Adel, El Taguri; Marie-Françoise, Rolland-Cachera; Salaheddin M, Mahmud; Najeeb, Elmrzougi; Monem Ahmed, Abdel; Ibrahim, Betilmal; Gerard, Lenoir
Aim To describe the nutritional status of children under-five years of age in Libya. Population and methods A secondary analysis of data of 5348 children taken from a national representative, two-stage, cluster-sample survey that was performed in 1995. Results: Prevalence rates of underweight, wasting, stunting, and overweight were determined using standard definitions in reference to newly established WHO growth charts. The study revealed that 4.3% of children were underweight, 3.7% wasted, ...
Full Text Available Abstract Background There are few reports on the nutritional status of Bhutanese children. The objective of this paper is to summarize results from the 2008 National Nutrition Survey and to describe progress achieved during the last two decades. Methods A cross-sectional survey of 2376 children aged 6 to 59 months was conducted during November-December 2008 to provide national and regional estimates. A multi-stage cluster sampling method was applied and 40 gewogs/thromdes were selected from each region (Western, Central, Eastern. Guidelines on how to measure length/height and weight followed WHO standardized procedures. Data were analysed for consistency and validation using the software WHO Anthro and the WHO SPSS macro. Underweight, stunting, overweight, wasting and thinness were defined based on the WHO Child Growth Standards. Data from 1986-88 and 1999 national surveys were reanalysed using the WHO standards to describe trends in nutritional status. Results Nationally, 34.9% Bhutanese preschool children are stunted and 10.4% are underweight. Wasting is 4.7%, with severe wasting close to 2% in rural areas, while overweight affects 4.4% of preschool children. While underweight rates are similar across regions, wasting is substantially more prevalent in the Western region and stunting in the Eastern region. Stunting shows a steep rise during the first two years of life, as high as 40%, and levels off thereafter, while wasting is greatest among children aged 6-24 months and subsequently decreases. The prevalence of stunting fell from 60.9% in 1986-88 to 34.9% in 2008, and underweight declined from 34.0% to 10.4% during same period. The percentage of wasted children dropped from 5.2% in 1986-88 to 2.5% in 1999 but then increased to 4.7% in 2008. Conclusions There have been major improvements in the nutritional status of Bhutanese children over the past two decades, however, linear growth retardation remains a significant concern. Early
Full Text Available OBJECTIVE: To estimate energy and nutrient intake and adequacy in preschool and school age Mexican children, using the National Nutrition Survey 1999 (NNS-1999. MATERIAL AND METHODS: Twenty four-h dietary recalls from pre-school (n=1 309 and school (n=2 611 children obtained from a representative sub-sample of the NNS-1999 were analyzed. Intakes and adequacies were estimated and compared across four regions, socio-economic strata, and between urban and rural areas, and indigenous vs. non-indigenous children. RESULTS: Median energy intake in pre-school children was 949 kcal and in school children 1 377 kcal, with adequacies 150% in both age groups. The North and Mexico City regions had the highest fat intake and the lowest fiber intake. Children in the South region, indigenous children, and those in the lowest socio-economic stratum had higher fiber and carbohydrate intakes and the lowest fat intake. These children also showed the highest risks of inadequacies for vitamin A, vitamin C, folate, iron, zinc and calcium. CONCLUSIONS: Mexico is experiencing a nutrition transition with internal inequalities across regions and socio-economic strata. Food policy must account for these differences in order to optimize resources directed at social programs.
Adel, El Taguri; Marie-Françoise, Rolland-Cachera; Mahmud Salaheddin, M; Najeeb, Elmrzougi; Ahmed, Abdel Monem; Ibrahim, Betilmal; Gerard, Lenoir
Aim To describe the nutritional status of children under-five years of age in Libya. Population and methods A secondary analysis of data of 5348 children taken from a national representative, two-stage, cluster-sample survey that was performed in 1995. Results: Prevalence rates of underweight, wasting, stunting, and overweight were determined using standard definitions in reference to newly established WHO growth charts. The study revealed that 4.3% of children were underweight, 3.7% wasted, 20.7% stunted, and 16.2% overweight. Seventy percent of children had normal weight. Undernutrition was more likely to be found in males, in rural areas, and in underprivileged groups. Overweight was more likely found in urban, privileged groups. Wasting was more common in arid regions; stunting was more common in mountainous regions of Al-Akhdar, Al-Gharbi, and in Sirt. Al-Akhdar had the highest prevalence of overweight. Conclusion The country had a low prevalence of underweight and wasting, moderate prevalence of stunting, and high prevalence of overweight. The country is in the early stages of transition with evidence of dual-burden in some regions. Similar surveys are needed to verify secular trends of these nutritional problems, particularly overweight. PMID:21499476
Ramírez-Vélez, Robinson; Correa-Bautista, Jorge Enrique; Martínez-Torres, Javier; González-Ruíz, Katherine; Lobelo, Felipe
Low ferritin is associated with many adverse health outcomes and is highly prevalent worldwide. The aim of this study was to describe the key findings related to plasma ferritin levels to identify the prevalence and associated sociodemographic factors in a representative sample of children in Colombia, based on the 2010 National Nutrition Survey. We analyzed cross-sectional data from 6650 Colombian children between the ages of 5 and 12. Plasma ferritin levels were determined by chemiluminescence. Sociodemographic data was assessed by computer-assisted personal interview technology. All analyses were conducted considering the complex nature of the sample. Of the children assessed, 3.5% had low ferritin, defined as levels <12 µg/L. A multivariate logistic regression analysis revealed increased risks for low ferritin levels among black or Afro-Colombian ethnic group and for those living in the northern, western and southern regions of the country. In conclusion, a significant prevalence of anemia caused by low ferritin levels was found and various sociodemographic factors were associated with this finding in Colombia. Continued surveillance and implementation of interventions to improve dietary patterns among the identified high-risk groups should be considered. Implementing these recommendations can help reduce manifestations of iron deficiency (e.g., delays in infant and child development) and thus improve public health. PMID:27058547
Hernández Bernardo; Cuevas-Nasu Lucía; Shamah-Levy Teresa; Monterrubio Eric A; Ramírez-Silva Claudia Ivonne; García-Feregrino Raquel; Rivera Juan A.; Sepúlveda-Amor Jaime
Objective. The objective of the study was to measure the prevalence of overweight and obesity in Mexican schoolage children (5-11 years) in the National Nutrition Survey 1999 (NNS-1999). Material and Methods. Overweight and obesity (defined as an excess of adipose tissue in the body) were evaluated through the Body Mass Index (BMI) in 10,901 children, using the standard proposed by the International Obesity Task Force. Sociodemographic variables were obtained using a questionnaire administere...
Rivera Juan A
Full Text Available OBJECTIVE: To compare the prevalence of undernutrition and anemia in indigenous and non-indigenous children 0.05. The prevalence of anemia in indigenous children was one third greater than in non-indigenous children at the national level (p0.05 in rural areas. These differences were reduced to about half when adjusting for SES but remained significantly higher in indigenous children (p<0.05. CONCLUSIONS: Indigenous children have higher probabilities of stunting and underweight than non-indigenous children. The differences are larger in urban areas and in higher socioeconomic geographic regions and are explained mostly by socioeconomic factors. The overall difference in the probability of anemia is small, is higher only in urban relative to rural areas, and is explained to a lesser degree by socioeconomic factors. Policy and programs should be designed and implemented to reduce the dramatic differences in nutritional status between indigenous and non-indigenous children in Mexico.
Stephen, Alison M; Mak, Tsz Ning; Fitt, Emily; Nicholson, Sonja; Roberts, Caireen; Sommerville, Jill
The aim of this paper is to describe innovations taking place in national nutrition surveys in the UK and the challenges of undertaking innovations in such settings. National nutrition surveys must be representative of the overall population in characteristics such as socio-economic circumstances, age, sex and region. High response rates are critical. Dietary assessment innovations must therefore be suitable for all types of individuals, from the very young to the very old, for variable literacy and/or technical skills, different ethnic backgrounds and life circumstances, such as multiple carers and frequent travel. At the same time, national surveys need details on foods consumed. Current advances in dietary assessment use either technological innovations or simplified methods; neither lend themselves to national surveys. The National Diet and Nutrition Survey (NDNS) rolling programme, and the Diet and Nutrition Survey of Infants and Young Children (DNSIYC), currently use the 4-d estimated diary, a compromise for detail and respondent burden. Collection of food packaging enables identification of specific products. Providing space for location of eating, others eating, the television being on and eating at a table, adds to eating context information. Disaggregation of mixed dishes enables determination of true intakes of meat and fruit and vegetables. Measurement of nutritional status requires blood sampling and processing in DNSIYC clinics throughout the country and mobile units were used to optimise response. Hence, innovations in national surveys can and are being made but must take into account the paramount concerns of detail and response rate.
Full Text Available Aim: To describe the nutritional status of children under-five years of age in Libya.Population and methods: A secondary analysis of data of 5348 children taken from a nationalrepresentative, two-stage, cluster-sample survey that was performed in 1995.Results: Prevalence rates of underweight, wasting, stunting, and overweight were determined usingstandard definitions in reference to newly established WHO growth charts. The study revealed that4.3% of children were underweight, 3.7% wasted, 20.7% stunted, and 16.2% overweight. Seventypercent of children had normal weight. Undernutrition was more likely to be found in males, in ruralareas, and in underprivileged groups. Overweight was more likely found in urban, privileged groups.Wasting was more common in arid regions; stunting was more common in mountainous regions of Al-Akhdar, Al-Gharbi, and in Sirt. Al-Akhdar had the highest prevalence of overweight.Conclusion: The country had a low prevalence of underweight and wasting, moderate prevalence ofstunting, and high prevalence of overweight. The country is in the early stages of transition withevidence of dual-burden in some regions. Similar surveys are needed to verify secular trends of thesenutritional problems, particularly overweight.
Full Text Available OBJECTIVE: The objective of the study was to measure the prevalence of overweight and obesity in Mexican school-age children (5-11 years in the National Nutrition Survey 1999 (NNS-1999. MATERIAL AND METHODS: Overweight and obesity (defined as an excess of adipose tissue in the body were evaluated through the Body Mass Index (BMI in 10,901 children, using the standard proposed by the International Obesity Task Force. Sociodemographic variables were obtained using a questionnaire administered to the children's mothers. RESULTS: The national prevalence of overweight and obesity was reported to be 19.5%. The highest prevalence figures were found in Mexico City (26.6% and the North region (25.6%. When adjusting by region, rural or urban area, sex, maternal schooling, socioeconomic status, indigenous ethnicity and age, the highest prevalences of overweight and obesity were found among girls. The risks of overweight and obesity were positively associated with maternal schooling, children's age and socioeconomic status. CONCLUSIONS: Overweight and obesity are prevalent health problems in Mexican school-age children, particularly among girls, and positively associated with socioeconomic status, age, and maternal schooling. This is a major public health problem requiring preventive interventions to avoid future health consequences.
U.S. Department of Health & Human Services — The National Health and Nutrition Examination Survey (NHANES) is a program of studies designed to assess the health and nutritional status of adults and children in...
The goal of the study was to examine the contribution of 100% fruit juice consumption to dietary adequacy of shortfall nutrients by children and adolescents. This was a cross-sectional study and used data from the 2003–2006 National Health and Nutrition Examination Survey (NHANES). Participants were...
Kim, Kirang; Yun, Sung Ha; Jang, Myoung Jin; Oh, Kyung Won
A valid assessment of obesity in children and adolescents is important due to significant change in body composition during growth. This study aimed to develop percentile curves of body fat and fat free mass using the Lambda, Mu, and Sigma method, and to examine the relationship among body mass index (BMI), fat mass and fat free mass in Korean children and adolescents, using the Korea National Health and Nutrition Examination Survey (KNHANES) 2009-2010. The study subjects were 834 for boys an...
Lee, Soo-Kyung; Kim, Mi Kyung
We investigated whether dietary and urinary Na is associated with adiposity in Korean children and adolescents (10-18 years), a population with a high salt intake. Study subjects were Korean children and adolescents who participated in the cross-sectional nationally representative Korea National Health and Nutrition Examination Survey (2010-2011). This study used measures of dietary (24-h dietary recall) and urinary Na (Na:creatinine ratio) and three methods to determine obesity (BMI, waist circumference (WC) and total body per cent fat (TBPF)). Higher Na intake was significantly associated with obesity, adjusting for the covariates. Subjects in the highest tertile of urinary Na excretion had a significantly higher OR for higher adiposity compared with those in the lowest tertile (multivariate-adjusted OR 3·13 (95% CI 1·81, 5·50) for BMI, 2·15 (95% CI 1·27, 3·66) for WC and 1·92 (95% CI 1·29, 2·86) for TBPF, respectively). Na intake estimated by the 24-h recall method also showed significant association with adiposity (multivariate-adjusted OR 2·79 (95% CI 1·66, 4·68) for BMI and 2·14 (95% CI 1·25, 3·67) for WC, respectively). The significant associations between Na and adiposity remained significant after additionally adjusting for sugar-sweetened beverage (SSB) consumption. Our results revealed a significant positive association between urinary and dietary Na and adiposity in Korean children and adolescents, independent of SSB consumption. PMID:26759221
Lim, Hyunjung; Kim, JiEun; Min, Jungwon; Carvajal, Nubia A.; Lloyd, Charles W.
BACKGROUND/OBJECTIVES Childhood obesity has become a global epidemic. Development of effective and sustainable programs to promote healthy behaviors from a young age is important. This study developed and tested an intervention program designed to promote healthy eating and physical activity among young children in South Korea by adaptation of the US National Aeronautics and Space Administration (NASA) Mission X (MX) Program. SUBJECTS/METHODS The intervention program consisted of 4 weeks of fitness and 2 weeks of nutrition education. A sample of 104 subjects completed pre- and post-surveys on the Children's Nutrition Acknowledgement Test (NAT). Parents were asked for their children's characteristics and two 24-hour dietary records, the Nutrition Quotient (NQ) at baseline and a 6-week follow-up. Child weight status was assessed using Korean body mass index (BMI) percentiles. RESULTS At baseline, 16.4% (boy: 15.4%; girl: 19.2%) of subjects were overweight or obese (based on BMI≥85%tile). Fat consumption significantly decreased in normal BMI children (48.6 ± 16.8 g at baseline to 41.9 ± 18.1 g after intervention, P NASA MX project is feasible and shows favorable changes in eating behaviors and nutritional knowledge among young children. PMID:27698964
Malnutrition, either under- or overnutrition, is a common condition among neurologically impaired children. Energy needs are difficult to define in this heterogeneous population, and there is a lack of information on what normal growth should be in these children. Non-nutritional factors may influence growth, but nutritional factors such as insufficient caloric intake, excessive nutrient losses and abnormal energy metabolism also contribute to growth failure. Malnutrition is associated with s...
Use of food labels, awareness of nutritional programmes and participation in the special supplemental program for Women, Infants and Children (WIC): results from the National Health and Nutrition Examination Survey (2005-2006).
Wojcicki, Janet M; Heyman, Melvin B
Use of nutritional labels in choosing food is associated with healthier eating habits including lower fat intake. Current public health efforts are focusing on the revamping of nutritional labels to make them easier to read and use for the consumer. The study aims to assess the frequency of use of nutritional labels and awareness of the United States Department of Agriculture (USDA) nutritional programmes by low-income women including those participating in the Special Supplemental Nutrition Program for Women, Infants and Children (WIC) as surveyed in the National Health and Nutrition Examination Survey 2005-2006. Many low-income women do not regularly use the nutrition facts panel information on the food label and less than half had heard of the USDA Dietary Guidelines for Americans (38.9%). In multivariate logistic regression, we found that WIC participation was associated with reduced use of the nutrition facts panel in choosing food products [odds ratio (OR) 0.45, 95% confidence interval (CI) 0.22-0.91], the health claims information (OR 0.54, 95% CI 0.32-0.28) and the information on carbohydrates when deciding to buy a product (OR 0.44, 95% CI 0.20-0.97) in comparison with WIC eligible non-participants. Any intervention to improve use of nutritional labels and knowledge of the USDA's nutritional programmes needs to target low-income women, including WIC participants. Future studies should evaluate possible reasons for the low use of nutrition labels among WIC participants in comparison with eligible non-participants.
Lanzieri, Tatiana M.; Kruszon-Moran, Deanna; Amin, Minal M.; Bialek, Stephanie R; Cannon, Michael J.; Carroll, Margaret D.; Dollard, Sheila C
Cytomegalovirus (CMV) seroprevalence among U.S. children 1 to 5 years old was assessed in the National Health and Nutrition Examination Survey of 2011 to 2012. The overall seroprevalence (95% confidence interval) of IgG was 20.7% (14.4 to 28.2%), that of IgM was 1.1% (0.4 to 2.4%), and that of low IgG avidity was 3.6% (1.7 to 6.6%), corresponding to a 17.3% (10.1 to 26.7%) prevalence of recent infection among IgG-positive children.
Hye Ah Lee
Full Text Available Based on data from the 2010–2011 Korean National Health and Nutrition Examination Survey, we investigated correlations between micronutrients in the diet of family members and the possible risk factors for children and adolescents consuming an inadequate diet. We examined two-generation households with children aged 2–18 years. The quality of the family diet with regard to the following nine nutrients (protein, calcium, phosphorous, iron, vitamin A, vitamin B1, vitamin B2, niacin, and vitamin C was assessed based on the Index of Nutritional Quality. Correlations between quality of diet and selected variables were analyzed using the Statistical Analysis for Genetic Epidemiology software, and those between diet quality and potential risk factors for poor diet in offspring were analyzed using multinomial logistic regression. Overall, calcium was the most commonly under-consumed micronutrient. More than half of sons and daughters showed insufficient vitamin A, vitamin C, and iron intake, and both mothers and fathers showed insufficiency with respect to vitamin A, vitamin B2, and vitamin C. The correlation between a poor diet in parents and that in offspring was 0.17 (p < 0.0001, and this correlation coefficient was higher between mothers and offspring than between fathers and offspring. Additionally, eating breakfast provided a significant protective effect against the risk of poor nutrition in offspring, even after adjusting for covariates. Our results add to evidence indicating that children should be encouraged to eat breakfast to improve the quality of their diet.
Smith, Nathan J.
Young athletes need to be aware of the importance of good nutrition to athletic performance. A basic diet plan, worked out with a physician to satisfy energy and weight needs, is essential. The best eating schedule and amount and type of food varies with different sports depending on the intensity and duration of physical activity. Weight control…
Scully, P; Macken, Alan P; Leddin, Des; Dunne, Colum; Cullen, Walter; O'Gorman, Clodagh S.
peer-reviewed The prevalence of overweight children, and hours of television viewed are positively correlated1,2. Causality may include greater periods of inactivity and exposure to food advertising and product placement while watching television. The American Academy of Pediatrics recommends a maximum of 2 hours of non-educational television viewing per day for children over 2 years3. However, recent evidence suggests that children aged 6-11 years watch 24.5 hours of ...
Given the rise in childhood obesity, marketing non-nutrient dense foods to children has instigated a worldwide debate. This research sought to determine how often nutrition marketing (health claims, nutrient content claims, or implied claims) is used on labels of foods containing high amounts (>20% ...
Full Text Available OBJECTIVE: To describe the methods and analyses of the 1999 National Nutrition Survey (NNS-99. MATERIAL AND METHODS: The 1999 National Nutrition Survey (NNS-99 is a probabilistic survey with nationwide representativity. The NNS-99 included four regions and urban and rural areas of Mexico. The last sampling units were households, selected through stratified cluster sampling. The study population consisted of children under five years of age, school-age children (6-11 years, and women of childbearing age (12-49 years. Data were collected on anthropometric measurements, hemoglobin levels, morbidity and its determinants, and socioeconomic and demographic characteristics. In addition, data on diet and micronutrients intakes (iron, zinc, vitamin A, folic acid, vitamin C, and iodine were obtained in a sub-sample of subjects. RESULTS: The response rate for the NNS-99 was 82.3%; the non-response rate was 5.9% and the remaining did not participate due to uninhabited houses. CONCLUSIONS: This survey updates the information on nutritional status in Mexico and should serve as the basis for food and nutrition policy-making and priority program design.
Tutel'ian, V A; Baturin, A K; Kon', I Ia; Safronova, A M; Keshabiants, E E; Starovoĭtov, M L; Gmoshinskaia, M V
The study of the nutrition and the nutritional status children of the first year age and children earliest age were conducted on nationally representative surveys (2500 children, 2-24 months) the Institute of Nutrition, Russian Academy of Medical Sciences with the Institute of Sociology Russian of Academy of Sciences, Gerber Product Company and Nestle Company in 2006. The level the frequency of breast feeding had among children 1 m.--80%, 2-4 m.--70%, 4-6 m.--60%. The lowest body mass Z-scores were registered 0.5-5.0% among of children, the tendency of obesity increase in the age were registered from 1.6 to 13% of children. Calculations of chemical composition and energy value of actual nutrition have show according to the values requirements. PMID:21395107
[Nutritional status of preschool children attending the Chilean National Nursery Schools Council Programs (JUNJI): assessment of the agreement among anthropometric indicators of obesity and central obesity].
Gutiérez-Gómez, Yareni; Kain, Juliana; Uauy, Ricardo; Galván, Marcos; Corvalán, Camila
Historically, the anthropometric assessment of nutritional welfare programs has been targeted to assess nutritional deficiencies based on weight-to-age and height-to-age indicators. Recently, given the increase on childhood obesity, it has been also recommended the measurement of indicators of obesity (i.e., weight-to-height) and central obesity (i.e., waist circumference). However, the agreement of these indicators in preschool children is unclear. The aims of this study were: (1) assess the nutritional status of children attending the Chilean National Nursery Schools Council Program (JUNJI); (2) assess the agreement between general and central obesity anthropometric measurements in these children. In 574 girls and 580 boys, 3.0 to 5.9 years old, we measured: weight, height, waist and hip circumference, and five skinfolds. We used the WHO 2006 growth standards to estimate Z-scores. We defined general obesity as WHZ or BAZ= 2, and central obesity as waist circumference > or =90 percentile of NHANES III. The participants were on average slightly shorter but considerably heavier and obese than the reference populations. Prevalence of general obesity was close to 16% with both indicators while prevalence of central obesity reached 15%. There was good agreement among general obesity indicators and central obesity indicators (Kappa = 0.6-0.7). In summary, we found a high prevalence of obesity and central obesity among Chilean preschool children beneficiaries of a welfare program. At this age, there was a good agreement among general obesity indicators and central obesity indicators. These results suggest that waist circumferences measurements should not be incorporated to the program.
ERIC Clearinghouse on Elementary and Early Childhood Education, Urbana, IL.
This digest reviews research on the link between children's nutrition and their ability to learn from the prenatal through school years. It also discusses the importance of nutrition education for children. The need for adequate nutrition during pregnancy and the preschool years is highlighted by research that indicates that low birthweight…
Muhammad Atif Habib
Full Text Available Iron deficiency Anemia (IDA in children is a recognized public health problem that impacts adversely on child morbidity, mortality and impairs cognitive development. In Pakistan information on the true prevalence and predictors of IDA is limited. This study sought to investigate IDA in children under five years of age using data from a nationally representative stratified cross-sectional survey.Secondary analysis was performed on the National Nutrition Survey in Pakistan 2011-2012. We used a pre-structured instrument to collect socio demographic and nutritional data on mothers and children. We also collected Anthropometric measurements and blood samples for micronutrient deficiencies. IDA was defined as having both haemoglobin levels of <110 g/L and ferritin levels of < 12 μg/L. Data analysis was performed by applying univariate and multivariate techniques using logistic regression through SPSS.A total of 7138 children aged between 6-59 months were included in the analysis. The prevalence of IDA was 33.2%. In multivariate regression analysis adjusted odds ratios (AOR were calculated. Age < 24 months (AOR 1.40, 95% CI 1.18-1.55 p <0.05, stunting (AOR 1.42 CI 1.23-1.63 p<0.05, presence of clinical anemia (AOR 5.69 CI 4.93-6.56 p<0.05, having a mother with IDA (AOR 1.72 CI 1.47-2.01 p<0.05 and household food insecurity (AOR 1.20 CI 1.10-1.40 P<0.05 were associated with IDA. Living in a rural area (AOR 0.77 CI 0.65-0.90 p<0.05 and being a female child (AOR 0.87 CI 0.76-0.98 p<0.05 were associated with reduced odds of IDA.The prevalence of IDA amongst Pakistani children represents a moderate burden that disproportionately affects the youngest, growth retarded children, affected children are more likely to have mothers with IDA and live in areas where food security is lacking. National efforts to alleviate the burden of IDA should involve both short term vertical programs such as iron supplementation and long term horizontal programs including wheat
Dwyer, J T; Dietz, W H; Andrews, E M; Suskind, R M
Thirty-nine preschool children consuming different types of vegetarian diets were studied. Type and amount of carbohydrate, fat, protein, and amount of sodium and cholesterol provided by their diets were more like intakes suggested in the proposed Dietary Goals for the United States than to levels in usual diets of nonvegetarian children. Macrobiotic vegetarian children consumed less animal food than did other vegetarian children. The mean intake of vitamin D of macrobiotics was an eighth of the Recommended Dietary Allowance and mean serum alkaline phosphatase values were elevated. The mean intake of vitamin B12 levels were normal. Vegan macrobiotic children had the lowest intakes of vitamins B12 and D. Other vegetarians' mean intakes of these vitamins met the Recommended Dietary Allowance. Mean iron intakes of the vegetarians approximated the Recommended Dietary Allowance. Hematological indices were suggestive of mild iron deficiency anemia in a quarter of subjects. Serum cholesterol values were low for the group. Physical measurements were within normal limits and macrobiotic vegetarians were not smaller or leaner than other vegetarian children. The nutritional difficulties discovered could be corrected by careful planning of vegetarian children's diets while preserving the beneficial qualities of the diet in other respects.
U.S. Department of Health & Human Services — 1999 to 2014. The National Health and Nutrition Examination Survey (NHANES) is a program of studies designed to assess the health and nutritional status of adults...
Lee, Ji Hyun; Han, Kyung Do; Kim, Kyung Min; Park, Yong Gyu; Lee, Jun Young; Park, Young Min
Population-based studies of atopic dermatitis (AD) in Korean children are lacking. Thus, the purpose of this study was to determine the prevalence, geographic distribution, and risk factors of AD in the Korean pediatric population. We examined AD prevalence using data from the 2008-2011 Korea National Health and Nutrition Examination Survey (KNHANES), which was a cross-sectional survey of 8,947 children up to age 18 throughout the country. Overall, 13.50% of children reported a diagnosis of AD. The age-standardized prevalence ranged from 9.13% to 17.67% between cities and provinces, with the highest prevalence-observed in many of the larger cities at low latitudes, as well as Jeju-do. After adjusting for confounders, high economic status was found to be a significant factor for predicting increased prevalence of AD, with an odds ratio of 1.35 (95% confidence interval of 1.02-1.79, P=0.0034). Urban living (odds ratio 1.24, 95% confidence interval of 1.00-1.53, P=0.0526) was also associated with a higher prevalence of AD. In this first large scale, nationwide study in Korean children, we found that the overall prevalence of AD depends on age, household income, and geographic distribution. PMID:26540505
Murakami, Kentaro; Livingstone, M Barbara E
The association between eating frequency (EF) and adiposity in young populations is inconsistent. This cross-sectional study examined associations of EF, meal frequency (MF) and snack frequency (SF) with adiposity measures in US children aged 6-11 years (n 4346) and adolescents aged 12-19 years (n 6338) participating in the National Health and Nutrition Examination Survey 2003-2012. Using data from two 24-h dietary recalls, all eating occasions providing ≥210 kJ of energy were divided into meals or snacks based on contribution to energy intake (≥15 or obesity (waist circumference≥90th percentile) in both children and adolescents. After adjustment for EI:EER, however, EF and SF, but not MF, showed positive associations in children, irrespective of the definition of meals and snacks. In adolescents, after adjustment for EI:EER, positive associations were observed for EF (abdominal obesity only), SF based on energy contribution and MF based on self-report, whereas there was an inverse association between MF based on energy contribution and overweight. In conclusion, higher SF and EF, but not MF, were associated with higher risks of overweight and abdominal obesity in children, whereas associations varied in adolescents, depending on the definition of meals and snacks. Prospective studies are needed to establish the associations observed here.
Owen, George M.; And Others
As part of a national study of the nutrition of preschool children, data were collected on 201 Apache children, 1 to 6 years of age, living on an Indian reservation in Arizona. This report reviews procedures and clinical findings, and gives an analysis of growth data including skeletal maturation, nutrient intakes and clinical biochemical data. In…
Full Text Available Abstract Background Malaria has traditionally been a major endemic disease in Equatorial Guinea. Although parasitaemia prevalence on the insular region has been substantially reduced by vector control in the past few years, the prevalence in the mainland remains over 50% in children younger than five years. The aim of this study is to investigate the risk factors for parasitaemia and treatment seeking behaviour for febrile illness at country level, in order to provide evidence that will reinforce the EG National Malaria Control Programme. Methods The study was a cross-sectional survey of children 0 to 5 years old, using a multistaged, stratified, cluster-selected sample at the national level. It included a socio-demographic, health and dietary questionnaires, anthropometric measurements, and thick and thin blood smears to determine the Plasmodium infection. A multivariate logistic regression model was used to determine risk factors for parasitaemia, taking into account the cluster design. Results The overall prevalence of parasitemia was 50.9%; it was higher in rural (58.8% compared to urban areas (44.0%, p = 0.06. Age was positively associated with parasitemia (p Conclusion Results suggest that a national programme to fight malaria in Equatorial Guinea should take into account the differences between rural and urban communities in relation to risk factors for parasitaemia and treatment seeking behaviour, integrate nutrition programmes, incorporate campaigns on the importance of early treatment, and target appropriately for bed nets to reach the under-fives.
Lucumi Diego I
Full Text Available Abstract Background There has been an ongoing discussion about the relationship between time spent watching television and childhood obesity. This debate has special relevance in the Latin American region were the globalization process has increased the availability of screen-based entertainment at home. The aim of this study is to examine the association between television viewing and weight status in Colombian children. Methods This cross sectional investigation included children aged 5 to12 yrs from the National Nutrition Survey in Colombia (ENSIN 2005. Weight and height were measured in 11,137 children in order to calculate body mass index. Overweight was defined by international standards. Time spent viewing television was determined for these children through parental reports. Multiple logistic regression analyses were conducted for different subgroups and adjusted for potential confounders in order to study the association between television viewing and weight status in this population. Results Among the surveyed children, 41.5% viewed television less than two hours/day; 36.8% between two and 3.9 hours/day and 21.7% four or more hours/day. The prevalence of overweight (obesity inclusive in this population was 11.1%. Children who were classified as excessive television viewers (between two and 3.9 hours/day or 4 or more hours/day were more likely to be overweight (OR: 1.44 95% CI: 1.41–1.47 and OR: 1.32 95% CI: 1.30–1.34, respectively than children who reported to watch television less than 2 hours/day. Stratified analyses by age, gender and urbanization levels showed similar results. Conclusion Television viewing was positively associated with the presence of overweight in Colombian children. A positive association between urbanization level and television viewing was detected. Considering that the majority of Colombian children lives in densely populated cities and appear to engage in excessive television viewing these findings are
Henna Ahmadi Qadri
Conclusions: Nutritional status of children has been recognized as an important of National development which in turn depends on social development indices. Though the country is developing fast with wide availability of resources and food we still notice under-nourishment. Health education to the parents, especially to the mothers on dietary practices like feeding their children with healthy food in terms of quality and quantity should be given. Nutritional rehabilitation centre should be established which will guide the parents in regard to the nutrition of child to be maintain at particular growing age group. The finding of prevalence of under-nutrition in males is unique in Indian context where females are prone to get neglected and sex wise prevalence of under nutrition was usually higher in females as compared to males. [Int J Res Med Sci 2015; 3(11.000: 3363-3366
Optimal nutrition, including consuming 35–40% of calories (kcal) as fat, is a vital part of the management of cystic fibrosis (CF), and involves accurate assessment of dietary intake. We compared 3 methods of nutritional assessment in 8– to 14-year-old children (n=20) with CF: 1) a 24-h Dietary Reca...
Nnyepi, Maria; Bennink, Maurice R.; Jackson-Malete, Jose; Venkatesh, Sumathi; Malete, Leapetswe; Mokgatlhe, Lucky; Lyoka, Philemon; Anabwani, Gabriel M.; Makhanda, Jerry; Weatherspoon, Lorraine J.
Purpose: Identifying and addressing poor nutritional status in school-aged children is often not prioritized relative to HIV/AIDS treatment. The purpose of this paper is to elucidate the benefits of integrating nutrition (assessment and culturally acceptable food supplement intervention) in the treatment strategy for this target group.…
Full Text Available Background: Assessing nutritional status and delivering optimal nutritional care is a part of modern day treatment of children with cancer. The nutritional practices in India for these children have not been previously described. Aims: To describe the existing nutrition assessment and management practices for children with cancer in India. Methods: Attendees of the First International Society of Pediatric Oncology-Pediatric Oncology in Developing Countries workshop on nutrition in children with cancer organized in September 2014 at Tata Memorial Hospital, Mumbai, India were invited to complete a self-administered questionnaire related to three domains: nutritional assessment, intervention, and education. Results: Hundred and eight respondents from 42 health institutions and background in the health sector participated in the survey. There was variability in nutritional assessment, practice and education. Lack of resources and time are contributory. Conclusions: This assessment of nutritional services in India provided useful information to plan development of national guidelines, policy, and delivery of services.
Los, E. Leonie; Lukovac, Sabina; Werner, Anniek; Dijkstra, Tietie; Verkade, Henkjan J.; Rings, Edmond H. H. M.; Cooke, RJ; Vandenplas, Y; Wahn, U
Cholestatic liver disease (CLD) in children negatively affects nutritional status, growth and development, which all lead to an increased risk of morbidity and mortality. This is illustrated by the fact that the clinical outcome of children with CLD awaiting a liver transplantation is in part predic
Victor L. Fulgoni
Full Text Available Background: Recent detailed analyses of data on dietary sources of energy and nutrients in US children are lacking. The objective of this study was to identify food sources of energy and 28 nutrients for children in the United States. Methods: Analyses of food sources were conducted using a single 24-h recall collected from children 2 to 18 years old (n = 7332 in the 2003–2006 National Health and Nutrition Examination Survey. Sources of nutrients contained in foods were determined using nutrient composition databases. Food grouping included ingredients from disaggregated mixtures. Mean energy and nutrient intakes from the total diet and from each food group were adjusted for the sample design using appropriate weights. Percentages of the total dietary intake that food sources contributed were tabulated by rank order. Results: The two top ranked food/food group sources of energy and nutrients were: energy — milk (7% of energy and cake/cookies/quick bread/pastry/pie (7%; protein — milk (13.2% and poultry (12.8%; total carbohydrate — soft drinks/soda (10.5% and yeast bread/rolls (9.1%; total sugars — soft drinks/soda (19.2% and yeast breads and rolls (12.7%; added sugars — soft drinks/soda (29.7% and candy/sugar/sugary foods (18.6%; dietary fiber — fruit (10.4% and yeast bread/rolls (10.3%; total fat — cheese (9.3% and crackers/popcorn/pretzels/chips (8.4%; saturated fatty acids — cheese (16.3% and milk (13.3%; cholesterol — eggs (24.2% and poultry (13.2%; vitamin D — milk (60.4% and milk drinks (8.3%; calcium — milk (33.2% and cheese (19.4%; potassium — milk (18.8% and fruit juice (8.0%; and sodium — salt (18.5% and yeast bread and rolls (8.4%. Conclusions: Results suggest that many foods/food groupings consumed by children were energy dense, nutrient poor. Awareness of dietary sources of energy and nutrients can help health professionals design effective strategies to reduce energy consumption and increase the nutrient
James, J A; Clark, C; Ward, P. S.
We examined 42 Rastafarian children under 5 years of age who were registered with a single inner city general practice to determine the prevalence of nutritional rickets. Twenty children were receiving a strict vegan(I-tal) diet and were considered to be at high risk of developing rickets and were referred for biochemical and radiological investigation. Seven of 20 children investigated had rickets, giving an overall prevalence of 7/42. Treatment with oral cholecalciferol was successful in al...
We examined influences of asthma and household environment (passive smoking, gas stove use, and having a dog or cat), on seven measures of spirometric lung function in 8-16 yearold subjects, as measured in the Third National Health and Nutrition Examination Survey (NHANES III). ...
目的:对哈萨克族1岁儿童营养性缺铁性贫血的原因进行分析,并提出具体应对措施。方法:选择2008年～2010年在乌鲁木齐市妇幼保健院体检的汉族儿童100名,维吾尔族儿童100名,哈萨克族儿童100名,对随机抽取的儿童进行血液检测,并对受检儿童的生活环境、饮食习惯、母亲贫血史、生育史、母乳喂养史、儿童疾病史等进行问卷调查。结果:哈萨克族儿童营养性缺铁性贫血的发病率高于汉族和维吾尔族儿童(P＜0.05)。哈萨克族儿童易患营养性缺铁性贫血与其生活环境、饮食习惯、母亲贫血史、生育史、母乳喂养史等有关。结论:哈萨克族儿童营养性缺铁性贫血发生率高,应积极改善儿童的居住环境和饮食习惯,及时为儿童添加辅食,合理营养,注重母亲孕期保健,重视儿童的疾病预防。%Objective: To analyze the causes of nutritional iron deficiency anemia in one - year old children of Kazak nationality, put forward specific measures. Methods; 100 children of Han nationality, 100 children of Uyghur nationality and 100 children of Kazak nationality who received physical examination in the hospital from 2008 to 2010 were selected, then the selected children received blood test; their living environment, dietary habits, anemia history and reproductive history of mothers, breastfeeding history and medical history were surveyed by a questionnaire. Results; The incidence of nutritional iron deficiency anemia in children of Kazak nationality was significantly higher than those in children of Han nationality and Uyghur nationality ( P < 0.05 ) . Nutritional iron deficiency anemia in children of Kazak nationality was related to living environment, dietary habits, anemia history and reproductive history of mothers, breastfeeding history. Conclusion; The incidence of nutritional iron deficiency anemia in children of Kazak nationality is high, the living environment and dietary habits
Sánchez-Valverde Visus, F; Moráis López, A; Ibáñez, J; Dalmau Serra, J
Several health benefits have been attributed to sports practice, and an adequate nutrition status helps to maintain an optimal performance. Children most frequently practice non-competitive and non-endurance activities in a school setting. The dietary intake of children who practice sports should be similar to the general population, properly meeting their energy and nutrient requirements. During the activity performance, correct hydration should be aimed for, with water appearing to be an adequate source in most cases. General calorie and micronutrient supplementation should not be commonly recommended in children. Paediatricians must control nutritional status and dietary habits of children who practice sports, especially in those cases when weight-loss is aimed for, as well as take into account the psychological implications of competitive sports practice.
Children and adults with severe disabilities may have nutritional problems due to the effects of the primary disability (including such syndromes as phenylketonuria, galactosemia, and Hurler's Disease), effects related to medications (including anticonvulsants, tranquilizers, and laxatives), effects of food preferences (restrictive food…
Optimization of resistance to infection, growth, sexual maturation, wound healing, and provision of the best possible overall quality of life are important management goals in children with epidermolysis bullosa. However, all these goals rely on the maintenance of optimal nutritional status, and achieving this is extremely challenging in the severe types of the disease. Strategies to improve nutritional status have the best chance of success when the dietitian or nutritionist works as an integral member of the multidisciplinary team and is well informed of patients' situations, family dynamics, and prognoses. Even the best-coordinated dietetic interventions may exert only limited impact. PMID:20447494
Seashore, J. H.
Nutritional support is an integral and essential part of the management of 5-10 percent of hospitalized children. Children in the intensive care unit are particularly likely to develop malnutrition because of the nature and duration of their illness, and their inability to eat by mouth. This article reviews the physiology of starvation and the development of malnutrition in children. A method of estimating the nutritional requirements of children is presented. The techniques of nutritional su...
