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International Journal of Child Health and Nutrition

Nutritional Status among Children under Five Years in Amman, Jordan

Pages 110-115

Mohammad El Azhari, Ahmad Abu Slaih, Yousef S. Khader, Abdulhalim Al-Musa and Ibrahim Iblan

DOI: http://dx.doi.org/10.6000/1929-4247.2017.06.03.4

Published: 11 September 2017 


Abstract: Objectives: There is scarcity of data on malnutrition among children in Jordan. Therefore, this study was conducted to assess the nutritional status and estimate the prevalence rates of stunting, underweight, and wasting and their associated factors among children under five.

Subjects and Methods: A cross-sectional study was conducted between January and April 2017 among children under five years in Amman, Jordan. All Jordanian children under five years who visited the selected health centers for vaccination or accompanied their mothers during the study period were included in this study. Mothers or caregivers of children were interviewed face-to face using the study questionnaire. Weight in kilograms and height in centimeters were measured for all children. Anthropometric indices were calculated using reference medians recommended by the World Health Organization.

Results: This study included a total of 923 (463 boys and 460 girls) children. The prevalence rates of stunting, underweight, and wasting were 6.2%, 3.8%, and 2.8%, respectively. Multivariate analysis showed that low birth weight was significantly associated with stunting (OR = 2.9, 95% CI: 1.4,6.0; p-value=0.003) and underweight (OR =5.6, 95% CI: 2.5,12.3, p-value <0.001). Compared to exclusive breastfeeding, mixed feeding was associated with increased odds of stunting (OR =2, 95% CI: 1.1-3.9, p-value =0.029) and underweight (OR = 2.2, 95% CI: 1.002, 5.0; p = 0.049). None of the variables were significantly associated with wasting.

Conclusions: The prevalence rates of stunting, wasting and undernutrition among children under five years in Jordan are low. Low birth weight and mixed feeding were associated with higher rates of malnutrition.

Keywords: Malnutrition, stunting, wasting, undernutrition.

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International Journal of Child Health and Nutrition

The Impact of Maternal Employment on Infant Weight-, Length- and BMI-for-Age Based upon WHO Growth Chart Standards
Pages 116-122
Safaa A. Al-Zeidaneen, Nahla S. Al-Bayyari and Marwa A. Al-Zidaneen

DOI: http://dx.doi.org/10.6000/1929-4247.2017.06.03.5

Published: 11 September 2017

 


Abstract: Background: The infancy is a time of phenomenal growth and development. Infant of working mothers have a special concern as they have less time for their infant care.

Objective: The present study aims to assess length, weight and BMI of Jordanian infants in nursery in reference to WHO growth chart standard for age Z-score and to study the impact of mothers’ work on their infant’s growth.

Methods: A cross-sectional observational study was conducted on 92 infants aged between 3-12 months randomly and recruited from nurseries in Amman, Jordan. All selected infants their mothers are employed and working for at least 8 hour per day. The participants were divided according to gender (male; female) and age group as the following: 3-6 months; 7-9 months; and 10-12 months.

Results:The prevalence of overweight or obesity was 15.2% in all studied infants. Overweight or obesity was more prevalent among female infants aged 3-6 months and among male infants aged 7-12 months. No infant (0.00%) regardless of gender or age group was underweight, stunting nor wasting per WHO standards of BMI for age z-score.

Conclusion:Most infants of Jordanian working mothers seemingly have normal growth in weight and length and few of them were overweight or obese according to WHO standard of BMI for age z-score. These indicated that Jordan work polices support working mothers and their infants to have better health and development.

Keywords: Infant anthropometry, working mothers, nursery, z-score, overweight, obesity.

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International Journal of Child Health and Nutrition

The LiiNK Project®: Comparisons of Recess, Physical Activity, and Positive Emotional States in Grades K-2 Children
Pages 54-61
Laura E. Clark and Deborah J. Rhea

DOI: http://dx.doi.org/10.6000/1929-4247.2017.06.02.1

Published: 24 May 2017

 


Abstract: The purpose of this study was to explore the physical activity patterns and emotional states differences among elementary school students at two private schools with differently structured school days. Students at one school received the LiiNK Project® pilot intervention, which included an additional two 15-minute recess breaks (unstructured outdoor play) throughout the school day and a 15-minute character development lesson three to four times weekly. Students at the comparison school received only one 30-minute recess daily and no additional character development curriculum. Grades K-2 children from two schools (N=262) wore pedometers for one school week and were observed for emotional expressions during recess. A univariate ANOVA revealed that intervention school students took significantly more steps on average than comparison school students, F(1, 260)=0.784, p<0.0001. Significant interactions were found for average number of steps between school and grade, F(2, 250)=4.298, p<0.05, school and gender, F(1, 250)=4.660, p<0.05, and grade and gender, F(2, 250)=6.919, p<0.001. Another univariate ANOVA revealed that during recess, intervention school students displayed significantly higher percentages of positive emotions than comparison school children, F(1, 52)=15.332, p<0.0001 and significantly lower percentages of not-positive emotions than comparison school students, F(1, 52)=13.900, p<0.0001. Overall, K-2 students who received multiple recesses and a character curriculum called Positive Action were significantly more active during the school day and displayed higher percentages of positive emotions on the playground than comparison school students.

Keywords: Sedentary Behavior, Play, Positivity, Pedometers, Early Childhood.

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International Journal of Child Health and Nutrition

Quality of Life of Infants with Functional Gastrointestinal Disorders: A Large Prospective Observational Study
Pages 62-69
Camille Jung, Laurence Beck, Thierry Hanh and Marc Bellaiche

DOI: http://dx.doi.org/10.6000/1929-4247.2017.06.02.2

Published: 24 May 2017

 


Abstract: Background:Functional gastrointestinal disorders (FGID) are very common during infancy, leading to frequent medical consultations. The aim of this large, prospective study was to assess the quality of life (QoL) and clinical management of infants with FGID.

Methods: Completely or partially bottle-fed infants under 5 months old, presenting one or more FGID (regurgitation, constipation, diarrhea, crying/fussing), were enrolled during initial consultation by 111 pediatricians in private practice throughout France and reassessed at one month. Parents were asked to complete the QUALIN QoL questionnaire at inclusion and at Day 15.

Results:A total of 815 infants (mean age 2.1±1.2 months) were evaluable. Mean QoL score improved from +27.2±15.1 at inclusion to +38.0±12.9 at day 15 (p<0.0001) irrespective of FGID symptoms. Multivariate analysis indicated that younger age, dietary advice, and partial breastfeeding were associated with better QoL outcome. Gastrointestinal symptoms showed significant regression at Day 30. The number of bottle feeds followed by external reflux episodes decreased from 80.0±27.4% to 36.1±31.4% at Day 30 (p<0.0001), the weekly number of stools increasing from 3.9±4.0 to 8.0±3.7 (p<0.0001).

Conclusion: Medical management based on information, reassurance, lifestyle advice and dietary intervention improved QoL in infants with FGID and led to a reduction in FGID symptoms.

Keywords: Functional gastrointestinal disorder, infant, quality of life, QUALIN, nutrition.

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