Nutritional Status and the Characteristics Related to Malnutrition in Children Under Five Years of Age in Nghean, Vietnam
2
조회
0
다운로드
2
인용
0
참고문헌
키워드
초록
nutritional status and characteristics related to malnutrition in children less than five years of age in Nghean, Vietnam. Methods : In this study, which was conducted in November 2007, 650 child-mother pairs were selected using a two-stage cluster sampling methodology. A structured questionnaire was then administered to the mothers in their home settings. Anthropometric measurement was then used to determine if children were underweight (weight-for-age), wasting (weight-for-height) and stunting (height-for-age) based on reference data from the National Center for Health Statistics (NCHS)/World Health Organization (WHO). Logistic regression analysis was then used to describe the hierarchical relationships between potential risk factors and malnutrition. Results : The mean Z-scores for weight-for-age, heightfor- age and weight-for-height were -1.46 (95% CI=-1.57, - 1.35), -1.44 (95% CI=-1.56, -1.32) and -0.71 (95% CI=- 0.82, -0.60), respectively. Of the children included in this study, 193 (31.8%) were underweight, 269 (44.3%) were stunting and 72 (11.9%) were wasting. Region of residence, the mother!s level of education and occupation, household size, number of children in the family, weight at birth and duration of exclusive breastfeeding were found to be significantly related to malnutrition. Conclusions : The findings of this study indicate that malnutrition is still an important problem among children less than five years of age in Nghean, Vietnam. In addition, maternal, socio-economic and environment factors were found to be significant factors for malnutrition among children under five.
Abstract
nutritional status and characteristics related to malnutrition in children less than five years of age in Nghean, Vietnam. Methods : In this study, which was conducted in November 2007, 650 child-mother pairs were selected using a two-stage cluster sampling methodology. A structured questionnaire was then administered to the mothers in their home settings. Anthropometric measurement was then used to determine if children were underweight (weight-for-age), wasting (weight-for-height) and stunting (height-for-age) based on reference data from the National Center for Health Statistics (NCHS)/World Health Organization (WHO). Logistic regression analysis was then used to describe the hierarchical relationships between potential risk factors and malnutrition. Results : The mean Z-scores for weight-for-age, heightfor- age and weight-for-height were -1.46 (95% CI=-1.57, - 1.35), -1.44 (95% CI=-1.56, -1.32) and -0.71 (95% CI=- 0.82, -0.60), respectively. Of the children included in this study, 193 (31.8%) were underweight, 269 (44.3%) were stunting and 72 (11.9%) were wasting. Region of residence, the mother!s level of education and occupation, household size, number of children in the family, weight at birth and duration of exclusive breastfeeding were found to be significantly related to malnutrition. Conclusions : The findings of this study indicate that malnutrition is still an important problem among children less than five years of age in Nghean, Vietnam. In addition, maternal, socio-economic and environment factors were found to be significant factors for malnutrition among children under five.
참고문헌 (41)
- Ahmad, O.B., "The decline in child mortality: A reappraisal", Bull World Health Organ, 78(10), pp.1175~1191 (2000)
- World Health Organization, "The World Health Report 2003: Shaping the Future" (2003), World Health Organization
- de Onis, M., "Estimates of global prevalence of childhood underweight in 1990 and 2015", JAMA, 291(21), pp.2006~2600 (2004)
- Caulfield, L.E., "Undernutrition as an underlying cause of child deaths associated with diarrhea, pneumonia, malaria and measles", Am J Clin Nut, 80(1), pp.193~198 (2004)
- Cameron, M., "Manual on Feeding Infants and Young Children" (1983), Oxford university press
- United Nations Population Fund, "Adolescent Reproductive Health in Southeast Asia: Vietnam" (2007), UNESCO
- Ministry of Health, "Health Statistical Year Book 2003" (2003), Medical Publishing House
- Gibson, R., "Principles of Nutrition Assessment" (1990), Oxford University Press
- Taguri, A.E., "Nutritional status of under-five children in Libya: A national population-based survey", Libyan J Med, 3(1), pp.6~10 (2008)
