Contributing Factors to Under-Five Child Malnutrition in Rural Bangladesh

Background and objectives: Bangladesh has the highest malnutrition rates in the world. The main objective of this study is to identify and determine the main factors for child malnutrition among children under the age 5 years in rural Bangladesh. Material and methods: This research was conducted in rural areas at Meherpur district in Bangladesh. Convenience sampling method is used and 85 under 5 child information is collected through a structured questionnaire. The information’s of child’s are gathered from the mothers of the child. Malnourished children is measured by using APLS method and WHO Child Growth Standard Median Index. Binary logistic regression model is used to find out the key factors of malnutrition. Results: It is found that family income, maintain proper diet during pregnancy period, proper diet maintain for children have negative significant (p\u3c0.05) effect on child malnutrition. Conclusion: The magnitude of the child’s malnutrition still is of great concern in Bangladesh. Since, poverty, imbalanced diet during pregnancy period and imbalanced diet for under 5 children influences to malnutrition are significantly associated with high prevalence of malnutrition, so government and people should reduce these factor to reduce malnutrition in rural area of Bangladesh

Selective feeding centres in refugee settings: evaluation framework protocol

Selective feeding programs are centres for the treatment of persons suffering from acute malnutrition. Unlike chronic malnutrition, acute malnutrition reflects recent problems. In a crisis situation, wasting is preferred above other indicators because it is sensitive to rapid change, indicates present change, can be used to monitor the impact of interventions and is a good predictor of immediate mortality risk. This paper reviews the current approach being used in the field to evaluate the effectiveness of feeding programs. There is no comprehensive evaluation framework in place to assess the impact of feeding programs on mortality due to malnutrition. Some loose outcome measures, such as the number of children enrolled in a feeding centre, are being used to determine if a feeding centre should continue. In addition, malnutrition prevalence and crude mortality rates determined through nutritional and mortality surveys are used to assess the impact of feeding programs. This procedure does not take into account potential confounding factors that impact on malnutrition prevalence, including access to non-relief foods and the general food ration. Therefore, one could not confidently say that the reduction of malnutrition prevalence is a result of feeding programs. This paper presents an alternative approach to evaluating feeding centres.<br /

Managing interactions between household food security and preschooler health:

Food security does not assure good nutrition. The nutritional status of an individual is influenced not only by food but also by nonfood factors, such as clean water, sanitation, and health care. The effect of all of these factors must be considered in efforts to rid the world of malnutrition. Food security will result in good nutrition only if nonfood factors are effectively dealt with. In this paper, Lawrence Haddad, Saroj Bhattarai, Maarten Immink, and Shubh Kumar show how malnutrition among preschool children is determined by a complex interaction of illness and lack of food. The authors look at three countries —Ethiopia, Pakistan, and the Philippines — to study how food availability and diarrhea interact and what this interaction means for preschooler malnutrition. Their results show that the links between food consumption, diarrhea, and malnutrition are stronger than most economic studies have assumed. When diarrhea is prevalent, the effects of food shortages on child malnutrition are worse, and when food is scarce, the effects of diarrhea on child malnutrition are worse.Food security Ethiopia., Malnutrition in children Ethiopia., Food security Pakistan., Malnutrition in children Pakistan., Food security Philippines., Malnutrition in children Philippines.,

Smarter Food Policies are Needed to Make Significant Progress Towards Eradicating Food Insecurity in America

Speaking of malnutrition conjures images of starving African children as presented by the media and humanitarian organizations. We think about famine ridden lands, places where emaciated victims who have very little access to food. Malnutrition does not conjure images of obese youth and financially struggling families living amidst excessive consumption in America. Although an alarming paradox, malnutrition can and does exist in what some would call the wealthiest and most powerful nation on Earth, but yet it does exist

Estimates of the duration of untreated acute malnutrition in children from Niger.

Expected incidence of acute malnutrition is the most appropriate measure for projecting the needs of a nutritional treatment program over time in terms of staffing, food, and other treatments, but direct estimation of incidence is rarely feasible at the onset of an intervention. While incidence may be approximated as prevalence/average duration, ethical constraints preclude measurement of the duration of acute malnutrition in the absence of treatment. The authors used a compartmental model to estimate the duration of untreated moderate acute malnutrition (MAM) and severe acute malnutrition (SAM) in children aged 6-60 months. The model was informed by data from a community-based cohort of children in Niger followed from August 2006 to March 2007. Maximum likelihood estimates for the duration of untreated MAM, defined by weight-for-height z score and middle upper arm circumference, were 75-81 days and 101-116 days, respectively. The duration of untreated SAM, defined by weight-for-height z score, was 45 days. The duration of untreated MAM appears to have been shorter among children aged 6-35 months compared with those aged 36-60 months. Such estimates of the duration, and thus incidence, of untreated malnutrition can be used to improve projections of program needs and estimates of the global burden of acute malnutrition

