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International Journal of Child Health and Nutrition

Assessment of Serum Calcium, Serum Iron and Nutritional Status among Under-Five Children in Six Municipalities of Abidjan District, Côte d’Ivoire
Pages 139-147
Mohamed B. Koné, Souleymane Traoré, Kouakou Brou, Agbo A. Edith and Gnakri Dago

DOI: http://dx.doi.org/10.6000/1929-4247.2014.03.03.4

Published: 16 September 2014

 


Abstract: Malnutrition occurs in various forms in the world, especially in African countries. It affects two-thirds of the children in sub-Saharan Africa. In addition to the protein-energy malnutrition (PEM), micronutrient deficiencies also affect many children. The aim of this study was to evaluate the nutritional status, serum iron and serum calcium among under-five children. This study was conducted on a cohort from 480 children in six municipalities of Abidjan: Abobo, Cocody, Koumassi, Marcory, Treichville and Yopougon. A blood sample and anthropometric measurements (weight, height) were performed to determine the hematological profile and nutritional status of children. The results showed that stunting was the most widespread form of malnutrition among children surveyed. Depending on age, children from 0 to 6 months have a low prevalence of PEM than those from 7 to 59 months: wasting (1.2% vs 3.5%), stunting (8.6% vs 25.2%) and underweight (3.4% vs 10.7%). Also, the results reveal a lowest serum iron (µmol/l) among children from low households income (9.77 ± 2.4), illiterate mothers (8.92 ± 1.3) compared to those from mothers with a high level of education (21.75 ± 4.1) and high living standard (21.28 ± 2.1). There was no notable difference (p>0.05) between serum calcium whatever socio-demographic parameters considered. The parameters under study such as nutritional status, serum calcium and serum iron have shown a variation of malnutrition in Abidjan.

Keywords: Malnutrition status, prevalence, wasting, stunting, underweight, serum iron and calcium.

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International Journal of Child Health and Nutrition

Assessment of the Nutritional Status of Children Living in Orphanages in the City of Douala, Cameroon - Pages 1-9

Cécile Ebongue Okalla, Daniele Kedy Koum, Calixte Ida Penda, Jean-Pierre Nda Mefo’o, Fanta Wanye, Servais Albert Eloumou, Elvis Temfack and Henry Name Luma

https://doi.org/10.6000/1929-4247.2019.08.01.1

Published: 21 March 2019

 


Abstract:  Introduction: Malnutrition is characterised by metabolic disturbances identified by measurement of anthropometric and biological parameters. The purpose of this study was to determine the nutritional profile of children living in orphanages and to investigate the factors associated with malnutrition in these institutions.

Methods: A cross-sectional study was conducted on subjects aged 0 to 18, living in 13 orphanages in Douala. Socio-demographic data, anthropometric and biological parameters were collected. The diagnosis of malnutrition at the clinical level was based on Z score <- for the different index and >2 for Weight-for-Height and Body Mass Index for Age. A blood sample permits the photometric assay of albumin, pre-albumin, and C Reactive Protein. The results were interpreted according to reference values for age.

Results: Among the 176 children included, the average age was 10±4 years with a male predominance. The majority of children (51.1%) were placed in orphanages for lack of financial resources, and one or both parents orphaned were 42.1%. The wasting, underweight and stunting rates were 5.6%, 4.7%, and 18.2%, respectively. Hypo-pre-albuminemia and hypo-albuminemia were observed in 42.6% and 34.7% of children respectively. CRP was increased in 5.1% of cases. Stunting and orphanages with one caregiver for more than 5 children were predictive factors for hypo-albuminemia and Hypo-pre-albuminemia.

Conclusion: Rates of wasting, stunting and underweight were high. Several children had sub-clinical malnutrition despite normal anthropometric index. These results recall the importance of biology for screening, in order to prevent the occurrence of clinical malnutrition.

Keywords:  Albumin, C Reactive Protein, Malnutrition, Orphanage, Pre-albumin.

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International Journal of Child Health and Nutrition

Associations between Emotional Eating and Metabolic Risk Factors at Adolescents with Obesity  - Pages 93-99

Fatma Kubra Sayin, Muammer Buyukinan, Cigdem Damla Deniz and Derya Arslan

https://doi.org/10.6000/1929-4247.2020.09.03.1
Published: 07 August 2020

 


Abstract: Purpose: This study aimed to determine whether emotional eating (EE) and uncontrolled eating (UCE) scores affect the metabolic risk factors in obese adolescents.

