lazarova ◽  
Andja. Strateska ◽  
Biljana Zafirova ◽  
Elizabeta Čadikovska
Keyword(s):  
Body Mass Index ◽  
Nutritional Status ◽  
Body Mass ◽  
Anthropometric Parameters ◽  
Standard Equipment ◽  
International Biological Programme ◽  
Biological Programme ◽  
Male Subjects ◽  
Height For Age ◽  
Female Subjects

Abstract The aim of this research is to present body mass index (BMI) data in children 3-5 years of age from Skopje and provide the information on the prevalence of different categories of nutritional status during the early childhood. Material and methods: The study included 420 preschool children (210 boys and 210 girls). Stature and body weight were measured, and the BMI value was calculated. Twelve anthropometric parameters were measured using standard equipment and measurement technique according to the International Biological Programme. Results: The majority of anthropometrical parameters have shown significant age and sex specific differences in favor of male subjects. Values at the 50th percentile in our male subjects aged 3, 4 and 5 years for the weight-for-age index were 19 kg, 19.1 and 21 kg, respectively whereas in the female subjects the corresponding values were 16.8 kg, 20 kg and 21 kg. The height-for-age index values corresponding to the 50th percentile showed slightly higher values in our male subjects (100 cm, 109.5 cm and 116 cm) than those in our female subjects (102 cm, 108.5 cm and 116 cm). The values of 50th percentile of BMI in our males subjects were 18.1 kg/m², 16.2 kg/m² and 16 kg/m² whereas in our females were 16.5 kg/m², 16.7 kg/m² and 16.4 kg/m². Conclusion: These results show that underweight is a health problem of the rising generation in Skopje and needs to be considered along with the problem of overweight. It is recommended that the detected values could be applied for evaluation of deviations in growth and nutritional status in children aged 3-5.

scholarly journals Outcome of food intake and nutritional status after discontinuation of a cow’s-milk-free diet post negative oral food challenge in infants and children

2022 ◽  
Vol 50 (1) ◽  
pp. 1-8
Author(s):  
Dayane Pêdra Batista de Fariaa ◽  
Marcela Duarte Sillos ◽  
Patrícia da Graça Leite Speridião ◽  
Mauro Batista de Morais
Keyword(s):  
Food Intake ◽  
Nutritional Status ◽  
Challenge Test ◽  
Food Challenge ◽  
Oral Food Challenge ◽  
Cow’S Milk ◽  
Cow's Milk ◽  
Z Scores ◽  
Height For Age ◽  
Weight For Age

Objective: To evaluate the outcome of food intake and nutritional status post discontinuation of a cow’s-milk-free diet after a negative oral food challenge.Methods: This was a prospective, uncontrolled study that evaluated food intake and nutritional status of a cohort of 80 infants and children under 5 years of age. Food intake and nutritional status were evaluated on the day of the oral food challenge test and after 30 days. Weight and height were measured on the day of the test and after 30 days.Results: The mean age of the patients was 18.7 ± 12.4 months, and 58.7% were male. After discontinuation of the elimination diet, the children showed daily intake increases in (P < 0.001), protein (P < 0.001), carbohydrates (P = 0.042), calcium from foods (P < 0.001), calcium from foods and supplements (P < 0.001), phosphorus (P < 0.001), and vitamin D from foods (P = 0.006). The Z-scores (n = 76) on the day of the oral food challenge test and 30 days after restarting the consumption of cow’s milk were as follows: weight-for-age (P < 0.001) and height-for-age (P < 0.001), respectively.Conclusion: Cow’s milk protein in the diet was associated with increased intake of energy, proteins, carbohydrates, calcium, phosphorus, and vitamin D, in addition to an increase in the Z-scores for weight-for-age and height-for-age.

scholarly journals Catch-up growth and nutritional status of preterms born at a Ugandan tertiary hospital: An Observational study.