Ferreira Aline A
Full Text Available Abstract Background The aim of this study was to characterize the nutritional status of Xavante Indian children less than 10 years of age in Central Brazil and to evaluate the hypothesis of an association between child nutrition and socioeconomic differentiation in this population. Methods A cross-sectional study was conducted in July 2006 that included all children under the age of 10 from the Xavante village Pimentel Barbosa in Mato Grosso, Brazil. The data collected included weight, height, and sociodemographic information. Sociodemographic data were used to generate two indices ("income" and "wealth" and to determine the proportion of adults in each household. Descriptive analyses were performed for weight-for-age (W/A, height-for-age (H/A, and weight-for-height (W/H using the NCHS and the WHO growth references. Univariate and multivariate analyses were conducted using H/A and W/A as a response variables. Results Of a total of 246 children under the age of ten residing in the village, 232 (94.3% were evaluated. Following the NCHS reference, 5.6% of children under the age of ten presented low W/A and 14.7% presented low H/A. Among children under the age of five, deficit percentages for weight and height were 4.5% and 29.9%, respectively, following the WHO curves. Among children Conclusion This study demonstrated that undernutrition, in particular linear growth deficit, is a notable health issue for Xavante children. These findings contrast with the nutritional profile observed among Brazilian children nationally, which is characterized by a sharp decline in child undernutrition in recent decades, even in the poorest regions of the country. This discrepancy calls attention to the persistent health disparities that exist between indigenous and non-indigenous people in Brazil.
In most developing countries, nutritional rickets is a major health problem. The aim of this study was to explore the magnitude of nutritional rickets among Saudi infants, and the various clinical presentations, as well as to address the possible operating risk factors behind the disease. We carried out a retrospective study at King Abdulaziz Medical City-King Fahad National Guard Hospital in Riyadh, Saudi Arabia. The records of Saudi infants under the age of 14 months over a 10-year period (between January 1990 and January 2000) were reviewed. Information collected included age, sex, clinical presentations, biochemical, radiological findings, infant nutrition, presence of other nutritional deficiencies and exposure to sunlight. There were 283 infants diagnosed with nutritional rickets due to Vitamin D deficiency (67% males) who were between 6 and 14 months of age. Among the total, 70% were exclusively breast-fed, and 23% were breast-fed until the age of 1 year. The most frequent clinical presentation was hypo-calcemic convulsions (34%) followed by chest infections (33%) and gastroenteritis (25%). In conclusion, nutritional rickets is still prevalent in Saudi Arabia with the primary etiology being vitamin D deficiency. Therefore we recommend that every infant, who is exclusively on breast-feeding, has routine supplement of vitamin D in the range of 200 IU/day (alone or as apart of multivitamin), started soon after birth until the time of weaning. (author)
Full Text Available In most developing countries, nutritional rickets is a major health problem. The aim of this study was to explore the magnitude of nutritional rickets among Saudi infants, and the various clinical presentations, as well as to address the possible operating risk factors behind the disease. We carried out a retrospective study at King Abdulaziz Medical City-King Fahad National Guard Hospital in Riyadh, Saudi Arabia. The records of Saudi infants under the age of 14 months over a 10-year period (between January 1990 and January 2000 were reviewed. Infor-mation collected included age, sex, clinical presentations, biochemical, radiological findings, infant nutrition, presence of other nutritional deficiencies and exposure to sunlight. There were 283 infants diagnosed with nutritional rickets due to Vitamin D deficiency (67% males who were between 6 and 14 months of age. Among the total, 70% were exclusively breast-fed, and 23% were breast-fed until the age of 1 year. The most frequent clinical presentation was hypo-calcemic convulsions (34% followed by chest infections (33% and gastroenteritis (25%. In conclusion, nutritional rickets is still prevalent in Saudi Arabia with the primary etiology being vitamin D deficiency. Therefore we recommend that every infant, who is exclusively on breast-feeding, has routine supplement of vitamin D in the range of 200 IU/day (alone or as apart of multivitamin, started soon after birth until the time of weaning.
Goskowicz, M; Eichenfield, L F
Nutritional deficiencies may be associated with a variety of cutaneous findings in children. This review emphasizes new developments relating to cutaneous findings of nutritional deficiencies. Zinc deficiency, acrodermatitis enteropathica, and acrodermatitis enteropathica-like eruptions are seen with a variety of conditions including cystic fibrosis, anorexia nervosa, and breastfeeding. Similar cutaneous findings not related to zinc deficiency may also occur with such metabolic disorders as methylmalonic aciduria, multiple carboxylase deficiency, essential fatty acid deficiency and other amino acid deficiencies. Vitamin K deficiency is associated with hemorrhagic disease of the newborn and coagulopathy. Vitamin A deficiency presents with a variety of systemic findings and distinctive dermatologic findings. Acute vitamin A deficiency may be seen in children infected with measles and is associated with more severe disease. The systemic and cutaneous findings of vitamin C deficiency, scurvy, are discussed. PMID:8374671
Cranial MRI was obtained in 13 of a group of 57 children receiving long-term parenteral nutrition, who were being investigated for hypermanganasaemia. Increased signal intensity on T1-weighted images has been reported in adult patients on long-term parenteral nutrition and with encephalopathy following chronic manganese exposure in arc welding. It has been postulated that these changes are due to deposition of the paramagnetic trace element manganese. In excess manganese is hepato- and neurotoxic and we present the correlation of whole blood manganese levels with imaging findings. The age range of our patients was 6 months to 10 years, and the duration of therapy 3 months to 10 years. In 7 children we found characteristic increased signal intensity on T1-weighted images, with no abnormality on T2-weighted images. All patients had elevated whole blood manganese levels, suggesting that the basis for this abnormality is indeed deposition of manganese within the tissues. (orig.). With 3 figs
Rivera Juan A
Full Text Available OBJECTIVE: This article presents and overview of the main results and conclusions from the Mexican National Nutrition Survey 1999 (NNS-1999 and the principal nutrition policy implications of the findings. MATERIAL AND METHODS: The NNS-1999 was conducted on a national probabilistic sample of almost 18 000 households, representative of the national, regional, as well as urban and rural levels in Mexico. Subjects included were children <12 years and women 12-49 years. Anthropometry, blood specimens, diet and socioeconomic information of the family were collected. RESULTS: The principal public nutrition problems are stunting in children < 5 years of age; anemia, iron and zinc deficiency, and low serum vitamin C concentrations at all ages; and vitamin A deficiency in children. Undernutrition (stunting and micronutrient deficiencies was generally more prevalent in the lower socioeconomic groups, in rural areas, in the south and in Indigenous population. Overweight and obesity are serious public health problems in women and are already a concern in school-age children. CONCLUSIONS: A number of programs aimed at preventing undernutrition are currently in progress; several of them were designed or modified as a result of the NNS-1999 findings. Most of them have an evaluation component that will inform adjustments or modifications of their design and implementation. However, little is being done for the prevention and control of overweight and obesity and there is limited experience on effective interventions. The design and evaluation of prevention strategies for controlling obesity in the population, based on existing evidence, is urgently needed and success stories should be brought to scale quickly to maximize impact.
Zoellner, Jamie; Carr, Deborah
Purpose/Objectives: The purpose of this national study was to describe nutrition literacy levels and nutrition knowledge among school nutrition (SN) managers, and explore if barriers to seeking SN information, perceived role in school wellness, and confidence in SN decision making varied by nutrition literacy and knowledge scores. Methods: An…
Full Text Available From January 1990 to December 2006, Helen Keller International implemented the Nutritional Surveillance Project (NSP in Bangladesh, which has been used to conduct regular surveillance and special surveys to provide information on health and nutritional status of children and mothers, and report on the coverage and impact of nutrition and health programs in Bangladesh. The Government of Bangladesh (GOB distributes vitamin A Capsule (VAC among children aged 12–59 months biannually. The NSP data was analyzed to assess VAC coverage and to explore which children were less likely to receive a VAC in order to help GOB identify necessary modiﬁcations aimed at higher coverage of VAC among all eligible children. Results showed that coverage among girls and boys was not different (P=0.970. However, coverage was consistently lower among children aged 12-23 months compared to older children (24–59 months (P≤0.001 in each of the distribution rounds. Coverage among children from poorer households was lower than among children from wealthiest households (P<0.001, with the extent of this difference varying by round. Coverage was signiﬁcantly higher if households had had contact with a government health assistant in the last month (P<0.001; and among households who owned a radio or a TV compared to those who did not. The VAC distribution campaign needs to be strengthened to cover the children who are currently not reached; especially younger children, children living in underserved regions, children from poorer households and from households with less contact with health service providers or mass media.De janvier 1990 à décembre 2006, l’ONG Helen Keller International a mis en oeuvre le projet Nutritional Surveillance Project (NSP au Bangladesh. Ce projet a permis de réaliser une surveillance régulière et des études ciblées afin de recueillir des informations sur l’état de santé et l’état nutritionnel des mères et des enfants, et de
Sinha N; Deshmukh P; Garg B
Background and Objectives : Nutritional anemia is associated with impaired performance of a range of mental and physical functions in children, along with increased morbidity. Iron supplementation at a later age may not reverse the adverse effects. National Nutritional Anemia Control Program was launched in India in 1970, but it failed to make any impact. The present study was undertaken to find out prevalence of anemia and its correlates in rural Wardha in children 6-35 months of age. Materi...
Kim, Cho-Il; LEE, YOONNA; Kim, Bok Hee; Lee, Haeng-Shin; Jang, Young-Ai
Onto the world-fastest ageing of society, the world-lowest fertility rate prompted a development of various policies and programs for a betterment of the population in Korea. Since the vulnerability of young children of low socio-economic class to malnutrition was clearly shown at the in-depth analysis of the 2001 Korea National Health and Nutrition Examination Survey data, an effort to devise supplemental nutrition care program for pregnant/breastfeeding women, infants and preschool children...
... many chronic diseases, including obesity, heart attack, stroke, and cancer. By providing more and a... in meals; and meet the nutrition needs of school children within their calorie requirements. These... the National Academies, are expected to enhance the diet and health of school children, and...
Zaini, M Z Anuar; Lim, C T; Low, W Y; Harun, F
This paper investigates the nutritional status of a randomly selected cohort of school children and the factors affecting it. This random survey was conducted in the state of Selangor, involving 1,405 primary students (aged 9-10 years from 54 national primary schools). Physical examination was carried out on all the students. Information on the students was also obtained from the parents. Blood samples were taken by using the finger pricking technique. Body mass index (BMI) was used as a measure of physical growth. The students were mainly from urban areas (82.9%). The mean age was 9.71 years and a higher proportion was females (51%). Malays constituted 83.6%, Indians 11.6% and Chinese 4.2% of the study population. The mean weight and height were 32.30 kg and 135.18 cm respectively. The mean BMI was 17.42 kg/m2, with 1.2% of the students underweight, 76.3% normal BMI, 16.3% overweight and 6.3% were obese. Nutritional status was significantly related to blood pressure, history of breast feeding, eating fast food, taking canned/bottled drinks, income and educational level of parents. Significant differences in nutritional status between sexes and locations (rural/urban) were also found. The prevalence of overweight and obese children was of concern. There is thus an urgent need for the School Health Program to periodically monitor the school children's eating habits and physical growth. Appropriate counselling on nutritional intake and physical activities should be given not only to schoolchildren but also to their teachers and parents or caregivers.
The bachelor thesis is aimed to the important question relevant to the provision of the healthy lifestyle of the pre-school children. It is about the implementation of the healthy nutrition principles in the nursery school. The topic of the thesis is the children?s nutrition in terms of their healthy growth; nutrition value analysis for various food; how some food can improve the health condition of the child; connection between the healthy nutrition and immunity. Attention is also paid to th...
Magdalena Radziszewska; Joanna Sadowska; Agnieszka Krzymuska
Background. The aim of the study was to evaluate the nutritional status and nutrition manner of children attending preschools located in Szczecin. Material and methods. The study was carried out in autumn 2008. The survey covered 105 children at the age 4-6 years. Information on home food intake was collected by parents, on the same days, the authors noted the kind and quantity of food eaten by the child in the preschool. Results. The results revealed that the nutritional status of ...
Theresa A. Nicklas
Full Text Available Background: Consumption of fruit has been associated with a variety of health benefits, yet, 75% of children have usual intakes of total fruit below minimum recommended amounts. Apples are the second most commonly consumed fruit in the United States; however, no studies have examined the impact of apple consumption on nutrient intake and adequacy in children's diets. Objective: The purpose of this study is to examine the association between apple (various forms consumption with nutrient intake and nutrient adequacy in a nationally representative sample of children. Design: Participants were children aged 2–18 years (n=13,339, from the National Health and Nutrition Examination Survey 2003–2010. Least square means of total energy and nutrient intake, and the percentage of the population below the estimated average requirement (EAR or above the adequate intake (AI among apple consumers and non-consumers were examined. Results: Consumers of total apple products had higher (p<0.01 total intakes of fiber, magnesium, and potassium and lower intakes of total fat, saturated fatty acids, monounsaturated fatty acid, and sodium than non-consumers. Apple consumers had higher (p<0.01 total sugar intake, but lower intake of added sugars compared to non-consumers. A lower (p<0.01 percentage of apple consumers were below the EAR for 13 of the 16 nutrients studied. Apple consumers had approximately a 10 percentage unit difference below the EAR for calcium and magnesium, and vitamins A, C, D, and E, than non-consumers. The percentage above the AI for fiber was significantly (p<0.0001 higher among total apple consumers (6.24±0.45 g compared to non-consumers (0.57±0.07 g. The results were similar for individual apple products (i.e. apple juice, applesauce, and whole apples. Conclusion: Consumption of any forms of apples provided valuable nutrients in the diets of children.
Pediatric refugees are at an increased risk for growth and nutritional deficits. As more children are resettled to the United States, it is important to screen appropriately in order to identify any growth or nutritional issues. Resettled refugee children continue to be at risk for both over- and undernutrition, therefore culturally appropriate education and counseling should be provided to improve long-term health.
... NUTRITION SERVICE, DEPARTMENT OF AGRICULTURE CHILD NUTRITION PROGRAMS NUTRITION EDUCATION AND TRAINING...) nutrition education of children, (iii) inservice training in nutrition education for teachers; (3) Goals and... advice and recommendations of the National Advisory Council on Child Nutrition, State educational...
The International Atomic Energy Agency is working to ensure improved health for all, particularly children and women, in partnership with its 132 Member States, other United Nations organizations, and donors. Its programme of technical activities is fully supportive of the recommendations adopted in 1990 by the international community during the World Summit for Children, particularly the statement 'enhancement of children's health and nutrition is a first duty'. (IAEA)
Catassi, Carlo; Gatti, Simona
Overweight/obesity is a growing epidemic in the Western world and a leading cause of morbidity and mortality, mainly from cardiovascular disease. Doctors are going to play a major role as they are being called on to adapt their practices to confront it. In particular, nutrition seems to be at the core of obesity in children. The ascending trend of this phenomenon in pediatric age, with inherent healthcare implications, was already reported in epidemiological studies of the mid '90s. Public health programs of primary prevention should be stimulated and recommended, with the aim of promoting diet and lifestyle changes in the general population. In addition, accurate anthropometric measurements should be performed for use by pediatricians, who should focus efforts on preventing obesity during infancy and childhood. Nutrition plays such a pivotal role that it may be considered a valuable treatment strategy for multiple pediatric conditions, including celiac disease, Crohn's disease, short bowel syndrome, galactosemia, congenital deficiency of urea cycle enzymes. In view of all this, it would be advisable that food science be given higher relevance in medical education. PMID:25734596
Factors associated with overweight and obesity in Mexican school-age children: results from the National Nutrition Survey 1999 Factores asociados con sobrepeso y obesidad en niños mexicanos de edad escolar: resultados de la Encuesta Nacional de Nutrición, 1999
Bernardo Hernández; Lucía Cuevas-Nasu; Teresa Shamah-Levy; Eric A Monterrubio; Claudia Ivonne Ramírez-Silva; Raquel García-Feregrino; Rivera, Juan A; Jaime Sepúlveda-Amor
OBJECTIVE: The objective of the study was to measure the prevalence of overweight and obesity in Mexican school-age children (5-11 years) in the National Nutrition Survey 1999 (NNS-1999). MATERIAL AND METHODS: Overweight and obesity (defined as an excess of adipose tissue in the body) were evaluated through the Body Mass Index (BMI) in 10,901 children, using the standard proposed by the International Obesity Task Force. Sociodemographic variables were obtained using a questionnaire administer...
In this audio podcast, listen to Michigan State University authors Lorraine J. Weatherspoon, PhD, RD, and Elizabeth Taylor Quilliam, PhD, talk about the impact food advertising may have on childrenâs eating behaviors. Created: 9/25/2013 by Preventing Chronic Disease (PCD), National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP). Date Released: 9/25/2013.
Gilton Marques dos Santos
Full Text Available OBJECTIVE: To perform a sistematiy review of the literature about the nutritional impact of inflammatory bowel diseases in children and adolescents.DATA SOURCES: A systematic review was performed using PubMed/MEDLINE, LILACS and SciELO databases, with inclusion of articles in Portuguese and in English with original data, that analyzed nutritional aspects of inflammatory bowel diseases in children and adolescents. The initial search used the terms "inflammatory bowel diseases" and "children" or "adolescents" and "nutritional evaluation" or "nutrition deficiency". The selection of studies was initially performed by reading the titles and abstracts. Review studies and those withouth data for pediatric patients were excluded. Subsequently, the full reading of the articles considered relevant was performed.RESULTS: 237 studies were identified, and 12 of them were selected according to the inclusion criteria. None of them was performed in South America. During the analysis of the studies, it was observed that nutritional characteristics of patients with inflammatory bowel disease may be altered; the main reports were related to malnutrition, growth stunting, delayed puberty and vitamin D deficiency.CONCLUSION: There are nutritional consequences of inflammatory bowel diseases in children and adolescents, mainly growth stunting, slower pubertal development, underweight and vitamin deficiencies. Nutritional impairments were more significant in patients with Crohn's disease; overweight and obesity were more common in patients with ulcerative rectocolitis. A detailed nutritional assessment should be performed periodically in children and adolescents with inflammatory bowel disease.
Full Text Available Abstract Background Achieving the Millennium Development Goals that aim to reduce malnutrition and child mortality depends in part on the ability of governments/policymakers to address nutritional status of children in general and those infected or affected by HIV/AIDS in particular. This study describes HIV prevalence in children, patterns of malnutrition by HIV status and determinants of nutritional status. Methods The study involved 671 children aged 12-59 months living in the Agincourt sub-district, rural South Africa in 2007. Anthropometric measurements were taken and HIV testing with disclosure was done using two rapid tests. Z-scores were generated using WHO 2006 standards as indicators of nutritional status. Linear and logistic regression analyses were conducted to establish the determinants of child nutritonal status. Results Prevalence of malnutrition, particularly stunting (18%, was high in the overall sample of children. HIV prevalence in this age group was 4.4% (95% CI: 2.79 to 5.97. HIV positive children had significantly poorer nutritional outcomes than their HIV negative counterparts. Besides HIV status, other significant determinants of nutritional outcomes included age of the child, birth weight, maternal age, age of household head, and area of residence. Conclusions This study documents poor nutritional status among children aged 12-59 months in rural South Africa. HIV is an independent modifiable risk factor for poor nutritional outcomes and makes a significant contribution to nutritional outcomes at the individual level. Early paediatric HIV testing of exposed or at risk children, followed by appropriate health care for infected children, may improve their nutritional status and survival.
Faruque, A S G; Ahmed, A M Shamsir; Ahmed, Tahmeed; Islam, M Munirul; Hossain, Md Iqbal; Roy, S K; Alam, Nurul; Kabir, Iqbal; Sack, David A
Recent data from the World Health Organization showed that about 60% of all deaths, occurring among children aged less than five years (under-five children) in developing countries, could be attributed to malnutrition. It has been estimated that nearly 50.6 million under-five children are malnourished, and almost 90% of these children are from developing countries. Bangladesh is one of the countries with the highest rate of malnutrition. The recent baseline survey by the National Nutrition Programme (NNP) showed high rates of stunting, underweight, and wasting. However, data from the nutrition surveillance at the ICDDR,B hospital showed that the proportion of children with stunting, underweight, and wasting has actually reduced during 1984-2005. Inappropriate infant and young child-feeding practices (breastfeeding and complementary feeding) have been identified as a major cause of malnutrition. In Bangladesh, although the median duration of breastfeeding is about 30 months, the rate of exclusive breastfeeding until the first six months of life is low, and practice of appropriate complementary feeding is not satisfactory. Different surveys done by the Bangladesh Demographic and Health Survey, United Nations Children's Fund (UNICEF), and Bangladesh Breastfeeding Foundation (BBF) showed a rate of exclusive breastfeeding to be around 32-52%, which have actually remained same or declined over time. The NNP baseline survey using a strict definition of exclusive breastfeeding showed a rate of exclusive breastfeeding (12.8%) until six months of age. Another study from the Abhoynagar field site of ICDDR,B reported the prevalence of exclusive breastfeeding to be 15% only. Considerable efforts have been made to improve the rates of exclusive breastfeeding. Nationally, initiation of breastfeeding within one hour of birth, feeding colostrum, and exclusive breastfeeding have been promoted through the Baby-Friendly Hospital Initiative (BFHI) implemented and supported by BBF and
... of school children. On June 13, 1995, USDA issued program regulations (60 FR 31188) that required... May 9, 2000, USDA issued program regulations (65 FR 26904) that further expanded the existing menu... Agriculture 7 CFR Parts 210 and 220 Nutrition Standards in the National School Lunch and School...
Fomon, Samuel J.
Intended for child health care providers, the text contains information on improving preventive efforts in nutrition, particurlarly those focused on prevention of the major health problems which are nutrition related (obesity, atherosclerosis, dental caries, and anemia). Part I focuses on screening of individual children likely to be at risk of…
Pescud, Melanie; Pettigrew, Simone; Henley, Nadine
Objective: To explore low socioeconomic parents' beliefs in relation to children's nutrition. Design: A qualitative, longitudinal study over 12 months involving 37 low socioeconomic parents. Setting: Perth, Western Australia. Method: Parents' nutrition-related beliefs were explored via interviews, focus groups and…
Bannon, Katie; Schwartz, Marlene B
This pilot study tested the influence of nutrition message framing on snack choice among kindergarteners. Three classrooms were randomly assigned to watch one of the following 60s videos: (a) a gain-framed nutrition message (i.e. the positive benefits of eating apples) (n=14); (b) a loss-framed message (i.e. the negative consequences of not eating apples) (n=18); or (c) a control scene (children playing a game) (n=18). Following this, the children were offered a choice between animal crackers and an apple for their snack. Among the children who saw one of the nutrition message videos, 56% chose apples rather than animal crackers; in the control condition only 33% chose apples. This difference was statistically significant (chi2=7.56, p<0.01). These results suggest that videos containing nutritional messages may have a positive influence on children's short-term food choices.
Xiao Liu; Juan Liu; Xueqin Xiong; Ting Yang; Nali Hou; Xiaohua Liang; Jie Chen; Qian Cheng; Tingyu Li
Restricted diets and inadequate nutrient intake of children with autism spectrum disorder (ASD) have been reported. This study examined the nutritional statuses of children with ASD and the relationships between their behaviors and nutritional intake. A total of 154 children with ASD (age = 5.21 ± 1.83 years) and 73 typically-developing (TD) children (age = 4.83 ± 0.84 years) from Chongqing, China, were enrolled. The severity of ASD was evaluated using the Childhood Autism Rating Scale (CARS)...
Rachel E. Scherr; Cox, Rachel J; Feenstra, Gail; Zidenberg-Cherr, Sheri
Childhood obesity has multiple interrelated causes and so should be addressed with multiple interventions, including innovative nutrition education programs that encourage healthy lifestyle choices in children. Research indicates that garden-based nutrition education increases fruit and vegetable preferences and consumption in children. Additionally, many reports on Farm to School programs indicate they promote both increased consumption of fruits and vegetables and participation in th...
Chock, Linda R; Hayes, Donald K; Tomiyasu, Danette Wong
The Special Supplemental Nutrition Program for Women, Infants and Children (WIC) is a proven, cost-effective investment in strengthening families. As part of the United States Department of Agriculture's (USDA) 15 federal nutrition assistance programs for the past 40 years, WIC has grown to be the nation's leading public health nutrition program. WIC serves as an important first access point to health care and social service systems for many limited resource families, serving approximately ha...
The prevalence of undernutrition among Lao children is among the highest in the region. However, the determinants of childhood undernutrition in Laos have not been fully analyzed. This paper, using the dataset of the Lao Multiple Indicator Cluster Survey 3, which is a nationally-representative sample in Laos, investigated the effects of socioeconomic factors at both household and community levels on the nutritional status of children. In the estimation, a multilevel linear model with random-i...
Poh, Bee Koon; Ng, Boon Koon; Siti Haslinda, Mohd Din; Nik Shanita, Safii; Wong, Jyh Eiin; Budin, Siti Balkis; Ruzita, Abd Talib; Ng, Lai Oon; Khouw, Ilse; Norimah, A Karim
The dual burden of malnutrition reportedly coexists in Malaysia; however, existing data are scarce and do not adequately represent the nutritional status of Malaysian children. The Nutrition Survey of Malaysian Children was carried out with the aim of assessing the nutritional status in a sample of nationally representative population of children aged 6 months to 12 years. A total of 3542 children were recruited using a stratified random sampling method. Anthropometric measurements included weight, height, mid-upper arm circumference, and waist and hip circumferences. Blood biochemical assessment involved analyses of Hb, serum ferritin, and vitamins A and D. Dietary intake was assessed using semi-quantitative FFQ, and nutrient intakes were compared with the Malaysian Recommended Nutrient Intakes (RNI). The prevalence of overweight (9·8%) and obesity (11·8%) was higher than that of thinness (5·4%) and stunting (8·4%). Only a small proportion of children had low levels of Hb (6·6%), serum ferritin (4·4%) and vitamin A (4·4%), but almost half the children (47·5%) had vitamin D insufficiency. Dietary intake of the children was not compatible with the recommendations, where more than one-third did not achieve the Malaysian RNI for energy, Ca and vitamin D. The present study revealed that overnutrition was more prevalent than undernutrition. The presence of high prevalence of vitamin D insufficiency and the inadequate intake of Ca and vitamin D are of concern. Hence, strategies for improving the nutritional status of Malaysian children need to consider both sides of malnutrition and also put emphasis on approaches for the prevention of overweight and obesity as well as vitamin D insufficiency. PMID:24016764
Loret de Mola, Christian; Quispe, Renato; Valle, Giancarlo A.; Julio A. Poterico
Background Rapid urbanization, increase in food availability, and changes in diet and lifestyle patterns have been changing nutritional profiles in developing nations. We aimed to describe nutritional changes in children under 5 years and women of reproductive age in Peru, during a 15-year period of rapid economic development and social policy enhancement. Materials and Methods Trend analyses of anthropometric measures in children of preschool age and women between 15–49 years, using the Peru...
Bureau of Community Health Services (DHHS/PHS), Rockville, MD.
This manual shows health providers how to perform precisely and expertly each step of several procedures used in screening children for nutritional problems. It is intended for all health providers who are involved in weighing and measuring children, recording and plotting measurements on growth charts, taking blood samples to test for iron…
The purpose of this study was to assess children's understanding of plant nutrition. The research was done on a sample of secondary school pupils in the age range of 16 to 19 years in two senior secondary schools in Botswana. The sample contained 137 senior secondary pupils all in their final year of study. These children were above average…
Wojcicki Janet M; Heyman Melvin B
Abstract Background Awareness of federal nutrition programs and use of the nutrition facts label are associated with reduced risk for obesity and increased intake of fruits and vegetables. Relationships between nutrition programs, use of food labels and risk for overweight and obesity have rarely been evaluated in adolescents. Methods Using the National Health and Nutrition Examination Survey from 2005–6, we evaluated the frequency of nutrition awareness of USDA and CDC nutrition programs and...
Full Text Available Aim: To analyse the influence of parents' belief in nutrition myths on the frequency of their serving certain foods to their children. Design: Cross-sectional study. Methods: Survey carried out with 297 respondents - parents of children aged 5-18 years. The data collection took place between September 2013 and December 2014. The questionnaire focussed on 14 nutrition myths related to selected foods (milk, dairy products, meat, offal, fruit, vegetables, eggs, fish, legumes, soya, and flour dishes. At the same time, the parents reported the frequency of their serving the monitored foods to their children. In the statistical analysis, Spearman's rank correlation coefficient was used. Results: For nine nutrition myths we found significant negative coefficients between a certain nutrition myth and the frequency of the serving of the food. The nutrition myths related to the consumption of fish (r = -0.328, eggs (r = -0.203, soya (r = -0.301; -0.290, offal (r = -0.155, meat (r = -0.128, milk (r = -0.272; -0.254, and fruit/vegetables (r = -0.104. Conclusion: The belief in nutrition myths appears to be a determinant modifying parental behaviour and subsequently the quality of children's diets.
Undernutrition, growth failure, overweight, micronutrient deficiencies, and osteopenia are nutritional co-morbidities that affect the neurologically impaired child. Monitoring neurologically impaired children for nutritional co-morbidities is an integral part of their care. Early involvement by a ...
Bachlet, Allison M. E.
Providing adequate nutrition to children with severe neurological disabilities is extremely difficult due to the high prevalence of oral-motor dysfunction in this group. Short stature and light weight for height are common in disabled children and undernutrition is believed to play a role in this poor growth. This programme of study investigated the effect of gastrostomy-tube feeding in disabled children with oral-motor dysfunction and evaluated the energy balance and body ...
Full Text Available OBJETIVO: Evaluar el sobrepeso y la obesidad maternos como factores de riesgo de sobrepeso u obesidad en niños mexicanos de edad escolar (5 a 11 años que participaron en la Encuesta Nacional de Nutrición de 1999 (ENN 99. MATERIAL Y MÉTODOS: Se empleó información recolectada por la ENN 99 para evaluar la relación entre el sobrepeso y obesidad maternos y el sobrepeso u obesidad en niños en edad escolar. Se usó análisis de regresión logística. RESULTADOS: Se estudió a un total de 9 259 niños de 5 a 11 años, de los cuales 19% presentó sobrepeso u obesidad, de acuerdo con la clasificación de Cole. Un 39% de las madres de los niños estudiados tuvo sobrepeso y 26.4% presentó obesidad. Los hijos de madres con sobrepeso tuvieron 1.9 veces más riesgo de ser obesos (IC95% 1.62-2.18, y los hijos de madres con obesidad tuvieron 3.4 veces más riesgo de serlo (IC95% 2.96-4.00, en comparación con los niños cuyas madres tenían un IMC normal, ajustando por edad, sexo, escolaridad de la madre, talla de la madre, residencia urbana o rural, región, condiciones socioeconómicas e indigenismo. CONCLUSIONES: El sobrepeso y la obesidad maternos son factores de riesgo de sobrepeso u obesidad en niños mexicanos en edad escolar. Deben dirigirse intervenciones para promover cambios en los estilos de vida en el ámbito intrafamiliar y modificar ambientes obesigénicos.OBJECTIVE: To assess the effects of maternal overweight and obesity as risk factors for overweight and obesity in Mexican school-age children (5 to 11 years old who participated in the National Nutrition Survey 1999 (NNS-99. MATERIAL AND METHODS: Information obtained by the NNS-99 was used to evaluate the relationship between maternal overweight and obesity and overweight or obesity in school-age children. Multivariate logistic regression analysis was used. RESULTS: A total of 9 259 children were studied. The prevalence of overweight or obesity was 19%, according to the criteria
Clotilde de la Caridad Mora Pérez
Full Text Available Background: During last decades it has become increasingly evident the importance of nutritional factors in the development and renovation of buccal tissues, particularly of teeth. Objective: To characterize permanent teething and its relation with nutritional factors in children between 5 and 13 years. Methods: Cross-sectional descriptive, observational study developed in a universe formed by 1003 children of Health Area II in Cienfuegos, out of which a sample of 330 children was selected. Data was collected from schools, regarding the teething age and nutritional status. Ponder and measurements were carried out. Results: The average teething age was lower for girls in both maxillary bones; teething sequence was 6,1,2,4,5,3,7 for the maxilla and 6,1,2,3,4,5,7 for the inferior maxillary bone. There was a prevalence of normal weight among girls, followed by thin and undernourished values. Among boy, there was a prevalence of obesity, overweight and normal weight in that order. Nutritional statuses of thin and undernourished were related with a delayed teething, mainly in the inferior maxillary bone. Permanent teething was delayed with regard to the national media. Conclusion: A clear relation was established between teething age and nutrition, mainly among thin and undernourished children.
Full Text Available Introduction: Children are one of the most vulnerable groups to sub-optimal nutritional intake in most societies. We have investigated some of the potential determinants of malnutrition in children of 2-5 years of age. Methods and Materials: A cross sectional study was conducted to determine the relationship between nutritional status (weight for age, height for age and weight for height and dietary and socioeconomic factors in 671 children (24-59 months of age from selected health centers in Mashhad city, Iran. Children were assessed for weight and height and the care givers were interviewed and a questionnaire was completed by the interviewers. The data were analyzed using SPSS13 software and the Z-scores were calculated using the WHO anthropometric software package. Results: The study showed that 24.4% of children were mildly underweight, 4.3% were underweight, 13% were mildly stunted, 23.6% of children were mildly wasted and 3.1% were stunted. Educational attainment, whether the children had been breast feed, average daily consumption of milk, feeding practices and type of first food were found to be the main factors determining nutritional status in our study. Conclusion: A higher daily consumption of milk, lower age at which first solid food was started; lower age for consumption of meat and good feeding practices may resolve malnutrition in this population. These findings support the need for a family-based prevention program that focus on guiding parents to foster appropriate feeding practices as well as to promote healthy food intake in the children. Future research should determine the cost-effectiveness of both short- and long-term interventions for child malnutrition. Keywords:Malnutrition Prevention, Nutritional Intake, Nutritional Status, Preschool Children.
Chong, Kar Hau; Wu, Suet Kei; Noor Hafizah, Yatiman; Bragt, Marjolijn C E; Poh, Bee Koon
This article aims to describe the eating habits of Malaysian children using a nationally representative data set from the South East Asian Nutrition Surveys (SEANUTS) in Malaysia. A total of 2797 children aged 2 to 12 years were included in this analysis. Eating habits and dietary intakes of children were assessed using questionnaires. Overall, 56.1% of children consumed 3 main meals every day. Approximately 20% of children snacked 3 times per day, whereas 9.7% ate fast food on a weekly basis. Irregular meal patterns were significantly associated with lower micronutrient intakes, and the groups with higher odds for this pattern were older children, Malays, and those living in rural areas. Considering the relatively high rate of irregular meal consumption and its potential influence on dietary nutrient intake, persistent efforts must be continued to promote and inculcate healthy eating habits among children from an early age. PMID:27307424
Chong, Kar Hau; Wu, Suet Kei; Noor Hafizah, Yatiman; Bragt, Marjolijn C E; Poh, Bee Koon
This article aims to describe the eating habits of Malaysian children using a nationally representative data set from the South East Asian Nutrition Surveys (SEANUTS) in Malaysia. A total of 2797 children aged 2 to 12 years were included in this analysis. Eating habits and dietary intakes of children were assessed using questionnaires. Overall, 56.1% of children consumed 3 main meals every day. Approximately 20% of children snacked 3 times per day, whereas 9.7% ate fast food on a weekly basis. Irregular meal patterns were significantly associated with lower micronutrient intakes, and the groups with higher odds for this pattern were older children, Malays, and those living in rural areas. Considering the relatively high rate of irregular meal consumption and its potential influence on dietary nutrient intake, persistent efforts must be continued to promote and inculcate healthy eating habits among children from an early age.
YIN Xiao Jian; XU Ya Tao; JI Liu; JI Cheng Ye
ObjectiveTo study the nutrition habits among Chinese-Korean children and adolescents in Yanbian Autonomous Prefecture, Jilin, China. MethodsData were obtained from the Chinese National Survey on Students’ Constitution and Health in 1995, 2000, 2005, and 2010 for Chinese-Korean children and adolescents aged 7-18 years.The number of the subjects included was 4789, 4704, 5875, and 5315, respectively. ResultsThe rate of the occurrence of stunting showed a declining trend from 1995 to 2010 (for boys:urban, 6.3%; rural, 12.7% in 1995 and 3.5% for both in 2010. For girls: urban, 7.8%; rural, 13.4% in 1995 and 4.2% and 5.5%, respectively, in 2010). Although the ratio of wasting did not show significant differences between the urban and rural children and adolescents in 1995, 2000, 2005, and 2010 respectively, the ratio of occurrence of overweight or obesity increased (for boys: urban, 7.3% and 1.3%in 1995, 17.6% and 12.9% in 2010; rural, 7.0% and 1.3% in 1995, 14.6% and 12.8% in 2010, respectively. For girls: urban, 8.1% and 1.0% in 1995, 17.3% and 8.6% in 2010; rural 5.7% and 0.7% in 1995, 16.4%and 7.4% in 2010, respectively). ConclusionThe ratio of malnutrition in children and adolescents in Chinese-Korean areas declined from 1995 to 2010, and the distinction in malnutrition between the urban and rural areas was negligible in 2010. Further, the ratio of overweight and obesity increased over this period.
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Anjos, Tania; Altmäe, Signe; Emmett, Pauline; Tiemeier, Henning; Closa-Monasterolo, Ricardo; Luque, Verónica; Wiseman, Sheila; Pérez-García, Miguel; Lattka, Eva; Demmelmair, Hans; Egan, Bernadette; Straub, Niels; Szajewska, Hania; Evans, Jayne; Horton, Claire; Paus, Tomas; Isaacs, Elizabeth; van Klinken, Jan Willem; Koletzko, Berthold; Campoy, Cristina
There is growing evidence that early nutrition affects later cognitive performance. The idea that the diet of mothers, infants, and children could affect later mental performance has major implications for public health practice and policy development and for our understanding of human biology as well as for food product development, economic progress, and future wealth creation. To date, however, much of the evidence is from animal, retrospective studies and short-term nutritional intervention studies in humans. The positive effect of micronutrients on health, especially of pregnant women eating well to maximise their child's cognitive and behavioural outcomes, is commonly acknowledged. The current evidence of an association between gestational nutrition and brain development in healthy children is more credible for folate, n-3 fatty acids, and iron. Recent findings highlight the fact that single-nutrient supplementation is less adequate than supplementation with more complex formulae. However, the optimal content of micronutrient supplementation and whether there is a long-term impact on child's neurodevelopment needs to be investigated further. Moreover, it is also evident that future studies should take into account genetic heterogeneity when evaluating nutritional effects and also nutritional recommendations. The objective of the present review is to provide a background and update on the current knowledge linking nutrition to cognition and behaviour in children, and to show how the large collaborative European Project NUTRIMENTHE is working towards this aim. PMID:23884402
Day, Andrew S; Lopez, Robert N
Exclusive enteral nutrition involves the use of a complete liquid diet, with the exclusion of normal dietary components for a defined period of time, as a therapeutic measure to induce remission in active Crohn's disease (CD). This very efficacious approach leads to high rates of remission, especially in children and adolescents newly diagnosed with CD. This intervention also results in mucosal healing, nutritional improvements and enhanced bone health. Whilst several recent studies have provided further elaboration of the roles of exclusive enteral nutrition in the management of CD, other reports have provided new understanding of the mechanisms by which this intervention acts.
... Food and Nutrition Service Special Supplemental Nutrition Program for Women, Infants and Children (WIC... Supplemental Nutrition Program for Women, Infants and Children Program (WIC). These income eligibility... 17(d)(2)(A) of the Child Nutrition Act of 1966, as amended (42 U.S.C. 1786(d)(2)(A)), requires...
Engesveen, Kaia; Shrimpton, Roger
The United Nations System Standing Committee on Nutrition (SCN) is a forum where United Nations (UN) agencies, bilateral partners, and nongovernmental agencies meet to harmonize and coordinate nutrition policy and programs. This report reviews the positions taken regarding nutrition education throughout SCN publications, annual sessions, and…
Patrícia Ayrosa C. Lopes
Full Text Available OBJECTIVES To assess the food intake pattern and the nutritional status of children with cerebral palsy. METHODS Cross-sectional study with 90 children from two to 12.8 years with cerebral palsy in the following forms: hemiplegia, diplegia, and tetraplegia. Nutritional status was assessed by weight, height, and age data. Food intake was verified by the 24-hour recall and food frequency questionnaire. The ability to chew and/or swallowing, intestinal habits, and physical activity were also evaluated. RESULTS For 2-3 year-old age group, the mean energy intake followed the recommended range; in 4-6 year-old age group with hemiplegia and tetraplegia, energy intake was below the recommended limits. All children presented low intake of carbohydrates, adequate intake of proteins and high intake of lipids. The tetraplegia group had a higher prevalence of chewing (41% and swallowing (12.8% difficulties compared to 14.5 and 6.6% of children with hemiplegia, respectively. Most children of all groups had a daily intestinal habit. All children presented mild physical activity, while moderate activity was not practiced by any child of the tetraplegia group, which had a significantly lower height/age Z score than those with hemiplegia (-2.14 versus -1.05; p=0.003. CONCLUSIONS The children with cerebral palsy presented inadequate dietary pattern and impaired nutritional status, with special compromise of height. Tetraplegia imposes difficulties regarding chewing/swallowing and moderate physical activity practice.
