The Frequency of Malnutrition and Its Related Factors in 2-5-year Old Children of Kerman Suburb Area in-2014

Authors

Abstract

Background: The high prevalence of malnutrition in children and its association with mortality and growth retardation is an important health problem in developing countries. This study aimed to investigate the prevalence of malnutrition and factors associated with it in 2-5-year old children visiting the Kerman Saeidi Health Center in 2014.


Methods: This descriptive-analytic, cross- sectional study was carried out on 360 children (2-5 years old) referred to one of the health centers in suburbs of Kerman during 2014. Subjects were selected through stratified random sampling. Anthropometric parameters of children were measured and data were extracted using WHO Anthro software. Data were analyzed using χ2 and logistic regression and through SPSS19 software.


Results: Two hundred and two children (56%) were female. Thirty three children (9.2%) had moderate and severe underweight, 55 ones (15.2%) suffered from moderate and severe wasting and 23 children (6.4%) had moderate and severe stunting. Frequency of all types of malnutrition was higher in low birth weight children.


Conclusions: According to the results, mild malnutrition was the most common type of malnutrition. Because, even mild malnutrition puts children at risk, it is recommended that family physicians pay more attention to the nutritional status of these children to prevent the progress of mild malnutrition toward moderate and severe forms.


Key words: Children, Growth, Malnutrition, Kerman, Anthropometric indices

Background: The high prevalence of malnutrition in children and its association with mortality and growth retardation is an important health problem in developing countries. This study aimed to investigate the prevalence of malnutrition and factors associated with it in 2-5-year old children visiting the Kerman Saeidi Health Center in 2014.


Methods: This descriptive-analytic, cross- sectional study was carried out on 360 children (2-5 years old) referred to one of the health centers in suburbs of Kerman during 2014. Subjects were selected through stratified random sampling. Anthropometric parameters of children were measured and data were extracted using WHO Anthro software. Data were analyzed using χ2 and logistic regression and through SPSS19 software.


Results: Two hundred and two children (56%) were female. Thirty three children (9.2%) had moderate and severe underweight, 55 ones (15.2%) suffered from moderate and severe wasting and 23 children (6.4%) had moderate and severe stunting. Frequency of all types of malnutrition was higher in low birth weight children.


Conclusions: According to the results, mild malnutrition was the most common type of malnutrition. Because, even mild malnutrition puts children at risk, it is recommended that family physicians pay more attention to the nutritional status of these children to prevent the progress of mild malnutrition toward moderate and severe forms.


Key words: Children, Growth, Malnutrition, Kerman, Anthropometric indices

1. World Health Organization. Child health. [cited 2015 Feb 6] Available from: http://www.who.int/topics/child_health/en/. 2. Haji Faraji M, Esfarjani F, Roustaee R, Khoshfetrat M, Kamrani Z. Assessment of anthropometric status of adolescents in public guidance schools in East Tehran, 2006. Iran J Nutr Sci Food Technol. 2007; 2 (2):37-43. Persian. 3. Marwaha RK, Tandon N, Singh Y, Aggarwal R, Grewal K, Mani KA. A study of growth parameters and prevalence of overweight and obesity in school children from Delhi. Indian Pediatr. 2006 Nov;43(11):943-52. 4. Hien NN, Kam S. Nutritional status and the characteristics related to malnutrition in children under five years of age in Nghean, Vietnam. J Prev Med Public Health. 2008 Jul;41(4):232-40. 5. Naderi Beni M, Lak R, Jazaeri S, Eftekhar Ardebili H. Prevalence of Malnutrition under Five Years in Chadegan (Area District City) Iran 2011. Iran J Epidemiol. 2013;9(2):22-8. Persian. 6. Moridi G, Fathi M. Malnutrition in children under five in Iran. Journal of Shahid Beheshti School of Nursing & Midwifery. 2009; 19(64):47-53. Persian. 7. Ansari H, Zareban E, Norouzi, Fallah S, Lotfi B. Predictors of malnutrition among Zahedan's children, age ranging from 2-5 years old in 2007-2008. J Shahrekord Univ Med Sci. 2009; 11(3):46-54. Persian. 8. Kilegman RM, Stanton BF, Schor NF. Nelson Textbook of Pediatrics. 19th ed. Philadelphia, PA: Elsevier/Saunders; 2011. 9. Fesharakinia A, Sharifzadeh G. Prevalence of malnutrition in under 5-year old children in Birjand city in 2011. J Birjand Univ Med Sci. 2013; 20 (1):77-84. Persian. 10. Eftekhari MH, Mozaffari H. The Prevalence of Malnutrition in Children under 5 Years in Lar and its Outskirts. Tolooe Behdasht. 2006; 5(1-2): 11-21. Persian. 11. Zabihi A, Rafati Rahimzadeh M, Jafarian Amiri S, Sajadi P, Asgari S. Effect of growth indices on malnutrition in infants from health medical centers of Babol, Iran 2011-2012. J Babol Univ Med Sci. 2013; 15 (6):59-65. Persian. 12. Emamian MH, Gorgani N, Fateh M. Malnutrition Status in Children of Shahroud, Iran. Journal of Knowledge and Health. 2011; 6(1): 7-14. Persian.