2020 ◽  
Author(s):  
Flaviah Namiiro ◽  
Anthony Batte ◽  
Joseph Rujumba ◽  
Nicolette Nabukeera ◽  
Ian Munabi ◽  
...  
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Nutritional Status ◽  
Head Circumference ◽  
Maternal Age ◽  
Anthropometric Measurements ◽  
World Health ◽  
Z Scores ◽  
The Mean ◽  
Catch Up

Abstract Introduction Advances in neonatal care have led to the increasing survival of preterm/low birth weight infants worldwide. However, there is limited data on growth outcomes following preterm births especially in low and middle income countries. We assessed the catch-up growth, nutritional status and associated factors of Ugandan children who were born preterm/ low birth weight at Mulago National Referral Hospital.Methods: We enrolled children aged 22-38 months who had been born as preterm with low birth weight and their mothers. Participants were identified and recruited from the follow up clinic for preterm babies discharged from the neonatal unit of Mulago Hospital. Anthropometric measurements for mothers and children were taken. The children’s weight for height z-scores, height for age z-scores, weight for age z-scores, head circumference and mid upper arm circumference (MUAC) were taken and the mothers’ body mass index were generated based on the World Health Organization standards. Results: Of the 251 children and mother pairs recruited, 129 children (51.4%) were male, the mean age was 29.7 months (SD±4.5) and the mean maternal age was 29.9 (SD±5.3). 101(40.1%) of the children enrolled had attained catch up growth on the normal anthropometric measurements for their age. Among the participants, the prevalence of wasting, underweight and stunting was: 8 (3.2%), 36 (14.4%) and 106 (42.2%) respectively. Factors associated with stunting were male sex (AOR 2.36, 95% CI 1.42 to 3.95); p=0.001), maternal age ≤ 25years: AOR 2.27 (95%CI 1.13, 4.52); p= 0.020, and maternal height <150cm: AOR 5.57(95%CI 1.90, 16.94); P=0.002. Associations with underweight in the children were; birth weight ≤1500 gms: AOR 2.38(95%CI 1.14, 4.95); p=0.020 and post-natal hospitalization of more than 14 days: AOR 5.93(95%CI 1.96, 17.90); p=0.002. For 246 (98.8%) participants, MUAC was normal (≥ 12.5 cm) and for 216 (86.8%) the head circumference was within normal range for age.Conclusion: Of the children born preterm/LBW 40.1% of the participants had attained the expected catch up growth at 2 to 3 years of age, 42.2% were observed to be stunted while 14.4% were underweight both higher than the national levels. Targeted interventions are specifically needed for children born with very low birth weight, those requiring long postnatal hospitalization, males and those born to short or young mothers.

scholarly journals Survei status gizi balita di Agats, Asmat, Papua: Analisis situasi pascakejadian luar biasa gizi buruk

2019 ◽  
Vol 2 (1) ◽  
pp. 10
Author(s):  
Maria Fransiska Pudjohartono ◽  
Hanggoro Tri Rinonce ◽  
Josephine Debora ◽  
Pritania Astari ◽  
Monica Gisela Winata ◽  
...  
Keyword(s):  
Nutritional Status ◽  
Socioeconomic Factors ◽  
Age Groups ◽  
World Health ◽  
Situation Analysis ◽  
Under Five ◽  
Z Scores ◽  
Health Organization ◽  
Height For Age ◽  
Weight For Age

A recent extraordinary event of malnutrition in childrenin Asmat, Papua, Indonesia has drawn enormous attention. To help in post-emergency rehabilitation, Gadjah Mada University sent a Kuliah Kerja Nyata – Peduli Bencana (KKN-PB) team to Agats, Asmat in March 17 – April 20, 2018. As part of situation analysis, the team surveyed the nutritional status of under five-years-old children in Agats, Asmat. The subjects were under five-year-old children coming to posyandus in fiveareasin Agats in March-April 2018. The data of sex, age, weight, and height were obtained, then the nutritional status in the form of Z-scores for weight-for-age (WAZ), height-for-age (HAZ), and weight-for-height (WHZ) was calculated using WHO Anthro version 3.2.2 software. Nutritional status was determined based on criteria from World Health Organization (WHO). Among the 372 children, 35 (9.4%) children were underweight and 7 (1.9%) were severely underweight. Twenty one (5.7%) children were stunted and 12 (3.2%) were severely stunted. As many as 23 (6.2%) children were found to be wasted and 6 (1.6%) were severely wasted. The percentages of children with malnutrition found in this survey were lower than the percentages for Indonesia and Papua overall, but percentages in two posyandus were higher than the national and Papua percentages. The relatively low total percentages may be accounted for by concentration of malnutrition cases in districts other than Agats and lack of coverage of children absent from posyandu. Prevalence of malnutrition varied in different age groups possibly due to inadequacy of complementary foods, changes in incidence of infections, and addition of siblings. Further surveys are needed using home visitsthat will also enable to analyze of socioeconomic factors at the same time as nutritional status determinants in Agats and other districts in Asmat.

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