Schultink, Werner; Arabi, Mandana
Countries of the world have agreed on eradicating extreme poverty and hunger and reducing the mortality rate of children under five by two-thirds by 2015 as part of the Millennium Development Goals, and without mainstreaming maternal, infant, and young child nutrition in the development agenda, these goals cannot be achieved. Although the recent Lancet Series on Maternal and Child Undernutrition brought attention to the importance of early nutrition interventions to improve child health, nutrition, and future economic productivity, there needs to be a more concerted effort at clarifying the path forward, focusing on moving beyond projects and evidence from randomized, controlled trials towards developing large-scale programs with sound plausibility design to achieve results for children. In an effort to cast a fresh eye on nutrition programming in light of the new evidence, UNICEF Headquarters hosted an Expert Consultation on effective nutrition programming with participants from various academic organizations and United Nations agencies to discuss effective program strategies in nutrition. The consultation resulted in recommendations for UNICEF on eight focus areas for programming and recognition of six overarching themes. It is clear that more action is needed to accelerate progress: more effective global coalitions, better coordination, more coherence, and better targeting of efforts.
Serum lipid concentrations, prevalence of dyslipidemia, and percentage eligible for pharmacological treatment of Korean children and adolescents; data from the Korea National Health and Nutrition Examination Survey IV (2007-2009.
Full Text Available OBJECTIVES: Dyslipidemia is one of the important modifiable risk factors for cardiovascular disease. Thus, to know the prevalence of dyslipidemia is the 1(st step to make guidelines of screening and management plan. Although, American Academy of Pediatrics updated the guidelines for lipid in childhood, Asian study is rare. METHODS: The authors aimed to make a reference of each serum lipid level of Korean children and adolescents (2,363 subjects aged 10 to 18 years from the data of Korea National Health and Nutrition Examination Survey IV (2007-2009. RESULTS: The mean serum concentrations for total cholesterol (TC, low-density lipoprotein cholesterol (LDL-C, triglycerides (TG, and high-density lipoprotein cholesterol (HDL-C were 158 mg/dL, 90 mg/dL, 90 mg/dL, and 49 mg/dL, respectively. The 95th percentile values for TC, LDL-C, and TG were 203 mg/dL, 129 mg/dL, and 185 mg/dL, respectively. The 5th percentile value for HDL-C was 36 mg/dL. The prevalence of hypercholesterolemia, high LDL-C, high TG, and low HDL-C was 6.5%, 4.7%, 10.1%, and 7.1%, respectively. Considering the risk factors such as obesity, hypertension, smoking, and diabetes, approximately 0.41% of the subjects were potentially eligible for pharmacological treatment. CONCLUSIONS: This information may be useful in not only Korean but also Asian planning programs for the prevention of cardiovascular disease through lipid control from childhood.
Full Text Available Background. The aim of the study was to evaluate the nutritional status and nutrition manner of children attending preschools located in Szczecin. Material and methods. The study was carried out in autumn 2008. The survey covered 105 children at the age 4-6 years. Information on home food intake was collected by parents, on the same days, the authors noted the kind and quantity of food eaten by the child in the preschool. Results. The results revealed that the nutritional status of more than half of the children was appropriate; however, one out of five children exhibited overweight or obesity. The analysed menus revealed that most nutrients were oversupplied in relation to the requirements. The intake of total protein, animal proteins, copper, as well as vitamins A, B2, and B6, exceeded the recommended levels more than twice. Other B-group vitamins, vitamin C, phosphorus, magnesium, and sodium were supplied in a considerable surplus too. On the other hand, more than a half of the children received diets with insufficient amounts of calcium, potassium, iron and cholesterol. Conclusions. The dietary shortcomings we found may have a negative impact on the physical and mental development of the children and may increase a risk of diseases in their future adult life.
Full Text Available The aim of this study was to examine the nutritional status of children of Mexican migrant worker families under five years of age within the context of global food markets. The sample included 404 children less than five years old from farms and agricultural communities in northwest Mexico. Prevalence of stunting and underweight of children appeared very similar to that of indigenous children from the national sample survey (difference 0.9 and 1.6 percentage points, respectively. Compared to the national sample of Mexican children, stunting and underweight seemed higher in migrant children (difference 17.7 and 4.5 percentage points, respectively, but wasting, an indicator of both chronic and acute undernutrition, appeared to indicate a process of nutritional recuperation. Migrant children living in poverty and suffering from chronic undernutrition, poor performance and scarce education opportunities, can be expected to eventually become agricultural workers with low productivity and poor general health. Consumer’s demands on social and environmental standards of fresh food production in developed countries could be an opportunity to impact the lives of migrant agricultural workers, their families and communities.
Ortega, María-Isabel; Rosales, Cecilia; de Zapien, Jill Guernsey; Aranda, Patricia; Castañeda, Alejandro; Saucedo, Socorro; Montaño, Cecilia; Contreras, Alma
The aim of this study was to examine the nutritional status of children of Mexican migrant worker families under five years of age within the context of global food markets. The sample included 404 children less than five years old from farms and agricultural communities in northwest Mexico. Prevalence of stunting and underweight of children appeared very similar to that of indigenous children from the national sample survey (difference 0.9 and 1.6 percentage points, respectively). Compared to the national sample of Mexican children, stunting and underweight seemed higher in migrant children (difference 17.7 and 4.5 percentage points, respectively), but wasting, an indicator of both chronic and acute undernutrition, appeared to indicate a process of nutritional recuperation. Migrant children living in poverty and suffering from chronic undernutrition, poor performance and scarce education opportunities, can be expected to eventually become agricultural workers with low productivity and poor general health. Consumer's demands on social and environmental standards of fresh food production in developed countries could be an opportunity to impact the lives of migrant agricultural workers, their families and communities.
Tarini Shankar Ghosh
Full Text Available BACKGROUND: Malnutrition is a global health problem affecting more than 300 million pre-school children worldwide. It is one of the major health concerns in India since around 50% of children below the age of two suffer from various forms of malnutrition. The gut microbiome plays an important role in nutrient pre-processing, assimilation and energy harvest from food. Consequently, dysbiosis of the gut microbiota has been implicated in malnutrition. METHODOLOGY/PRINCIPAL FINDINGS: Metagenomics approach was adopted to investigate the gut microbiome sampled from 20 rural Indian children with varying nutritional status. The changes in the abundances of various taxonomic and functional groups were investigated across these gut microbiomes. A core set of 23 genera were observed across samples, with some showing differential abundances with varying nutritional status. One of the findings of the current study is the positive/negative associations of specific taxonomic and functional groups with the nutritional status of the children. Notable alterations in the architecture of the inter-microbial co-occurrence networks were also observed with changes in nutritional status. A key example is the clustering of potentially pathogenic groups into a distinct hub in severely malnourished gut. Our data does not demonstrate causality with the microbiome patterns that we observed, rather a description of some interesting patterns, whose underlying mechanism remains to be uncovered. CONCLUSIONS: The present study envisioned interrelationships between the pattern of gut microbiome and the nutritional status of children. The cause of this pattern needs to be explored. However, insights obtained from the present study form the basis for further metagenomic investigations on larger population of children. Results of such studies will be useful in identifying the key microbial groups that can be utilized for targeted therapeutic interventions for managing severe acute
Chevalier, P; Sevilla, R; Zalles, L; Sejas, E; Belmonte, G; Parent, G; Jambon, B
In developing countries, more than 12 million children die each year from the combined effects of malnutrition and infection. Malnourished children have impaired cellular immunity and are particularly sensitive to opportunistic infections. However, immune recovery has rarely been investigated during nutritional rehabilitation. Indeed, mortality remains high during renutrition, and relapses are frequent. We established a center in Cochabamba, Bolivia, specifically to save these children by treating both clinical and nutritional problems and restoring immune function. The CRIN (center for immuno-nutritional recovery) admits children with severe malnutrition from the Cochabamba suburban area. They are from low income families, in crowded living conditions with poor sanitation and are weaned early. Nutritional diagnosis was based on weight-for-height, arm to head circumference ratio and clinical examination for edema, loss of subcutaneous tissue and diminished muscle mass. The children were examined daily, and first treated for respiratory and intestinal infections. Sociological and psychological aspects were also included in our holistic approach to treating severe malnutrition. Children received a four-stage diet lasting 2 months. During the initial phase (1 week) they were given an oil-sugar-milk based diet, with half lactose concentration, seven times a day. This supplied 1.5 to 2.5 g of protein and 120 to 150 kcal/kg of body weight, according to the PEM pattern. Protein and energy intake was then slowly increased during the transition phase (1 week). During the next, 'calorific-protein bombing' phase (6 weeks) 5 g of protein and 200 kcal/kg of body weight were given daily, such that there was sufficient energy for protein accumulation. During the last, discharge phase (1 week), the protein and energy contents were slowly decreased. Weight, height, arm and head circumferences, and triceps skin-fold thickness were measured weekly by standardized methods. Thymus size
Full Text Available Objective. This study describes the magnitude and characteristics of nutritional rickets and associated risk factors among children in Qatar. Subjects. A consecutive sample of 730 healthy subjects who visited the primay health care clinics were approached and 540 (73.9% subjects gave consent. Mehods. Nutritional rickets diagnosis was based on clinical radiologic and biochemical parameters and normalization of alkaline phosphatase level after 6 weeks course of daily vitamin D therapy. Results. The study revealed that 23.9% of the studied children had nutritional rickets. The mean SD age of those with rickets (3.76 years 1.51 was slightly higher than those without rickets (3.57 years 1.45. Family history of vitamin D deficiency (44.2%; P = .001 and diabetes mellitus (53.5%; P = .002 were significantly higher in rachitic children than in nonrachitic children. The children with rickets spent a significantly shorter average duration (26.86 minutes 19.94 under the sun than those without rickets (30.59 minutes 15.72; . A significantly larger proportion of rachitic children was afflicted with vitamin D deficiency (75.2% versus 62.2%; , secondary hypothyroidism (100% versus 7.5%; P = .009 and muscular weakness (56.6% versus 26.3%; . Conclusion. The most important risk factors were low vitamin D and calcium intakes, lack of exposure to sunlight, prolonged breast feeding without supplementation of vitamin D.
Full Text Available 800x600 Normal 0 false false false IN X-NONE X-NONE MicrosoftInternetExplorer4 The objectives of this research were to analyze food habits and nutrients intake, and health and nutritional status of street children. The research was carried out in the City of Bandung, West Java; Indonesia. A sample of 324 street children was selected randomly. The sample consisted of 232 boys and 92 girls. The data obtained from questionnaires. Means, standard deviation, frequency and proportion were calculated with a combination of software applications: Microsoft Excel and Statistical Analysis System. The result showed the level of consumption adequacy did not meet the recommended dietary allowances i.e. with the shortage of 10-15%, this is an indication that the street children should be aware of their daily food consumption. The most common diseases suffered by the respondents were acute respiratory infections (ARI (47%. In addition, 22.7 % and 18.4 % of them suffered from diarrhoea and skin diseases, respectively. Blood haemoglobin status of street children shows that the incidence of anemia was 29.3%. Based on the classification of nutritional status, 42.7% and 80.4 % of street children were underweight and stunted, respectively. Key words: nutrients intake, nutritional status, street children
Elsa Resano-Pérez; Ignacio Méndez-Ramírez; Teresa Shamah-Levy; Rivera, Juan A; Jaime Sepúlveda-Amor
OBJECTIVE: To describe the methods and analyses of the 1999 National Nutrition Survey (NNS-99). MATERIAL AND METHODS: The 1999 National Nutrition Survey (NNS-99) is a probabilistic survey with nationwide representativity. The NNS-99 included four regions and urban and rural areas of Mexico. The last sampling units were households, selected through stratified cluster sampling. The study population consisted of children under five years of age, school-age children (6-11 years), and women of chi...
Conclusions from the Mexican National Nutrition Survey 1999: translating results into nutrition policy Conclusiones de la Encuesta Nacional de Nutrición 1999: traduciendo resultados a política nutricional
Rivera, Juan A; Jaime Sepúlveda Amor
OBJECTIVE: This article presents and overview of the main results and conclusions from the Mexican National Nutrition Survey 1999 (NNS-1999) and the principal nutrition policy implications of the findings. MATERIAL AND METHODS: The NNS-1999 was conducted on a national probabilistic sample of almost 18 000 households, representative of the national, regional, as well as urban and rural levels in Mexico. Subjects included were children
Full Text Available BACKGROUND : WHO RECOMMENDS : I nitiation of breastfeeding within the first hour of life, exclusive breast feeding on demand for six months, followed by sequential addition of semi - solid and solid foods to complement breast milk and breast feeding to be continued for 2 years . Most of the time, these recommendations are not followed, due to false beliefs or cultural factors. This has resulted in malnutrition and increasing health hazards in children . 1 This study is being done to know about the feeding practices, nutritional sta tus, anaemia prevalence in children residing in rural areas of Puducherry. OBJECTIVES : 1. To study feeding practices, nutritional status, prevalence of anemia in children from 1 month to 2 years of age. 2. Influence of feeding practices on nutritional stat us and hemoglobin levels. METHODS : This is a hospital based prospective study done for a period of 1yr. The study included 200 children from 1 month to 2 years of age. Patients from rural areas of Puducherry nearing Tamil Nadu border and people from adjoi ning rural areas of Tamil Nadu come to our hospital. A questionnaire is provided to parents/guardians of children asking about feeding practices . Participants weight in kilograms and length in centimeters are measured. Blood samples are drawn from participants for the estimation of hemoglobin levels. Peripheral smear study will be done if hemoglobin level is less than 11 gram/dl. Observations are tabulated. RESULTS : 85 % children under study were initiated feed according to guidelines and 15 % were not initiated. 54% children were exclusively breastfed for 6 months and 46% children were not exclusively breast fed. 54% children were given complementary feeds after the age of 6 months. 70% had normal weight for length, 12% were moderately wasted, 18% children were severely wasted, 86% children were anemic and 14% children were not anemic. CONCLUSION : 1 . The study shows the effect of feeding practices on the
Full Text Available Restricted diets and inadequate nutrient intake of children with autism spectrum disorder (ASD have been reported. This study examined the nutritional statuses of children with ASD and the relationships between their behaviors and nutritional intake. A total of 154 children with ASD (age = 5.21 ± 1.83 years and 73 typically-developing (TD children (age = 4.83 ± 0.84 years from Chongqing, China, were enrolled. The severity of ASD was evaluated using the Childhood Autism Rating Scale (CARS. The serum ferritin, folate, vitamin B12, 25(OH vitamin D, and vitamin A concentrations in the children with ASD were determined. All participants underwent anthropometric examinations, dietary assessments, and questionnaire assessments about their feeding behaviors, and gastrointestinal symptoms. The ZHA, ZWA, and ZBMIA were found to be significantly lower in the children with ASD compared with those without ASD. In addition, the percentages of children exhibiting severe picky eating and severe resistance to new foods, as well as those with a reported general impression of severe eating problems and constipation, were higher among the children with ASD. These children consumed significantly fewer macronutrients compared with the children without ASD. In addition, the children with ASD had the highest rate of vitamin A deficiency, followed by iron deficiency. After adjusting for sex, the vitamin A concentration was found to be negatively correlated with the CARS score (rs = −0.222, p = 0.021. No correlation between the ferritin, folate, vitamin D, or vitamin B12 concentration and the CARS score was found. These results suggest that reduced macronutrient intakes, severe feeding behavior issues, constipation, and vitamin A deficiency are quite common among children with ASD. Further, a low serum vitamin A level may be a risk factor for symptoms of ASD. However, the underlying mechanism should be further studied.
Liu, Xiao; Liu, Juan; Xiong, Xueqin; Yang, Ting; Hou, Nali; Liang, Xiaohua; Chen, Jie; Cheng, Qian; Li, Tingyu
Restricted diets and inadequate nutrient intake of children with autism spectrum disorder (ASD) have been reported. This study examined the nutritional statuses of children with ASD and the relationships between their behaviors and nutritional intake. A total of 154 children with ASD (age = 5.21 ± 1.83 years) and 73 typically-developing (TD) children (age = 4.83 ± 0.84 years) from Chongqing, China, were enrolled. The severity of ASD was evaluated using the Childhood Autism Rating Scale (CARS). The serum ferritin, folate, vitamin B12, 25(OH) vitamin D, and vitamin A concentrations in the children with ASD were determined. All participants underwent anthropometric examinations, dietary assessments, and questionnaire assessments about their feeding behaviors, and gastrointestinal symptoms. The ZHA, ZWA, and ZBMIA were found to be significantly lower in the children with ASD compared with those without ASD. In addition, the percentages of children exhibiting severe picky eating and severe resistance to new foods, as well as those with a reported general impression of severe eating problems and constipation, were higher among the children with ASD. These children consumed significantly fewer macronutrients compared with the children without ASD. In addition, the children with ASD had the highest rate of vitamin A deficiency, followed by iron deficiency. After adjusting for sex, the vitamin A concentration was found to be negatively correlated with the CARS score (rs = -0.222, p = 0.021). No correlation between the ferritin, folate, vitamin D, or vitamin B12 concentration and the CARS score was found. These results suggest that reduced macronutrient intakes, severe feeding behavior issues, constipation, and vitamin A deficiency are quite common among children with ASD. Further, a low serum vitamin A level may be a risk factor for symptoms of ASD. However, the underlying mechanism should be further studied. PMID:27187463
Parisa Keshani; Seyed Mohammad Mousavi; Zahra Mirzaei; Zeinab Hematdar; Najmeh Maayeshi; Mahsa Mirshekari; Hanieh Ranjbaran; Shiva Faghih
Background and Objectives: Regarding the high prevalence of unhealthy food habits among Iranian children, we aimed to assess the effect of a school-based nutrition education program on nutritional status of primary school students in Shiraz. Materials and Methods: This randomized educational controlled trial was carried out on 221 primary school age children selected by cluster sampling in the elementary schools of Shiraz-Iran. The intervention consisted of 6 nutrition education sessions ...
Full Text Available Background and Objectives : Nutritional anemia is associated with impaired performance of a range of mental and physical functions in children, along with increased morbidity. Iron supplementation at a later age may not reverse the adverse effects. National Nutritional Anemia Control Program was launched in India in 1970, but it failed to make any impact. The present study was undertaken to find out prevalence of anemia and its correlates in rural Wardha in children 6-35 months of age. Materials and Methods : Seven hundred seventy-two children between 6 months and 35 months of age were studied for anemia by cluster-sampling method. The hemoglobin was estimated in the child by ′Filter paper cyanmethemoglobin method.′ Pre-designed and pre-tested questionnaire was used to collect data on socio-demographic and other variables. Data was analyzed by SPSS 12.0.1. Results : Mean hemoglobin level was 98.5 ± 12.9 gm/L. Prevalence of anemia was 80.3%. Only 1.3% children had severe anemia (hemoglobin < 70 gm/L. The univariate analysis showed that anemia is significantly associated with age of the child, education of mother and father, occupation of father, socioeconomic status, birth order and nutritional status as measured by weight for age. The final model suggested that only educational status of the mother, occupation of the father, birth order and nutritional status of the child were significantly associated with anemia. Interpretation and Conclusion : For short-term impact, appropriate nutritional interventions remain the only operational intervention as only the nutritional status (weight for age is a modifiable factor. But for long-term sustained impact, policy makers need to focus on improving maternal education and reducing family size.
Lang, Jason E
Obesity rates have increased dramatically among children in many parts of the world, especially in North America and several other English-speaking countries. The impact of obesity on pediatric health has become a major prevention initiative by the Obama administration and several public health organizations. Children with obesity are at increased risk for developing asthma, which is already one of the most common chronic diseases among children. The cause underlying obesity's impact on asthma risk is unknown. Commonly cited potential etiologies include airway smooth muscle dysfunction from thoracic restriction, obesity-related circulating inflammation priming the lung, and obesity-related comorbidities mediating asthma symptom development. Each of these theories does not fit precisely with all of the data that have accumulated over the last decade. In this review, I will explore other possible causes including: (1) dietary characteristics common in Westernized countries that might lead to both obesity and asthma; (2) reductions in physical activity; and (3) genetic alterations that increase the propensity to both obesity and asthma together. Next, I will review the current data on how obesity affects common characteristics of asthma such as airway inflammation, lung function, risk of exacerbation, atopy, and response to treatment. Obesity in children with asthma appears to be associated with greater airflow obstruction and a mildly diminished response to inhaled corticosteroids. Little objective evidence in children suggests that obesity significantly heightens the risk of exacerbation or worsens disease stability in children. Lastly, I will discuss the current literature that suggests that obese children with asthma generally should receive the same guidelines-based management as lean children. However, interventions that encourage daily physical activity, weight-loss, normalization of nutrient levels, and monitoring of common obesity-related sequelae should be
Dawson-Hahn, Elizabeth E.; Suzinne Pak-Gorstein; Hoopes, Andrea J.; Jasmine Matheson
Introduction The extent that the dual burden of undernutrition and overnutrition affects refugee children before resettlement in the US is not well described. Objective To describe the prevalence of wasting, stunting, overweight, and obesity among refugee children ages 0–10 years at their overseas medical screening examination prior to resettlement in Washington State (WA), and to compare the nutritional status of refugee children with that of low-income children in WA. Methods We analyzed an...
Full Text Available Background: Assessment of national children growth has shown that a high percent of Country children are afflicted to growth failure. Community participation is one of the principles of PHC emphasized by WHO that is necessary for development of health services. The objective of this study was to develop a model for mothers participation in order to improving growth and nutrition of children. Methods: This community-based field trial was rendered on 74 pairs of mothers and children less than three years of age. A model was designed for increasing mothers participation, so that, a group of mothers volunteered and were instructed in the subjects of growth monitoring and child nutrition. The program was evaluated by CIPP Model (Context, Input, Product, Process. Results: Difference between the mean grade of mothers knowledge and practice, before and after intervention were meaningful (P< 0.001.This plan had considerable effects on the increase of individual and social capabilities of the participants, including their self-confidence. Other findings were related to the evaluation of impact, effectiveness, sustainability and transportability of the program. Conclusion: By enhancement of mothers participation, considerable improvement of their knowledge and practice concerning growth and nutrition of children were achieved. Also individual and social capabilities of the mothers increased.
Full Text Available BACKGROUND & AIMS: Among children hospitalized for pneumonia, those with parapneumonic effusion (PPE are at particular risk for nutritional deterioration. This study aimed to 1 investigate the evolution of the nutritional status during hospitalization and at outpatient follow-up; 2 determine clinical risk factors for weight loss during hospitalization; 3 describe the nutritional interventions for these children. METHODS: Retrospective chart review (January '07 - September '12 of 56 children with pneumonia, complicated by PPE in two Belgian hospitals for data on body weight and height at admission (t0 and discharge (t1, and two weeks (t2 and one month (t3 after discharge. Length of hospitalization (LoS, length of stay in paediatric intensive care (LoSPICU and maximal in-hospital weight loss (tmax were calculated and nutritional interventions were recorded. RESULTS: The median (range age was 3.5 (1.0-14.8 years. Weight or height was lacking in five (8.9% children at t0 and in 28 (50% at t1; 21.4% was weighed only once during hospitalization. At tmax, respectively 17/44 and 5/44 children lost ≥ 5% and ≥ 10% of their weight. Median (range LoS and LoSPICU were 18.0 (10-41 and 4.0 (0-23 days. One-fourth received a nutritional intervention. Weight for height at admission (WFH(t0 significantly predicted maximal weight loss (β (95% CI = -0.34 (-2.0--0.1; p = 0.03. At t2 and t3, 13/32 and 5/22 of the children with available follow-up data did not reach WFH(t0, whilst in 4/35 and 5/26 body weight remained ≥ 5% under the weight(t0. CONCLUSIONS: One-third of children with pneumonia complicated by PPE and monitored for weight and height, lost ≥ 5% of their body weight during hospitalization. One-fourth did not reach initial WFH one month after discharge. Those with a higher WFH at admission were at higher risk of weight loss. More attention for monitoring of weight loss and the nutritional policy during and after hospitalization is warranted.
Full Text Available Introduction: Children are one of the most vulnerable groups to sub-optimal nutritional intake in most societies. We have investigated some of the potential determinants of malnutrition in children of 2-5 years of age. Methods and Materials: A cross sectional study was conducted to determine the relationship between nutritional status (weight for age, height for age and weight for height and dietary and socioeconomic factors in 671 children (24-59 months of age from selected health centers in Mashhad city, Iran. Children were assessed for weight and height and the care givers were interviewed and a questionnaire was completed by the interviewers. The data were analyzed using SPSS13 software and the Z-scores were calculated using the WHO anthropometric software package. Results: The study showed that 24.4% of children were mildly underweight, 4.3% were underweight, 13% were mildly stunted, 23.6% of children were mildly wasted and 3.1% were stunted. Educational attainment, whether the children had been breast feed, average daily consumption of milk, feeding practices and type of first food were found to be the main factors determining nutritional status in our study. Conclusion: A higher daily consumption of milk, lower age at which first solid food was started; lower age for consumption of meat and good feeding practices may resolve malnutrition in this population. These findings support the need for a family-based prevention program that focus on guiding parents to foster appropriate feeding practices as well as to promote healthy food intake in the children. Future research should determine the cost-effectiveness of both short- and long-term interventions for child malnutrition.
... HUMAN SERVICES Centers for Disease Control and Prevention National Health and Nutrition Examination...: The National Health and Nutrition Examination Survey (NHANES) is a program of periodic surveys... by an internal Secondary Review Committee of senior CDC scientists. The Secondary Review...
EDAPROSPO, a Peruvian nongovernmental organization, in 1985-87, developed a health training program for students of 13 grammar schools in Huaycan, San Martin de Porres, and Comas. The principle aim of the program is to encourage and prepare children to be responsible for their health and environment, and to strengthen school health delegates and health teams. School health delegates are children selected by their classmates to work with teacher volunteers to form health teams. It is hoped that participants will spread the message to their families, friends, and neighbors. The project is being extended to other 10-14 year old students and community groups in the area. and with the support of the Ministry of Education, should reach 57 schools, 312 student delegates, and 3300 students. Activities will be expanded to include an evaluation of the main health problems in the community, the identification of vulnerable groups, and community leaders who are interested in supporting children in project activities. EDAPROSPO is also collaborating with ALTERNATIVA, a group working with children aged 3-6 years. Both groups are funded by Radda Barnen, a Swedish development agency.
Noor Safiza Mohamad Nor; Nur Shahida Abdul Aziz; Cheong Siew Man; Rashidah Ambak; Mohd Azahadi Omar
Introduction: Autism Spectrum Disorders (ASD), Down Syndrome (DS) and Cerebral Palsy (CP) are the most common disabilities among children. Nutritional status assessment is important as these children are at risk of underweight, overweight or obesity. Therefore, the objectives of this review were to identify evidence on the prevalence of nutritional status of children with DS, CP and ASD, and to determine tools and indicators to measure the nutritional status of these children. Methods: This s...
... breastfed infants; sharing nutrition education materials with institutions participating in the Child and... for Children Section 131 of the HHFK Act amends section 17(d)(3) of the Child Nutrition Act (CNA) (42....e., that participant children receive required health and nutrition assessments, WIC State...
... regulations governing the Special Supplemental Nutrition Program for Women, Infants and Children (WIC) a... Act), enacted on October 21, 2009, amended Section 17(d)(2) of the Child Nutrition Act of 1966 (42 U.S... 246--SPECIAL SUPPLEMENTAL NUTRITION PROGRAM FOR WOMEN, INFANTS AND CHILDREN (WIC) 0 1. The...
..., 1983, and 49 FR 22676, May 31, 1984). Description Section 17(d)(2)(A) of the Child Nutrition Act of... Food and Nutrition Service Special Supplemental Nutrition Program for Women, Infants and Children (WIC..., 2012, through June 30, 2013. Consistent with section 17(f)(17) of the Child Nutrition Act of 1966,...
..., 1983, and 49 FR 22676, May 31, 1984). Description Section 17(d)(2)(A) of the Child Nutrition Act of... Food and Nutrition Service Special Supplemental Nutrition Program for Women, Infants and Children (WIC..., 2011, through June 30, 2012. Consistent with section 17(f)(17) of the Child Nutrition Act of 1966,...
Full Text Available Little is known about iodine nutritional status in island countries in the Pacific Ocean. The primary objective of this study was to report for the first time the iodine nutritional status of people in Nauru. In addition, sources of iodine nutrition (i.e., water and salt were investigated. A school-based cross-sectional survey of children aged 6–12 years was conducted in three primary schools of Nauru. Urinary iodine concentration (UIC was determined by spot urine samples. Available water and salt samples in Nauru were collected for the measurement of iodine content. A food frequency questionnaire was conducted. The median UIC was 142 μg/L, and 25.2% and 7.4% of the population had median UIC below 100 μg/L and 50 μg/L, respectively. Natural iodine-containing foods such as seaweeds and agar were rare. Iodine was undetectable in Nauruan tank water, filtered tap water, and raindrops. Of the analyzed salt products, five kinds were non-iodized, and three were iodized (iodine content: 15 ppm, 65 ppm, and 68 ppm, respectively. The results indicate that the iodine status in Nauruan school children is adequate. Iodized salt may serve as an important source of iodine nutrition in Nauru.
Czerwonogrodzka-Senczyna, Aneta; Janusz, Malgorzata; Jeznach-Steinhagen, Anna; Demkow, Urszula; Pyrzak, Beata
The purpose of this study was to evaluate dietary factors in nutrition influencing the immune system of children and teenagers suffering from simple obesity. The study involved 100 children and teenagers aged 7-18 with simple obesity. Nutritional data were obtained from 3-day food records. The consumed nutrients, including immunomodulators and immunostimulants, were estimated based on the nutrition interview. The results were compared with the nutritional norms. On average, the proportion of n-6:n-3 fatty acids equalled 10:1. Among the amino acids, the highest intake values in the diet were observed for glutamine (13,694.6 mg/day). The study demonstrates inadequate intake levels of iron (73% of recommended dietary allowance, RDA), vitamin C (65% of RDA), and vitamin D (11% of RDA) taking into account the median values for the entire study group. The median daily intake of other nutrients exceeded the RDA values. The diets of the participants in this study were not properly balanced with respect to immunomodulators, which may contribute to the occurrence of immunological disorders and immunodeficiency in this group of patients. PMID:26269024
Czerwonogrodzka-Senczyna, Aneta; Janusz, Malgorzata; Jeznach-Steinhagen, Anna; Demkow, Urszula; Pyrzak, Beata
The purpose of this study was to evaluate dietary factors in nutrition influencing the immune system of children and teenagers suffering from simple obesity. The study involved 100 children and teenagers aged 7-18 with simple obesity. Nutritional data were obtained from 3-day food records. The consumed nutrients, including immunomodulators and immunostimulants, were estimated based on the nutrition interview. The results were compared with the nutritional norms. On average, the proportion of n-6:n-3 fatty acids equalled 10:1. Among the amino acids, the highest intake values in the diet were observed for glutamine (13,694.6 mg/day). The study demonstrates inadequate intake levels of iron (73% of recommended dietary allowance, RDA), vitamin C (65% of RDA), and vitamin D (11% of RDA) taking into account the median values for the entire study group. The median daily intake of other nutrients exceeded the RDA values. The diets of the participants in this study were not properly balanced with respect to immunomodulators, which may contribute to the occurrence of immunological disorders and immunodeficiency in this group of patients.
Huang, Chun-Jui; Tseng, Chi-Lung; Chen, Harn-Shen; Garabwan, Chanda; Korovo, Samuela; Tang, Kam-Tsun; Won, Justin Ging-Shing; Hsieh, Chang-Hsun; Wang, Fan-Fen
Little is known about iodine nutritional status in island countries in the Pacific Ocean. The primary objective of this study was to report for the first time the iodine nutritional status of people in Nauru. In addition, sources of iodine nutrition (i.e., water and salt) were investigated. A school-based cross-sectional survey of children aged 6-12 years was conducted in three primary schools of Nauru. Urinary iodine concentration (UIC) was determined by spot urine samples. Available water and salt samples in Nauru were collected for the measurement of iodine content. A food frequency questionnaire was conducted. The median UIC was 142 μg/L, and 25.2% and 7.4% of the population had median UIC below 100 μg/L and 50 μg/L, respectively. Natural iodine-containing foods such as seaweeds and agar were rare. Iodine was undetectable in Nauruan tank water, filtered tap water, and raindrops. Of the analyzed salt products, five kinds were non-iodized, and three were iodized (iodine content: 15 ppm, 65 ppm, and 68 ppm, respectively). The results indicate that the iodine status in Nauruan school children is adequate. Iodized salt may serve as an important source of iodine nutrition in Nauru. PMID:27563920
Lee, Soon-Kyu; Park, Hye-Kyung; Choi, Youn-Ju
The increasing rate of child obesity has developed into a serious concern in contemporary society. In Korea, additional concerns over unsanitary environments of food establishments near schools led to the enforcement in 2009 of the Special Act on the Safety Management of Children's Dietary Life in order to improve food safety and nutrition. Some of the main policies of the Special Act are the prohibition of Energy- dense Low-Nutrient density Foods (hereinafter referred to as EDLNF) at school canteens and in the outstanding businesses, along with restrictions on television advertisement for EDLNF products. Confectioneries, candies, sweetened-ice products, breads, chocolates, processed milk, fermented milk, ice cream, fish-meat sausages, fruit/vegetable beverages, carbonated beverages, mixed beverages, and lactic acid bacteria beverages are classified as applicable food types of EDLNF. To establish the nutritional standards for EDLNF, the intake proportions and the pattern of nutrients in children's preferred foods in Korea were analyzed, based on the 2005 National Health and Nutrition Survey of Korea. The foods containing more than 250 kcal, more than 17 g of sugar or more than 4 g of saturated fat and less than 2 g of protein per serving are considered EDLNF snacks. The Korean government is concentrating its efforts in promoting healthy environments for children in its research and in food policies. Further studies are necessary to investigate the current state of changes in the children's foods industry. PMID:24561969
Lee, Soon-Kyu; Park, Hye-Kyung; Choi, Youn-Ju
The increasing rate of child obesity has developed into a serious concern in contemporary society. In Korea, additional concerns over unsanitary environments of food establishments near schools led to the enforcement in 2009 of the Special Act on the Safety Management of Children's Dietary Life in order to improve food safety and nutrition. Some of the main policies of the Special Act are the prohibition of Energy- dense Low-Nutrient density Foods (hereinafter referred to as EDLNF) at school canteens and in the outstanding businesses, along with restrictions on television advertisement for EDLNF products. Confectioneries, candies, sweetened-ice products, breads, chocolates, processed milk, fermented milk, ice cream, fish-meat sausages, fruit/vegetable beverages, carbonated beverages, mixed beverages, and lactic acid bacteria beverages are classified as applicable food types of EDLNF. To establish the nutritional standards for EDLNF, the intake proportions and the pattern of nutrients in children's preferred foods in Korea were analyzed, based on the 2005 National Health and Nutrition Survey of Korea. The foods containing more than 250 kcal, more than 17 g of sugar or more than 4 g of saturated fat and less than 2 g of protein per serving are considered EDLNF snacks. The Korean government is concentrating its efforts in promoting healthy environments for children in its research and in food policies. Further studies are necessary to investigate the current state of changes in the children's foods industry.
KUPERMINC, MICHELLE N; Stevenson, Richard D.
Growth and nutrition disorders are common secondary health conditions in children with cerebral palsy (CP). Poor growth and malnutrition in CP merit study because of their impact on health, including psychological and physiological function, healthcare utilization, societal participation, motor function, and survival. Understanding the etiology of poor growth has led to a variety of interventions to improve growth. One of the major causes of poor growth, malnutrition, is the best-studied cont...
Asmaa M AbdAllah, **Shawkia S. A. El-Sherbeny and ***Sahar Khairy
Introduction: Mental disability can interfere with education and scholastic achievement. It can lead to school dropout and minimize opportunities to participate in the labor force. Moreover, disabilities affect the overall health and psychological state of the individuals. Objective: The aim of the present study was to assess the nutritional status of mentally disabled children in Egypt on the basis of anthropometric indicators and laboratory data. Subjects and Methods: Across sectional study...
... HUMAN SERVICES Centers for Disease Control and Prevention National Health and Nutrition Examination... Health and Human Services (DHHS). ACTION: Notice. SUMMARY: The National Health and Nutrition Examination...: Geraldine McQuillan, Ph.D., Division of Health and Nutrition Examination Surveys, National Center for...
The prevalence of undernutrition among Lao children is among the highest in the region. However, the determinants of childhood undernutrition in Laos have not been fully analyzed. This paper, using the dataset of the Lao Multiple Indicator Cluster Survey 3, which is a nationally-representative sample in Laos, investigated the effects of socioeconomic factors at both household and community levels on the nutritional status of children. In the estimation, a multilevel linear model with random-intercepts was used for estimating the determinants of child anthropometric indices. The empirical results revealed that children from households in southern Laos and from ethnic minority groups were less-nourished. Level of education of parents, attitudes of mothers towards domestic violence, assets of household, local health services, and the condition of sanitation and water were considered to be important determinants of nutritional status of children. The pattern of growth-faltering in children by age was identified. Children aged 12-59 months were less-nourished than those aged 0-11 months. The empirical results were consistent with the collective household model which incorporates a decision-making process within the household. Since there is scarce evidence about the predictors of childhood undernutrition in Laos, the findings of this study will serve as a benchmark for future research. PMID:21957672
Milner, J A
Trace elements perform important functions in growth and development. However, little information exists about their dietary requirements during the demanding period of infancy. Opportunities to add to knowledge of the physiologic significance and dietary adequacy of trace elements in human nutrition are provided by recent analytic advances. Specific, sensitive, and reliable methods for the detection of trace element imbalances are sorely needed. Although several factors influence the dietary needs of these essential elements, the basis for establishing dietary needs in infants is hindered by the death of studies that have assessed their bioavailability in this age group. Thus until it has been conclusively shown otherwise, the physiologic response to human milk is used as the standard for infant feeding practices. This review is limited primarily to the physiologic significance and bioavailability of zinc, copper, manganese, molybdenum, chromium, fluoride, and selenium. The space devoted to each trace element is not meant to represent the element's importance but, rather, to reflect some of the present understanding of its metabolism and utilization. PMID:2199650
Gupta, Aditi; Mantan, Mukta; Sethi, Monika
Growth failure is a major problem in pediatric patients with chronic kidney disease (CKD), and the onset of the condition in infancy is more likely to have an adverse impact on growth than its development in later childhood. This study was aimed to assess nutritional intake and anthropometry of children presenting with CKD in a developing country. In this cross-sectional observational study, children (1-18 years) with CKD visiting the outpatient services were enrolled. The age of onset, cause of CKD, and anthropometry were recorded. Dietary intakes from three 24 h dietary recall (2 mid-week and 1 weekend day) were recorded. A blood sample was taken from all subjects for biochemical parameters. A total of 45 children (forty males and five females) with CKD underwent nutritional assessment. The median age at assessment was 108 months (13-167). Twenty-seven (60%) subjects had CKD stage 1, 2, or 3 while the remaining 40% had CKD stage 4 or 5. Of the 45 children, 27 (60%) had moderate to severe malnutrition at assessment. The mean weight and height (standard deviation scores) were -2.77 ± 2.07 and -2.30 ± 1.38, respectively. The prevalence of growth retardation was much higher in late stages of CKD; the difference was statistically significant (P iron (mean 48.9% deficit); deficient in calcium (mean -22.2%) and had excess phosphates (mean 18.3%). There was a progressive decrease in intake of nutrients in advanced stages of CKD. There was a high prevalence of malnutrition (60%) in children with CKD, especially in higher stages of CKD. An appropriate dietary assessment and nutritional counseling should be planned for all patients with CKD to prevent complications associated with malnutrition and anemia.
... foods provided under the Child Nutrition Act of 1966 (CNA) and the Richard B. Russell National School... sent to Julie Brewer, Chief, Policy and Program Development Branch, Child Nutrition Division, Food and..., Policy and Program Development Branch, Child Nutrition Division, Food and Nutrition Service, 3101...