- Kariuki, F.N., "Community-based research by team: Prevalence and risk factors of malnutrition", Bull Natl Inst Public Health, 51(1), pp.44~50 (2002)
- WHO Expert Committee on Physical Status, "Physical Status: The Use and Interpretation of Anthropometry (WHO Technical Report Report No 854)" (1995), World Health Organization
- Henry, W., "Predictors of poor anthropometric status among children under 2 years of age in rural Uganda", Public Health Nutr, 9(3), pp.320~326 (2006)
- Victora, C.G., "The role of conceptual frameworks in epidemiological analysis: A hierarchical approach", Int J Epidemiol, 26(1), pp.224~227 (1997)
- National Center for Health Statistics, "2000 CDC Growth Charts: United States" (2002), National Center for Health Statistics
- Hop, L.T., "Malnutrition and poverty alleviation in Vietnam during the last period 1985-2000", Asia Pacific J Clin Nutr, 11, pp.331~334 (2002)
- Thang, N.M., "Child malnutrition in Vietnam and its transition in an era of economic growth", J Hum Nutr Dietet, 16(4), pp.233~244 (2003)
- National Institute of Nutrition, "Vietnam: Nutrition Situation in 2005" (2005), National Institute of Nutrition
- Khan, N.C., "Reduction in childhood malnutrition in Vietnam from 1990 to 2004", Asia Pac J Clin Nutr, 16(2), pp.274~278 (2007)
- Vietnam Multiple Indicator Cluster Survey Report, "General Statistics Office", General Statistics Office, ~ (2006)
- Hue, D.T., "Malnutrition in children under 5 years old in Hai Chanh commune, Hai Lang district, Quang tri province, 2003", J Prev Med, 14(4), pp.70~74 (2004)
- Hanh, H., "Nutritional status of children under five years old in Ha Tay province, 2002", J Prev Med, 15(1), pp.84~87 (2005)
- Lap, H.K., "Effectiveness of child nutritional rehabilitation through communitybased nutrition education to mothers program", J Prev Med, 17(6), pp.54~59 (2007)
- Toyama, N., "Mothers working status and nutritional status of children under the age of 5 in urban lowincome community, Surabaya, Indonesia", J Trop Pediatr, 47(3), pp.179~181 (2001)
- Phimmasone, K., "Nutritional status of Children in the Lao PDR", J Trop Pediatr, 42(1), pp.5~11 (1996)
- Khor, G.L., "Dual forms of malnutrition in the same households in Malaysia: A case study among Malay rural households", Asia Pac J Clin Nutr, 12(4), pp.427~437 (2003)
- Felice, W.F., "The viability of the United Nations approach to economic and social human Rights in a globalized economy", Int Aff, 75(3), pp.563~598 (1999)
- Shah, S.M., "Prevalence and correlates of stunting among children in rural Pakistan", Pediatr Int, 45(1), pp.49~53 (2003)
- Li, Yan., "Prevalence and correlates of malnutrition among children in rural minority areas of China", Pediatr Int, 41(5), pp.549~556 (1999)
- Nojomi, M., "Risk analysis of growth failure in under-5-year children", Arch Iranian Med, 7(3), pp.195~200 (2004)
- Sakisaka, K., "Nutritional status and associated factors in children aged 0?23 months in Granada, Nicaragua", Public Health, 120(5), pp.400~411 (2006)
- Ergin, F., "Nutritional status and risk factors of chronic malnutrition in children under five years of age in Aydyn, a western city of Turkey", Turk J Pediatr, 49(3), pp.283~289 (2007)
- Mamabolo, R.L., "Prevalence and determinants of stunting and overweight in 3-year-old black South African children residing in the Central Region of Limpopo Province, South Africa", Public Health Nutr, 8(5), pp.501~508 (2005)
- Gaiha, R., "Anthropometric failure and persistence of poverty in rural India", Int Rev Appl Econ, 19(2), pp.179~197 (2005)
- WHO, "World Health Organisation!s infant feeding recommendation", Wkly Epidemiol Rec, 70(17), pp.119~120 (1995)
- World Health Organization, "The Optimal Duration of Exclusive Breastfeeding: Report of an Expert Consultation" (2001), World Health Organization
- Adair, L.S., "Age-specific determinants of stunting in filipino children", J Nutr, 127(2), pp.314~320 (1997)
- Samson, T., "Malnutrition and enteric parasites among under five children in Aynalem village, Tigray", Ethiopian J Health Dev, 14(1), pp.67~75 (2000)
- Ricci, J.A., "Risk factors for wasting and stunting among children in Metro Cebu, Philippines", Am J Clin Nutr, 63(6), pp.966~975 (1996)
- Ngare, D.K., "Prevalence of malnutrition in Kenya", East Afr Med J, 76(7), pp.376~380 (1999)
- Henry, W., "Boys are more stunted than girls in Sub-Saharan Africa: A meta-analysis of 16 demographic and health surveys", BMC Pediatr, 7, pp.17~ (2007)
- Wells, J.C., "Natural selection and sex differences in morbidity and mortality in early life", J Theor Biol, 202(1), pp.65~76 (2000)