Childhood Malnutrition In China: Change Of Inequality In A Decade

A concentration index methodology to analyze the inequality in childhood malnutrition in China is outlined. Height-for-age z score is used as a measure of childhood malnutrition. Using household survey data from nine Chinese provinces, it is found that per-capita household income, household head's education, urban residence and access to a bus stop reduced malnutrition. Child's age had a nonlinear effect on the malnutrition status. Income growth and access to public transportation reduced the inequality, while rural-urban gap, provincial differentiation, and unequal distribution of household head's education increased inequality in childhood malnutrition. Gender is not a factor in either malnutrition status or inequality. Investments in infrastructure and welfare programs are recommended to reduce the inequality.Food Consumption/Nutrition/Food Safety,

Targeting the muscle for the treatment and prevention of hepatic encephalopathy

Muscle mass loss or sarcopenia is a principle component of malnutrition which prevails in 65–90% of patients with end-stage liver disease [1]. Intuitively, the roots of malnutrition play a precipitating role in muscle catabolism. Undernutrition frequently occurs in cirrhosis since an inadequate diet is compounded by a hypermetabolic energy demand. However, multiple other factors contribute to the pathogenesis of malnutrition including malabsorption of nutrients, metabolic alterations, increased intestinal protein losses, reduced protein synthesis, increased protein catabolism and disturbance of substrate utilization [2,3]

Avoidant/Restrictive Food Intake Disorder. A longitudinal study of malnutrition and psychopathological risk factors from 2 to 11 years of age

Aim: To evaluate different types and degrees of malnutrition over time in a sample of children diagnosed with Infantile Anorexia (IA), based on the DC:0-3R criteria, and recently defined by DSM-5 as the first subtype of Avoidant/Restrictive Food Intake Disorder (ARFID), and to investigate the relationship between children’s severity of malnutrition and emotional/behavioral development, and mothers’ long-term psychopathological symptoms. Methods: A total of 113 children (58 boys, 55 girls), originally diagnosed with IA, and their mothers, were evaluated at four assessment points at the children’s mean age of 2, 5, 7, and 11 years. Several measures were used to assess the children’s growth and level of malnutrition, mothers’ psychopathological symptoms and eating attitudes, as well as their children’s emotional/behavioral functioning. Results: A steady improvement in the severity of malnutrition over time emerged, but 73% of children still had ongoing mild to moderate to severe malnutrition at 11 years of age. Moreover, the children showed increasing internalizing and externalizing emotional/behavioral problems, and their mothers’ psychopathological symptoms and eating problems worsened as well over time. At 11 years of age, the girls’ emotional/behavioral problems and their mothers’ psychopathology and disturbed eating attitudes were more severe than that of the boys and their mothers. Finally, during the last assessment, significant associations between the mothers’ psychopathology and disturbed eating attitudes, the severity of the children’s malnutrition, and their emotional/behavioral problems emerged. Discussion: Our longitudinal study points out that the developmental course of children, originally diagnosed with IA and who received limited psychosocial treatment, is characterized by an enduring risk of malnutrition and increasing psychopathological symptoms in both, the children and their mothers, up to the sensitive period of pre-pubert

Overcoming child malnutrition in developing countries: past achievements and future choices

"About 167 million children under five years of age —almost one-third of the developing world's children —are malnourished. If they survive childhood, many of these children will suffer from poorer cognitive development and lower productivity. As adults, their ability to assure good nutrition for their children could be compromised, perpetuating a vicious cycle. What will it take to eradicate child malnutrition in developing countries? As Lisa Smith and Lawrence Haddad point out in this 2020 Vision discussion paper, Overcoming Child Malnutrition in Developing Countries: Past Achievements and Future Choices, we must first understand the causes of malnutrition and delineate which are the most important before we can identify and act upon those areas of intervention that will be most successful in reducing malnutrition. Toward that end, their path-breaking research identifies and assesses the contribution of each key determinant to reductions in child malnutrition over the past quarter century. The most startling and important finding is that improvements in women's education have contributed by far the most, accounting for 43 percent of the reduction in child malnutrition between 1970 and 1995, while improvements in per capita food availability con tributed about 26 percent. In a signal service to policymakers, Smith and Haddad also evaluate the potential of these factors to further reduce malnutrition durng the next two decades to 2020 and lay out the key policy priorities for each major developing region. By shedding light on which areas of intervention will be most successful in overcoming child malnutrition in developing countries, this research will contribute to realizing the 2020 Vision of a world where hunger and malnutrition are absent." (Forward by Per Pinstrup-Andersen)Malnutrition in children Developing countries History., Malnutrition in children Developing countries Forecasting., Gender, Health and nutrition,