... Food and Nutrition Service National Advisory Council on Maternal, Infant and Fetal Nutrition: Notice of Meeting AGENCY: Food and Nutrition Service, USDA. ACTION: Notice of meeting. SUMMARY: Pursuant to the...; 9 a.m.-5:30 p.m. Place: The meeting will be held at the Food and Nutrition Service, 3101 Park...
Lofton, Kristi L.; Nettles, Mary Frances; Carr, Deborah H.
Purpose: This study identifies best practices for school nutrition professionals serving the nutritional needs of Pre-Kindergarten (PreK) children in public schools. Methods: The two-phased study followed a best practices research model (BPRM) utilizing the seven practice categories identified from previous PreK research. In Phase I, an expert…
Istomin, A V; Iudina, T V; Mikhaĭlov, I G; Raengulov, B M
Actual nutrition of children living at boarding-school of the Yamal-Nenets autonomous district and also characteristics of their health, such as capacity for work, vitamin metabolism, physical development and activity of bio-oxidant systems of organism have been studied. The obtained results have become the basis for developing scientifically substantiated principles of creating balanced nutrition ration with antioxidant properties for the children living at the Far North.
Lee, Sun Eun; Kim, Hyeyoung
With growing evidence of an increase in the prevalence, food allergy has been emerged as a new public health problem. As treatment and management of food allergy remain challenging, more attention has been paid to the importance of prevention of food allergy. Although the exact mechanism of recent epidemic is not fully understood, it is suggested that nutritional exposure in early life may play an important role in food allergy development. The underlying hypothesis is that nutritional status or food exposure in the critical period of fetal development can affect the programming of immune system and modify the risk of immunologic reactions to foods in postnatal life. We review accumulating epidemiological studies to examine an association between nutritional exposure during pregnancy or early infancy and food allergy development in children. We also discuss recent advances in the studies of the genetic and epigenetic regulation of food allergy and evaluate the role of early nutrition in food allergy development to provide a new perspective on the prevention of food allergy.
Hanaa H. Elsayed * and Amr Abd El-Hafez
Full Text Available This study was designed to assessment nutrition status and blood glutathione (GSH level for preschool children. Subjects and methods: The study included 70 (boys and girls preschool children at aged from 2-5 years. Children was randomly selected from the out patients clinic at the National Nutrition Institute Cairo. Weigh and height were measured for them to evaluate the effect of nutrients on bodies, dietary intake was collected for the children were subjected to estimation of (Energy, Protein, Fat, Carbohydrate, vitamins A, folic acid and minerals iron, zinc and selenium in their daily diet. Blood samples were collected to determine hemoglobin, glutathione and total protein concentration. Results: The dietary analysis showed that, every nutrient was lower than the requirement except total protein was higher than the recommend. Stunting showed (25.5% of boys and (20% of girls, underweight (23% of boys and 14% of girls were the problems among preschool children. A glutathione deficiency was found among 97% of boys and 100% of girls. The hemoglobin ratio 77.1% from children was equal or less than normal concentration. Total protein noticed 82.9% of boys and 85.7 of girls in normal value. Conclusion: There was little quantity of nutrients intake, glutathione level and growth. The study can be recommended to improve their daily dietary intake and nutrition habits by education programs for their parents or supplement of studied cases with special ferrous and protein specially contains sulphur amino acids in daily diet to cover Recommended Dietary Allowances and can improve tissue GSH concentration
... Food and Nutrition Service National Advisory Council on Maternal, Infant and Fetal Nutrition: Notice of... Maternal, Infant and Fetal Nutrition. Date and Time: July 27-29, 2010, 9 a.m.-5:30 p.m. Place: The meeting... 22302. SUPPLEMENTARY INFORMATION: The National Advisory Council on Maternal, Infant and Fetal...
... Food and Nutrition Service National Advisory Council on Maternal, Infant and Fetal Nutrition; Notice of... Council on Maternal, Infant and Fetal Nutrition. DATES: Date and Time: July 23-25, 2013, 9:00 a.m.-5:30 p..., Virginia 22209. SUPPLEMENTARY INFORMATION: The National Advisory Council on Maternal, Infant, and...
Full Text Available Background: Since, the children are the future well-being of the entire society, it is necessary to see how the status of health of children can be improved.Objective: This paper reveals the growth and nutritional status of 0-59 month old children in India and also tries to delineate the responsible socio-economic factors behind nutrition.Methodology: The sample size of this study is 30,105 which have been collected by the third National Family Health Survey (NFHS-3. Data on socio-economic backgrounds are gender differences of the children, place, religion, education and age-group of mothers, wealth index and impact of colostrums on children’s growth and nutrition. Under nutrition has been assessed through the cutoff point of –2 of the z-score value corresponding to weight for age and height for age.Results: The data show that in India, 35.7 per cent children are undernourished. By age-group distribution, the maximum occurrence is noticed in the age between 24-35 months. More than 50% occurrences of underweight and stunted children are found in the states of east to central belt of India. It is also found that the distributions of weight and height around the means remain remarkably stable over age. This would appear to indicate that using of colostrums and weaning practices are possibly more important factors than solid food intake. Data reveals that mother’s education and family welfare are the prime factors to regulate the nutritional status of children. The study also reveals that mother’s education, economy, age-groups, and religion have great impact on use of colostrums.Conclusion: Analysis of possible regional and socio-economic factors thought to influence child nutrition outcomes does not reveal any substantive causal relations except for the mother’s educational status and household welfare.
Aboud, F E; Alemu, T
Forty children between the ages of 16 and 42 months and their mothers, living in an Ethiopian rural village, participated in the study. The objective was to determine the mental development of the children using the Bayley Scale of Mental Development, and to examine its relation to nutritional status and mother-child interaction. Forty-eight percent of the children were mildly or moderately malnourished; 7.5% severely so. The child's weight for age was significantly related to the child's scores on the Bayley scale. Mother-child interaction was assessed through a 30-60 min observation of the pair in a naturalistic setting around the home. The number of verbal, gestural and motor actions spontaneously initiated by the mother and child, as well as responses made by each to the others' behavior were recorded and coded separately. The rate of a mother's verbal responses to the child positively predicted the child's verbal score. In contrast, the mother's spontaneously initiated motor actions toward the child correlated negatively with the child's performance score. The mother's responsiveness was unrelated to the child's nutritional status, age or sex, but was best predicted by a fussing/crying child and by her expectations about the ages when specific social-cognitive abilities would be acquired by a child. PMID:7502104
McMath, Joan S.
Suggests that, rather than exposing young children to media coverage of national tragedies and disasters, caregivers should read aloud to children from picture books that convey stability, calmness, and reassurance. Includes tips for helping children cope with tragedy, guidelines for selecting books, and an annotated list of 25 books that can help…
Wojcicki Janet M
Full Text Available Abstract Background Awareness of federal nutrition programs and use of the nutrition facts label are associated with reduced risk for obesity and increased intake of fruits and vegetables. Relationships between nutrition programs, use of food labels and risk for overweight and obesity have rarely been evaluated in adolescents. Methods Using the National Health and Nutrition Examination Survey from 2005–6, we evaluated the frequency of nutrition awareness of USDA and CDC nutrition programs and use of food labels in adolescents. Risk for overweight (BMI ≥ 85-94th percentile and obesity (BMI ≥ 95th percentile was assessed in relation to nutrition awareness and label reading. Results Most adolescents (92.4% were aware of the Food Guide Pyramid. Fewer (43.5% were aware of the 5-A-Day Program, and even less (29.3% were aware of the Dietary Guidelines for Americans. Less than 25% of adolescents decided which foods to purchase by reading material on the nutrition facts label. There were significant racial and ethnic differences in awareness of federal nutrition programs with Mexican-Americans having the lowest levels of awareness of the US Dietary Guidelines for Americans and the Food Guide Pyramid in comparison with other groups. Non-Hispanic whites had higher and African-American adolescents had lower frequencies of reading fat information on the nutrition label in comparison to Mexican-American and other Hispanics. Awareness of other nutrition programs or of other information on the nutrition facts label was not associated with increased or decreased risk for overweight or obesity. Conclusions Use of the nutrition facts panel information is low among US adolescents. Additionally, less than half of adolescents are aware of federal nutrition programs including the Dietary Guidelines for Americans. Future studies should evaluate avenues to make nutrition information more accessible to young Americans.
Walton, Janette; Flynn, Albert
Background: Growing up milks (GUM) are milk-based drinks with added vitamins and minerals intended for children aged 12-36 months. Few data are available on the consumption of GUM and their role in the diets of young children.Objective: To determine the nutritional adequacy of two groups of 1224-month-old Irish children by type of milk consumption (consumers or non-consumers of GUM). Design: Using data from a cross-sectional study of Irish children, the National Pre-School Nutrition Survey (2...
Full Text Available Background and Objectives: Regarding the high prevalence of unhealthy food habits among Iranian children, we aimed to assess the effect of a school-based nutrition education program on nutritional status of primary school students in Shiraz. Materials and Methods: This randomized educational controlled trial was carried out on 221 primary school age children selected by cluster sampling in the elementary schools of Shiraz-Iran. The intervention consisted of 6 nutrition education sessions carried out through one year for children, using active learning methods. Mothers’ education was carried out in person in both lecture and question-answer sessions also via sending text messages and pamphlets. Weight, height and waist circumference (WC of children were measured before and after the intervention. Also a 168-item food frequency questionnaire was completed. Two separate nutrition knowledge questionnaires were filled up by children and their mothers. Data were analyzed using SPSS version 16. Results: 171 children (83 in the case and 88 in the control group, aged 9.5-10.5 years, completed the study. Anthropometric and nutritional knowledge of the participants in both the intervention and control groups was significantly increased. Weight, height, WC and nutritional knowledge increased significantly more in the intervention group compared to the controls. Consumption of fruits and vegetables decreased in the intervention group while plain sugar and fast foods intake increased among the controls. There were no significant differences between the changes in the intake of any of the food groups in the two groups. Conclusions: In conclusion, the designed nutrition education program could increase students’ nutritional knowledge, and lead to a non-significant change towards reducing the consumption of unhealthy foods such as fast foods, sweets and salty snacks.
Full Text Available Introduction: Inadequate dietary intake causes malnutrition associated with poor physical and mental development, specially in children. This study evaluated the nutritional status in blind children in Ababasir Boarding Center (a boarding school in Isfahan city. Methods: A 72 hours food regimen survey was measured in 50 subjects (boys and girls by weighting method. The anthropometric data was collected to compare with NCHS normal data. Results: Energy intake was less than 75 percent RDA in all the subjects and the amounts of animal protein intake was also little. Chronic malnutrition was more prevalent. Discussion: Althought the energy intake was lower than RDA, but it did not cause under weight among them probably because of reduced physical activity due to their disability and inadequate high quality protein and other nutrients probably could be the major cause in chronic malnutrition.
Full Text Available Giardia intestinalis is the most common intestinal parasite in human worldwide. It can produce a wide spectrum of clinical manifestations. In order to assess the nutritional status of preschool children infected with Giardia intestinalis, a cross sectional study was made in Marvdasht city, Fars Province, Southern Iran. A total of 337 preschool boys and girls aged 3-6 years were randomly selected for stool examination of intestinal parasites as well as measurement of height, weight, head and arm circumferences. A total of 77 individuals were infected with G. intestinalis. Seventy-one individuals who had only G. intestinalis and 229 with no parasitic infections were selected as infected and control groups, respectively. Z-Score of -2SD was used as cut off point of malnutrition. A total of 9 (12.7% of infected children and 18 (7.9% of non infected individuals had a height for age Z-score (HAZ below -2SD. Eight (11.3% of former group had a weight for age Z-score (WAZ under-2SD. In control group 4.4% of preschool children had WAZ under-2SD. 4.2% of infected children had a weight for height Z-score (WHZ under-2SD but none of the controls had it. Statistical analysis showed a significant difference in height, weight, head circumference, HAZ, and WAZ between infected and control children (P<0.05. Also, HAZ and WAZ, was significantly different between these two groups, but not for WHZ. A higher infection with G. intestinalis in the children with lower parents’ education was observed. However the distribution of malnutrition was not significantly different between boys and girls. In conclusion the present study indicated that giardiasis retarded growth of preschool children in this region.
Wong, Judith J M; Cheifetz, Ira M; Ong, Chengsi; Nakao, Masakazu; Lee, Jan Hau
Energy imbalance in infants and children with congenital heart disease (CHD) is common and influenced by age, underlying cardiac diagnoses, and presence or absence of congestive heart failure. During the surgical hospitalization period, these children are prone to nutritional deterioration due to stress of surgery, anesthetic/perfusion techniques, and postoperative care. Poor nutrition is associated with increased perioperative morbidity and mortality. This review aims to examine various aspects of nutrition in critically ill children with CHD, including (1) energy expenditure, (2) perioperative factors that contribute to energy metabolism, (3) bedside practices that are potentially able to optimize nutrient delivery, and (4) medium- to long-term impact of energy balance on clinical outcomes. We propose a nutrition algorithm to optimize nutrition of these children in the perioperative period where improvements in nutrition status will likely impact surgical outcomes.
Estudio antropométrico y valoración del estado nutricional de una población de escolares de Granada: comparación con los estándares nacionales e internacionales de referencia Anthropometric study and evaluation of the nutritional status of a population school children in Granada: comparison of national and international reference standards
E. González Jiménez
Full Text Available Estudios recientes muestran un incremento alarmante en las tasas de sobrepeso y obesidad entre la población infantil y juvenil. Los objetivos de este trabajo fueron realizar una valoración del estado nutricional y composición corporal mediante antropometría en una población de escolares de Granada capital y provincia, así como comparar el estado nutricional de la población escolar estudiada con los estándares nacionales e internacionales de referencia. La prevalencia general de sobrepeso encontrado en ambos sexos fue del 22,03% y la tasa de obesidad del 9,12%. Se encontraron diferencias estadísticamente significativas entre la variable peso para la edad y el sexo (p Recent studies show an alarming increase in levels of overweight and obesity among children and adolescents. The main objectives of this research were the following: (i to carry out an anthropometric evaluation of the nutritional status and body composition of school children in the city and province of Granada; (ii to compare the nutritional status of this population sample with national and international reference standards. The results obtained in this study showed that the general prevalence of overweight in both sexes was 22.03% and that 9.12% of the children were obese. Statistically significant differences were found between the variable, weight for age and sex (p < 0.05 and the variable, height for age and sex (p < 0.05. Regarding the body mass index, no statistically significant differences were found for the variable, sex (p = 0.182. This contrasted with the variable, age, which did show statistically significant differences (p < 0.05. As a conclusion, the results of our study highlighted the fact that these anthropometric values were much higher than national and international reference standards.
Huijbers, PMJF; Hendriks, JLM; Gerver, WJM; de Jong, Peter; deMeer, K
This study investigates the nutritional status of native children in the highlands of Nepal (1,700-3,000 m) and explores the relationship between child mortality and surviving children's nutritional status. A random sample of 145 households from 11 villages in the Koshi Hill Zone in east Nepal was s
OBJECTIVE: To offer guidelines for optimal nutritional care in children with a neurodevelopmental disability and an associated impairment in their ability to eat and drink. OPTIONS: Assessment of nutritional status by skinfold thickness measurement, high-energy nutrition supplementation given orally and feeding by nasogastric tubes, gastrostomy tubes or gastrojejunal tubes. OUTCOMES: Children receiving adequate nourishment are generally calmer and appear more normal than those who are underno...
Asmaa m. Abdallah*, Zainab B* and Mohamed M. A. Shahat
Background: Diabetes mellitus is the most common endocrine metabolic disorder of childhood and adolescence with important consequences for physical and emotional development. Aim of the study: This study was designed to detect the effect of diet therapy (through nutrition education program) on lipid profile and blood glucose level in diabetic children. Subjects and Methods: The study was carried on 45 diabetic children aged between 8-15 years old at diabetic nutrition clinic of nutrition inst...
Rickard, K A; Godshall, B J; Loghmani, E S; Coates, T D; Grosfeld, J L; Weetman, R M; Lingard, C D; Foland, B B; Yu, P L; McGuire, W
Benefits and risks of nutrition support were evaluated in 31 malnourished children with newly diagnosed Wilms' tumor managed according to the third National Wilms' Tumor Study protocol. Patients were classified at diagnosis as being at high nutritional risk (HNR, n = 19) or low nutritional risk (LNR, n = 12). Ten HNR patients were randomized to central parenteral nutrition (CPN) and nine HNR patients were randomized to peripheral parenteral nutrition (PPN) plus enteral nutrition (EN) for 4 weeks of initial intense treatment and EN (nutritional counseling, oral foods and supplements) thereafter. Thirteen HNR patients (seven CPN, six PPN) completed the protocol. Twelve LNR patients received EN; 11 Stage I malnourished patients were randomized to 10 or 26 weeks of chemotherapy. Dietary, anthropometric, and biochemical data were determined for HNR patients at weeks 0-4, 6, 13, 19, and 26 and for LNR patients at weeks 1, 2, 5, and 26. In HNR patients, adequate parenteral nutrition support reversed protein energy malnutrition (PEM), and prevented chemotherapy and radiotherapy delays due to granulocytopenia. CPN was superior to PPN in reversing PEM: energy intake, weight gain, and retinol binding protein were higher (P less than 0.05). LNR patients lost weight and fat reserves in the first 2 weeks of treatment; depletion persisted at week 5, and 25% had chemotherapy delays. Thereafter, EN reversed PEM in patients with both chemotherapy regimens. These data suggest that CPN is preferable during initial intense treatment for HNR patients, and that, although EN is ineffective in preventing depletion and treatment delays in the first 5 weeks of treatment for LNR patients, it is effective thereafter.
Mishra, Vinod; Arnold, Fred; Otieno, Fredrick; Cross, Anne; Hong, Rathavuth
We examined whether orphaned and fostered children and children of HIV-infected parents are disadvantaged in schooling, nutrition, and health care. We analyzed data on 2,756 children aged 0-4 years and 4,172 children aged 6-14 years included in the 2003 Kenya Demographic and Health Survey, with linked anonymous HIV testing, using multivariate…
YAN-PING LI; XIAO-QI HU; JING-ZHAO; XIAO-GUANG YANG; GUAN-SHENG MA
Objective To assess the nutrition status of children and adolescents in China using the WHO growth reference (2007) in comparison with that defined by the International Obesity Task Force (IOTF) and the Working Group on Obesity in China (WGOC). Methods Overweight and obesity were defined by age-, sex-, specific BMI reference developed by WHO (2007), IOTF (2000), and WGOC (2004), respectively. Stunting and thinness were defined as height and BMI less than two standard deviations (SD) of the WHO growth reference (2007), respectively. Data of children and adolescents aged 5 to 19 years (n=54 857, 28 273 boys, 26 584 girls) from the 2002 China National Nutrition and Health Survey (CNNHS) were used in the study. Results The prevalence of overweight, obesity, stunting and thinness among Chinese children and adolescents aged 5-19 years was 5.0%, 1.2%, 13.8%, and 7.4%, respectively when the WHO growth reference (2007) was used, whereas the estimated absolute total number affected by these 4 conditions were 14.6, 3.7, 40.6, and 21.8 million, respectively. The prevalence of overweight and obesity was 18.1% in large cities, while the stunting prevalence was 25.1% in rural 4. Obesity prevalence assessed by the WHO growth reference was higher than that as assessed by the IOTF reference, and obesity prevalence assessed by the WGOC reference was lower than that as assessed by the IOTF reference. Conclusion The nutritional status of children and adolescents is not equal in different areas of China. Stunting is still the main health problem of the poor, while overweight and obesity are the main health problems in large cities.
Full Text Available Research question : What are the nutritional problems of pre- school children in slums? Objectives: (i To assess the nutritional status of the children . (ii To find out the nutritional deficiency disorders in them (iii To study their dietary intake. Study design: Cross- sectional. Setting : Slums of Ghaziabad city. Participants :771 children (1-6 years. Study Variables : Age, sex, caste, ICDS beneficiary status, weight, nutritional deficiency disorders, dietary intake and supplementary nutrition. Statistical analysis : Simple proportions and Chi- square test. Results : A majority (58.2 % of children were having under nutrition of varying grades irrespective of their sex and caste but influenced by their age and ICDS beneficiary status. Anaemia, xerophthalmia and goitre were present in 14.7%, 1.6% and 0.6 % children respectively. Average daily dietary intake of energy & nutrients were lower than the recommended daily allowances (RDA. Conclusion: Regular nutritional supplementation along with adequate nutrition education would reduce the nutritional deficiency disorders among children.
Energy and nutrient intake among Mexican school-aged children, Mexican National Health and Nutrition Survey 2006 Consumo de energía y nutrimentos en niños mexicanos en edad escolar, Encuesta Nacional de Salud y Nutrición 2006
Full Text Available OBJECTIVE: To estimate energy, nutrient intake and diet adequacy in school-aged children based on the Mexican National Health and Nutrition Survey 2006 (ENSANUT 2006. MATERIAL AND METHODS: Food intake data from food frequency questionnaires was analyzed for 8 716 children aged 5 to 11 years. Energy and nutrients intake and adequacy were obtained. Comparisons were made at regional, urban/rural areas, socioeconomic status (SES and nutrition status (body mass index and height/age. RESULTS: Median energy intake was 1501 kcal/d (percent adequacy: 88.0. Overweight and obesity prevalence was 25.5%. Stunting prevalence was 10%. Children at lowest SES, indigenous and from rural communities showed the highest inadequacies for vitamin A, folate, zinc, and calcium. Overweight children and those highest SES had higher risk of excessive intakes. CONCLUSIONS: Coexistence of over and undernutrition reflects a polarized model of nutrition transition among Mexican children.OBJETIVO: Estimar el consumo y adecuación de energía y nutrimentos en niños escolares mexicanos que participaron en la Encuesta Nacional de Salud y Nutrición 2006 (ENSANUT 2006. MATERIAL Y MÉTODOS: Se analizaron datos de frecuencia de consumo de alimentos en 8 716 niños de entre 5 y 11 años de edad. Se calcularon la ingesta y la adecuación de energía y nutrimentos. Se hicieron comparaciones por región, área urbana/rural, nivel socioeconómico (NSE y estado nutricio (índice de masa corporal y talla/edad. RESULTADOS: La mediana de ingestión de energía fue 1 501 kcal/día (% adecuación 88.0; 25.5% de los niños tuvieron sobrepeso u obesidad; 10%, retardo en talla. Los niños con menor NSE, los indígenas y los de comunidades rurales mostraron mayores inadecuaciones dietarias de vitamina A, folato, zinc y calcio. Los niños con sobrepeso y los de mayor NSE presentaron más riesgo de ingestiones excesivas. CONCLUSIONES: La coexistencia de malnutrición por exceso y por deficiencia
Full Text Available BACKGROUND NRC was started in Visakhapatnam (KGH in December’ 2012 to nutritionally rehabilitate severely acute malnourished children. This study was conducted to assess the effectiveness of rehabilitation services provided at Nutritional Rehabilitation Center. OBJECTIVES 1 To evaluate the effectiveness of Nutritional interventional measures undertaken at Nutritional Rehabilitation Center through review of selected anthropometric measure indicators. 2 To assess the nutritional status after discharge from Nutritional Rehabilitation center. METHODS A Retrospective record based (secondary data study conducted in the month of November 2013.Sevevnty five children were admitted in Nutritional Rehabilitation Center (NRC of KGH, Visakhapatnam in the months of April to October 2013. The data was obtained from NRC records including anthropometric measurements at admission, discharge and follow-up. RESULTS Twenty percent of the children were less than 12 months of age and 34.7% were in the age group of 13–24 months. Forty eight percent were female and 52% were male children. Majority (93% of the children stayed in the NRC for more than 14 days. There was significant difference in the weight of children at the time of admission and at the time of discharge (t= - 15.942, p=0.001. There was no significant difference in Mid Arm Circumference at the time of admission and at the time of discharge (t = -0.942, p=0.349. Fourteen percent were defaulted. There was significant difference in weight of children at the time of discharge and at the time of first follow-up (t=2.203, p=0.03 and third follow-up (t= -8.903, p=0.001. CONCLUSIONS NRCs are effective in improving the nutritional status of severely acute malnourished children and the follow-up also shows the children are having catch-up growth. RECOMMENDATIONS: 1 Adequate number of NRCs should be available for severely acute malnourished children in all the areas. 2 Effective counseling measures should be
Full Text Available Introduction: Celiac disease (CD is a hereditary disorder of the immune system which damages the mucosa of the small intestine caused by gluten consumption(even very small amounts. Villous atrophy, leads to malabsorption, which is due to decreased absorption levels. The first bowel symptoms are seen during the first 2 years of life. Currently, the only treatment is to compliance with a gluten-free diet lifelong. The purpose of this study was to introduce the principles of proper nutrition in children with CD to prevent complications of malabsorption. Results: The patients do not tolerate the proteins of cereals in bread such as wheat, barley, black barley and rye. Substituting wheat flour with rice flour, corn and potatoes and using olive oil, sunflower, corn oil and peanut oil for cooking is recommended. Until the disappearance of symptoms, consumption of milk, fat and high-fiber foods should be avoided. Deficiency of folic acid, iron, vitamin B12 and calcium are common. If necessary, iron, folic acid and multivitamin can be used. These children need proper energy according to their personal needs and should have a diet high in protein. Consumption of potatoes, corn, vegetables, fruits, meat, fish, poultry, eggs, dairy and nuts (non- roasted in any form is allowed. Identifying foods which contain gluten (prepared sauces, sausages, salami, herbal supplements, all canned meat products, crushed barbecue, prepared soups, espresso and coffee , white vinegar, curd, dried milk, pasta, pastries prepared by wheat flour, compote and food supplements is recommended. Conclusions: The identification of substances containing gluten by parents and children, and removal of harmful substances from the diet causes the intestines to quickly begin to rebuild itself. Keywords: Nutrition, Child, Celiac, Diet.
Ohyver, Margaretha; Yongharto, Kimmy Octavian
Ordinal logistic regression is a statistical technique that can be used to describe the relationship between ordinal response variable with one or more independent variables. This method has been used in various fields including in the health field. In this research, ordinal logistic regression is used to describe the relationship between nutritional status of children with age, gender, height, and family status. Nutritional status of children in this research is divided into over nutrition, well nutrition, less nutrition, and malnutrition. The purpose for this research is to describe the characteristics of children in the KarangKitri Village and to determine the factors that influence the nutritional status of children in the KarangKitri village. There are three things that obtained from this research. First, there are still children who are not categorized as well nutritional status. Second, there are children who come from sufficient economic level which include in not normal status. Third, the factors that affect the nutritional level of children are age, family status, and height.
... Regulations ] DEPARTMENT OF AGRICULTURE Food and Nutrition Service 7 CFR Parts 210 and 220 RIN 0584-AE09 National School Lunch Program and School Breakfast Program: Nutrition Standards for All Foods Sold in... Request AGENCY: Food and Nutrition Service, USDA. ACTION: Interim final rule; notice of approval...
Andrea A. García-Contreras; Edgar M Vásquez-Garibay; Enrique Romero-Velarde; Ana Isabel Ibarra-Gutiérrez; Rogelio Troyo-Sanromán; Imelda E. Sandoval-Montes
Objective: To demonstrate that a nutritional support intervention, via naso-enteral tube-feeding or gastrostomy, has a significant impact on the nutritional status and body composition in severely malnourished children with cerebral palsy spastic quadriplegia Methods: Thirteen patients with moderate/severe malnutrition and cerebral palsy spastic quadriplegia who were fed via naso-enteral tube-feeding or gastrostomy were included in a cohort study. Anthropometric measurements and estimated bod...
Comparative study on nutrition status of vitamin D and bone mineral density in 3-6-year-old children of Buyi nationality and Miao nationality in Qiannan Autonomous Prefecture%黔南州3～6岁农村布依族与苗族儿童维生素D营养状况及骨密度的比较研究
李文忠; 陆耀宇; 田永波; 黄月娜; 李瑛; 陈宣艳; 罗刚
目的:探讨黔南州3～6岁农村布依族与苗族儿童维生素D营养状况及骨密度水平,并比较两民族相关影响因素的差异,为少数民族贫困地区农村儿童骨骼生长发育的研究提供依据.方法:2012年1～12月共收集1 147名儿童作为研究对象,按民族分为布依族组(589名)和苗族组(558名),两组按年龄均分为4个年龄组,3岁、4岁、5岁和6岁年龄组.分别进行问卷调查,测量两组各年龄段儿童身高、体重、骨密度及血清25羟维生素D[25-(OH)D]、骨特异性碱性磷酸酶(BAP)、甲状旁腺激素(PTH)含量,并对影响维生素D营养状况相关因素进行Logistic多元回归分析.结果:①两民族维生素D营养状况检查结果比较:布依族组589人中,严重缺乏3人(0.51％),缺乏7人(1.19％),不足187人(31.75％),充足392人(66.55％),中毒0人(0.00％)；苗族组558人中,严重缺乏18人(3.23％),缺乏25人(4.48％),不足179人(32.08％),充足336人(60.22％),中毒0人(0.00％).②两民族儿童维生素D营养状况影响因素比较:布依族组鸡蛋摄入量、动物肝摄入量、鱼类摄入量、牛奶摄入量、酸性食物、腌制或高磷食品、家庭经济收入等与苗族组比较,差异有统计学意义(P＜0.01).③两民族实验室检查指标比较:布依族组各年龄段儿童血清25-(OH) D3、BAP、PTH含量与苗族组比较,差异有统计学意义(P＜0.01).④两民族骨发育指标比较:布依族组各年龄段儿童身高、BMD含量与苗族组比较,差异有统计学意义(P＜0.01).结论:黔南州农村布依族与苗族3～6岁儿童维生素D营养状况有一定的差别,其影响因素为鸡蛋摄入量、动物肝摄入量、鱼类摄入量、牛奶摄入量、酸性食物、腌制或高磷食品、家庭经济收入等.%Objective:To explore the nutritional status of vitamin D and bone mineral density (BMD) in 3-6-year-old children of Buyi nationality and Miao nationality in Qiannan,compare the
A crossectional study of Helicobacter pylori (H. pylori) infection was carried out in 275 children (Age range = 6-36 months) belonging to the low socio-economic strata (SES) in the rural and suburban areas of Bogor (West Java Indonesia). H. Pylori infection was diagnosed by using C-13 urea breath test and nutritional status was analyzed by z- 2 scores. The study revealed a strong (χ2 = 30.9; df=4; p2 =7.2; df=3; p<0.05) association was observed between the educational status of mothers and prevalence of H. pylori infection. Although there was a trend, the results did not yield any significant association between diarrhoea and H. pylori infection. A similar trend was also seen between anemia status and H. pylori infection. Of particular interest was the higher rate of H.pylori infection in children who were on breast-feeding as compared to those who had already been weaned (p<0.05). Stunting, a deficit of length-for-age was the only parameter among the three indicators of malnutrition (underweight, wasting, stunting), which was observed to be significantly (P<0.05) associated with H. pylori infection in our study. Although the other two parameters, underweight and wasting, were also manifested, the associations were not statistically significant. The results of this study have demonstrated that H. Pylori infection has an effect on malabsorption leading to a negative impact on the ability of children to thrive. (author)
The National Children's Study dietary assessment workshop was an opportunity for experts in dietary assessment methodology to gather and discuss the current state of knowledge about methodologies used to assess dietary intake during pregnancy, lactation, infancy, childhood, and adolescence.
Anna M. Rangan
Full Text Available The current Australian Nutrient Reference Values (NRV use different Estimated Average Requirements (EAR for zinc for adolescent boys and girls compared to the previous recommendations. The adequacy of zinc intakes of 2–16 years old children (n = 4834 was examined in the 2007 Australian National Children’s Nutrition and Physical Activity Survey. Zinc intakes were estimated from two 24-h recalls and compared with age- and gender-specific NRV. Food sources of zinc were assessed and compared with those of the 1995 National Nutrition Survey. The mean (SD zinc intake was 10.2 (3.0 mg/day for all children. Nearly all children met the EAR for zinc except for 14–16 years old boys (29% did not meet EAR. Children (2–3 years were at highest risk of excessive zinc intakes with 79% exceeding the Upper Level of Intake. Meat and poultry; milk products; and cereals and cereal products contributed 68% of total zinc intake. The contribution of cereals to total zinc intake has increased significantly since 1995, due to the greater market-availability of zinc-fortified breakfast cereals. We conclude that sub-groups of Australian children are at-risk of inadequate (boys 14–16 years or excessive (children 2–3 years zinc intakes, and monitoring of zinc status is required.
A STUDY TO EVALUATE THE EFFECT OF NUTRITIONAL INTERVENTION MEASURES ON CHILDREN WITH SEVERE ACUTE MALNUTRITION ADMITTED IN NUTRITION REHABILITATION CENTER AT CIVIL HOSPITAL BAIRAGARH, BHOPAL, MADHYA PRADESH
BACKGROUND: The state of Madhya Pradesh has 1.3 million severely malnourished children. Nutrition rehabilitation centers (NRCs) were started in the state to control severe malnutrition and decrease the prevalence of severe malnourished children to less than 1% among c hildren aged 1 – 5 years. OBJECTIVE: To assess the effect of nutritional interventional measures for children with severe acute malnutrition (SAM) admitted in Nutrition Rehabilitation Center by ...
Ong Ken K; Sharp Stephen J; Lakshman Rajalakshmi R; Forouhi Nita G
Abstract Background Improving nutrition knowledge among children may help them to make healthier food choices. The aim of this study was to assess the effectiveness and acceptability of a novel educational intervention to increase nutrition knowledge among primary school children. Methods We developed a card game 'Top Grub' and a 'healthy eating' curriculum for use in primary schools. Thirty-eight state primary schools comprising 2519 children in years 5 and 6 (aged 9-11 years) were recruited...
MIDYAT, Levent; AKSIT, Sadık; GOKCE, Sule; YAGCI, Rasit Vural
Early childhood is a critical life period because of its importance for supplying regular and adequate nutrition, and giving essential nutritional education to the children. In the present study, between January 2004 and March 2006, food consumption of 2- to 6-year-old children from different socioeconomic levels in Izmir was investigated. Anthropometric measurements of these 518 children were also recorded. SPSS 14.0 for Windows was used for statistical analysis. Total duration of breastfeed...
López Uriarte, A; Ledón Valenzuela, S; López Gámez, C; Rosríguez Pantiño, G; Martínez Figueroa, C; Santos Atherton, D; Muñóz Olvera, R; Velázquez Cabrera, A
Six uremic dhildren in periodic hemodialysis with protein-calorie malnutrition were studied. Three of them were given diet supplementation with a compound constituted by carbohydrates and essential amino acids. Evaluation at ,3 and 6 months with somatometry, rutine laboratory analysis, intravenous glucose tolerance test and plasma amino acid determinations, showed that patients with diet supplementation had a slight increase in height and body weight, improved glucose in tolerance, that was initialy detected, and an abnormal pattern of plasma amino acids not modified during the study. Patients without diet supplementation showed no changes in height, body weight, glucose tolerance and plasma amino acids. These results suggest that diet supplementation with carbohydrates and amino acids is useful to improve nutrition in uremic children on hemodialysis, but it is neccesary to study more patients.
Body composition and bone density reference data for Korean children, adolescents, and young adults according to age and sex: results of the 2009-2010 Korean National Health and Nutrition Examination Survey (KNHANES).
Kang, Min Jae; Hong, Hyun Sook; Chung, Seung Joon; Lee, Young Ah; Shin, Choong Ho; Yang, Sei Won
We established the timing of peak bone mass acquisition and body composition maturation and provide an age- and sex-specific body composition and bone density reference database using dual-energy X-ray absorptiometry in Korean subjects 10-25 years of age. Reference percentiles and curves were developed for bone mineral content (BMC), bone mineral density (BMD) of the whole body, the lumbar spine, and the femoral neck, and for fat mass (FM) and lean mass (LM) of 1969 healthy participants (982 males) who participated in the 2009-2010 Korean National Health and Nutrition Examination Survey. Additionally, bone mineral apparent density (BMAD), FM index, and LM index were calculated to adjust for body size. BMC and BMD at all skeletal sites as well as LM increased with age, reaching plateaus at 17-20 years of age in females and 20-23 years of age in males. The femoral neck was the first to reach a bone mass plateau, followed by the lumbar spine and then the whole body. Spine BMAD increased with age in both sexes, but femoral and whole-body BMAD remained the same over time. Females displayed a dramatic increase in FM during puberty, but the FM of males decreased until mid-puberty. These findings indicate that bone health and body composition should be monitored using a normal reference database until the late second to early third decade of life, when statural growth and somatic maturation are completed. PMID:26056024
Christian Loret de Mola
Full Text Available BACKGROUND: Rapid urbanization, increase in food availability, and changes in diet and lifestyle patterns have been changing nutritional profiles in developing nations. We aimed to describe nutritional changes in children under 5 years and women of reproductive age in Peru, during a 15-year period of rapid economic development and social policy enhancement. MATERIALS AND METHODS: Trend analyses of anthropometric measures in children of preschool age and women between 15-49 years, using the Peruvian National Demographic and Family Health Surveys (DHS from 1996 to 2011. WHO growth curves were used to define stunting, underweight, wasting and overweight in children 19 years, body mass index (BMI was analyzed both categorically and as a continuous variable. To statistically analyze the trends, we used regression models: Linear and Poisson for continuous and binary outcomes, respectively. RESULTS: We analyzed data from 123 642 women and 64 135 children, from 1996 to 2011. Decreases over time were evidenced for underweight (p<0.001, wasting (p<0.001, and stunting (p<0.001 in children under 5 y. This effect was particularly noted in urban settings. Overweight levels in children reduced (p<0.001, however this reduction stopped, in urban settings, since 2005 (∼12%. Anemia decreased in children and women (p<0.001; with higher reduction in urban (↓43% than in rural children (↓24%. BMI in women aged 15-19 years increased (p<0.001 across time, with noticeable BMI-curve shift in women older than 30 years. Moreover, obesity doubled during this period in women more than 19 y. CONCLUSION: Nutrition transition in Peru shows different patterns for urban and rural populations. Public policies should emphasize targeting both malnutrition conditions--undernutrition/stunting, overweight/obesity and anemia--considering age and place of residence in rapid developing societies like Peru.
Asmaa M AbdAllah, **Shawkia S. A. El-Sherbeny and ***Sahar Khairy
Full Text Available Introduction: Mental disability can interfere with education and scholastic achievement. It can lead to school dropout and minimize opportunities to participate in the labor force. Moreover, disabilities affect the overall health and psychological state of the individuals. Objective: The aim of the present study was to assess the nutritional status of mentally disabled children in Egypt on the basis of anthropometric indicators and laboratory data. Subjects and Methods: Across sectional study was conducted on 639 mentally disable children aged 6-<14 years (422males and 217females, from urban areas. They were classified into two age groups (6-<11& 11-<14 years. The following variables were determined using Z score indicator of weight for age, height for age and weight for height. Also, body mass index, mid arm circumference and triceps skin fold thickness percentiles were determined. Laboratory investigation including blood hemoglobin concentration and plasma levels of vitamin A and -tocopherol as well as plasma zinc, copper and magnesium concentration were estimated. Results: Prevalence of underweight was 14.1% by Wt/age Z score. Stunting was estimated among 33.5% with significantly higher prevalence in older children. Muscle &fat depletion was detected in 30.2%, with significantly higher prevalence among males than females. Depleted fat store was detected in 14.7% of children. Wasting was documented in 14.1% of children by BMI percentile, and was significantly higher among males than females. No significant difference was detected between male and female handicapped children regarding mean blood hemoglobin values as well as mean plasma levels of the measured vitamins and minerals, except for mean plasma zinc level. The overall prevalence of iron deficiency anemia was higher in males (41.5% than females (37.1%. Deficiency of - tocopherol was more prevalent than that of vitamin A. The overall prevalence of deficiency of zinc, magnesium and copper
Rosi, Alice; Brighenti, Furio; Finistrella, Viviana; Ingrosso, Lisa; Monti, Giorgia; Vanelli, Maurizio; Vitale, Marco; Volta, Elio; Scazzina, Francesca
To improve nutritional knowledge of children, single-group educational interventions with pre/post knowledge assessment were performed in primary schools in Parma, Italy, participating to the Giocampus Program. A total of 8165 children (8-11 years old) of 3rd, 4th and 5th grades of primary school were involved in 3 hours per class nutritional lessons, with specifically designed games and activities for each school grade. To evaluate children learning, a questionnaire was administered before and after three months of educational intervention. A total of 16330 questionnaires were analysed. Children nutritional knowledge significantly increased (peducational figures, tools and games, was successful in improving children's nutritional knowledge. A stable integration of this method in primary school settings could prepare a new generation of citizens, better educated on health-promotion lifestyles. PMID:26888548
Full Text Available BACKGROUND: The interaction between malaria and under-nutrition is not well elucidated in Ethiopia. The objective of this study was to assess the magnitude of under-nutrition and its correlation with malaria among under-five children in south-west Ethiopia. METHODS: This cross-sectional study was undertaken during March-February, 2009 as part of the baseline assessment of a cluster randomized trial around Gilgel Gibe Hydroelectric dam, south-west Ethiopia. A total of 2410 under-five children were included for anthropometric measurement and blood investigation for the diagnosis of malaria and anemia. The nutritional status of children was determined using the International Reference Population defined by the U.S National Center for Health Statistics (NCHS. Blood film was used to identify malaria parasite and haemoglobin concentration was determined by Hemo Cue analyzer (HemoCue Hb 301, Sweden. RESULTS: Significant proportion (40.4% of under-five children were stunted (height-for-age<-2SD. The prevalence of under-weight was 34.2%. One third and one tenth of the children had anemia and malaria parasite respectively. Older children were more likely to have under-nutrition. There was no association between malaria and under-nutrition. Children who had malaria parasite were 1.5 times more likely to become anaemic compare to children who had no malaria parasite, [OR = 1.5, (95% CI: 1.1-2.0]. CONCLUSION: In this study, there is no association between malaria and under-nutrition. Children who have malaria are more likely to be anaemic. Malaria prevention and control program should consider nutrition interventions particularly anemia.
