Assessment of the Nutritional Status of Children Living in Orphanages in the City of Douala, Cameroon

Authors

  • Cécile Ebongue Okalla Clinical Biology Laboratory, General Hospital, Douala, Cameroon https://orcid.org/0000-0003-2460-6712
  • Daniele Kedy Koum Department of Clinical Sciences, Faculty of Medicine and Pharmaceutical Sciences, University of Douala, Cameroon
  • Calixte Ida Penda Department of Clinical Sciences, Faculty of Medicine and Pharmaceutical Sciences, University of Douala, Cameroon
  • Jean-Pierre Nda Mefo’o Department of Biological Sciences, Faculty of Medicine and Pharmaceutical Sciences, University of Douala, Cameroon
  • Fanta Wanye Department of Biological Sciences, Faculty of Medicine and Pharmaceutical Sciences, University of Douala, Cameroon
  • Servais Albert Eloumou Internal Medicine Unit, Gynaecology-Obstetric and Paediatric Hospital Douala, Cameroon
  • Elvis Temfack Internal Medicine Unit, General Hospital, Douala, Cameroon
  • Henry Name Luma Internal Medicine Unit, General Hospital, Douala, Cameroon

DOI:

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

Keywords:

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

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 <-2 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.

References

Prudhon C, Prinzo ZW, Briend A, Daelmans BM, Mason JB. Proceedings of the WHO, UNICEF, and SCN informal consultation on community-based management of severe malnutrition in children. Food Nutr Bull 2006; 27(3_suppl3): S99-S104.

De Onis M, Blössner M, Borghi E. Prevalence and trends of stunting among pre-school children, 1990-2020. Public Health Nutr 2012; 15(1): 142-148. https://doi.org/10.1017/S1368980011001315

Kramer CV, Allen S. Malnutrition in developing countries. Paediatrics and Child Health 2015; 25(9): 422-427. https://doi.org/10.1016/j.paed.2015.04.002

Pemunta NV, Fubah MA. Socio-cultural determinants of infant malnutrition in Cameroon. J Biosoc Sci 2015; 47(4): 423-448. https://doi.org/10.1017/S0021932014000145

Bryant M, Beard J. Orphans and vulnerable children affected by human immunodeficiency virus in sub-Saharan Africa. Pediatr Clin North Am 2016; 63(1): 131-147. https://doi.org/10.1016/j.pcl.2015.08.007

Miller LC, Chan W, Litvinova A, Rubin A, Tirella L, Cermak S. Medical diagnoses and growth of children residing in Russian orphanages. Acta Paediatr 2007; 96(12): 1765‑9. https://doi.org/10.1111/j.1651-2227.2007.00537.x

De Onis M, Onyango AW, Van den Broeck J, Chumlea CW, Martorell R. Measurement and standardization protocols for anthropometry used in the construction of a new international growth reference. Food Nutr Bull 2004; 25(1_suppl1): S27-S36.

Sadik A. Orphanage children in Ghana: are their dietary needs met. Pak J Nutr 2010; 9(9): 844‑52. https://doi.org/10.3923/pjn.2010.844.852

Sinha A, Lombe M, Saltzman LY, Whetten K, Whetten R, Positive Outcomes for Orphans Research Team. Exploring factors associated with educational outcomes for orphan and abandoned children in India. Glob Soc Welf 2016; 3(1): 23-32. https://doi.org/10.1007/s40609-016-0043-7

Sibetcheu D, fomo MA, Libite PR, Jazet E. Enquête Démographique et de Santé et à indicateurs multiples du Cameroun 2011 (EDSC-MICS). Calverton, Maryland, USA: INS et ORC Macro, 2005; Vol. 2: 179-207.

Ayuku D, Embleton L, Koech J, Atwoli L, Hu L, Ayaya S, et al. The government of Kenya cash transfer for orphaned and vulnerable children: cross-sectional comparison of household and individual characteristics of those with and without. BMC Int Health Hum Rights 2014; 14(1): 25. https://doi.org/10.1186/1472-698X-14-25

Ferdoushi A, Rana MM, Mahmud MS, Datta D, Akter F. Health and Nutritional Status of the Selected Orphanage Children in Tangail City. Research & Reviews: Journal of Food Science and Technology 2014; 3(1): 2249-2278

Herrador Z, Sordo L, Gadisa E, Moreno J, Nieto J, Benito A, Custodio E. Cross-sectional study of malnutrition and associated factors among school aged children in rural and urban settings of Fogera and Libo Kemkem districts, Ethiopia. PLoS One 2014; 9(9): e105880. https://doi.org/10.1371/journal.pone.0105880

Ruel-Bergeron JC, Stevens GA, Sugimoto JD, Roos FF, Ezzati M, Black RE, Kraemer K. Global update and trends of hidden hunger, 1995-2011: the hidden hunger index. PloS One 2015; 10(12): e0143497. https://doi.org/10.1371/journal.pone.0143497

Gultie T, Sisay E, Sebsibie G. Nutritional Status and Associated Factors among Orphan Children below the Age of Five Years in Gondar City, Ethiopia. J Food Nutr Sci 2014; 2(4): 179-184. https://doi.org/10.11648/j.jfns.20140204.23

Musimwa AM, Kanteng GW, Mutoke GN, Okito KN, Shongo MYP, Luboya ON. Change in serum albumin in protein-

energetic malnutrition in a Congolese urban-rural zone. Pan Afr Med J 2015; 20: 299. https://doi.org/10.11604/pamj.2015.20.299.5794

Devoto G, Gallo F, Marchello C, Racchi O, Garbarini R, Bonassi S, Haupt E. Pre-albumin serum concentrations as a useful tool in the assessment of malnutrition in hospitalized patients. Clin Chem 2006; 52(12): 2281-2285. https://doi.org/10.1373/clinchem.2006.080366

Lu C, Black MM, Richter LM. Risk of poor development in young children in low-income and middle-income countries: an estimation and analysis at the global, regional, and country level. Lancet Glob Health 2016; 4(12): e916-e922. https://doi.org/10.1016/S2214-109X(16)30266-2

Thielman N, Ostermann J, Whetten K, Whetten R, O’Donnell K. Positive Outcomes for Orphans (POFO) Research Team. Correlates of poor health among orphans and abandoned children in less wealthy countries: the importance of caregiver health. PloS One 2012; 7(6): e38109. https://doi.org/10.1371/journal.pone.0038109

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Published

2019-03-21

How to Cite

Okalla, C. E. ., Koum, D. K., Penda, C. I., Mefo’o, J.-P. N. ., Wanye, F., Eloumou, S. A., Temfack, E., & Luma, H. N. (2019). Assessment of the Nutritional Status of Children Living in Orphanages in the City of Douala, Cameroon. International Journal of Child Health and Nutrition, 8(1), 1–9. https://doi.org/10.6000/1929-4247.2019.08.01.1

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General Articles