Methods: A sample of 100 adolescents have BMI-SDS between 1.41 and 2.83 (aged 12-17 years) was selected. EE and UCE scores were estimated using the TFEQ21. The association of EE and UCE with anthropometric data, lipid profile, glucose profile, liver enzymes, and inflammation factors was assessed in boys and girls.

Results: Using Spearman rank correlation, EE scores significantly correlated with uric acid (r = 0.393 and P = 0.001), CRP (r = 0.273 and P = 0.017), TG (r = 0.317 and P = 0.001), TC (r = 0.258 and P = 0.019) and VAI (r = 0.276 and P = 0.034). Also UCE scores were showed positive correlation with CRP (r = 0.257 and P = 0.024).

Conclusion: In conclusion, interrelationships tend to exist between EE and triglyceride, uric acid, visceral adiposity index, and CRP levels among obese adolescents.

Keywords:  Emotional eating, uncontrolled eating, obesity in adolescents, metabolic risk factors.

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Association of Socio-demographic Attributes with Mothers Knowledge regarding Childhood Diarrhea
Pages 353-358
Jesmin Akter, Kazi Rumana Ahmed, Hasina Akhter Chowdhury, Sharmin Hossain and Begum Rowshan Ara

DOI: http://dx.doi.org/10.6000/1929-4247.2013.02.04.8

Published: 25 November 2013

 


Abstract: Background: Childhood diarrheal diseases have a major impact on morbidity and mortality and these deaths are due to dehydration and mismanagement or delayed management of the disease. The mothers’ knowledge in management of diarrhea is likely related to its mortality and morbidity. The study aimed to determine the association between socio demographic attributes and mother’s knowledge on childhood diarrhea.

Materials and Methods:In this cross sectional analytic study, 170 mothers who had at least one child aged below five years old were selected purposively from the out-patient department of ICDDR,B, Dhaka. Data were collected using a structured questionnaire by face to face interview. The level of knowledge was categorized as poor, average and good. Univariate and bivariate analysis were done with level of significance P<0.05.

Results:The mean age of the respondents was 27 (SD=±5.6) years. Among them 46.5% were educated up to primary level and 47% had average monthly income between 5001 and 10000 taka. In the case of accessibility to mass media, 20% were found who never watch TV, 75.9% participants were found who never listen to radio, and 87.6% were found who never read newspaper. Despite the level of average knowledge was 59.5% but the proportion of the level of good knowledge was 17% among the respondents. Socio-demographic characteristics such as age, education and income (p<0.001) were significantly associated with mothers knowledge.

Conclusion:The mothers had inadequate knowledge about diarrhea and their socio-demographic parameters are strongly associated with mother’s knowledge regarding diarrhea.

Keywords: Mother’s Knowledge, Diarrhea, Children, Socio-demographic attributes.
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International Journal of Child Health and Nutrition

Asymptomatic Bacteremia in Children Infected with Human Immunodeficiency Virus in Calabar, South-South, Nigeria
Pages 251-254
Sunday O. Ochigbo, Offiong E. Ikpeme, Atana U. Ewa and Ntia A. Happiness

DOI: http://dx.doi.org/10.6000/1929-4247.2015.04.04.8

Published: 11 December 2015

 


Abstract: Background: Asymptomatic Human Immunodeficiency Virus (HIV) infected children are prone to serious bacterial infection as a result of poor immunity.

Objective: This was to determine the common pathogenic organisms responsible for bacteremia among asymptomatic HIV infected children attending the outpatient clinics at the University of Calabar Teaching Hospital, Nigeria.

Subjectsand Methods: This prospective non randomized cross-sectional study was conducted over 6months from January 1st to 30th June 2014 among cohorts of HIV infected Anti-retroviral (ARV) naive and experienced children attending the clinic. Ethical approval was obtained from the ethical committee of the institution. Blood culture specimens were collected from all HIV infected patients who met the criteria for enrollment. All specimens with isolated bacteria organisms were treated with antibiotics according to the sensitivity pattern, in addition to administered Anti-retroviral drugs.

Results: Out of the total of 109 patients recruited, 38(34.9%) had bacteremia. There were more males (57.9%), and most of them (63.2%) had Highly Active Anti-Retroviral Therapy (HAART) for more than 24weeks. Bacteremia was inversely proportional to the CD4 count. The commonest organism isolated was unclassified Coliforms (47.3%) followed by Staphyloccocus aureus (39.5%).

Conclusions: HIV infected children are prone to bacteremia especially among those with low CD4 count. Coliform was the commonest organism isolated. We recommend that HIV infected children be routinely investigated for bacteremia.

 

Keywords: Organisms, ARV, gentamyicin, Blood culture, CD4.

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