Latnovic, L; Rodriguez Cabrera, L
Overweight and obesity are major world global health challenges of the 21st century. Mexico is not an exception. Approximately 70% of the adult Mexican population has an excessive body weight. The prevalence of obesity and overweight in Mexican school children aged 5-11 is also high: one child in four is overweight. In light of the seriousness of the situation, the solutions for this problem are based on modification of the environments and change of individual habits and behaviors related to nutrition and physical activity. As a result, the Mexican government, public sector and academy established three common goals and 10 priority objectives that are expressed in the National Agreement for Nutritional Health-Strategy to Control Overweight and Obesity. The obesity problem requires interventions and policies that reside outside of the health sector domain, key aspects of this public health policy was agreement among all stakeholders on cross-cutting actions. The best examples of National Agreement's inter-sectorial action implementation is in the school setting and Code of 'Self Regulation' on Advertising of Food and Non-Alcoholic Beverages to Children introduced by the food and beverage industry. The ultimate goal of this national policy is to provide the strategic plan for healthy weight and better health, by promoting healthy lifestyles focused on correct diet and physical activity in all life stages, from pregnancy and early childhood and on into adulthood by a multi stakeholder approach. Although there have been great achievements in some areas of implementation, there are still challenges to confront. PMID:27152155
Kweon, Sanghui; Kim, Yuna; Jang, Myoung-jin; Kim, Yoonjung; Kim, Kirang; Choi, Sunhye; Chun, Chaemin; Khang, Young-Ho; Oh, Kyungwon
The Korea National Health and Nutrition Examination Survey (KNHANES) is a national surveillance system that has been assessing the health and nutritional status of Koreans since 1998. Based on the National Health Promotion Act, the surveys have been conducted by the Korea Centers for Disease Control and Prevention (KCDC). This nationally representative cross-sectional survey includes approximately 10 000 individuals each year as a survey sample and collects information on socioeconomic status...
Monsivais, Pablo; Rehm, Colin D
Context Dietary guidance for children emphasizes fruit over fruit juices but little is known about the potential nutritional and economic impact of substituting fruit for juice. Objective To estimate the nutritional and economic effects of substituting whole fruit for juice in the diets of children in the US. Design Secondary analyses using the 2001-2004 National Health and Nutrition Examination Survey (NHANES) and a national food price database. Energy, nutrient intakes and diet cost were estimated before and after fruit juices were completely replaced with fruit in three models that emphasized fruits that were fresh, low-cost, and widely-consumed and a fourth model that partially replaced juice with fruit, capping juice at recommended levels. Setting A nationwide, representative sample of children in the US. Participants 7,023 children ages 3-18. Main Outcome Measures Difference in energy, nutrient intakes and diet cost between observed and modeled diets. Results For children who consumed juice, replacement of all juice servings with fresh, whole fruit led to a projected reduction in dietary energy of 233 kJ/day (−2.6% [95% CI −5.1, −0.1%]), an increase in fiber of 4.3 grams/day (+31.1% [95% CI 26.4, 35.9%]) and an increase in diet cost of $0.54/day (+13.3% [95% CI 8.8, 17.8%]). Conclusions Substitution of juice with fresh fruit has the potential to reduce energy intake and improve the adequacy of fiber intake in children’s diets. This would likely increase costs for schools, childcare providers and families. Cost impacts could be minimized by selecting processed fruits but fewer nutritional gains would be achieved. PMID:22566547
Santos, C.; Figueiredo, M.; Vieira, M.
Comunicação oral apresentada no Ist World Congress of Children and Youth Health Behaviors / 4th National Congress on Health Education que decorreu em Viseu‑Portugal, de 23 a25 May 2013, da qual só está disponível um resumo. This paper presents the nutritional status of 3‑5 years old children in a public preschool from Fundão and describes the breakfast (BF), fruit and vegetables (F&V) habits consumption.
Prashant G Bhat
Full Text Available BACKGROUND: Severe acute malnutrition (SAM is the most serious form of malnutrition affecting children under-five and is associated with many infectious diseases including Tuberculosis (TB. In India, nutritional rehabilitation centres (NRCs have been recently established for the management of SAM including TB. The National TB Programme (NTP in India has introduced a revised algorithm for diagnosing paediatric TB. We aimed to examine whether NRCs adhered to these guidelines in diagnosing TB among SAM children. METHODS: A cross-sectional study involving review of records of all SAM children identified by health workers during 2012 in six tehsils (sub-districts with NRCs (population: 1.8 million of Karnataka, India. RESULTS: Of 1927 identified SAM children, 1632 (85% reached NRCs. Of them, 1173 (72% were evaluated for TB and 19(2% were diagnosed as TB. Of 1173, diagnostic algorithm was followed in 460 (37%. Among remaining 763 not evaluated as per algorithm, tuberculin skin test alone was conducted in 307 (41%, chest radiography alone in 99 (13% and no investigations in 337 (45%. The yield of TB was higher among children evaluated as per algorithm (4% as compared to those who were not (0.3% (OR: 15.3 [95%CI: 3.5-66.3]. Several operational challenges including non-availability of a full-time paediatrician, non-functioning X-ray machine due to frequent power cuts, use of tuberculin with suboptimal strength and difficulties in adhering to a complex diagnostic algorithm were observed. CONCLUSION: This study showed that TB screening in NRCs was sub-optimal in Karnataka. Some children did not reach the NRC, while many of those who did were either not or sub-optimally evaluated for TB. This study pointed to a number of operational issues that need to be addressed if this collaborative strategy is to identify more TB cases amongst malnourished children in India.
Full Text Available Objectives: To find out the prevalence of VAD among urban school children of District Bareilly, to identify the associated biosocial factors and to suggest the suitable measures to prevent xerophthalmia among them. Methods: Six month cross sectional study was conducted among school going children in 2 purposively selected schools in an urban area of Bareilly District. A structured proforma was used to collect the information. Chi- square test was used to analyze data. Results: Of the 800 children examined, the overall prevalence of VAD was found to be 6.37%. The prevalence of VAD was highest in 11-12 years of age group children and lowest in the 3-5 years age group (P-value >.05. The prevalence of VAD was slightly higher among boys as compared to girls (P-value >.05. The prevalence of VAD was significantly higher among the children belonging to lower socioeconomic class as compared to those belonging to upper and middle socioeconomic class (P-value >.05. Nearly 48.5% of children were found to be underweight while 12.25% were overweight. Nearly a quarter of children were found to be anemic. Conclusion: Nutrition education regarding regular intake of plant foods rich in carotene such as green leafy vegetables, yellow fruits, carrots and animal foods containing retinol like fish liver oil, fish, liver, egg, meat, milk, butter, cheese, and use of fortified food like vanaspati, margarine, dried skimmed milk should be strengthened. [National J of Med Res 2012; 2(2.000: 188-190
Full Text Available BACKGROUND: In the developing countries, children of 0-5 years of age not only form a large group but they also a “vulnerable or high risk” group. 50% of all deaths occur among children during the first five years of life in developing world. The present study was done with the objective of assessing the nutritional status among 0-5 years of age child. METHODS: Community-based cross-sectional study was conducted in the slum area of Agra city; the urban field practice area of S.N. Medical College, Agra, in January 2011, through house to house visit till the sample size of 224 was achieved. Children of 0-5 years of age were weighed with the standard weighing machine. Their mothers were subjected to personal interview for the estimation of their current age. A pre-designed, pre-tested, semi-structured interview proforma was used to collect the data. The collected data was compared with National Center for Health Standards (NCHS and analyzed by using appropriate statistical methods. RESULTS: 46.3% of the boys of 13-24 months were found to have moderate malnutrition which decreases with increase in age from 47.5% in 25-36 months to 45.5% in 49-60 months age group. Similarly severe underweight (21.9% boys were found to be maximum in 13-24 months age group. Maximum children who were stunted were in the age group of 13-24 months age. Overall 29.9% of children had decrease height for weight. CONCLUSIONS: Malnutrition in under five children, especially in the children of `13-24 months is most prevalent. Malnutrition was more common among females than males.
Full Text Available The nutrition status of school-age children is still poor while the need for balanced nutrition is very important for school children and this is because the public's attention to the nutritional needs only focuses in infants, toddlers, and pregnant women. According to data of Health Research (Riskesdas in 2010, the prevalence stunting in the age group of 6-12 years was 25.6%, underweight prevalence was 11.2% and overweight prevalence was accounted to 9.2%. This study aimed to determine the nutritional status of children by conducting crosssectional descriptive study with the analysis of invariance and bivariate (Chi square. The study was conducted at SDN 05 of grade 1-6 Sirnagalih Bogor with totaling 263 students aged 6-12 years old in November 2014 and assessed the nutritional status of students based on the z-score of the WHO / NCHS and reviewing the primary data (weight and height measurement and secondary data (data or documents and the identity taken from the student attendance. Nutritional status average of children in SDN 05 Sirnagalih was in normal nutritional status at approximately 68.2%. However, it still reflected some nutritional problems (very underweight, underweight and overweight, accounted for 31.8%. In underage group category, there was the nutritional status of malnourishment of 9-12 years age group with the highest number scored 37.5%. By gender, the malnourishment of boys acquired at most 34.9%. Based on parent education, malnourishment was found in students with less educated fathers; it was about 41.6%. Nutritional status of children based on the number of siblings in the family showed the nutritional status of malnourishment, showing by the number of brothers and sisters greater than two sisters and brothers that amounted to 57.9%.
Executive summary Background: South Africa is affected by the nutrition transition as one of many countries, with high prevalence of both over and undernutrition. Differences are sharp throughout the population, rural and poor suffering most frequently from underweight, stunting, vitamin A deficiency and hunger. Several initiatives have been implemented in order to improve the nutrition status. Among these are i) the Nutrition Supplementation Program, which targets children with growth pr...
Aim: The purpose of this study was to assess, through anthropometric and biochemical parameters, the positive effect on growth of enteral nutrition support in children with cancer receiving chemotherapy. Material and Method: Forty-three consecutive patients newly diagnosed with pediatric malignant disease and receiving intensive chemotherapy were included. Twenty-six patients received an enteral nutrition formula. Seventeen control patients did not receive enteral nutrition formula. Anthropom...
Downs Shauna M
Full Text Available Abstract Background Although the mandate of recreational facilities is to enhance well-being, many offer foods inconsistent with recommendations for healthy eating. Little is known regarding recreational facility food environments and how they might be improved, as few studies exist. The Alberta Nutrition Guidelines for Children and Youth (ANGCY are intended to ensure access to healthy food choices in schools, childcare and recreational facilities. This study investigated awareness, adoption and implementation of the ANGCY among recreational facilities in Alberta, Canada, one year following their release. Methods A cross-sectional telephone survey was conducted from June - December, 2009 (n = 151 with managers of publicly funded recreational facilities that served food. The questionnaire included 10 closed and 7 open ended questions to assess the organizational priority for healthy eating, awareness, adoption and implementation of the ANGCY. Chi-squared tests examined quantitative variables, while qualitative data were analysed using directed content analysis. Greenhalgh's model of diffusion of complex innovations within health service organizations constituted the theoretical framework for the study. Results One half of respondents had heard of the ANGCY, however their knowledge of them was limited. Although 51% of facilities had made changes to improve the nutritional quality of foods offered in the past year, only a small fraction (11% of these changes were motivated by the ANGCY. At the time of the survey, 14% of facilities had adopted the ANGCY and 6% had implemented them. Barriers to adoption and implementation were primarily related to perceived negative attributes of the ANGCY, the inner (organizational context, and negative feedback received during the implementation process. Managers strongly perceived that implementing nutrition guidelines would limit their profit-making ability. Conclusions If fully adopted and implemented, the ANGCY
Background: Maladaptive eating behaviors have been reported among youth who report experiencing weight bias, so it is important to study whether nutritional risk and zBMI of young children correlate with weight biases held by caregivers. A previous analysis of these data showed that nutritional risk...
Soldavini, Jessica; Crawford, Patricia; Ritchie, Lorrene D.
Objective: To determine whether children perceive food with nutrition claims as healthier and tasting differently than those without claims. Methods: Fourth- and fifth-graders (n = 47) from 3 California schools participated. Two identical products (cookies, crackers, or juice) were placed in front of product packages, 1 with a nutrition claim, the…
Murray, Colleen; Newby, Holly
The United Nations Children's Fund (UNICEF) plays a leading role in the collection, compilation, analysis and dissemination of data to inform sound policies, legislation and programmes for promoting children's rights and well-being, and for global monitoring of progress towards the Millennium Development Goals. UNICEF maintains a set of global databases representing nearly 200 countries and covering the areas of child mortality, child health, maternal health, nutrition, immunization, water and sanitation, HIV/AIDS, education and child protection. These databases consist of internationally comparable and statistically sound data, and are updated annually through a process that draws on a wealth of data provided by UNICEF's wide network of >150 field offices. The databases are composed primarily of estimates from household surveys, with data from censuses, administrative records, vital registration systems and statistical models contributing to some key indicators as well. The data are assessed for quality based on a set of objective criteria to ensure that only the most reliable nationally representative information is included. For most indicators, data are available at the global, regional and national levels, plus sub-national disaggregation by sex, urban/rural residence and household wealth. The global databases are featured in UNICEF's flagship publications, inter-agency reports, including the Secretary General's Millennium Development Goals Report and Countdown to 2015, sector-specific reports and statistical country profiles. They are also publicly available on www.childinfo.org, together with trend data and equity analyses.
Choi, Eun-Suil; Shin, Na-Ri; Jung, Eun-Im; Park, Hae-Ryun; Lee, Hong-Mie
The purpose of this study was to investigate the nutrition and diet related knowledge, attitude, and behavior of elementary school children in Seoul. The subjects included were 439 (male 236, female 203) elementary school children in the 4th to the 6th grades. The statistical analysis was conducted using SPSS 12.0 program. The average obesity index (OI) was 104.98 and 99.82 for male and female subjects, respectively. The average percentage of underweight, normal, overweight and obese of subjects was 33.7%, 32.8%, 12.3%, and 19.4%, respectively. The percentage of the underweight group of female subjects was higher than that of the male subjects. The percentage of the obese group of male subjects was higher than that of the female subjects. The average score of nutrition knowledge, nutrition attitude and dietary behavior was 6.8, 7.44, and 7.34, respectively. Dietary behavior of male subjects was positively correlated with parents' education levels, monthly household income and nutrition attitude. Dietary behavior of female subjects was positively correlated with monthly household income, nutrition knowledge and nutrition attitude. Dietary behavior of female subjects was positively correlated with obesity index (OI). Proper nutrition education and intervention are required for the improvement of elementary school children's nutrition knowledge, nutrition attitudes and dietary behaviors. PMID:20016735
Miguel Ángel Royo-Bordonada
Conclusion: Over half of all food products marketed to children via television in Spain made some type of nutrition or health claim. Most of these products were less healthy, which could mislead Spanish consumers.
Abraham-Hardee, Sofia E.
A mixed method study pretest and posttest research design was used in this study similar to those used by the Expanded Food and Nutrition Education Program (EFNEP) and Women, Infants and Children (WIC). An individual interview method was used to gather the qualitative data. The study was conducted using 26 caretakers and 31 children. No significant change in knowledge in the caretakers was observed across all lessons. A significant gain in knowledge was observed only in the nutrition lesson â...
Megha Luthra; Surekha Kishore; Kajal Jain
Background: Under nutrition is a major problem in India. This is a study conducted in rural catchment areas of Department of Community Medicine, SGRRMC, Dehradun to asses the same. Objectives: To find out prevalence of under nutrition in children in the age group of 0-5 years and also to study its epidemiological correlates. Methods :All registered children of RHTC Mothrowala during October to December2009 were studied. Detailed histories were taken & growth chartingwas done using growth ...
Briend, A; Dykewicz, C.; Graven, K; Mazumder, R. N.; Wojtyniak, B; Bennish, M.
The usefulness of nutritional indices and classifications in predicting the death of children under 5 years old was evaluated by comparing measurements of 34 children with diarrhoea who died in a Dhaka hospital with those of 318 patients who were discharged in a satisfactory condition. In a logistic regression analysis mid-upper arm circumference was found to be as effective as other nutritional indices in predicting death. Combinations of different indices did not improve the prediction. Arm...
Srivastava, Anurag; Mahmood, Syed E.; Srivastava, Payal M; Shrotriya, Ved P; Kumar, Bhushan
Background One of the greatest problems for India is undernutrition among children. The country is still struggling with this problem. Malnutrition, the condition resulting from faulty nutrition, weakens the immune system and causes significant growth and cognitive delay. Growth assessment is the measurement that best defines the health and nutritional status of children, while also providing an indirect measurement of well-being for the entire population. Methods A cross-sectional study, in ...
Andrea A. García-Contreras
Full Text Available Objective: To demonstrate that a nutritional support intervention, via naso-enteral tube-feeding or gastrostomy, has a significant impact on the nutritional status and body composition in severely malnourished children with cerebral palsy spastic quadriplegia Methods: Thirteen patients with moderate/severe malnutrition and cerebral palsy spastic quadriplegia who were fed via naso-enteral tube-feeding or gastrostomy were included in a cohort study. Anthropometric measurements and estimated body composition by bioelectric impedance analysis were obtained. ANOVA and Wilcoxon tests were used. Results: During the four weeks of nutritional recovery, an average weight increase of 2700 g was achieved. There were significant increases in anthropometric indicators, including BMI and weight/length (p < 0.01. The increase in arm fat area was significantly higher than the increase in arm muscle area (104.5 vs 17.5%. Conclusion: Intensive nutritional support for four weeks had a significant effect on the nutritional status and body composition of severe and moderately malnourished children with cerebral palsy spastic quadriplegia.
Hasanain Faisal Ghazi
Full Text Available Introduction. The neighborhoods where the children live play an important role in their development physically and mentally. The objective of this study was to assess the relationship between neighborhood safety and child nutritional status in Baghdad city, Iraq. Methods. A cross-sectional study was carried out in Baghdad city, Iraq, among 400 primary school children from 4 schools. BMI-for-age Z score was used to assess the nutritional status of the children. Newly developed questionnaires on neighborhood safety were distributed to the parents to answer them. Results. In this study, males were more predominant than females with 215 participants compared to 185 females. A total of 49% were normal weight, 38.8% either overweight or obese, and only 12.2% underweight. There was a significant relationship between father education, father and mother working status, family income, and children nutritional status (P=0.10, 0.009, <0.001, 0.37, respectively. The association between neighborhood safety variables and child nutritional status was significant except for worrying about child safety and thinking of leaving the neighborhood (P=0.082, 0.084, respectively. Conclusion. Nutritional status of school children continues to be a public health issue in Iraq especially Baghdad city. There was a significant association between neighborhood safety and children nutritional status.
Rigon, Silvia do Amaral; Schmidt, Suely Teresinha; Bógus, Cláudia Maria
This article discusses the establishment of inter-sector action between health and food and nutritional security in Brazil from 2003 to 2010, when this issue was launched as a priority on the government's agenda. A qualitative study was developed according to constructivist epistemology, using key-informant interviews in the field's nationwide social oversight body. Advances and challenges in this process are addressed as analytical categories. The National Food and Nutrition Policy (PNAN) was mentioned as the link between the two fields, decentralized through a network with activity in the states and municipalities. However, the study found political, institutional, and operational obstacles to the effective implementation of the PNAN in the Brazilian Unified National Health System and consequently to a contribution to the advancement of Health and Food and Nutritional Security in the country. The predominance of the biomedical, curative, and high-complexity model was cited as the principal impediment, while health promotion policies like the PNAN were assigned secondary priority.
Nutrition is mentioned specifically only three times in the Convention on the Rights of the Child. However, through its emphasis upon food, health, and care, the Convention makes it clear that good nutrition should be regarded as a fundamental human right. This study reviews the progress that governments have made in implementing this aspect of the Convention, providing ‘status reports’ on the inclusion of nutrition goals in individual ‘National Programmes of Action’. The paper includes a bac...
Bharati P; Pal M; Bharati S
Objective:The aim of the paper is to see how educational and working status of the parents affect the nutri-tional and immunization status of preschool children in India.Methods:We have used data of more than 24 000 preschool children spread over different states in India.The data were collected by National Family Health Survey (NFHS-2)in 1998-99.For assessing the nutritional status,only the Z-scores of weight-for-height (WHZ)have been computed and for immunization status,it has been seen whether BCG,DPT3,Poli-o3 and measles have been administered.Children who fall below -2SD(-3SD)from median are considered to be moderately (severely)malnourished.Results:According to the NFHS-2 data,70% of children are vac-cinated by BCG,50% receive the full course of DPT,54% get all the three dozes of polio and only 42% are protected from measles by vaccination in India.The percentages of moderately and severely wasted children in India are 12.1 and 2.8,respectively.There is a marked regional variation of these percentages.Bivariate and multivariate analysis clearly points to the need of educational status of mothers rather than fathers for proper nu-tritional and immunization status of preschool children.Parents'occupation and working status also have some effect,but not so pronounced as parents'education.Conclusion:The Indian preschool children need particu-lar attention for high risk of wasting and low immunization.The prevalence of malnutrition can be arrested more by improving the mother's education level rather than their fathers and by raising the standard of living of their house-holds.
Child malnutrition is a major public health and development concern in most of the poor communities leading to high morbidity and mortality. Various studies have highlighted the factors involved. The present study focuses on socioeconomic inequality resulting in malnutrition. Objectives of the Study were to find the Impact of socio-economic factors on nutritional status in primary school children. Methods: It was a cross sectional survey conducted at Lahore from February to August 2005 among primary schools from public and private sectors to assess the nutritional status of primary school going children age 5-11 years belonging to different socio economic classes of the society. Systematic random sampling technique was applied to collect the sample. Body Mass Index in relation to NHANES reference population was used for assessing nutritional status. Results: The nutritional status of children from lower socio economic class was poor as compared to their counter parts in upper socio economic class. Children with BMI <5 percentile were 41% in lower class while in upper class it was 19.28%. Prevalence of malnutrition was 42.3% among children of illiterate mothers as compare to 20% in those of literate mothers. Conclusion: Poverty, low literacy rate, large families, food insecurity, food safety, women's education appears to be the important underlying factors responsible for poor health status of children from low socioeconomic class. It requires economic, political and social changes as well as changes for personal advancement mainly through educational opportunities to improve the nutritional status of the children. (author)
Full Text Available Background: Poor health and nutrition may impair both the growth and intellectual development of school children. Incidence of malnutrition related childhood diabetes mellitus has increased and continues to be on the rise.Objectives: To assess the nutritional status by anthropometry and to screen for diabetes by capillary blood examination of school children. Design: Longitudinal study Setting: The study was carried out at Sri R.L.Jalappa Central School, Kolar from August 2008 to December 2009. Methods: All the school children were interviewed with pre-designed and pre-tested proforma. Height, Weight was measured by standard procedures. The nutritional status was analysed by Body Mass Index (BMI for age. The school children were also screened for diabetes mellitus by Finger stick capillary random plasma glucose testing. The children were followed up for any major medical problems during the study period.Participants: All the students studying in the school during study period.Results: Mean height and weight of children were found comparable to the ICMR pooled data. However, compared to NCHS standards and affluent Indian children the mean height and weight were found to be much inferior at all ages. According to BMI for age as per NCHS most of the children were undernourished (79.2% and 3 children (0.6% were overweight. Out of 495 children screened for diabetes 14 children had hyperglycaemia (>160mg/dl. These 14 children were further tested by oral glucose tolerance test and found to have normal blood sugars levels. During the follow up two undernourished children developed diabetes mellitus. Conclusion: The magnitude of malnutrition among school going children was found to be 79%. During the follow up two undernourished children developed diabetes mellitus, hence under nutrition was associated with diabetes mellitus.
National Nutrition Education Clearing House, Berkeley, CA.
References applicable to both elementary and secondary levels, as well as background information of importance to teachers in the field of nutrition and nutrition education, are included in this bibliography. Although not a comprehensive list, resources include books, pamphlets, curriculum guides, bibliographies, newsletters, article reprints, and…
Noor Safiza Mohamad Nor
Full Text Available Introduction: Autism Spectrum Disorders (ASD, Down Syndrome (DS and Cerebral Palsy (CP are the most common disabilities among children. Nutritional status assessment is important as these children are at risk of underweight, overweight or obesity. Therefore, the objectives of this review were to identify evidence on the prevalence of nutritional status of children with DS, CP and ASD, and to determine tools and indicators to measure the nutritional status of these children. Methods: This scoping review was conducted using a framework suggested by Arksey and O'Maley. A comprehensive search was performed to identify published and unpublished works, reviews, grey literature and reports. Inclusion criteria for the search were articles in English published from 1990 to 2014 and related to children with ASD, DS and CP. Titles, abstract, and keywords for eligibility were examined independently by the researchers. Results: A total of 305,268 titles were extracted from electronic databases and other resources. Based on the inclusion criteria, 21 articles were selected for review. The prevalence of overweight or obese children with DS ranged from 33.5% to 43.5%. The prevalence of underweight children with CP was 22.2% to 78.2%. Children with ASD at a younger age were more likely to be overweight or obese compared with normal developing children. The common nutritional indicators used were z-scores for weight-for-age, height-for-age, body mass index-for-age, and head circumference-for-age. Conclusions: Overall, there is emerging evidence on the nutritional status of children with ASD, DS and CP although this is still very limited in developing countries including Malaysia. The evidence shows that children with CP were at risk of being underweight, while children with DS and ASD were at risk of being overweight or obese.
... 77 FR 4088 was approved by OMB on February 1, 2013, under OMB Control Number 0584-0006. FOR FURTHER... / Monday, July 8, 2013 / Rules and Regulations#0;#0; ] DEPARTMENT OF AGRICULTURE Food and Nutrition Service 7 CFR Parts 210 and 220 RIN 0584-AD59 Nutrition Standards in the National School Lunch and...
National level data were analyzed to establish the nature of association and the magnitude of contribution of education exposure to variance on measures nutritional well-being across Africa. Height and weight dependent anthropometric measures were used to assess nutritional well-being. Literacy (illiteracy) rates were the measures of educational…
... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HEALTH AND HUMAN SERVICES Office of the Secretary National Foundation on Fitness, Sports, and Nutrition... Foundation on Fitness, Sports, and Nutrition Establishment Act, Public Law 111-332 (Dec. 22, 2010)....
Kim, Min-Gyou; Oh, Seung-Won; Han, Na-Rae; Song, Dong-Ju; Um, Jae-Yean; Bae, Su-Hyun; Kwon, Hyuktae; Lee, Cheol-Min; Joh, Hee-Kyung; Hong, Sung-woo
Background Nutrition labels provide various information on the nutrient contents of food. However, despite the recent increase in the interest in dietary intake and expansion of related policies, studies on the association between nutrition label reading and dietary intake are lacking in Korea. Methods This study analyzed the 2007-2009 KNHANES (Korean National Health and Nutrition Examination Survey) data. To examine macronutrients and micronutrients intake according to nutrition label readin...
George, K A; Kumar, N S; Lal, J J; Sreedevi, R
A study on the pattern of anemia and its relation to nutritional status and dietary habits was conducted among 3633 pre-school children of 108 selected anganwadi centers in rural areas of Kerala State during the period 1996 to 1998. Children were invited with their parent or guardian. Capillary blood was collected from each child and hemoglobin was estimated by cyanomethemoglobin method. Weight and height of children were taken for assessing their nutritional status. The information regarding their age, sex, clinical condition and dietary habits was collected in a performa through an interview. Chi-square test was used to assess the relationship of anemia to sex, dietary habits, and nutritional status. For multivariate analysis logistic regression model was employed. The prevalence of anemia was 11.4%. The percentage of anemic children among male and female children was 10.25 and 12.55 respectively and statistical analysis showed that female children were more susceptible to anemia. Normal nutritional status was seen among 46.7% of the children. When 187 (11.78%) of the mild undernourished children were anemic, the percentage anemic among the moderate undernourished children was 57 (16.37%). Moderate under nutrition and anemia showed a significant association. Anemia was reported among both vegetarians and non-vegetarians. Among 927 vegetarians, 86 (9.27%) were anemic and among 2,706 non-vegetarians, 328 (12.1%) were anemic. Dietary survey revealed that, consumption of iron sources, whether haem or non-haem, was below the recommended level. Undernutrition can be attributed as the major reason for nutritional anemia. Changes in eating behaviour could have potentially affected the iron bio-availability.
Mickelsen, Olaf; And Others
Concern over the nutritional status of the disadvantaged in America led to this study describing the prevalence of anemia among Head Start children in Pontiac, Michigan. Hemoglobin and hematocrit determinations, along with measurements of height and weight, were performed on 77 children, 4 to 6 years old, enrolled in Head Start classes. These…
Smith, Jack L.
Three purposes guided compilation of this final report on the nutritional status of New Orleans, Mississippi, and Alabama Head Start children: (1) to evaluate the causes of anemia through detailed studies of urban New Orleans preschool children and their mothers, (2) to study the effect of dietary supplementation of school feeding programs upon…
Kafka, Tamar; Economos, Christina; Folta, Sara; Sacheck, Jennifer
Objective: To explore children's motivations for and perceived benefits and barriers to nutrition research participation. To explore children's perspectives on how to improve the research experience. Design: Seven focus group sessions were conducted during March 2008 with research participants from a trial that examined the effects of pre-exercise…
Botrán, Marta; López-Herce, Jesús; Mencía, Santiago; Urbano, Javier; Solana, Maria José; García, Ana; Carrillo, Angel
The objective of the present study was to investigate the relationship between energy expenditure (EE), biochemical and anthropometric nutritional status and severity scales in critically ill children. We performed a prospective observational study in forty-six critically ill children. The following variables were recorded before starting nutrition: age, sex, diagnosis, weight, height, risk of mortality according to the Paediatric Risk Score of Mortality (PRISM), the Revised Paediatric Index of Mortality (PIM2) and the Paediatric Logistic Organ Dysfunction (PELOD) scales, laboratory parameters (albumin, total proteins, prealbumin, transferrin, retinol-binding protein, cholesterol and TAG, and nitrogen balance) and EE measured by indirect calorimetry. The results showed that there was no relationship between EE and clinical severity evaluated using the PRISM, PIM2 and PELOD scales or with the anthropometric nutritional status or biochemical alterations. Finally, it was concluded that neither nutritional status nor clinical severity is related to EE. Therefore, EE must be measured individually in each critically ill child using indirect calorimetry.
N C Ashok
Full Text Available Background: School health has been acknowledged as important since the beginning of 20 th century. Nutritional status is a major component of school health services. This study was undertaken to assess the nutritional status of government and private primary school children of Mysore city. Materials and Methods: Cross-sectional study design was adopted. One private and one government school were selected using multistage stratified random sampling method. A total of 1566 school children aged 6-12 years were measured for height and weight. Data on demographic details, dietary habits, and physical activity of child and education status, occupation, monthly income of their parents were collected. Results: Of 1566 children, 385 (24.5% were underweight, 132 (8.4% were overweight, and 65 (4.1% were obese. Majority of underweight children 226 (32.5% were found in government school. Except for two overweight children in government school, all overweight and obese children were found in private schools. Socioeconomic status, dietary habits, and physical activity of the child were found to be the determinants of their nutritional status. Conclusion: This study attempt to highlight the dual nutritional problem, under-nutrition among the lower socioeconomic class on one hand and growing epidemic of obesity among the affluent on the other.
Ong Ken K
Full Text Available Abstract Background Improving nutrition knowledge among children may help them to make healthier food choices. The aim of this study was to assess the effectiveness and acceptability of a novel educational intervention to increase nutrition knowledge among primary school children. Methods We developed a card game 'Top Grub' and a 'healthy eating' curriculum for use in primary schools. Thirty-eight state primary schools comprising 2519 children in years 5 and 6 (aged 9-11 years were recruited in a pragmatic cluster randomised controlled trial. The main outcome measures were change in nutrition knowledge scores, attitudes to healthy eating and acceptability of the intervention by children and teachers. Results Twelve intervention and 13 control schools (comprising 1133 children completed the trial. The main reason for non-completion was time pressure of the school curriculum. Mean total nutrition knowledge score increased by 1.1 in intervention (baseline to follow-up: 28.3 to 29.2 and 0.3 in control schools (27.3 to 27.6. Total nutrition knowledge score at follow-up, adjusted for baseline score, deprivation, and school size, was higher in intervention than in control schools (mean difference = 1.1; 95% CI: 0.05 to 2.16; p = 0.042. At follow-up, more children in the intervention schools said they 'are currently eating a healthy diet' (39.6% or 'would try to eat a healthy diet' (35.7% than in control schools (34.4% and 31.7% respectively; chi-square test p Conclusions The 'Top Grub' card game facilitated the enjoyable delivery of nutrition education in a sample of UK primary school age children. Further studies should determine whether improvements in nutrition knowledge are sustained and lead to changes in dietary behaviour.
Jayatissa, Renuka; Wickramage, Kolitha
Despite an increasing trend in labour migration and economic dependence on foreign migrant workers in Sri Lanka, very little is known about the child care and nutritional status of "children left behind". The aim of this study was to examine the factors influencing the nutritional status and care practices of children left behind. A sample of 321 children, 6-59 months old of international migrant workers from a cross-sectional nationally represented study were included. Care practices were assessed using ten caregiving behaviours on personal hygiene, feeding, and use of health services. Results revealed the prevalence of stunting, wasting and underweight to be 11.6, 18.2 and 24.0 percent, respectively. Father being a migrant worker has a positive effect on childcare practices and birthweight of the child. This study indicates that undernutrition remains a major concern, particularly in the poorest households where the mother is a migrant worker, also each additional 100 g increase in the birthweight of a child in a migrant household, decreases the probability of being wasted, stunted and underweight by 6%, 8% and 23% respectively. In depth study is needed to understand how labour migration affects household level outcomes related to child nutrition and childcare in order to build skills and capacities of migrant families.
Full Text Available Despite an increasing trend in labour migration and economic dependence on foreign migrant workers in Sri Lanka, very little is known about the child care and nutritional status of “children left behind”. The aim of this study was to examine the factors influencing the nutritional status and care practices of children left behind. A sample of 321 children, 6–59 months old of international migrant workers from a cross-sectional nationally represented study were included. Care practices were assessed using ten caregiving behaviours on personal hygiene, feeding, and use of health services. Results revealed the prevalence of stunting, wasting and underweight to be 11.6, 18.2 and 24.0 percent, respectively. Father being a migrant worker has a positive effect on childcare practices and birthweight of the child. This study indicates that undernutrition remains a major concern, particularly in the poorest households where the mother is a migrant worker, also each additional 100 g increase in the birthweight of a child in a migrant household, decreases the probability of being wasted, stunted and underweight by 6%, 8% and 23% respectively. In depth study is needed to understand how labour migration affects household level outcomes related to child nutrition and childcare in order to build skills and capacities of migrant families.
Jayatissa, Renuka; Wickramage, Kolitha
Despite an increasing trend in labour migration and economic dependence on foreign migrant workers in Sri Lanka, very little is known about the child care and nutritional status of "children left behind". The aim of this study was to examine the factors influencing the nutritional status and care practices of children left behind. A sample of 321 children, 6-59 months old of international migrant workers from a cross-sectional nationally represented study were included. Care practices were assessed using ten caregiving behaviours on personal hygiene, feeding, and use of health services. Results revealed the prevalence of stunting, wasting and underweight to be 11.6, 18.2 and 24.0 percent, respectively. Father being a migrant worker has a positive effect on childcare practices and birthweight of the child. This study indicates that undernutrition remains a major concern, particularly in the poorest households where the mother is a migrant worker, also each additional 100 g increase in the birthweight of a child in a migrant household, decreases the probability of being wasted, stunted and underweight by 6%, 8% and 23% respectively. In depth study is needed to understand how labour migration affects household level outcomes related to child nutrition and childcare in order to build skills and capacities of migrant families. PMID:26891313
Rosi, Alice; Brighenti, Furio; Finistrella, Viviana; Ingrosso, Lisa; Monti, Giorgia; Vanelli, Maurizio; Vitale, Marco; Volta, Elio; Scazzina, Francesca
To improve nutritional knowledge of children, single-group educational interventions with pre/post knowledge assessment were performed in primary schools in Parma, Italy, participating to the Giocampus Program. A total of 8165 children (8-11 years old) of 3rd, 4th and 5th grades of primary school were involved in 3 hours per class nutritional lessons, with specifically designed games and activities for each school grade. To evaluate children learning, a questionnaire was administered before and after three months of educational intervention. A total of 16330 questionnaires were analysed. Children nutritional knowledge significantly increased (pnutritional knowledge. A stable integration of this method in primary school settings could prepare a new generation of citizens, better educated on health-promotion lifestyles.
Dagnelie, P C; Van Staveren, W A; Hautvast, J G
This article, which is the second in a series of two articles, discusses available scientific information on the nutritional status of infants and preschool children on alternative diets with regard to calcium, iron, vitamin B12 and D. Some favourable aspects of alternative food habits in such children are also mentioned. Most studies report low intakes of vitamin D and in vegan and macrobiotic children also of calcium and vitamin B12, but it cannot be excluded that some alternative sources of these nutrient may have been missed. Deficiencies have been described for vitamin D and B12 but the evidence is often unconvincing. For example, exposure to sunlight has not been measured in most of the studies on rickets. From the literature available, it would appear that there is a need for longitudinal research on the growth and development of alternatively fed infants and preschool children and for information on the nutrient composition of alternative foods.
Burke, Louise M; Meyer, Nanna L; Pearce, Jeni
Preparing a national team for success at major sporting competitions such as the Olympic Games has become a systematic and multi-faceted activity. Sports nutrition contributes to this success via strategic nutritional interventions that optimize the outcomes from both the training process and the competitive event. This review summarizes the National Nutrition Programs involved with the 2012 London Olympic Games preparation of the Australian, British and American sports systems from the viewpoints of three key agencies: the Australian Institute of Sport, the English Institute of Sport and the United States Olympic Committee. Aspects include development of a nutrition network involving appropriately qualified sports dietitians/nutritionists within a multi-disciplinary team, recognition of continual updates in sports nutrition knowledge, and a systematic approach to service delivery, education and research within the athlete's daily training environment. Issues of clinical nutrition support must often be integrated into the performance nutrition matrix. Food service plays an important role in the achievement of nutrition goals during the Olympic Games, both through the efforts of the Athlete Dining Hall and catering activities of the host Olympic Games Organizing Committees as well as adjunct facilities often provided by National Olympic Committees for their own athletes. PMID:23899758
Burke, Louise M; Meyer, Nanna L; Pearce, Jeni
Preparing a national team for success at major sporting competitions such as the Olympic Games has become a systematic and multi-faceted activity. Sports nutrition contributes to this success via strategic nutritional interventions that optimize the outcomes from both the training process and the competitive event. This review summarizes the National Nutrition Programs involved with the 2012 London Olympic Games preparation of the Australian, British and American sports systems from the viewpoints of three key agencies: the Australian Institute of Sport, the English Institute of Sport and the United States Olympic Committee. Aspects include development of a nutrition network involving appropriately qualified sports dietitians/nutritionists within a multi-disciplinary team, recognition of continual updates in sports nutrition knowledge, and a systematic approach to service delivery, education and research within the athlete's daily training environment. Issues of clinical nutrition support must often be integrated into the performance nutrition matrix. Food service plays an important role in the achievement of nutrition goals during the Olympic Games, both through the efforts of the Athlete Dining Hall and catering activities of the host Olympic Games Organizing Committees as well as adjunct facilities often provided by National Olympic Committees for their own athletes.
Estado nutricional de niños con Síndrome Down del Centro Nacional de Educación Especial de Costa Rica Nutritional status of children with Down syndrome from the National Center for Special Education in Costa Rica
Alejandra Madrigal Loría
Full Text Available Objetivo: Evaluar el estado nutricional de niños con Síndrome Down de 7 a 14 años, que asistieron al Centro Nacional de Educación Especial, durante el 2007. Métodos: Se valoraron indicadores antropométricos (peso, talla, pliegues cutáneos, bioquímicos (glicemia basal, perfil de lípidos, hemoglobina, hematocrito y función tiroidea, clínicos (revisión de expedientes, examen físico realizado por médico del Centro, dietéticos (frecuencia de consumo de alimentos, observación no participante de meriendas y almuerzos y peso directo para determinación del valor nutricional del almuerzo servido en el Centro, de estilo de vida y socioeconómicos (método de entrevista semiestructurada. Resultados: Se logró captar 16 niños, la mitad de los cuales presentó exceso de peso, bajo consumo de vegetales y un elevado consumo de harinas refinadas y alimentos fuente de carbohidratos simples (bebidas azucaradas y postres, grasa saturada y colesterol (embutidos, frituras. Llama la atención que 12/15 sujetos presentó hipertrigliceridemia y 11/15 valores bajos de HDL-colesterol. Además se reportó un bajo nivel de actividad física. Conclusión: Esta investigación es un primer acercamiento desde el punto de vista nutricional, a la niñez costarricense con Síndrome Down, sin embargo se necesita profundizar para generar lineamientos de atención nutricional que mejoren la calidad de vida de estos niños.Objective: To evaluate the condition of children suffering from Down syndrome with ages between seven and 14, who went to "National Center for Special Education" during 2007. Methods: Several processes were evaluated; for example: anthropometric indicators (weight, height, cutaneous skinfolds, biochemical (basal blood glucose, lipids profile, hemoglobin, hematocrit, thyroidal function, clinical (revision of medical records and physical exams performed in the medical center. Also eating habits, life style and socioeconomic aspects were taken into
Diaconu Ramona; Bozomitu Laura; Anton Emil; Popovici Paula; Anton Carmen; Timofte Daniel; Alin Ciobica; Moraru Evelina
Cystic fibrosis is a polymorphic disease characterized by severe genetic dysfunctions. Besides the complex genetic background, most patients with cystic fibrosis also have increased susceptibility to infections and and their nutritional status is affected. Chronic pulmonary infection and gastrointestinal or nutritional abnormalities are characteristics of this disorder. Of our selected 56 subjects, 21.28% presented a pulmonary condition, and 28.57% digestiv...
Vereecken, Carine; Maes, Lea
The study investigates the dietary habits of Flemish preschoolers and associations of these habits with both sociodemographic characteristics and the mother's nutritional knowledge and attitudes. A sample of 862 parents of preschoolers from 56 schools completed a questionnaire including sociodemographic characteristics, a food-frequency questionnaire to assess children's dietary intake, and a nutritional knowledge-and-attitude questionnaire. Regression analysis showed a lower dietary adequacy in children of mothers with low and medium level of education, medium-ranked occupation, and lower levels of both nutritional knowledge and food-related health attitude. The highest excess score (representing items that should be avoided or moderated) was found in children of mothers with low education level, without a job, with three or more children, of age less than 30 years, and possessing lower levels of nutritional knowledge and attitude scores for health and taste. The associations of the dietary adequacy and excess scores with sociodemographic background can help practitioners to develop better-tailored nutrition interventions. The associations with the mothers' nutritional knowledge and attitudes support the inclusion of knowledge and attitudes in dietary interventions. PMID:19751782
Full Text Available Background : Growing up milks (GUM are milk-based drinks with added vitamins and minerals intended for children aged 12–36 months. Few data are available on the consumption of GUM and their role in the diets of young children. Objective : To determine the nutritional adequacy of two groups of 12–24-month-old Irish children by type of milk consumption (consumers or non-consumers of GUM. Design : Using data from a cross-sectional study of Irish children, the National Pre-School Nutrition Survey (2010–2011, two groups of children were defined. The groups included children aged 12–24 months with an average daily total milk intake of at least 300 g and consuming GUM (≥100 g/day together with cow's milk (n=29 or cow's milk only (n=56. Results : While average total daily energy intakes were similar in both consumers and non-consumers of GUM, intakes of protein, saturated fat, and vitamin B12 were lower and intakes of carbohydrate, dietary fibre, iron, zinc, vitamins C and D were higher in consumers of GUM. These differences in nutrient intakes are largely attributable to the differences in composition between GUM and cow's milk. For both consumers and non-consumers of GUM, intakes of carbohydrate and fat were generally in line with recommendations while intakes of protein, dietary fibre and most micronutrients were adequate. For children consuming cow's milk only, high proportions had inadequate intakes of iron and vitamin D; however, these proportions were much lower in consumers of GUM. Conclusions : Consumption of GUM reduced the risk of inadequacies of iron and vitamin D, two nutrients frequently lacking in the diets of young children consuming unfortified cow's milk only.
Nutritional causes of anemia in Mexican children under 5 years: results from the 2006 National Health and Nutrition Survey Causas nutricionales de anemia en niños menores de 5 años: resultados de la Encuesta Nacional de Salud y Nutrición 2006
Vanessa De la Cruz-Góngora
Full Text Available OBJECTIVE: To describe the frequency and severity of anemia and the nutritional variables associated to hemoglobin levels (Hb in children OBJETIVO: Describir las causas y severidad de la anemia y los factores nutricionales asociados con hemoglobina en niños anémicos <5 años. MATERIAL Y MÉTODOS: Estudiamos los niveles de hemoglobina y las concentraciones séricas de ferritina, receptores solubles de transferrina, proteína C reactiva (CRP, zinc, hierro, cobre, magnesio, vitamina B12 y folato en 981 niños. Se utilizaron modelos de regresión ordinal y regresiones lineales múltiples para evaluar el riesgo de severidad de anemia y la variabilidad en hemoglobina. RESULTADOS: La prevalencia de anemia fue de 20.6%; el 14 y 6.38% tenían anemia leve y moderada. La anemia se asoció con deficiencia de hierro (DH en 42.17%; la DH coexistió con deficiencia de folatos y vitamina B12 en 9%. Sólo 2% de la anemia se asoció con deficiencia de folatos o vitamina B12. CRP (coef: 0.17 g/dl y el tercer tercil de cobre (coef: -0.85 g/dl se asociaron con anemia sin explicar (p<0.05. CONCLUSIONES: DH es la principal causa de anemia en niños <5 años. Las concentraciones de folato y vitamina B12 se asociaron con anemia. La CRP se asoció con anemia sin explicar. Sin embargo, la deficiencia de vitamina A, que se asocia con anemia, no fue estudiada.
House, Simon H
before conception prevents both structural faults and wrong setting of gene-switches. Children's habits set. Once courting most are preoccupied and many pregnant unintentionally. Childhood is the time to be adopting a healthy lifestyle, the way to healthy babies The mother's nutritional and emotional status throughout pregnancy continues to affect her child's future physical and mental health, behaviour and ability. Before conception a woman needs to build her appropriate body stores - vitamins and minerals, proteins, docosahexaenoic acid. Before bearing another child, a replenishment time of 3 years is desirable. A return to childbearing in the 20s and early 30s could reduce risks that have risen with the recent shift towards conception by school children and by women in their late 30s or more. Governments, schoolteachers, health professionals, need to adopt this policy of transgenerational health. Empowerment with knowledge is the one way to fend off the growing pandemic of mental ill health and related disorders and to make the most of a nation's genetic potential. Financially there could be no better investment, let alone in enhancing people's lives. Childhood is the most appropriate time for education in this way to generating a healthy, able and peaceful human race. Essential to our amazing genetic systems are the resources of land, sea and air. We are one with our biosphere. We need urgently to follow up the vital work of Developmental Origins of Health and Disease, and of Far East initiatives in sea-bed and sea husbandry. PMID:25005446
Full Text Available OBJECTIVE: this systematic review aims to explore and describe the studies that have as a primary outcome the identification of mothers' perception of the nutritional status of their children. SOURCES: the PubMed, Embase, LILACS, and SciELO databases were researched, regardless of language or publication date. The terms used for the search, with its variants, were: Nutritional Status, Perception, Mother, Maternal, Parents, Parental. SUMMARY OF THE FINDINGS: after screening of 167 articles, 41 were selected for full text reading, of which 17 were included in the review and involved the evaluation of the perception of mothers on the nutritional status of 57,700 children and adolescents. The methodological quality of the studies ranged from low to excellent. The proportion of mothers who inadequately perceived the nutritional status of their children was high, and was the most common underestimation for children with overweight or obesity. CONCLUSION: despite the increasing prevalence of obesity in pediatric age, mothers have difficulty in properly perceiving the nutritional status of their children, which may compromise referral to treatment programs.
Hirschfeld, Steven; Songco, David; Kramer, Barnett S; Guttmacher, Alan E
The National Children's Study will examine the effects of the environment and genetics on the growth, development, and health of children across the United States; it will follow participants from before birth until age 21 years. The goal of the study is to improve the health and well-being of children and contribute to understanding the roles various factors play in health and disease. Findings from the study will be made available as the research progresses, making potential benefits known to the public as soon as possible. A robust pilot study, or Vanguard Study, is underway to generate data for designing the subsequent Main Study. The goals of the Vanguard Study are feasibility, acceptability, and cost, and the goals of the Main Study will be exposure-response relationships and biological, environmental, and genetic interactions. The initial Vanguard Study experience among 7 study centers was successful in many ways, including delineating the topics to explore for the next phase of the Vanguard Study. Three different recruitment strategies are under evaluation to determine what approach to use for the Main Study. The organization of National Children's Study operations is currently based on a new decentralized business model. PMID:21259268
Full Text Available AIM: This study was conducted for determining the eating habits and food knowledge and rate of recognizing brand logos currently featured in promotional campaigns of the food industry of the school children. And to explore the relationship between the ability of recognizing brand logos currently featured in promotional campaigns of the food industry and eating habits, food knowledge and preferences. METHOD: This cross-sectional study was conducted in 15 primary schools in the provincial center of Edirne. The questionnaire form was composed of three parts. In the first part; the socio-demographic characteristics and nutritional habits, in the second part; food knowledge and preferences of the students and in the third part; ability to recognize brand logos were questioned. RESULTS: 1018 students were participated in the study. The results of the study confirmed the findings of previous studies that the diet of children aged 9-11 was poor. The majority of the children reported eating unhealthy foods such cips, crisps and fast-food and drinking fizzy drinks at least once a day. Children knew healthy foods (med:8 but did not prefer healthy foods (med:5. 84.9 % of the students recognized more than the half of the brand logos. A correlation was found between higher brand logo recognition and poorer eating behaviors and food knowledge. CONCLUSION: Nonetheless this study did not presented strong evidence to suggest a casual link between food advertising and poor diet; it indicated that food promotion may have an influence on children. [TAF Prev Med Bull 2009; 8(6.000: 459-464
Abosede, Olayinka; McGuire, Judith S.
The main sources of malnutrition in Africa, as elsewhere, are inadequate food intake, excessive disease, maternal malnutrition, and deleterious food and health behavior. The authors review several successful innovative approaches to addressing nutrition problems in Africa: the Iringa Nutrition Program in Tanzania, the Zimbabwe Children's Supplementary Feeding Program, the Zaire Weaning Foods Processing Program, and the Senegal Growth Promotion Program. They identify the lessons from these pro...
Polloni, Laura; Toniolo, Alice; Lazzarotto, Francesca; Baldi, Ileana; Foltran, Francesca; Gregori, Dario; Muraro, Antonella
Background Avoidance of food allergens requires adapting dietetic habits, changing nutritional approach. A restriction of food choice can result in a monotonous diet and impact social life. This study investigated the impact of food allergy on nutritional behavior and attitudes of patients and their families. Methods A survey involving mothers of food allergic children aged 0–16 years was carried out. We primarily studied the variables related to the child (age, gender, clinical history, food...
Efeito dos vieses de sobrevivência nas prevalências da desnutrição em crianças no sexto ano de vida. Brasil PNSN, 1989 Effects of survival bias on the prevalence of malnutrition in six-year-old children in Brazil, based on the National Survey on Health and Nutrition, 1989
Odete de Oliveira
Full Text Available O crescimento da criança mensurado por indicadores antropométricos é um instrumento importante na avaliação da condição nutricional das crianças e do estágio de desenvolvimento de uma sociedade. Este estudo usa o indicador estatura para idade, com ponto de corte em -2 Z para estimar a prevalência da desnutrição entre uma população em crianças com seis anos de idade incluída na Pesquisa Nacional de Saúde e Nutrição (PNSN. Baseando-se em estimativas relacionadas às taxas de mortalidade das crianças com menos de cinco anos cujas mortes poderiam ser atribuídas à desnutrição, a correção do viés de sobrevivência é feita usando a metodologia de Boerma. Esta correção torna-se mais evidenciada na população de baixa renda e menos desenvolvida. Comparando as áreas de menor e maior desenvolvimento no País (Nordeste e Sudeste respectivamente, observou-se que as taxas de prevalência da desnutrição no grupo das crianças de seis anos de idade não demonstram quaisquer alterações na região Sudeste, ao passo que na região Nordeste estas taxas sofrem um aumento de 26% para 34%, representando desta forma um aumento de 31% na taxa de desnutrição. Em números absolutos, esta taxa corresponde à adição de 90.100 crianças ao grupo de desnutridos.Child growth as measured by anthropometric indicators is an important tool for assessing children's nutritional status and society's developmental stage. This study uses the height-for-age indicator with the cutoff point at -2 Z to estimate prevalence of malnutrition in a population of six-year-old children included in the Brazilian National Survey on Health and Nutrition (PNSN. Prevalence variability was analyzed according to gender, trimestral age range, per capita family income, and region of residence. Based on estimates of mortality rates for children under five whose deaths could be ascribed to malnutrition, the survival bias correction was performed using the Boerma
Williams, R; George, E O; Wang, W
Children with sickle cell disease have decreased height and weight when compared with their peers. Although exact reasons for poor growth have not been established, increased calorie and protein needs and deficiencies in zinc, folic acid, and vitamins A, C, and E may be factors. To determine whether inadequate nutrient intake contributes to this poor growth, we conducted a survey of the nutrition knowledge and practices of families affected by sickle cell disease. Sixty-one patients with a median age of 8 years (range, 13 months to 17 years) participated in the study. Patients with homozygous S hemoglobin (sickle cell) disease (Hb SS, n = 34) and sickle beta zero thalassemia (Hb S beta zero-thalassemia, n = 2) were combined; 19% were below the fifth percentile for height. The other patients, with sickle hemoglobin C disease (Hb SC, n = 21) and sickle beta plus thalassemia (Hb beta(+)-thalassemia, n = 4), were grouped, and 4% were below the fifth percentile for height (P = .043). Ninety percent of the study patients or their parents were familiar with the food groups indicated on the US Department of Agriculture's Food Guide Pyramid, but most patients failed to consume appropriate amounts from those groups. Although two thirds of the patients ate the recommended number of servings daily from the meat group, only 20% to 31% of the recommended servings from each of the other food groups was consumed. This was possibly related to low socioeconomic status. The patients in the Hb SS group ate significantly less from the bread (P group. Fifty-nine percent of families had incomes below the poverty level, and 79% participated in a food assistance program. We conclude that the nutrient intake of patients with sickle cell disease is often inadequate. Education for patients with sickle cell disease should focus on (1) specific nutrient needs, with proper distribution of dietary intake among the food groups, (2) ways to provide nutritious meals on a limited income, and (3
Diongue, M; Ndiaye, P; Yameogo, I; Faye, B F; Dia, A Tal; Diousse, P
Malnutrition is an important indicator of development, and its consequences in children and adolescents produce a serious socioeconomic burden. Children living on the street are more vulnerable than others. Thus, our objective was to analyze the nutritional status of children living on the streets of Manga, through a cross-sectional and analytical study. The snowball technique was used for sampling. Data came from individual interviews, blood samples and medical examinations. Of the 237 children studied, 84.8% were boys; the overall mean age was 11.5 years, and 72.6% were adolescents (aged 10 to 17 years). Growth retardation (15.9%) predominated among the children aged 4 to 9 years, while a weight deficit (27.9%) was most common among those aged 10 to 17. Half of the children (50.2%) with blood tests (N = 119) had anemia. There was a link between anemia and underweight (p = 0.0145). Children who ate at least three times a day were 2.63 times less likely to be anemic (p<0.001). Factors associated with anemia (p<0.005) included survival activities. We frequently found nutritional deficits and anemia in these children. A targeted nutritional program would be a good entry point for their successful reintegration.. PMID:25466289
Diongue, M; Ndiaye, P; Yameogo, I; Faye, B F; Dia, A Tal; Diousse, P
Malnutrition is an important indicator of development, and its consequences in children and adolescents produce a serious socioeconomic burden. Children living on the street are more vulnerable than others. Thus, our objective was to analyze the nutritional status of children living on the streets of Manga, through a cross-sectional and analytical study. The snowball technique was used for sampling. Data came from individual interviews, blood samples and medical examinations. Of the 237 children studied, 84.8% were boys; the overall mean age was 11.5 years, and 72.6% were adolescents (aged 10 to 17 years). Growth retardation (15.9%) predominated among the children aged 4 to 9 years, while a weight deficit (27.9%) was most common among those aged 10 to 17. Half of the children (50.2%) with blood tests (N = 119) had anemia. There was a link between anemia and underweight (p = 0.0145). Children who ate at least three times a day were 2.63 times less likely to be anemic (p<0.001). Factors associated with anemia (p<0.005) included survival activities. We frequently found nutritional deficits and anemia in these children. A targeted nutritional program would be a good entry point for their successful reintegration..
The National Health and Nutrition Examination Survey (NHANES) is the cornerstone for national nutrition monitoring to inform nutrition and health policy. Nutritional assessment in NHANES is described with a focus on dietary data collection, analysis, and uses in nutrition monitoring. NHANES has be...
Background: Malnutrition is one of the major causes of morbidity and mortality in children. It is important to realize that normal length and weight being attained at 1 year of age, would predict the nutritional status at 3 years of age. To asses the nutritional status and the associated socio-demographic characteristics in supposedly healthy Children of up to 2 years of age and highlight the importance of anthropometric measurements in routine child health care. Anthropometric measurements i.e. height and weight, were measured and a standard Questionnaire was used to interview the mothers regarding socio-demographic back ground information after a verbal informed consent and ensuring confidentiality. Height for age, weight for age and weight for height of the children were compared with the National Centre of Health Statistics (NCHS) reference population of the United States and Z -score< - 2 SD were considered as stunted, under weight and wasted respectively. Data was analyzed using SPSS software package. We observed stunting in 22%, wasting in 15% and under weight in 31.6% children. Majority of children with low weight were between 19 - 24 months of age Regarding socio-economic status of the households, 53.8% had family income less than Rs. 6000 month and almost 50% had a family size of 6-10 persons. Parents' education to the level of illiteracy (father, 27% and mother, 4 0%) and incomplete immunization ( 20%) were other associated factors for stunting, wasting and under weight. About 32% of children up to 2 years of age in the selected population were under weight, followed by stunning (22%). Policy Message: Anthropometric measurement of children is useful in routine child care settings as it will facilitate early identification and timely interventions for emerging health problems. (author)
Full Text Available Background Soil-transmitted helminth (STH infections remain a public health problem in developing countries. Their prevalence is particularly high in rural areas with people of low socioeconomic level. A single or mixed STH infection rarely causes death, but can affect nutritional status, growth, cognitive development and human health, especially in children. Objective To compare the nutritional status of STH-infected and uninfected children. Methods This cross-sectional study was conducted in June 2010 in children from 3 primary schools in the Simpang Empat and Kabanjahe Subdistricts, Karo District, North Sumatera Province. Fecal examinations were done by the Kato-Katz method to diagnose STH infections. Participants of this study consisted of 140 infected children and 141 uninfected children. Nutritional status classification was based on the 2000 Centers for Disease Control growth charts. All categorical data were analyzed by Chi-square test. Results Of 140 infected children, 8.6% were infected with Ascaris lumbricoides, 17.1% with Trichuris trichiura and 74.3% with mixed infections (Ascaris lumbricoides and Trichuris trichiura. We found significantly more STH infected children with mild to moderate malnutrition than the uninfected group. We also found significantly more mildly to moderately malnourished children with moderate infection intensity than mild infection intensity. Conclusion We find significantly more STH infected children with mild to moderate malnutrition than the uninfected group. We also find significantly more mildly to moderately malnourished children with moderate infection intensity than mild infection intensity. Higher severity of infection is associated with lower nutritional status. [Paediatr Indones. 2015;55:136-41.].
Håkonsen, Sasja Jul; Madsen, Inge; Bjerrum, Merete;
which indirectly affect intake and needs and 5 Stress factors. The five main categories are intended to help clinical staff make a complete nursing assessment of patients’ nutritional status in order to guide nurses to make a relevant and complete nursing documentation.......In Denmark the national guidelines for nursing documentation outlines twelve areas in which nurses have to systematically document daily care. Nutrition is one of these areas. However, the guidelines are frameworks that do not specify exactly what data nurses have to collect and which areas nurses...... need to document about nutrition in order to make a nursing specific documentation. This present study set out to identify a Nursing Minimum Data set for nutrition in a clinical setting. As data was used validated and available tools to screen or assess patients’ nutritional risk. A systematic...
This thesis involves an evaluation of the nutrition planning attempts made in the small central African country of Malawi from 1936 to 1990. The fulfillment of four prerequisites necessary for development planning to be successful was evaluated at different points in time. These prerequisites includ
Lingas, Elena O.; Bukofzer, Eliana
We assessed the nutritional quality of branded food and beverage products advertised on 28 Web sites popular with children. Of the 77 advertised products for which nutritional information was available, 49 met Institute of Medicine criteria for foods to avoid, 23 met criteria for foods to neither avoid nor encourage, and 5 met criteria for foods to encourage. There is a need for further research on the nature and extent of food and beverage advertising online to aid policymakers as they assess the impact of this marketing on children. PMID:19443816
Edwards, Cassandra S.; Hermann, Janice R.
Many nutrition education campaigns targeting children in the United States focus on increasing fruit and vegetable consumption, but most don't specifically promote legumes. The project described here sought to pilot the effect of an Extension nutrition education program on first grade children's willingness to try foods containing legumes. A…
Alkon, A; Crowley, AA; Neelon, SE; Hill, S.; Pan, Y.; Nguyen, V.; Rose, R.; Savage, E; Forestieri, N; Shipman, L; Kotch, JB
BACKGROUND: To address the public health crisis of overweight and obese preschool-age children, the Nutrition And Physical Activity Self Assessment for Child Care (NAP SACC) intervention was delivered by nurse child care health consultants with the objective of improving child care provider and parent nutrition and physical activity knowledge, center-level nutrition and physical activity policies and practices, and children's body mass index (BMI). METHODS: A seven-month randomized control tr...
Zhou, Chengchao; Sylvia, Sean; Zhang, Linxiu; Luo, Renfu; Yi, Hongmei; Liu, Chengfang; Shi, Yaojiang; Loyalka, Prashant; Chu, James; Medina, Alexis; Rozelle, Scott
China's rapid development and urbanization have induced large numbers of rural residents to migrate from their homes to urban areas in search of better job opportunities. Parents typically leave their children behind with a caregiver, creating a new, potentially vulnerable subpopulation of left-behind children in rural areas. A growing number of policies and nongovernmental organization efforts target these children. The primary objective of this study was to examine whether left-behind children are really the most vulnerable and in need of special programs. Pulling data from a comprehensive data set covering 141,000 children in ten provinces (from twenty-seven surveys conducted between 2009 and 2013), we analyzed nine indicators of health, nutrition, and education. We found that for all nine indicators, left-behind children performed as well as or better than children living with both parents. However, both groups of children performed poorly on most of these indicators. Based on these findings, we recommend that special programs designed to improve health, nutrition, and education among left-behind children be expanded to cover all children in rural China. PMID:26526256
Nutritional management and follow up of infants and children with food allergy: Italian Society of Pediatric Nutrition/Italian Society of Pediatric Allergy and Immunology Task Force Position Statement
Giovannini, M.; E. D'Auria; Caffarelli, C.; Verduci, E; S. Barberi; L. Indinnimeo; I.D. Iacono; A. Martell; Riva, E.; Bernardini, R
Although the guidelines on the diagnosis and treatment of food allergy recognize the role of nutrition, there is few literature on the practical issues concerning the nutritional management of children with food allergies. This Consensus Position Statement focuses on the nutritional management and follow-up of infants and children with food allergy. It provides practical advices for the management of children on exclusion diet and it represents an evidence-based consensus on nutritional inter...
Carlos Jr, E A Coimbra
The current configuration of indigenous peoples' health in Brazil results from a complex historical trajectory, responsible for major delays for this population segment in the countrywide social advances seen in recent decades, particularly in the fields of health, education, housing, and sanitation. The main focus of this contribution is to review synthetically a selection of the main results of the First National Survey of Indigenous People's Health and Nutrition, conducted in the period 2008-2009, which visited 113 villages across the Brazil and interviewed 6,692 women and 6,128 children. Among the results, emphasis is given to the observed poor sanitation conditions in villages, high prevalence of chronic malnutrition, anemia, diarrhea, and acute respiratory infections in children, and the emergence of non-communicable chronic diseases in women. The scenario depicted by this survey requires urgent critical review of indigenous health policy in order to better meet the health needs of Brazil's indigenous population. PMID:24896060
Mushtaq Muhammad Umair
Full Text Available Abstract Background Child growth is internationally recognized as an important indicator of nutritional status and health in populations. This study was aimed to compare age- and gender-specific height, weight and BMI percentiles and nutritional status relative to the international growth references among Pakistani school-aged children. Methods A population-based study was conducted with a multistage cluster sample of 1860 children aged five to twelve years in Lahore, Pakistan. Smoothed height, weight and BMI percentile curves were obtained and comparison was made with the World Health Organization 2007 (WHO and United States' Centers for Disease Control and Prevention 2000 (USCDC references. Over- and under-nutrition were defined according to the WHO and USCDC references, and the International Obesity Task Force (IOTF cut-offs. Simple descriptive statistics were used and statistical significance was considered at P Results Height, weight and BMI percentiles increased with age among both boys and girls, and both had approximately the same height and a lower weight and BMI as compared to the WHO and USCDC references. Mean differences from zero for height-, weight- and BMI-for-age z score values relative to the WHO and USCDC references were significant (P Conclusion Pakistani school-aged children significantly differed from the WHO and USCDC references. However, z score means relative to the WHO reference were closer to zero and the present study as compared to the USCDC reference. Overweight and obesity were significantly higher while underweight and thinness/wasting were significantly lower relative to the WHO reference as compared to the USCDC reference and the IOTF cut-offs. New growth charts for Pakistani children based on a nationally representative sample should be developed. Nevertheless, shifting to use of the 2007 WHO child growth reference might have important implications for child health programs and primary care pediatric clinics.
Factors associated with overweight and obesity in Mexican school-age children: results from the National Nutrition Survey 1999 Factores asociados con sobrepeso y obesidad en niños mexicanos de edad escolar: resultados de la Encuesta Nacional de Nutrición, 1999
Full Text Available OBJECTIVE: The objective of the study was to measure the prevalence of overweight and obesity in Mexican school-age children (5-11 years in the National Nutrition Survey 1999 (NNS-1999. MATERIAL AND METHODS: Overweight and obesity (defined as an excess of adipose tissue in the body were evaluated through the Body Mass Index (BMI in 10,901 children, using the standard proposed by the International Obesity Task Force. Sociodemographic variables were obtained using a questionnaire administered to the children's mothers. RESULTS: The national prevalence of overweight and obesity was reported to be 19.5%. The highest prevalence figures were found in Mexico City (26.6% and the North region (25.6%. When adjusting by region, rural or urban area, sex, maternal schooling, socioeconomic status, indigenous ethnicity and age, the highest prevalences of overweight and obesity were found among girls. The risks of overweight and obesity were positively associated with maternal schooling, children's age and socioeconomic status. CONCLUSIONS: Overweight and obesity are prevalent health problems in Mexican school-age children, particularly among girls, and positively associated with socioeconomic status, age, and maternal schooling. This is a major public health problem requiring preventive interventions to avoid future health consequences.OBJETIVO: Documentar las prevalencias de sobrepeso y obesidad en niños mexicanos en edad escolar (5 a 11 años de edad obtenidas de la Encuesta Nacional de Nutrición en 1999 (ENN-1999. MATERIAL Y MÉTODOS: El sobrepeso y la obesidad (definida como un exceso de tejido adiposo en el organismo se evaluaron a través del Indice de Masa Corporal (IMC en 10 901 niños, tomando como patrón de referencia el propuesto por el International Obesity Task Force. Las variables sociodemográficas se obtuvieron a partir de un cuestionario aplicado a la madre del niño. RESULTADOS: La prevalencia nacional de sobrepeso y obesidad fue de 19
Sanders, T A; Purves, R
The nutritional status of 23 vegan children between one and five years was assessed using anthropometric and dietary criteria. All of the children had been breastfed for at least the first six months of life and in most cases well into the second year. The majority of the children were growing normally but they did tend to be smaller in stature and lighter in weight when compared with standards. Energy, calcium and vitamin D intakes were usually below those recommended. Their diets, however, were generally adequate but a few children had low intakes of riboflavin and vitamin B12. It is concluded that, provided sufficient care is taken, a vegan diet can meet the nutritional requirements of the preschool child.
... you would like to see a registered dietitian nutritionist for nutritional guidance when you have lung cancer. ... seek out the expertise of a registered dietitian nutritionist (RDN) who works with lung cancer patients. This ...
Almoosawi, S; Cole, D; Nicholson, S; Bayes, I; Teucher, B; Bates, B; Mindell, J; Tipping, S; Deverill, C; Stephen, A M
This study describes the distribution of glycosylated haemoglobin (HbA1c) and glucose concentrations in the combined year 1 (2008–2009), year 2 (2009–2010) and year 3 (2010–2011) of the National Diet and Nutrition Survey (NDNS) rolling programme. The NDNS rolling programme is a nationally representative survey of food consumption, nutrient intakes and nutritional status of people aged 1.5 years and over living in England, Wales, Scotland and Northern Ireland. The study population comprised survey members who completed three or four days of dietary recording and who provided a blood sample. After excluding survey members with self-reported diabetes (n=25), there were 1016 results for HbA1c and 942 for glucose (not the same individuals in each case). Around 5.4% of men and 1.7% of women aged 19–64 years, and 5.1% of men and 5.9% of women aged ≥65 years had impaired fasting glucose (glucose concentrations 6.1–6.9 mmol/L). Over 20% of men aged ≥65 years had fasting glucose concentrations above the clinical cut-off for diabetes (≥7 mmol/L) compared to 2.1% of women of similar age (p=0.007). Similarly, 16.4% of men had HbA1c concentrations ≥6.5%, compared to 1.5% of women (p=0.003). Children and teenagers had fasting glucose and HbA1c values largely within the normal range. To conclude, this is the first study to provide data on the distribution of HbA1c and glucose concentrations in a nationally representative sample of the British population. The high prevalence of men aged ≥65 years with HbA1c and glucose concentrations above the clinical cut-off of diabetes warrants further attention. PMID:24052516
Miguel Ángel Royo-Bordonada; María José Bosqued-Estefanía; Javier Damián; Lázaro López-Jurado; María Ángeles Moya-Geromini
Objective: To describe the use of nutrition and health claims in products directed at children via television in Spain and to analyse their nutrient profile. Methods: A cross-sectional study of television food advertisements over 7 days in five Spanish television channels popular among children. The products were classified as core, non-core or miscellaneous, and as either healthy or less healthy, according to the United Kingdom Nutrient Profile Model. We registered all claims contained on...
Sherin Billy Abraham
Full Text Available Background: Malnutrition and poor health among school children is the common cause of low school enrolment, high absenteeism, early dropout and poor classroom performance. This study was conducted to assess the various morbidities and nutritional status among school children. Methods: This descriptive study was conducted during year 2013 in a higher secondary school located in a coastal area of Puducherry. A total of 714 students were interviewed and examined. A pre-designed and pre-tested questionnaire was used to interview and examine all the participated students. Body weight and height were measured using standardized procedures. WHO criteria for classification of nutritional status was used. Visual acuity and colour vision was assessed using Snellen's chart and Ishihara's pseudo isochromatic chart respectively. Mean scores and proportions were calculated and chi-square test was applied. P value of <0.05 was considered as statistically significant. Results: Among 714 student, 369 (51.4% were males and 345 (48.6% were females. The mean age of children was 10.2 +/- 3.1 years. Among all age groups and both sexes, the observed BMI was lower as compared to the reference values. The prevalence of underweight among children of 5-9 years was (30.7% and (1.1% were severely underweight. The prevalence of stunting was 10.4%, including 0.1% of severely stunted children. A total of 30.7% children were thin (low BMI for age. Pallor (39.5%, myopia (34.9% and dental caries (14.7% were the common morbidities observed among children. The pallor was observed more commonly among girls and this difference was statistically significant (p value <0.05. Conclusion: Under-nutrition is a prevalent condition among school children. Apart from various nutritional programmes, health education to parents, community and school teachers are quite important to address this problem. [Int J Res Med Sci 2015; 3(3.000: 718-722
Sherin Billy Abraham; Ramesh Chand Chauhan; Muthu Rajesh; Anil Jacob Purty; Zile Singh
Background: Malnutrition and poor health among school children is the common cause of low school enrolment, high absenteeism, early dropout and poor classroom performance. This study was conducted to assess the various morbidities and nutritional status among school children. Methods: This descriptive study was conducted during year 2013 in a higher secondary school located in a coastal area of Puducherry. A total of 714 students were interviewed and examined. A pre-designed and pre-teste...
Meshram, Indrapal I; Stephen Gade; PothuRaju Battina
Introduction: Street children are the most neglected and vulnerable population group in most of the urban cities in India, and are at risk of undernutrition, and substance abuse. Aims & Objectives: To assess the nutritional status, prevalence of anemia, risk behavior and substance abuse among street children. Material & Methods: It was a street based cross-sectional study carried out on the streets of Hyderabad. Data on age, schooling, family history, reasons for street life, number ...
VÃ¡squez, Clemente; Trujillo-HernÃ¡ndez, BenjamÃn; Velasco-RodrÃguez, Raymundo; Bautista-HernÃ¡ndez, VÃctor Manuel
BACKGROUND AND AIMS. The objectives were to determine nutrition disorder frequency, energy intake and type of nutrients in the diet of 5- to 9-year-old children from Colima, Mexico. MATERIAL AND METHODS. A populational survey was applied to 1992 children in the state of Colima, Mexico. The variables studied were weight, age, age-related weight, age-related height and body mass index (the last 3 expressed in percentiles). In a direct survey, parents provided information on all foods their...
Ali Naser, Ihab; Jalil, Rohana; Wan Muda, Wan Manan; Wan Nik, Wan Suriati; Mohd Shariff, Zalilah; Abdullah, Mohamed Rusli
BACKGROUND/OBJECTIVES The purpose of the study was to investigate the relationship between household food insecurity and nutritional status of children in low-income households. A cross sectional study involved a survey of households (n = 223) receiving the financial assistance. SUBJECTS/METHODS Eligible mothers that fulfilled the inclusion criteria such as non-pregnant, non-lactating mothers, aged 18 to 55 years with their youngest children aged 2 to 12 years, were purposively selected. The ...
Xu, Tingting; Jones, Ithel
The purpose of the study was to examine the influences of age, family socio-economic status (SES), and parents' food knowledge on preschool, kindergarten, and second grade students' conceptual understanding of food and nutrition. Fifty-two parent-child dyads, consisting of 17 preschoolers, 17 kindergartners, and 18 second graders participated in…
National Academy of Sciences-National Research Council, Washington, DC. Food and Nutrition Board.
Written primarily for health professionals advising on programs and policy related to nutrition and diarrhea therapy, this report is aimed at management of diarrhea in less-developed countries, but its information and technical insights are relevant to an understanding of diarrhea and its management throughout the world. Technical in orientation…
A survey was carried out in Khartoum North Ahmed Gasim specialist Hospital for children to identify aetiological factors that lead to incidence of nutritional anaemia among children under under five years of age. The sample consists of 192 patients taken from the hospital wards (experimental group), and 60 healthy children taken from out patient vaccination department of same hospital. A questionnaire was used as a tool for collection data regarding children and their families with emphasis to general information, socio-economic information, dietary information, anthropometric information, medical history and laboratory investigations including haemoglobin, hematocrit (PCV)%, peripheral blood picture, serum ferritin, serum folate and serum B12. Results show no correlation between anaemia and age R(0.1048) p12 deficiency. Some children affected had mixed deficiency anaemia (3.182). Iron deficiency without anaemia was common among healthy children (control) 22.8%. Some recommendations were set for the improvement of the existing situation e.g. health education, nutrition education with emphasis on intake of supplements and weaning diets rich in iron and folate. Follow up and surveillance program to compact nutritional anaemia should be adopted.(Author)
Kherkheulidze, M; Kavlashvili, N; Kandelaki, E; Manjavidze, T
The aim of the study was assessment of the general nutrition knowledge and physical activity rate among the first grade school age children and evaluation of their diet and nutritional skills based on the parental interviews. Cross-sectional study was conducted in randomly selected schools of Tbilisi. In each school was selected one group of the second grade children and their parents by cluster selection method. A population of 290 children aged 6-8 years and their parents were interviewed. The statistical analysis was carried out by means of the SPPS 17. Questionnaires, except those with incomplete answers (n=30), were used for the analytical data. The study shows that in general, the level of knowledge related to rich sources of nutrients was poor. The most of the children can't identify the role of calcium (72,6%), proteins (68,1%) and iron (84,6 %). Children prefer to eat and select foods which they like (71,8%), such as sweets and cakes, hamburgers, chips and etc. The study showed that the most of the children (83,3%) have normal weight for age, underweight was revealed in 3,1% of children, more frequent was overweight (12,3%) and obesity (1,4%). There wasn't significant difference of overweight and underweight distribution in boys and girls. The assessment of child dietary intake show, that intake of fruits and vegetables, as well as milk and milk products is quite low, while intake of bread and pastry, and sweets and cakes are quite high. Daily consumption of sweets and snacks was significantly higher in girls (64.2%) than in boys (47.5%) (pbreakfast, in frequent cases children eat very fast (26,1%), 47,8 % of children need to remind to wash hands before eating, most children 60,4% view TV during the meal time or play computer games. The most of the children play the active games approximately 30-60 minutes, quite often children play active games only 20-30 minutes that is much less then WHO recommendations. The parent questionnaires reveal that most
Full Text Available Abstract Background There is growing evidence that quality, rather that quantity of fat is the determinant of cardiovascular risk. The objective of the study is to describe quantitatively the intake and adequacy of fatty acid classes among the Mexican population aged 5-90 years from a probabilistic survey. Methods Dietary intake of individual and classes of fatty acids was computed from the dataset of the 2006 Mexican National Health and Nutrition Survey (ENSANUT2006, collected by a food frequency questionnaire. Adequacy was calculated in reference to authoritative recommendations. Results The mean intake of total fatty acids (TFA ≈ 25%E fell within WHO recommendations; the intakes of saturated fatty acids (SFA among all age-groups (45-60% and of trans fatty acids (TrFA in 30% of school-age children and adolescents and 20% of adults exceeded international recommendations. The mean intake of polyunsaturated fatty acids (PUFA and particularly of n6 and n3 PUFAS, was inadequately insufficient in 50% of the sample. Conclusions The main public health concerns are the high intake of SFA and the suboptimal intake of PUFA in Mexican population. The TrFA intake represents a low public health risk.
Pedersen, Pernille; Michaelsen, K F; Mølgaard, C
AIM: To describe the prevalence of nutritional rickets among children admitted to three large paediatric departments in the Copenhagen area during a 10 y period. METHODS: Retrospective analysis of cases identified from the diagnosis registers fulfilling the diagnostic criteria for nutritional...... rickets. RESULTS: Forty cases were identified, distributed in two distinct age groups: 0.5-4 y (n = 31) and 9-15 y (n = 9). All cases were immigrants, of whom 95% were born in Denmark. The main symptoms in the younger age group were bowed legs and clumsy walk, and in the peripubertal group were painful...... joints. Two children had generalized convulsions. None of the cases had received vitamin D supplementation. CONCLUSION: Nutritional rickets is still present among immigrants in Denmark, and it is likely that the prevalence of mild cases is high. Prevention through vitamin D supplementation is important...
Olack, Beatrice; Burke, Heather; Cosmas, Leonard; Bamrah, Sapna; Dooling, Kathleen; Feikin, Daniel R; Talley, Leisel E; Breiman, Robert F
Malnutrition in sub-Saharan Africa contributes to high rates of childhood morbidity and mortality. However, little information on the nutritional status of children is available from informal settlements. During the period of post-election violence in Kenya during December 2007-March 2008, food shortages were widespread within informal settlements in Nairobi. To investigate whether food insecurity due to post-election violence resulted in high prevalence of acute and chronic malnutrition in children, a nutritional survey was undertaken among children aged 6-59 months within two villages in Kibera, where the Kenya Medical Research Institute/Centers for Disease Control and Prevention conducts population-based surveillance for infectious disease syndromes. During 25 March-4 April 2008, a structured questionnaire was administered to caregivers of 1,310 children identified through surveillance system databases to obtain information on household demographics, food availability, and child-feeding practices. Anthropometric measurements were recorded on all participating children. Indices were reported in z-scores and compared with the World Health Organization (WHO) 2005 reference population to determine the nutritional status of children. Data were analyzed using the Anthro software of WHO and the SAS. Stunting was found in 47.0% of the children; 11.8% were underweight, and 2.6% were wasted. Severe stunting was found in 23.4% of the children; severe underweight in 3.1%, and severe wasting in 0.6%. Children aged 36-47 months had the highest prevalence (58.0%) of stunting while the highest prevalence (4.1%) of wasting was in children aged 6-11 months. Boys were more stunted than girls (p development during the first two years of life. Food programmes in Kenya have traditionally focused on rural areas and refugee camps. The findings of the study suggest that tackling childhood stunting is a high priority, and there should be fostered efforts to ensure that malnutrition
Lenjiso, B.M.; Smits, J.P.J.M.; Ruben, R.
This study examines the effects of smallholder milk market participation on household and intra-household dietary diversity and on nutritional status of young children in Ethiopia. Using the FAO dietary diversity questionnaire, 164 households were followed for two consecutive days and all food items
In previous literature, social capital has been hypothesized as a substitute for other forms of capital, such as physical and human capital. This paper contributes to this literature, studying the association between mothers' access to social capital via participation in community organizations and their children's nutritional status at 1 and 5 years. Using the Peruvian sample of the Young...
Nael Lapidus; Andrea Minetti; Ali Djibo; Guerin, Philippe J; Sarah Hustache; Valérie Gaboulaud; Grais, Rebecca F.
BACKGROUND: In 2006, the Médecins sans Frontières nutritional program in the region of Maradi (Niger) included 68,001 children 6-59 months of age with either moderate or severe malnutrition, according to the NCHS reference (weight-for-height
Brouse, Corey H.; Chow, Tracy H. F.
Objective: In this exploratory study, we observed the process in which children make food choices from a cognitive development perspective and the implications that these choices have on the areas of cognitive development and health and nutrition education. Design: This was a cross-sectional case study that involved an in-depth examination of the…
Cook, Judith; And Others
Study discusses the assessment of the contribution of school milk to the nutrition of 396 Kent primary school children aged eight to eleven years, using information collected in a survey which included a weighed diet record, a socio-economic questionnaire, and a medical examination. [Available from Cambridge University Press, 32 East 57th Street,…
Márquez Costa, María Verónica; Alberici Pastore, Carla
Hospitalization contributes to worsening of the nutritional status and malnutrition is associate to increase in morbidity and mortality. The aim of the study was to asses nutritional status/risk using anthropometry and the Screening Tool for Risk on Nutritional Status and Growth (STRONGkids), comparing their results to clinical outcomes. For that propose, was conducted an observational longitudinal study with children up to one month of life, hospitalized in Pediatric ward of a teaching hospital. Nutritional status was assessed by Body Mass Index for age and weight for age. Nutritional risk was classified as high, intermediate or low. The length of stay, clinical outcome and complications were taken of the medical records. This project was approved by the Ethics Committee on Research. Were evaluated 181 children, from both sexes. The median age was 8.8 (IQR 3.3; 26.9) months and the median length of stay was 7 (IQR 4; 10) days. There was 20.8% of malnutrition in children younger than one year. Most of the children (55.3%) were classified as in intermediate nutritional risk. The length of stay was associated to nutritional risk, while anthropometry was associated to only in those younger than one year. There were five infectious complication, not associated to nutritional status/risk. Therefore, nutritional risk was significantly associated to length of stay, showing that STRONGkids was a better method compared to anthropometric nutritional assessment to predict this outcome. PMID:26320301
da Silva, Janaína Paula Costa; Sarubbi Junior, Vicente; Nascimento, Viviane Gabriela; Bertoli, Ciro João; Gallo, Paulo Rogério; Leone, Claudio
OBJECTIVE: To analyze maternal conceptions about excess weight in infancy and the nutritional status of their preschool-aged children. METHODS: A mixed, exploratory study was performed using semi-structured interviews. Two study groups were defined: a group of 16 mothers of children with excess weight and a group of 15 mothers of eutrophic children. The interviews were submitted to content analysis using CHIC software (Classification Hiérarchique Implicative et Cohésitive®). RESULTS: The mothers of children with excess weight tended to conceive thin children as malnourished, while those of normal weight children emphasized the influence of family and genetics as determinants of a child’s nutritional status. Although there was a certain consensus among the mothers that an unhealthy diet contributes to the risk of a child developing excess weight, the concept of genetics as a determinant of a child’s nutritional status was also present in the dialogue from the mothers of both groups. This result indicates a lack of clarity regarding the influence of eating behavior and family lifestyle on weight gain and the formation of a child’s eating habits. Both groups indicated that the mother has a decisive role in the eating habits of her child; however, the mothers of children with excess weight did not seem to take ownership of this concept when addressing the care of their own children. CONCLUSION: Differences in conceptions, including taking ownership of care, may contribute to the development of excess weight in preschool-aged children. PMID:27652830
da Silva, Janaína Paula Costa; Sarubbi Junior, Vicente; Nascimento, Viviane Gabriela; Bertoli, Ciro João; Gallo, Paulo Rogério; Leone, Claudio
OBJECTIVE: To analyze maternal conceptions about excess weight in infancy and the nutritional status of their preschool-aged children. METHODS: A mixed, exploratory study was performed using semi-structured interviews. Two study groups were defined: a group of 16 mothers of children with excess weight and a group of 15 mothers of eutrophic children. The interviews were submitted to content analysis using CHIC software (Classification Hiérarchique Implicative et Cohésitive®). RESULTS: The mothers of children with excess weight tended to conceive thin children as malnourished, while those of normal weight children emphasized the influence of family and genetics as determinants of a child’s nutritional status. Although there was a certain consensus among the mothers that an unhealthy diet contributes to the risk of a child developing excess weight, the concept of genetics as a determinant of a child’s nutritional status was also present in the dialogue from the mothers of both groups. This result indicates a lack of clarity regarding the influence of eating behavior and family lifestyle on weight gain and the formation of a child’s eating habits. Both groups indicated that the mother has a decisive role in the eating habits of her child; however, the mothers of children with excess weight did not seem to take ownership of this concept when addressing the care of their own children. CONCLUSION: Differences in conceptions, including taking ownership of care, may contribute to the development of excess weight in preschool-aged children.
Yen, Chin-En; Yen, Chi-Hua; Huang, Men-Chung; Cheng, Chien-Hsiang; Huang, Yi-Chia
The aim of this study was to assess and compare dietary intake and nutritional status of vegetarian and omnivorous preschool children and their parents. Fifty-six omnivores (28 children and 28 parents) and 42 vegetarians (21 preschool children with 18 lacto-ovo-vegetarians and 3 ovo-vegetarians; 21 parents with 16 lacto-ovo-vegetarians, 2 ovo-vegetarians, 1 lacto-vegetarian, and 2 vegans) were recruited. Anthropometric measurements were taken; body mass index and weight-for-height index (WHI) were calculated. Nutrient intake was recorded using 3-day dietary records. Fasting venous blood samples were obtained to estimate hematologic and vitamin status parameters. Height, weight, body mass index, WHI, and triceps skinfold thickness value differences between omnivores and vegetarians in both parent and child groups were not found. Both omnivorous parents and their children had significantly higher fat and lower fiber intakes than vegetarian parents and children. Omnivorous children had significantly higher protein and lower vitamin C intakes than vegetarian children, whereas omnivorous parents had significantly lower vitamin A and iron intakes than vegetarian parents. Vegetarians and omnivores in both parent and child groups had mean calcium consumption less than 75% of the Taiwan dietary intakes. All mean hematologic and biochemical nutrient status indices were within the reference range in any groups. However, both vegetarian parents and children had significantly lower mean total cholesterol and serum ferritin concentrations than those of omnivorous parents and children. Our vegetarian and omnivorous preschool children had normal growth and adequate nutritional status. However, both parents and children had inadequate calcium intakes, which may potentially affect bone health, especially for preschool children in the growing stage.
Lana N Hattar; Theresa A Wilson; Leanel A Tabotabo; E O'Brian Smith; Stephanie H Abrams
AIM: To assess nutrition, physical activity and healthful knowledge in obese children with biopsy-proven non-alcoholic steatohepatitis (NASH or NA) compared to children without liver disease. METHODS: Children with biopsy-proven NASH comprised the NASH group. Age, sex and ethnicity matched control groups consisted of obese (OB) and lean (CO) children with no liver disease. Subjects were administered the School Physical Activity and Nutrition Survey and one blood draw was obtained. RESULTS: Fifty-seven patients were enrolled with a mean age of 12.1 2.1 years, and all were Hispanic. Even though the OB and NA had a similar increased body mass index (%), 35% of the NA group always read nutrition labels compared to none in the OB (P 2 compared to only 63.6% of those with grade 1 or no fibrosis (P < 0.05). CONCLUSION: Children with NASH had increased sedentary behavior, decreased activity, and fruit intake. Larger studies may determine the benefit of changing these behaviors as treatment for NASH.
Alina Esther González Hermida
Full Text Available Background: the study of children´s growth in an appropriate indicator of children health condition and should be used as one of the basis in the practice of preventive medicine. Objective: to determine the nutritional al condition of children of third and sixth grade of elementary schools of Health Area V of Cienfuegos Municipality. Methods: descriptive, observational, cross-sectional and relational study of 445 school age children from 4 elementary schools. A clinic assessment was carried out along with an anthropo-medical evaluation. A qualitative survey was developed to assess the frequency of consumption of different alimentary groups. Results: the relation weight/height in the two genders presents a prevalence of normal weight; undernourishment is more common among females, overweight is more usual among boys and obesity can be found in both genders. The variable weight/age showed one bad-nutrition (for defect among females, there was a prevalence of bad-nutrition for excess in both genders. There were no children with height under the third percentile, with prevalence of boys and girls tall and very tall. Bronchial asthma was the most common disease. Conclusions: Food consumption in general, taking into account frequency and kind of food, is not the appropriate. There is a relation between positive clinical findings and the anthropometric assessment of weight/height.
Wong, Weng Kin; Foo, Phiaw Chong; Roze, Mohamad Noor Mohamad; Pim, Chau Dam; Subramaniam, Puvaneswari; Lim, Boon Huat
Background. Orang Asli (aborigine) children are susceptible to soil-transmitted helminth (STH) infections due to their lifestyle and substandard sanitation system. Objectives. This study aimed to examine the helminthic and nutritional status of Orang Asli school children in Sekolah Kebangsaan Pos Legap, a remote primary school at Kuala Kangsar District in the state of Perak, Malaysia. In addition, the sensitivities of four STH stool examination techniques were also compared. Methods. Demography and anthropometry data were collected by one-to-one interview session. Collected stools were examined with four microscopy techniques, namely, direct wet mount, formalin ether concentration (FEC), Kato-Katz (KK), and Parasep™. Results. Anthropometry analysis showed that 78% (26/33) of children in SK Pos Legap were malnourished and 33% (11/33) of them were stunted. Stool examinations revealed almost all children (97%) were infected by either one of the three commonest STHs. FEC was the most sensitive method in detection of the three helminth species. Conclusion. This study revealed that STH infections and nutritional status still remain a health concern among the Orang Asli children. These communal problems could be effectively controlled by regular monitoring of STH infection loads, administration of effective antihelminthic drug regimen, and also implementation of effective school nutritional programs. PMID:27366156
Weng Kin Wong
Full Text Available Background. Orang Asli (aborigine children are susceptible to soil-transmitted helminth (STH infections due to their lifestyle and substandard sanitation system. Objectives. This study aimed to examine the helminthic and nutritional status of Orang Asli school children in Sekolah Kebangsaan Pos Legap, a remote primary school at Kuala Kangsar District in the state of Perak, Malaysia. In addition, the sensitivities of four STH stool examination techniques were also compared. Methods. Demography and anthropometry data were collected by one-to-one interview session. Collected stools were examined with four microscopy techniques, namely, direct wet mount, formalin ether concentration (FEC, Kato-Katz (KK, and Parasep™. Results. Anthropometry analysis showed that 78% (26/33 of children in SK Pos Legap were malnourished and 33% (11/33 of them were stunted. Stool examinations revealed almost all children (97% were infected by either one of the three commonest STHs. FEC was the most sensitive method in detection of the three helminth species. Conclusion. This study revealed that STH infections and nutritional status still remain a health concern among the Orang Asli children. These communal problems could be effectively controlled by regular monitoring of STH infection loads, administration of effective antihelminthic drug regimen, and also implementation of effective school nutritional programs.
Shah, Ankoor Y; Suchdev, Parminder S; Mitchell, Tarissa; Shetty, Sharmila; Warner, Catherine; Oladele, Alawode; Reines, Susan
This study determines the nutritional status among refugee children entering one of the largest resettlement counties in the United States and identifies differences between incoming populations. Medical records of all newly arriving pediatric refugees (0-18 years) entering DeKalb County, Georgia between October 2010 and July 2011 were reviewed. Refugee children were grouped as African, Bhutanese, or Burmese (resettling from either Thailand or Malaysia) for comparative analysis. Approximately one in five refugees were anemic or malnourished, while a quarter had stool parasites, and nearly half had dental caries. African refugees had the highest anemia but the lowest underweight prevalence (p Malaysia, Burmese children from Thailand had a higher prevalence of anemia, underweight, and stool parasites (p refugees, as well as ensure proper nutritional support and follow-up care. PMID:23828627
Hine, R J; Cloud, H H; Carithers, T; Hickey, C; Hinton, A W
Dietitians must be responsive to the changing needs of their clients and employers, to societal concerns, and to legal mandates. A recently passed amendment (PL 99-457) to the Federal Education for the Handicapped Act gives nutrition professionals the opportunity to have a voice in establishing nutrition policy and standards of care for young handicapped and high-risk children. The new law extends preventive services to children as young as 3 years of age, and Part H of the law provides financial incentives for states to provide services to children with special health care needs from birth to 2 years of age. This article reviews relevant provisions of the new law and describes two projects undertaken by nutritionists from Alabama, Mississippi, and Texas. It also summarizes challenges to nutritionists that will result from the law's implementation. PMID:2809041
Full Text Available Human health is to a large extent a reflection of the nature of his diet. Eating habits of the Roma community is a result of different ethno-culture, higher degree of poverty, lack of education, unemployment and lack of knowledge about nutrition. Nutrition of the Roma children in many ways replicates the deficiencies and errors at their parents – mainly inadequate intake of fruit and vegetables, relatively low intake of milk and milk products, and in contrast, the diet is dominated by inappropriate consumption of meat, white bread, sugary drinks and sweets. Wrong is also low number of daily meals. A positive phenomenon is the higher proportion of breast-fed children in the comparison of the majority population, as well as its longer duration. Inadequacy of the diet, of course, along with other factors, reflects the different anthropometric parameters of Roma children, blood pressure and serum lipids.
Energy and nutrient intake in Mexican children 1 to 4 years old: results from the Mexican National Health and Nutrition Survey 2006 Consumo de energía y nutrimentos en niños mexicanos de 1 a 4 años de edad: resultados de la Encuesta Nacional de Salud y Nutrición 2006
Full Text Available OBJECTIVE: To document the energy and nutrient intake of Mexican preschool children using data from the Mexican National Health and Nutrition Survey 2006 (ENSANUT 2006. MATERIAL AND METHODS: Dietary data from 3 552 children less than 5 years old collected through a semi-quantitative food frequency questionnaire were analyzed. Energy and nutrient daily intakes and adequacies were calculated. Comparisons were made by geographic region, residence locality, and socioeconomic status. RESULTS: The Mexico City region showed the highest energy (103.2%, carbohydrate (109.9%, and fat (110.1% adequacies. The highest proportion of preschoolers with energy and micronutrients inadequacy (adequacy OBJETIVO: Documentar el consumo de energía y nutrimentos en niños mexicanos menores de cinco años, a partir de datos de la Encuesta Nacional de Salud y Nutrición 2006 (ENSANUT 2006, realizada en México en 2006. MMATERIAL Y MÉTODOS: Se analizó información de un cuestionario semicuantitativo de frecuencia de consumo de alimentos de 3552 niños. Se calcularon consumos y adecuaciones diarias de energía y nutrimentos, comparando por región geográfica, tipo de localidad y nivel socioeconómico. RESULTADOS: La región Ciudad de México presentó la adecuación más alta de energía (103.2%, carbohidratos (109.9% y grasa (110.1%. Las proporciones más altas de inadecuación (adecuación < 100% en energía y micronutrimentos se observaron en las localidades rurales, indígenas, región sur y nivel socioeconómico bajo. CONCLUSIONES: Esta información es un indicador de la disponibilidad y acceso a los alimentos de diferentes estratos de la población y una herramienta para focalizar a los beneficiarios de programas de asistencia alimentaria.
Background: Chemotherapy has side effects that may interfere with food intake. Children suffering from a malignant disease are subjected to treatment with chemotherapy. They may therefore become at risk of undernutrition during the period of treatment. This in turn may increase the risk of infections, delayed therapy and influence the outcome of treatment. Few studies have investigated how children undergoing chemotherapy for cancer perceive food and eating. Attempts to improve food intake an...
Tarini Shankar Ghosh; Sourav Sen Gupta; Tanudeep Bhattacharya; Deepak Yadav; Anamitra Barik; Abhijit Chowdhury; Bhabatosh Das; Mande, Sharmila S.; G Balakrish Nair
BACKGROUND: Malnutrition is a global health problem affecting more than 300 million pre-school children worldwide. It is one of the major health concerns in India since around 50% of children below the age of two suffer from various forms of malnutrition. The gut microbiome plays an important role in nutrient pre-processing, assimilation and energy harvest from food. Consequently, dysbiosis of the gut microbiota has been implicated in malnutrition. METHODOLOGY/PRINCIPAL FINDINGS: Metagenomics...
Ghosh, Tarini Shankar; Sen Gupta, Sourav; Bhattacharya, Tanudeep; Yadav, Deepak; Barik, Anamitra; Chowdhury, Abhijit; Das, Bhabatosh; Mande, Sharmila S.; Nair, G. Balakrish
Background Malnutrition is a global health problem affecting more than 300 million pre-school children worldwide. It is one of the major health concerns in India since around 50% of children below the age of two suffer from various forms of malnutrition. The gut microbiome plays an important role in nutrient pre-processing, assimilation and energy harvest from food. Consequently, dysbiosis of the gut microbiota has been implicated in malnutrition. Methodology/Principal Findings Metagenomics a...
Carla R. McGill; Victor L. Fulgoni III; Latha Devareddy
Current U.S. dietary guidance includes recommendations to increase intakes of both dietary fiber and whole grain (WG). This study examines fiber and WG intakes, food sources and trends from 2001 to 2010 based on National Health and Nutrition Examination Survey (NHANES) data for children/adolescents (n = 14,973) and adults (n = 24,809). Mean fiber intake for children/adolescents was 13.2 (±0.1) g/day. Mean fiber intake for adults 19–50 years (y) was 16.1 (±0.2) g/day and for adults 51+ was 16...
González, A; Cortina, L; González, P; González, C; García, T; de Svarch, E G
Malnutrition has a deleterious effect on the results of therapy for malignant diseases in childhood. The impact of radiotherapy on growth is well known but the impact of cytotoxic drugs on nutritional status is more controversial. The purpose of this study was to determine the nutritional status of a cohort of children treated for acute lymphoblastic leukaemia (ALL) in Cuba. The study involved 49 children admitted to a single center and treated with a Berlin-Frankfurt-Munster-based protocol. Nutritional assessment included measurements of height, weight, body mass index and skin-fold thickness, made at diagnosis, after the intensive phase of treatment and at the end of therapy. Z-scores were used for height and comparison of percentiles for the rest of the variables. All the patients were above the third percentile in all the measurements. There were no statistically significant differences between the results at diagnosis, after intensive therapy and at the end of treatment. Although the sample was small, there was no demonstrable effect of chemotherapy on nutritional status in this Cuban paediatric population, in contrast to that reported in children with ALL in other developing countries.
Munguba, Marilene Calderaro; Valdés, Maria Teresa Moreno; da Silva, Carlos Antonio Bruno
The aim of this study was to evaluate an occupational therapy nutrition education programme for children who are obese with the use of two interactive games. A quasi-experimental study was carried out at a municipal school in Fortaleza, Brazil. A convenient sample of 200 children ages 8-10 years old participated in the study. Data collection comprised a semi-structured interview, direct and structured observation, and focus group, comparing two interactive games based on the food pyramid (video game and board game) used individually and then combined. Both play activities were efficient in the mediation of nutritional concepts, with a preference for the board game. In the learning strategies, intrinsic motivation and metacognition were analysed. The attention strategy was most applied at the video game. We concluded that both games promoted the learning of nutritional concepts. We confirmed the effectiveness of the simultaneous application of interactive games in an interdisciplinary health environment. It is recommended that a larger sample should be used in evaluating the effectiveness of play and video games in teaching healthy nutrition to children in a school setting.
Idowu Odunayo Senbanjo; Kazeem Adeola Oshikoya; Olisamedua Fidelis Njokanma
Background: Upper arm composition is a reflection of body protein and calorie reserves. However, there is a paucity of data on upper arm composition of children from African countries, including Nigeria. This study aimed to determine the composition of upper arm and nutritional status of school children in Abeokuta, Nigeria and to compare with international reference standards. The sensitivity and specifi city of upper arm muscle area by height (UAMAH) as a nutritional assessment tool was also determined. Methods: Five hundred and seventy children aged 5 to 19 years were selected from seven schools using multistage random sampling. Weight, height, mid-upper arm circumference (MUAC) and triceps skin fold thickness (TSF) were measured. Body mass index, upper arm muscle area (UAMA), upper arm fat area (UAFA), fat percentage and UAMAH were derived. Results: The TSF, UAFA and fat percentage were significantly higher in females than males at each age group. MUAC and UAMA were significantly higher in female children aged 10-14 years, whereas UAMA was significantly higher in male children aged 15-19 years. UAMA and UAFA of the children were lower than those of Americans but similar to those of Zimbabweans, and higher than those of Indians. The sensitivity and specifi city of UAMAH for detecting wasting were 80.8% and 63.9%, respectively, whereas the corresponding values for stunting were 32.2% and 58.2%, respectively. Conclusions: The school children studied have a combination of poor calorie and protein reserve. UAMAH may be a valuable tool for complete evaluation of the nutritional status of school children.
... National Technical Information Service NCHS Total and High-density Lipoprotein Cholesterol in Adults: National Health and Nutrition ... less than 10% of women) had low high-density lipoprotein (HDL) cholesterol during 2011â€“2012. The percentage ...
Asmaa m. Abdallah*, Zainab B* and Mohamed M. A. Shahat
Full Text Available Background: Diabetes mellitus is the most common endocrine metabolic disorder of childhood and adolescence with important consequences for physical and emotional development. Aim of the study: This study was designed to detect the effect of diet therapy (through nutrition education program on lipid profile and blood glucose level in diabetic children. Subjects and Methods: The study was carried on 45 diabetic children aged between 8-15 years old at diabetic nutrition clinic of nutrition institute in Cairo from 2003-2005. Children included in the study were divided into two groups: insulin dependent dyslipidemic group (IDDM (diet control/ group and insulin dependent non dyslipidemic (control group. All were subjected to full dietetic history by the 24 hour recall for 3 days, thorough clinical examination, they were evaluated for plasma lipids, lipoproteins, fasting blood glucose (FBG and glycated hemoglobin (HbA1c levels. The dyslipidemic were measured after three months for the previously measured parameters. The nutrition education process was performed and continued on weekly intervals for three months. Results: There was significant decrease in serum cholesterol and triglyceride levels in the study group after the program, and insignificant increase in serum HDL and decrease in serum LDL. Also, there was insignificant decrease in FBG but there was statistically significant decrease in HbA1 after the program. These changes occurred in parallel with increases in intakes of protein and total calories with adequate carbohydrate and sometimes a reduction in intakes of total fat. Conclusion: Nutrition therapy for children with IDDM is essential to improve measures of glycemic control and lipoprotein mediated risk for dyslipidemia. More innovative approaches to achieve lifestyle changes are required to meet current recommendations which are likely to produce greater beneficial changes than those observed in this study
After the Peruvian economic crisis of the late 1980s, the 1990s witnessed a significant pro-poor expansion of the country`s health infrastructure that was instrumental in increasing preventive and primary health care expenditures. Using empirical evidence, this paper discusses the effect of this expansion in health infrastructure on child nutrition in Peru, as measured by the height-for-age z-score. Using a pooled sample from the 1992, 1996 and 2000 rounds of the Peruvian DHS, this analysis c...
M.A. Elemraid; I.J. Mackenzie; W.D. Fraser; G. Harper; B. Faragher; Z. Atef; N. Al-Aghbari; B.J. Brabin
Undernutrition and chronic suppurative otitis media (CSOM) in children are common in low resource settings, but there are few studies of their interactions. The aim is to evaluate nutritional factors associated with CSOM in Yemeni children. A case-control study of 75 children with CSOM and 74 health
Methods: The nutritional supplementation practices of 32 national track and field athletes competing at the 2004 World Junior Championships were studied using an anonymous questionnaire. Information was sought on the prevalence and type of supplement used, the reasons for use, knowledge of supplements, and sources of information.
Fernando, S D; Paranavitane, S R; Rajakaruna, J; Weerasinghe, S; Silva, D; Wickremasinghe, A R
There is growing evidence of considerable burden of morbidity and mortality due to infectious diseases and undernutrition in school children. This study describes the nutritional status and parasitic infections of school children in two areas of rural Sri Lanka. All children in four primary schools in the Moneragala district of Sri Lanka were included in the study. The height and weight of children were measured and anthropometric indices calculated. Stool and blood samples were examined for evidence of intestinal helminthiasis, malaria and anaemia. A greater proportion of boys than girls were underweight, wasted and stunted. Over 80% of the children were anaemic but did not apparently have iron deficiency anaemia according to their blood picture. The prevalence of parasitic infections such as hookworm and Plasmodium spp that may contribute to anaemia was low.
Gunderson, Matthew D; Clements, Dennis; Benjamin Neelon, Sara E
Evidence suggests that exposure to advertising of unhealthy foods may contribute to increased rates of obesity in children. This study examined the extent to which television stations marketed unhealthy foods to children during after-school programming aired over one week in La Ceiba, Honduras. Content analysis was performed on four television stations, including one broadcast station and three cable networks. Eighty hours of programming were recorded and analyzed. Advertised products were categorized as food or non-food items, with food items further classified as healthy or unhealthy. Advertisements were coded as those aimed at children, adults, or both, and chi-square tests were used to compare the proportion of unhealthy advertisements by target audience. A total of 2271 advertisements aired during the observation period, with 1120 marketing products (49.3%). Of those, 397 (35.4%) promoted foods-30.2% were for healthy foods and 69.8% for unhealthy foods. The unhealthy foods were all advertised on cable networks and not the broadcast station. Children appeared to be targeted more than adults in advertisements for unhealthy foods (92.1%, p<0.001). Cable television programming during after-school hours advertised primarily unhealthy foods. Exposure to these advertisements may promote consumption of unhealthy foods by children, increasing their risk of obesity.
Gunderson, Matthew D; Clements, Dennis; Benjamin Neelon, Sara E
Evidence suggests that exposure to advertising of unhealthy foods may contribute to increased rates of obesity in children. This study examined the extent to which television stations marketed unhealthy foods to children during after-school programming aired over one week in La Ceiba, Honduras. Content analysis was performed on four television stations, including one broadcast station and three cable networks. Eighty hours of programming were recorded and analyzed. Advertised products were categorized as food or non-food items, with food items further classified as healthy or unhealthy. Advertisements were coded as those aimed at children, adults, or both, and chi-square tests were used to compare the proportion of unhealthy advertisements by target audience. A total of 2271 advertisements aired during the observation period, with 1120 marketing products (49.3%). Of those, 397 (35.4%) promoted foods-30.2% were for healthy foods and 69.8% for unhealthy foods. The unhealthy foods were all advertised on cable networks and not the broadcast station. Children appeared to be targeted more than adults in advertisements for unhealthy foods (92.1%, padvertised primarily unhealthy foods. Exposure to these advertisements may promote consumption of unhealthy foods by children, increasing their risk of obesity. PMID:24177440
Teresa Cristina Miglioli
Full Text Available OBJECTIVE To analyze if the nutritional status of children aged less than five years is related to the biological conditions of their mothers, environmental and socioeconomic factors, and access to health services and social programs.METHODS This cross-sectional population-based study analyzed 664 mothers and 790 children using canonical correlation analysis. Dependent variables were characteristics of the children (weight/age, height/age, BMI/age, hemoglobin, and retinol serum levels. Independent variables were those related to the mothers’ nutritional status (BMI, hemoglobin, and retinol serum levels, age, environmental and socioeconomic factors and access to health service and social programs. A < 0.05 significance level was adopted to select the interpreted canonical functions (CF and ± 0.40 as canonical load value of the analyzed variables.RESULTS Three canonical functions were selected, concentrating 89.9% of the variability of the relationship among the groups. In the first canonical function, weight/age (-0.73 and height/age (-0.99 of the children were directly related to the mother’s height (-0.82, prenatal appointments (-0.43, geographical area of the residence (-0.41, and household incomeper capita (-0.42. Inverse relationship between the variables related to the children and people/room (0.44 showed that the larger the number of people/room, the poorer their nutritional status. Rural residents were found to have the worse nutritional conditions. In the second canonical function, the BMI of the mother (-0.48 was related to BMI/age and retinol of the children, indicating that as women gained weight so did their children. Underweight women tended to have children with vitamin A deficiency. In the third canonical function, hemoglobin (-0.72 and retinol serum levels (-0.40 of the children were directly related to the mother’s hemoglobin levels (-0.43.CONCLUSIONS Mothers and children were associated concerning anemia, vitamin A
Full Text Available Background The most common nutritional problem affecting the pediatric population in developing countries is protein energy malnutrition (PEM. The nutritional problem may be caused by a variety of factors, most of which are related inadequate food intake and infection. One of the highest causes of morbidity and mortality in endemic areas is malaria. Malaria infection and nutritional status have been suggested to be interrelated. Objective To assess for a relationship between nutritional status and malaria infection in children. Methods This cross-sectional study was conducted in October and November 2010 in primary school children at Panyabungan City, North Sumatera Province. Peripheral thick and thin blood smear examinations were done to confirm the diagnosis of malaria. Participants were divided in two groups (malaria-infected and uninfected by consecutive sampling. Nutritional status was determined by body weight and height measurements based on the 2000 Centers for Disease Control and Prevention (CDC chart. The mild and moderate malnutrition classification was further sub-divided into stunted and wasted, based on the 2007 NCHS/WHO chart. Chi-square test was used to analyze the relationship between nutritional status and malaria infection. Results There were 126 children in each group. Significant differences in mild-moderate malnutrition were found between the malaria-infected and uninfected groups (23.8% vs. 46.8%, respectively; P= 0.011. There were also significant differences between the malaria-infected and uninfected groups with regards to chronic malnutrition type: stunted (20.0% vs. 37.3%, respectively; P=0.042 and stunted-wasted (6.7% vs. 28.8%, respectively; P= 0.008 in both groups of the children with mild-moderate malnutrition. Conclusion There are significantly more children with mild-moderate malnutrition in the uninfected group than in the malaria-infected group, furthermore, of those with mild-moderate malnutrition, there are
Full Text Available Background The most common nutritional problem affecting the pediatric population in developing countries is protein energy malnutrition (PEM. The nutritional problem may be caused by a variety of factors, most of which are related inadequate food intake and infection. One of the highest causes of morbidity and mortality in endemic areas is malaria. Malaria infection and nutritional status have been suggested to be interrelated.Objective To assess for a relationship between nutritional status and malaria infection in children.Methods This cross-sectional study was conducted in October and November 2010 in primary school children at Panyabungan City, North Sumatera Province. Peripheral thick and thin blood smear examinations were done to confirm the diagnosis of malaria. Participants were divided in two groups (malaria-infected and uninfected by consecutive sampling. Nutritional status was determined by body weight and height measurements based on the 2000 Centers for Disease Control and Prevention (CDC chart. The mild and moderate malnutrition classification was further sub-divided into stunted and wasted, based on the 2007 NCHS/WHO chart. Chi-square test was used to analyze the relationship between nutritional status and malaria infection.Results There were 126 children in each group. Significant differences in mild-moderate malnutrition were found between the malaria-infected and uninfected groups (23.8% vs. 46.8%, respectively; P= 0.011. There were also significant differences between the malaria-infected and uninfected groups with regards to chronic malnutrition type: stunted (20.0% vs. 37.3%, respectively; P=0.042 and stunted-wasted (6.7% vs. 28.8%, respectively; P= 0.008 in both groups of the children with mild-moderate malnutrition.Conclusion There are significantly more children with mild-moderate malnutrition in the uninfected group than in the malaria-infected group, furthermore, of those with mild-moderate malnutrition, there are
Full Text Available Abstract Background The relationship between relative metabolic disturbances and developmental disorders is an emerging research focus. This study compares the nutritional and metabolic status of children with autism with that of neurotypical children and investigates the possible association of autism severity with biomarkers. Method Participants were children ages 5-16 years in Arizona with Autistic Spectrum Disorder (n = 55 compared with non-sibling, neurotypical controls (n = 44 of similar age, gender and geographical distribution. Neither group had taken any vitamin/mineral supplements in the two months prior to sample collection. Autism severity was assessed using the Pervasive Development Disorder Behavior Inventory (PDD-BI, Autism Treatment Evaluation Checklist (ATEC, and Severity of Autism Scale (SAS. Study measurements included: vitamins, biomarkers of vitamin status, minerals, plasma amino acids, plasma glutathione, and biomarkers of oxidative stress, methylation, sulfation and energy production. Results Biomarkers of children with autism compared to those of controls using a t-test or Wilcoxon test found the following statistically significant differences (p A stepwise, multiple linear regression analysis demonstrated significant associations between several groups of biomarkers with all three autism severity scales, including vitamins (adjusted R2 of 0.25-0.57, minerals (adj. R2 of 0.22-0.38, and plasma amino acids (adj. R2 of 0.22-0.39. Conclusion The autism group had many statistically significant differences in their nutritional and metabolic status, including biomarkers indicative of vitamin insufficiency, increased oxidative stress, reduced capacity for energy transport, sulfation and detoxification. Several of the biomarker groups were significantly associated with variations in the severity of autism. These nutritional and metabolic differences are generally in agreement with other published results and are likely amenable to
Farsani, Gholamreza Mohammadi; Movahhed, Mina
Background: Growth and development are the basic science in pediatric medicine. Growth disorder in children is one of the important health problems in the world, especially in developing countries. Regardless of the underlying disease, as the main cause of growth disorders, assessment and correction of nutritional status of these children are very important. Given the fundamental importance of this issue and ascending tendency to use complementary medicine in the world, this article discusses the traditional Iranian philosopher’s views on the role of nutrition in child development. Methods: This study reviews textbooks of traditional medicine, particularly in the field of pediatric medicine with a focus on Canon of Medicine of Avicenna. Results: Temperament is the physiological concept of the human body in traditional medicine and has an important role in health, diagnosis, and treatment of disease. Generally, children are born with warm and wet temperament that provides the best condition for growth. However, the personal temperament of each child determines growth, the need for a variety of food groups, and even physical activity. Different appetite and food preferences in children show temperamental variation. Therefore, children need special management regarding special temperament. In Iranian traditional medicine, special lifestyle orders are discussed in detail according to these differentiations and nutritional management is the most important factor considered. Conclusion: In spite of advances in classical medicine in the prevention and treatment of many diseases, there are still a lot of therapeutic challenges in many health problems. Temperamental approach to the human body in traditional medicine provides a different perspective on the medicine. Reflecting on temperamental view in child development may lead to a better understanding of the diagnosis and treatment of diseases. On the other hand, further research studies based on the reform of nutrition
Krajcovicová-Kudlácková, M; Simoncic, R; Béderová, A; Grancicová, E; Magálová, T
To evaluate the health and nutritional status of children with two different nutritional habits, the authors examined 26 vegetarians (lacto- and lacto-ovo; an average period of vegetarianism 2.8 years) and 32 individuals on mixed diet (omnivores) in the age range 11-14 years. Vegetarian children had significantly lower erythrocyte number as well as reduced levels of haemoglobin and iron compared to omnivores. The average level of iron did not reach the lower limit of the physiological range and hyposiderinemia was found in 58% of vegetarians vs 9% of omnivores. Reduced iron levels were observed in spite of increased intake of vegetable iron sources and vitamin C (which facilitates the conversion to ferro-form). This reduction can be attributed to the absence of animal iron sources with high utilizability and to lower iron utilization in the presence of phytic acid (higher intake of grains compared to omnivores). The incidence of hypoalbuminemia and hypoproteinemia in vegetarian children was 38 and 12%, respectively, compared to 0% in omnivores. The protein mixture from milk, eggs and vegetable sources is complete, but vegetarian children had significantly reduced intake of milk and dairy products. Favourable lipid and antioxidant parameters in vegetarian children reflect the optimal nutrition composition with respect to the prevention of free radical diseases. Such a nutrition results in significantly lower levels of cholesterol and LDL-cholesterol compared to omnivores and significantly higher and over threshold values of essential antioxidants--vitamin C, vitamin E/cholesterol (more effective protection against LDL oxidation), beta-carotene, vitamin A.
Barclay, Andrew; Beattie, Lynne M; Weaver, L T; Wilson, David C
Abstract Background and Aims: Intestinal failure (IF) affects a growing number of children due to increasing numbers of preterm infants surviving intestinal resection for necrotising enterocolitis (NEC) and improving surgical techniques for congenital gut anomalies. Parenteral nutrition (PN) is the mainstay of therapy; enteral nutrition (EN) may have trophic effects on the gut. We aimed to systematically review evidence for the effectiveness of medical and nutritional interventions...
Afzal, N A; Addai, S; Fagbemi, A; Murch, S; Thomson, M; Heuschkel, R
Refeeding syndrome is a potentially fatal complication of the nutritional management of severely malnourished patients. The syndrome almost always develops during the early stages of refeeding. It can be associated with a severe derangement in electrolyte and fluid balance, and result in significant morbidity and mortality. It is most often reported in adults receiving total parenteral nutrition (TPN), although refeeding with enteral feeds can also precipitate this syndrome. We report what we believe to be the first case of refeeding syndrome in an adolescent with newly diagnosed Crohn's disease. This developed within a few days of starting exclusive polymeric enteral nutrition. A systematic literature review revealed 27 children who developed refeeding syndrome after oral/enteral feeding. Of these, nine died as a direct result of complications of this syndrome. We discuss the implications of this syndrome on clinical practice and propose evidence-based guidelines for its management.
Raja lakshmi. J
Full Text Available Background: The tsunami disaster in the Indian Ocean is one of the worst natural disasters in the modern times. The grief and worry created by the disaster has affected the health status of women and children. Malnutrition and ill health are major problems. This study investigated the nutritional status of the children and provided a nutrition education program for the mothers. Aims: To study the demographic profile, dietary habits, anthropometric measurements, clinical assessment, incident rates of infectious diseases among the 500 children. To assess the dietary intake of 100 malnourished children and to formulate ten low cost nutritionally balanced recipes and to provide nutrition education program for the mothers. Sample: 500 preschool children in the age group of 3-6 years of the tsunami affected Nagapattinam district were the samples of this study. Method: Interview schedule was administered to 500 mothers. Anthropometric measurements such as height, weight, mid arm circumference, head circumference and chest circumference were recorded by the investigator. Three day dietary recall method was used to assess the nutrient intake. Clinical assessment was conducted with the help of a doctor. Nutrition education was provided to the mothers with the help of posters and charts. Results: The results found that, majority of the children were under nourished and there was a significant difference between the mean nutrient intake and the recommended dietary allowance. Mean scores of nutritional knowledge and awareness significantly increased after the nutrition education program. Conclusion: Nutrition education must be provided to the mothers to improve the nutritional status of the children. The gained knowledge had to be put into practice.
King, Kristi McClary; Ling, Jiying
Improving children's nutrition and physical activity have become priorities in the United States. This quasi-experimental study evaluated the longitudinal effects of a 3-year, school-based, health promotion intervention (i.e. nutrition and physical education, classroom physical activity, professional development and health promotion for teachers…
This section describes the priority nutrition interventions and cross-cutting approaches that are essential to promote and protect the nutritional status of mothers and children as well as a country's human capital in the short-, medium-, and long-terms. The main thrust of the guidance is that: (1) policies give special attention to the critical 'window of opportunity' represented by the f...
Scherr, Rachel E.; Reed, Heather; Briggs, Marilyn; Zidenberg-Cherr, Sheri
Purpose/Objectives: The purpose of this research was to develop and evaluate nutrition education competencies and a competency-based resource guide, Connecting the Dots...Healthy Foods, Healthy Choices, Healthy Kids (CTD), for preschool-aged children in California. Methods: Nutrition education experts and California Department of Education staff…
Full Text Available Empirical evidence suggests that the prevalence of soil-transmitted helminth (STH infections in remote and poor rural areas is still high among children, the most vulnerable to infection. There is concern that STH infections may detrimentally affect children's healthy development, including their cognitive ability, nutritional status, and school performance. Medical studies have not yet identified the exact nature of the impact STH infections have on children. The objective of this study is to examine the relationship between STH infections and developmental outcomes among a primary school-aged population in rural China.We conducted a large-scale survey in Guizhou province in southwest China in May 2013. A total of 2,179 children aged 9-11 years living in seven nationally-designated poverty counties in rural China served as our study sample. Overall, 42 percent of the sample's elementary school-aged children were infected with one or more of the three types of STH--Ascaris lumbricoides (ascaris, Trichuris trichuria (whipworm and the hookworms Ancylostoma duodenale or Necator americanus. After controlling for socioeconomic status, we observed that infection with one or more STHs is associated with worse cognitive ability, worse nutritional status, and worse school performance than no infection. This study also presents evidence that children with Trichuris infection, either infection with Trichuris only or co-infected with Trichuris and Ascaris, experience worse cognitive, nutritional and schooling outcomes than their uninfected peers or children infected with only Ascaris.We find that STH infection still poses a significant health challenge among children living in poor, rural, ethnic areas of southwest China. Given the important linkages we find between STH infection and a number of important child health and educational outcomes, we believe that our results will contribute positively to the debate surrounding the recent Cochrane report.
Umławska, Wioleta; Lipowicz, Anna
Bronchitis is a common health problem in children. Frequent bronchitis in infancy increases the risk of developing chronic respiratory diseases. The aim of the study was to assess the level of growth and the nutritional status in children and youths with special regard to the level of body fatness assessed by measuring skin-fold thickness. Relationships between somatic development, pulmonary function and the course of the disease were also explored. The study was carried out using anthropometric and spirometric measurements and also information on the severity and course of the disease in 141 children with chronic or recurrent bronchitis. All of the subjects were patients of the Pulmonary Medicine and Allergology Center in Karpacz, Poland. The mean body height did not differ significantly between the children examined and their healthy peers. However, the infection-prone children had excessive body fatness and muscle mass deficiency. The increased level of subcutaneous adipose tissue occurred especially in children with short duration of the disease, i.e. a maximum of 1 year. The functional lung parameters were generally normal. The presence of atopic diseases such as allergic rhinitis or atopic dermatitis did not impair the course of the children's somatic development. Also, long-term disease or the presence of additional allergic diseases did not impair lung function in the examined children. Taking appropriate preventive measures is recommended to achieve and maintain normal body weight in children who receive therapy due to bronchitis.
Shariff, Z M; Bond, J; Johson, N
Growth status was examined in relation to gender and age factors in urban primary school children (6-10 years old) from low income households in Kuala Lumpur, Wilayah Persekutuan. The sample consisted of 4212 boys (53%) and 3793 girls (47%). Data on weight and height data were obtained from two sources - investigator's and teachers' measurements of the school children. This study defined mildly and significantly underweight, stunted or wasted as z-score below minus one and below minus two of the NCHS/CDC reference median, respectively. Approximately 52% (n = 4149), 50% (n = 3893) and 30% (n = 2568) of the school children were underweight, stunted and wasted, respectively. However, the majority of these undernourished children were in the mild category. Prevalence of overweight (> 2 SD of NCHS/WHO reference median) was found in 5.8% of the sample. For both, prevalence of undernutrition and overnutrition, more boys than girls were found to be underweight stunted wasted and overweight. Compared to girls, boys had lower mean z-scores for the variables height-for-age (p<0.05) and weight-for-height (p<0.01). Older children had significantly lower mean z-scores for height-for-age (p<0.001) but higher mean z-scores for weight-for-height (P<0.001) than younger children. This finding indicates that with increasing age, stunting is associated with improved weight-for-height or that the children's weights have been adapted to their short statures. In conclusion, results demonstrate a high prevalence of underweight, stunting and wasting and an increasing prevalence of overweight among these low-income school children. Efforts recommended to address health and nutrition problems among school children should include health and nutrition monitoring (e.g. growth monitoring using the existing growth data collected by schools) and interventions.
JORGE MARTÍN JOFRÉ,
Full Text Available The main purpose of this study was to investigate the importance of the breakfast meal in children’s nutritional statusand mental processing. Anthropometric measures of 26 children (13 males, 6.3 to 6.9 years old were used to evaluatenutrition levels. Eight tests of the K-ABC Kaufman battery were applied: numbers recall, word order, hand movements,gestalt closure, triangles, analog matrixes, spatial memory and series of photos. The obtained K-ABC averages wereinside normal ranges, with certain dispersion of values and decreased values for some (Z score of hand movements,triangles, numbers recall and sequential processing: -2.30, -1.50, -1.41 y -1.71 respectively. The children that didn’t havebreakfast showed diminished nutritional status and deficiencies in their sequential, simultaneous and compositemental processing.
Olack, Beatrice; Burke, Heather; Cosmas, Leonard; Bamrah, Sapna; Dooling, Kathleen; Feikin, Daniel R; Talley, Leisel E; Breiman, Robert F
Malnutrition in sub-Saharan Africa contributes to high rates of childhood morbidity and mortality. However, little information on the nutritional status of children is available from informal settlements. During the period of post-election violence in Kenya during December 2007-March 2008, food shortages were widespread within informal settlements in Nairobi. To investigate whether food insecurity due to post-election violence resulted in high prevalence of acute and chronic malnutrition in children, a nutritional survey was undertaken among children aged 6-59 months within two villages in Kibera, where the Kenya Medical Research Institute/Centers for Disease Control and Prevention conducts population-based surveillance for infectious disease syndromes. During 25 March-4 April 2008, a structured questionnaire was administered to caregivers of 1,310 children identified through surveillance system databases to obtain information on household demographics, food availability, and child-feeding practices. Anthropometric measurements were recorded on all participating children. Indices were reported in z-scores and compared with the World Health Organization (WHO) 2005 reference population to determine the nutritional status of children. Data were analyzed using the Anthro software of WHO and the SAS. Stunting was found in 47.0% of the children; 11.8% were underweight, and 2.6% were wasted. Severe stunting was found in 23.4% of the children; severe underweight in 3.1%, and severe wasting in 0.6%. Children aged 36-47 months had the highest prevalence (58.0%) of stunting while the highest prevalence (4.1%) of wasting was in children aged 6-11 months. Boys were more stunted than girls (p crisis. The predominance of stunting in older children indicates failure in growth and development during the first two years of life. Food programmes in Kenya have traditionally focused on rural areas and refugee camps. The findings of the study suggest that tackling childhood stunting is
Raja lakshmi. J; Sheila John
Background: The tsunami disaster in the Indian Ocean is one of the worst natural disasters in the modern times. The grief and worry created by the disaster has affected the health status of women and children. Malnutrition and ill health are major problems. This study investigated the nutritional status of the children and provided a nutrition education program for the mothers. Aims: To study the demographic profile, dietary habits, anthropometric measurements, clinical assessment...
Ahn, Yun; Kim, Kyung-Won
This study was to investigate utilization status of internet, health/nutrition websites among children, and to assess the needs for developing nutrition websites and education programs for children. The survey questionnaire was administered to 5-6th grade students (n=434) at two elementary schools. About 32% used the internet every day while 19.5% used it whenever they needed, showing significant differences in internet usage by gender (p
Anagalys Ortega Alvelay; Marcos Félix Osorio Pagola; Sol Esther García Morales; Denis Monzón Vega; Mabel Vega Galindo
Background: Malaria is a health problem in underdeveloped countries. The child population is particularly vulnerable. Objective: to determine the nutritional status of children under five suffering from malaria who attended a clinic in Timor Leste. Method: a descriptive, correlational study was conducted. The sample consisted of 435 children under five years old, diagnosed with malaria, who attended consultation from June 2008 to July 2009. Nutritional status was evaluated. A medical history ...
Alom, Jahangir; Islam, Mohammad Amirul; Quddus, Md. Abdul
The nutritional status of under five children is a sensitive sign of a country's health status as well as economic condition. This study investigated differential impact of some demographic, socioeconomic, environmental and health related factors on nutritional status among under five children in Bangladesh whose fathers' occupation was agriculture. The study used Bangladesh Demographic and Health Survey 2007 data. Bivariate analysis, multivariate analysis (Cox's linear logistic regression mo...
Sathish Kumar; Ankitha; Udayamaliny
BACKGROUND : WHO RECOMMENDS : I nitiation of breastfeeding within the first hour of life, exclusive breast feeding on demand for six months, followed by sequential addition of semi - solid and solid foods to complement breast milk and breast feeding to be continued for 2 years . Most of the time, these recommendations are not followed, due to false beliefs or cultural factors. This has resulted in malnutrition and increasing health hazards in children...
A STUDY TO EVALUATE THE EFFECT OF NUTRITIONAL INTERVENTION MEASURES ON CHILDREN WITH SEVERE ACUTE MALNUTRITION ADMITTED IN NUTRITION REHABILITATION CENTER AT CIVIL HOSPITAL BAIRAGARH, BHOPAL, MADHYA PRADESH
Full Text Available BACKGROUND: The state of Madhya Pradesh has 1.3 million severely malnourished children. Nutrition rehabilitation centers (NRCs were started in the state to control severe malnutrition and decrease the prevalence of severe malnourished children to less than 1% among c hildren aged 1 – 5 years. OBJECTIVE: To assess the effect of nutritional interventional measures for children with severe acute malnutrition (SAM admitted in Nutrition Rehabilitation Center by reviewing anthropometric indicators. Material and methods: The p resent study was conducted from July 2014 to December 2014; all children admitted during the study period in NRC civil hospital Bairagarh, Bhopal were observed during their stay at NRC to analyze the effect of interventional measures on select anthropometr ic and outcome indicators. The data were entered into Microsoft excel spreadsheet and analyzed. RESULT: 61.8 % of the total 102 children admitted were female, 42.1% were in the age group of 13 – 24 months and 34.3% in the age group of 0 - 12 months. About 60% of the population belonged to schedule caste and tribe. The mean weight at admission was 6.4 kg and on discharge 7.09 kg. Of the total 102, 8 children defaulted and 92 were discharged amongst them 66.3% were recovered. CONCLUSION: The study reveals a propo rtion of 66.3% children amongst the study group recovered with at least 15% weight gain of initial weight
Zibaee, Said; Hosseini, Syed Musa al-reza; Yousefi, Mahdi; Taghipour, Ali; Kiani, Mohammad Ali; Noras, Mohammad Reza
Introduction Camel milk is the closest to a human mother’s milk. Camel milk is different from other milks, however, having low sugar and cholesterol, high minerals (sodium, potassium, iron, copper, zinc and magnesium, and vitamin C). The milk is considered have medicinal characteristics as well. This systematic review is aimed at determining and reporting nutritional values and medicinal characteristics of camel milk in children. Methods The search strategy of the current review is “(camel AN...
Sato, Nanae; Hayashi, Fumi; Yoshiike, Nobuo
This quasi-experimental study determined whether the nutrition education program we developed to promote chewing food properly influenced children’s chewing habits successfully. Four kindergarten classes in Japan (150 children, aged 5-6 years) were studied; one class received the educational program in the classroom and at home (Group A) and three classes received the program in the classroom only (Group B). The educational program was integrated into the classes’ daily curriculum for five we...
Mahama Saaka; Shaibu Mohammed Osman
Introduction. This study used three dependent measures of food security to assess the magnitude of household food insecurity and its consequences on the nutritional status of children 6–36 months in Tamale Metropolis of Northern Ghana. Methods. An analytical cross-sectional study was conducted on a sample of 337 mother/child pairs in June 2012. Food access was measured as household food insecurity access scale (HFIAS), household dietary diversity score (HDDS), and food consumption score (FCS)...
ABSTRACT: A cross-sectional study had been carried out in the urban slums of Dibrugarh during July, 2007 to June, 2008 and a total of 316 preschool children (aged one to five years) had been included in the study. The nutritional sta tus of the study subjects had been assessed by anthropometry and for this Z- score approach is uti lized. In order to compare the prevalence of malnutrition in different categories, z-test for testing the difference between two propo...
Anagalys Ortega Alvelay
Full Text Available Background: Malaria is a health problem in underdeveloped countries. The child population is particularly vulnerable. Objective: to determine the nutritional status of children under five suffering from malaria who attended a clinic in Timor Leste. Method: a descriptive, correlational study was conducted. The sample consisted of 435 children under five years old, diagnosed with malaria, who attended consultation from June 2008 to July 2009. Nutritional status was evaluated. A medical history demographic, socioeconomic and Plasmodium type data was obtained. Results: 254 children (58.4% were in the group from 2 to 4 years old. Most children (415, 95.4% had no toilet or piped water in their homes. The average number of people living in the house is 8.3; 5.6 per room. Females were predominant with 50.3%, as well as rural children 402 (92.4%. Most children (84.6% are undernourished. Statistical relationship was found between nutritional status and age (X2 = 7.44, df = 1, p = 0.01 and nutritional status and sex (X2 = 14.37, df = 1, p = 0, 01. A higher frequency of moderate malnutrition was observed in children with malaria (41; 61.2%. Plasmodium vivax was highly frequent, being present in 299 children (68.7%. Conclusion: children from 0 to 1 year of age are 2 to 4 times more likely to experience malnutrition. Females are between 2 and 5 times more likely to be undernourished than other children with malaria.
Hendaus, Mohamed A; Jomha, Fatima A; Ehlayel, Mohammad
Allergic diseases comprise a genetically heterogeneous group of chronic, immunomediated diseases. It has been clearly reported that the prevalence of these diseases has been on the rise for the last few decades, but at different rates, in various areas of the world. This paper discusses the epidemiology of allergic diseases among children and their negative impact on affected patients, their families, and societies. These effects include the adverse effects on quality of life and economic costs. Medical interest has shifted from tertiary or secondary prevention to primary prevention of these chronic diseases among high-risk infants in early life. Being simple, practical, and cost-effective are mandatory features for any candidate methods delivering these strategies. Dietary therapy fits this model well, as it is simple, practical, and cost-effective, and involves diverse methods. The highest priority strategy is feeding these infants breast milk. For those who are not breast-fed, there should be a strategy to maintain beneficial gut flora that positively influences intestinal immunity. We review the current use of probiotics, prebiotics, and synbiotics, and safety and adverse effects. Other dietary modalities of possible potential in achieving this primary prevention, such as a Mediterranean diet, use of milk formula with modified (hydrolyzed) proteins, and the role of micronutrients, are also explored. Breast-feeding is effective in reducing the risk of asthma, allergic rhinitis, and atopic eczema among children. In addition, breast milk constitutes a major source of support for gut microbe colonization, due to its bifidobacteria and galactooligosaccharide content. The literature lacks consensus in recommending the addition of probiotics to foods for prevention and treatment of allergic diseases, while prebiotics may prove to be effective in reducing atopy in healthy children. There is insufficient evidence to support soy formulas or amino acid formulas for
Full Text Available Abstract Background Several micronutrients are essential for adequate growth of children. However, little information is available on multiple micronutrient status of school children in Ethiopia. The present study was designed to evaluate the relationship between multiple micronutrient levels and nutritional status among school children. Method In this cross-sectional study, anthropometric data, blood and stool samples were collected from 100 children at Meseret Elementary School in Gondar town, Northwest Ethiopia. Serum concentration of magnesium, calcium, iron, copper, zinc, selenium and molybdenum were measured by inductively coupled plasma mass spectrometer. Anthropometric indices of weight-for-age, height-for-age and BMI-for-age were used to estimate the children's nutritional status. Stool samples were examined by standard microscopic methods for intestinal parasites. Results The prevalence of stunting, underweight, wasting and intestinal parasitoses among school children was 23%, 21%, 11% and18%, respectively. The mean serum levels of magnesium, calcium, iron, copper, zinc, selenium and molybdenum were 2.42±0.32 (mg/dl, 15.31±2.14 (mg/dl, 328.19±148.91 (μg/dl, 191.30±50.17 (μg/dl, 86.40±42.40 (μg/dl, 6.32±2.59 (μg/dl, and 0.23±0.15 (μg/dl, respectively. Selenium deficiency, zinc deficiency and magnesium deficiency occurred in 62%, 47%, and 2% of the school children, respectively. Height-for-age showed significant positive correlation with the levels of copper and molybdenum (p = 0.01 and with the levels of magnesium (p = 0.05. Conclusion Deficiencies of selenium and zinc were high among the school children although the deficiencies were not significantly related with their nutritional status. The prevalence of both malnutrition and intestinal parasitism was not negligible. These calls for the need to undertake multicentre studies in various parts of the country to substantiate the data obtained in the present study so that
Dorea, J G; Horner, M R; Bezerra, V L; Pereira, M G; Salomon, J B
The mean +/-s.d. hair zinc levels of 45 pre-school and 70 school children, age 1-12 years, were 123 +/- 74 and 103 +/- 74 micrograms/g hair, respectively. The prevalence of zinc levels less than 70 micrograms/g 15 per cent (9 and 19 per cent for pre-school and school children, respectively). Anthropometric measurements showed that 25 per cent suffered from chronic malnutrition. The form of malnutrition manifested was exclusively stunting, ie, low height-for-age in the presence of adequate weight-for-height. No association was found between low hair zinc levels and nutritional status.
Tay, Chee Wee; Chin, Yit Siew; Lee, Shoo Thien; Khouw, Ilse; Poh, Bee Koon
Problematic eating behaviors during childhood may lead to positive energy balance and obesity. Therefore, this study aims to investigate the association of eating behaviors with nutritional status and body composition in Malaysian children aged 7 to 12 years. A total of 1782 primary schoolchildren were randomly recruited from 6 regions in Malaysia. The multidimensional Children's Eating Behaviour Questionnaire (CEBQ) was reported by parents to determine the 8 different dimensions of eating styles among children. Body mass index (BMI), BMI-for-age Z-score, waist circumference, and body fat percentage were assessed. Linear regression analyses revealed that both food responsiveness and desire to drink subscales were positively associated with a child's body adiposity, whereas satiety responsiveness, slowness in eating, and emotional undereating subscales were negatively associated with adiposity (all P Malaysian children. PMID:27252248
Tay, Chee Wee; Chin, Yit Siew; Lee, Shoo Thien; Khouw, Ilse; Poh, Bee Koon
Problematic eating behaviors during childhood may lead to positive energy balance and obesity. Therefore, this study aims to investigate the association of eating behaviors with nutritional status and body composition in Malaysian children aged 7 to 12 years. A total of 1782 primary schoolchildren were randomly recruited from 6 regions in Malaysia. The multidimensional Children's Eating Behaviour Questionnaire (CEBQ) was reported by parents to determine the 8 different dimensions of eating styles among children. Body mass index (BMI), BMI-for-age Z-score, waist circumference, and body fat percentage were assessed. Linear regression analyses revealed that both food responsiveness and desire to drink subscales were positively associated with a child's body adiposity, whereas satiety responsiveness, slowness in eating, and emotional undereating subscales were negatively associated with adiposity (all P obesity problems among Malaysian children.
Background: The magnitude of under nutrition among children below five years of age is high in Pakistan. Undernutrition and infections are the two most important factors that affect the growth of children. This study explains the extent of undernutrition and prevalence of wasting and stunting among preschool children. Method: This cross sectional study with a sample size of 446 covered the age group 6-59 months in Jalozai Camp, District Nowshera. Height for age, weight for age and weight for height were measured as per WHO guidelines. Systematic random sampling technique was used for sample selection. Data was collected using a questionnaire. Results: According to height for age Z-score, out of 446 children studied, 8.5 percentage were stunted and 4.0 percentage were severely stunted. According to weight for age Z score, 11.4 percentage were underweight and 3.6 percentage were severely underweight. According to weight for height Z-score, 4.0 percentage were wasted and 2.7 percentage were severely wasted. Conclusion: The undernutrition in children is comparable to the national figures. Although our study found that absence of formal education, big family size, late and early weaning, absence of exclusive breast feeding and poverty were the factors associated with undernutrition in children, they could cause increase in under nutrition in future if not improved. (author)
Full Text Available OBJECTIVES: to describe the maternal eating and physical activity strategies (monitoring, discipline, control, limits and reinforcement [MEES]; to determine the relation between MEES and the child's nutritional status [body mass index (BMI and body fat percentage (BFP]; to verify whether the MEES differ according to the child's nutritional status.METHOD: participants were 558 mothers and children (3 to 11 years of age who studied at public schools. The Parental Strategies for Eating and Activity Scale (PEAS was applied and the child's weight, height and BFP were measured. For analysis purposes, descriptive statistics were obtained, using multiple linear regression and the Kruskal-Wallis test.RESULTS: the highest mean score was found for reinforcement (62.72 and the lowest for control (50.07. Discipline, control and limits explained 12% of the BMI, while discipline and control explained 6% of the BFP. Greater control is found for obese children (χ2=38.36, p=0.001 and greater reinforcement for underweight children (χ2=7.19, p<0.05.CONCLUSIONS: the mothers exert greater control (pressure to eat over obese children and greater recognition (congratulating due to healthy eating in underweight children. Modifications in parental strategies are recommended with a view to strengthening healthy eating and physical activity habits.
Dave, Pooja; Nimbalkar, Somashekhar; Phatak, Ajay; Desai, Rajendra; Srivastava, Shirish
Background. Malnutrition in children has serious health and economic consequences. We studied documentation of malnutrition, actual prevalence, and treatment given in children admitted to surgical wards. Methods. Retrospective study of 154 patients aged <5 yrs admitted to general surgical, orthopedic, and otorhinolaryngology wards. Records were evaluated for completeness of data, way of documentation, and data quality. Descriptive analysis was done. If malnutrition was not identified and/or proper action was not taken, it was defined as a “missed opportunity.” Results. Of 154 records audited, 100 (64.94%) were males, 108 (70.13%) were from general surgery ward, and 78 (50.65%) were residing in suburban area. The mean (SD) age of the study population was 2.32 (1.16) years whereas mean (SD) duration of stay was 5.84 (6.29) days. Weight and height were mentioned in 116 (75.32%) and 8 (5.19%) records, respectively, mostly by nonsurgical personnel. Documentation and treatment of malnutrition were poor. Out of 106 apparently correct weight records, 19 (17.93%) children were severely undernourished and 30 (28.30%) were moderately undernourished whereas 20 (18.87%) children were not undernourished but required nutritional attention. Conclusion. There is poor documentation of nutritional indicators of children admitted to surgical wards. From data that was available, it is apparent that malnutrition is at high levels. “Identification” and hence management of malnutrition need more attention.
Márcia Marília Gomes Dantas Lopes
Full Text Available Background: Zinc is an essential nutrient that is required for numerous metabolic functions, and zinc deficiency results in growth retardation, cell-mediated immune dysfunction, and cognitive impairment. Objective: This study evaluated nutritional assessment methods for zinc supplementation in prepubertal non-zinc-deficient children. Design: We performed a randomised, controlled, triple-blind study. The children were divided into a control group (10% sorbitol, n=31 and an experimental group (10 mg Zn/day, n=31 for 3 months. Anthropometric and dietary assessments as well as bioelectrical measurements were performed in all children. Results: Our study showed (1 an increased body mass index for age and an increased phase angle in the experimental group; (2 a positive correlation between nutritional assessment parameters in both groups; (3 increased soft tissue, and mainly fat-free mass, in the body composition of the experimental group, as determined using bioelectrical impedance vector analysis; (4 increased consumption of all nutrients, including zinc, in the experimental group; and (5 an increased serum zinc concentration in both groups (p<0.0001. Conclusions: Given that a reference for body composition analysis does not exist for intervention studies, longitudinal studies are needed to investigate vector migration during zinc supplementation. These results reinforce the importance of employing multiple techniques to assess the nutritional status of populations.
Full Text Available Introduction. This study used three dependent measures of food security to assess the magnitude of household food insecurity and its consequences on the nutritional status of children 6–36 months in Tamale Metropolis of Northern Ghana. Methods. An analytical cross-sectional study was conducted on a sample of 337 mother/child pairs in June 2012. Food access was measured as household food insecurity access scale (HFIAS, household dietary diversity score (HDDS, and food consumption score (FCS. Results. The magnitude of household food insecurity depended on the food access indicator, with HFIAS yielding the highest household food insecurity of 54%. Of the three food access indicators, 30-day HFIAS was not related to any of the nutrition indices measured. HDDS and FCS were both significantly associated with BMI of mothers and chronic malnutrition (stunted growth but not acute malnutrition (wasting with FCS being a stronger predictor of nutritional status. Compared to children in food insecure households, children in food secure households were 46% protected from chronic malnutrition (, 95% CI: 0.31–0.94. Conclusions and Recommendations. The results of this study show that different measures of household food insecurity produce varied degree of the problem. Efforts at reducing chronic child malnutrition should focus on improving the adequacy of the diet.
It is estimated that 8 to 26 percent of infants are born with low birth weight (LBW) worldwide. These children are at risk for medical problems in childhood and adulthood and often have poor oral health. The influence of fetal growth on birth weight and its relevance to childhood growth and future adult health is controversial. Evidence now indicates that the postnatal period is a critical time when nutrition may predispose the child to lifelong metabolic disturbance and obesity. Given the lack of consensus on optimum infant nutrition for LBW, premature, and small-for-gestational-age infants, many such infants may be suboptimally managed. This may result in rapid postnatal weight gain and ongoing health problems. The purpose of this review was to summarize medical terminology and issues related to fetal growth, morbidity associated with being born low birth weight, premature, or small for gestational age, and the importance of appropriate nutrition in such infants. Pediatric dentists can play an important role in supporting healthy feeding practices and improving long-term health in these children. Early integrated medical and dental care should be encouraged for all children with low birth weight.
Underwood, Barbara A
The Interdepartmental Committee on Nutrition for National Defense (ICNND) Surveys provided previously unavailable representative information on the food and nutrition situations of military or civilian populations in 33 developing countries. Information on related social and economic conditions also were assessed. These data provided a framework for planning follow-up programs to correct problems identified and to prevent them from recurring, such as fortification of salt with iodine and sugar with vitamin A. Educational materials specific to the nutrient content of local foods, dietary patterns, and availability within countries and cultures were also developed, such as food composition tables and dietary guidelines. In-country scientists were motivated to continue nutrition research, and, in several countries, institutes and departments of nutrition evolved. Impact was documented by improved nutritional status in several countries, although success is not always attributed directly to the impetus provided through the ICNND Surveys. Furthermore, the surveys and their leaders provided inspiration and role models for aspiring young nutritionists both within their own countries and internationally. PMID:15867321
Robbins, Charles T.; Schwartz, Charles C.; Gunther, Kerry A.; Servheen, Christopher
T HE CHANCE TO SEE a wild grizzly bear is often the first or second reason people give for visiting Yellow - stone National Park. Public interest in bears is closely coupled with a desire to perpetuate this wild symbol of the American West. Grizzly bears have long been described as a wilderness species requiring large tracts of undisturbed habitat. However, in today’s world, most grizzly bears live in close proximity to humans (Schwartz et al. 2003). Even in Yellowstone National Park, the impacts of humans can affect the long-term survival of bears (Gunther et al. 2002). As a consequence, the park has long supported grizzly bear research in an effort to understand these impacts. Most people are familiar with what happened when the park and the State of Montana closed open-pit garbage dumps in the late 1960s and early 1970s, when at least 229 bears died as a direct result of conflict with humans. However, many may not be as familiar with the ongoing changes in the park’s plant and animal communities that have the potential to further alter the park’s ability to support grizzly bears.
Wieringa, Frank Tammo; Dahl, Miriam; Chamnan, Chhoun; Poirot, Etienne; Kuong, Khov; Sophonneary, Prak; Sinuon, Muth; Greuffeille, Valerie; Hong, Rathavuth; Berger, Jacques; Dijkhuizen, Marjoleine Amma; Laillou, Arnaud
Background: Anemia is highly prevalent in Cambodian women and children, but data on causes of anemia are scarce. We performed a national micronutrient survey in children and women that was linked to the Cambodian Demographic Health Survey 2014 (CDHS-2014) to assess the prevalence of micronutrient deficiency, hemoglobin disorders and intestinal parasite infection. Methods: One-sixth of households from the CDHS-2014 were selected for a follow-up visit for the micronutrient survey. Households were visited from two weeks to two months after the CDHS-2014 visit. Data on micronutrient status were available for 1512 subjects (792 children and 720 women). Results: Anemia was found in 43% of the women and 53% of the children. Hemoglobin disorders affected >50% of the population, with Hemoglobin-E the most prevalent disorder. Deficiencies of iron (ferritin < 15 g/L), vitamin A (retinol-binding-protein (RBP) < 0.70 mol/L) or vitamin B12 (<150 pmol/L) were not prevalent in the women (<5% for all), whereas 17.8% of the women had low concentrations of folic acid (<10 nmol/L). In the children, the prevalence of iron, vitamin A, vitamin B12 or folic acid deficiency was <10%. Zinc deficiency, hookworm infection and hemoglobinopathy were significantly associated with anemia in children, whereas in the women none of the factors was significantly associated with anemia. Iron deficiency anemia (IDA) was more prevalent in children <2 years, but in older children and women, the prevalence of IDA was <5%. The most prevalent, preventable causes of anemia were hookworm infection and zinc and folic acid deficiency. Over 40% of the anemia was not caused by nutritional factors. Conclusion: The very high prevalence of anemia in Cambodian women and children cannot be explained solely by micronutrient deficiencies and hemoglobin disorders. Micronutrient interventions to improve anemia prevalence are likely to have limited impact in the Cambodian setting. The focus of current interventions to
Full Text Available Abstract Background Lactose intolerance is a common complication of diarrhoea in infants with malnutrition and a cause of treatment failure. A combination of nutritional injury and infectious insults in severe protein energy malnutrition reduces the capacity of the intestinal mucosa to produce lactase enzyme necessary for the digestion of lactose. The standard management of severe malnutrition involves nutritional rehabilitation with lactose-based high energy formula milk. However, some of these children may be lactose intolerant, possibly contributing to the high rate of unfavorable treatment outcomes. This study was therefore designed to establish the prevalence of lactose intolerance and associated factors in this population. Methods A descriptive cross sectional study involving 196 severely malnourished children with diarrhoea aged 3-60 months was done in Mwanamugimu Nutrition Unit (MNU, Mulago hospital between October 2006 and February 2007. Results During the study period, 196 severely malnourished children with diarrhoea were recruited, 50 (25.5% of whom had evidence of lactose intolerance (stool reducing substance ≥ 1 + [0.5%] and stool pH Other factors that were significantly associated with lactose intolerance on bi-variate analysis included: young age of 3-12 months; lack of up to-date immunization; persistent diarrhoea; vomiting; dehydration, and abdominal distension. Exclusive breastfeeding for less than 4 months and worsening of diarrhoea on initiation of therapeutic milk were the other factors. Conclusions The prevalence of lactose intolerance in this study setting of 25.5% is relatively high. Routine screening by stool pH and reducing substances should be performed especially in the severely malnourished children with diarrhoea presenting with oedematous malnutrition, perianal skin erosion, higher mean stool frequency and having had ≥2 diarrhoea episodes in the previous 3 months. Use of lactose-free diets such as yoghurt
Full Text Available ABSTRACT: A cross-sectional study had been carried out in the urban slums of Dibrugarh during July, 2007 to June, 2008 and a total of 316 preschool children (aged one to five years had been included in the study. The nutritional sta tus of the study subjects had been assessed by anthropometry and for this Z- score approach is uti lized. In order to compare the prevalence of malnutrition in different categories, z-test for testing the difference between two proportions had been employed and χ 2 - test was utilized for testing the associations. T he study revealed that the overall prevalence of underweight, stunting and wasting among the preschool children was 59.37%, 53.12% and 17.81% respectively. Also, it had been observed that the prevalence of stunting was significantly higher in children of il literate mothers (p <0.01 and wasting was significantly higher (p < 0.001 amongst the childre n of working mothers. Underweight and stunting was higher in Class III socioeconomic grou p (p<0.01 and wasting was higher in class IV socioeconomic group (p<0.05 as per modified Kuppusw ami’s socioeconomic classification. From the present study it had been revealed that il literacy, lower socioeconomic status and working status of the mother had a negative impact on the nutritional status of their children. The results of the present study indicate the urgent need for appropriate steps to be taken to improve the nutritional status of the children of th ese areas
Weir Kelly A
Full Text Available Abstract Background Cerebral palsy is the most common cause of physical disability in childhood, occurring in one in 500 children. It is caused by a static brain lesion in the neonatal period leading to a range of activity limitations. Oral motor and swallowing dysfunction, poor nutritional status and poor growth are reported frequently in young children with cerebral palsy and may impact detrimentally on physical and cognitive development, health care utilisation, participation and quality of life in later childhood. The impact of modifiable factors (dietary intake and physical activity on growth, nutritional status, and body composition (taking into account motor severity in this population is poorly understood. This study aims to investigate the relationship between a range of factors - linear growth, body composition, oral motor and feeding dysfunction, dietary intake, and time spent sedentary (adjusting for motor severity - and health outcomes, health care utilisation, participation and quality of life in young children with cerebral palsy (from corrected age of 18 months to 5 years. Design/Methods This prospective, longitudinal, population-based study aims to recruit a total of 240 young children with cerebral palsy born in Queensland, Australia between 1st September 2006 and 31st December 2009 (80 from each birth year. Data collection will occur at three time points for each child: 17 - 25 months corrected age, 36 ± 1 months and 60 ± 1 months. Outcomes to be assessed include linear growth, body weight, body composition, dietary intake, oral motor function and feeding ability, time spent sedentary, participation, medical resource use and quality of life. Discussion This protocol describes a study that will provide the first longitudinal description of the relationship between functional attainment and modifiable lifestyle factors (dietary intake and habitual time spent sedentary and their impact on the growth, body composition and
Full Text Available Schools play an effective role for adopt and maintain healthy eating and physical activity behaviors in children and adolescents. Schools are an important part of national efforts to prevent chronic diseases such as childhood obesity, coronary heart diseases, diabetes and cancer. Nutrition programs in schools can help children and adolescents participate in full educational potential; improve academic performance and health quality. To ensure a healthy future for our children, school-based nutrition education programs must become a national priority. Governments, community leaders, doctors, dieteticians, nurses, teachers, and parents must commit to implementing and sustaining nutrition education programs within the schools. School health and nutrition programs which part of public health and education are summarized in this review. [TAF Prev Med Bull 2011; 10(3.000: 361-368
Full Text Available Abstract Background Parasitic infections have been shown to have deleterious effects on host nutritional status. In addition, although helmintic infection can modulate the host inflammatory response directed against the parasite, a causal association between helminths and allergy remains uncertain. The present study was therefore designed to evaluate the relationship between nutritional status, parasite infection and prevalence of allergy among school children. Methods A cross sectional study was performed involving school children in two elementary schools in Gondar, Ethiopia. Nutritional status of these children was determined using anthropometric parameters (weight-for-age, height-for-age and BMI-for-age. Epi-Info software was used to calculate z-scores. Stool samples were examined using standard parasitological procedures. The serum IgE levels were quantified by total IgE ELISA kit following the manufacturer’s instruction. Result A total of 405 children (with mean age of 12.09.1 ± 2.54 years completed a self-administered allergy questionnaire and provided stool samples for analysis. Overall prevalence of underweight, stunting and thinness/wasting was 15.1%, 25.2%, 8.9%, respectively. Of the total, 22.7% were found to be positive for intestinal parasites. The most prevalent intestinal parasite detected was Ascaris lumbricoides (31/405, 7.6%. There was no statistically significant association between prevalence of malnutrition and the prevalence of parasitic infections. Median total serum IgE level was 344 IU/ml (IQR 117–2076, n = 80 and 610 IU/ml (143–1833, n = 20, respectively, in children without and with intestinal parasite infection (Z = −0.198, P > 0.8. The prevalence of self reported allergy among the subset was 8%. IgE concentration was not associated either with the presence of parasitic infection or history of allergy. Conclusion The prevalence of malnutrition, intestinal parasitism and allergy was not
The purpose of the study was to examine the consequences of a substantial nutritional stress, created by an unimodal climate on the energy balance of adults and on children's growth. Coping strategies of adults, at an individual level, with the seasonal fluctuations in food availability were also co
Since 1970s, the economic and social development in South Korea, as well as dietary pattern, has undergone various changes. Concerns for the decreased nutrition quality and physical activities among Koreans, especially young population, call for a need of a holistic approach in national food and nutrition policy. The National Health Promotion Act of 1995 included national interventions and programs to deal with nutrition-related chronic diseases and obesity prevention. A nation-wide monitoring system, which includes nutrition and health examination survey, is being built and run by the Ministry of Health and Welfare and its affiliated organizations every three years. The Korea Food and Drug Administration (KFDA) is another key agency undertaking national food and nutrition policies. The KFDA recently promulgated the national strategic plans for improving food safety and nutrition, focusing on children. Nutrition labelling policy for processed food is managed by KFDA and various education programs are developed and disseminated to enhance the awareness of nutrition labelling. The agency also makes standards and regulates foods for special dietary uses and health functional food. The Rural Development Administration (RDA) is responsible for maintaining the food composition database. Finally, the National School Lunch Program is mainly governed by the Ministry of Education and Human Resources Development. The above central government agencies along with regional health centers are making efforts to promote the healthy eating habits in addition to constructing healthy environment by making laws and programs and by research and social marketing.
Full Text Available Research question: What is the nutritional status of primary school children in rural area of Varanasi and what factors are associated with malnutrition? Objective: To assess the nutritional status of primary school children in rural Varanasi and to find out various socio-demographic correlates of nutritional status. Study Design: Descriptive cross sectional study. Setting: Four primary schools from Chiraigaon Community Development Block of Varanasi were selected for study purpose. Participants: Eight hundred and sixteen students from four schools were involved in the study. Results: Out of total 816 study subjects 429 or 52.6% (201 boys and 228 girls were underweight and 75 or 9.2% (39 boys and 36 girls were stunted. Educational status of the parents was found to be significantly associated with the nutritional status of school children Conclusion: As the literacy status of the parents has been revealed to be strongly associated with nutritional status of children, there is an increasing need to focus the efforts towards the parents to improve the nutritional status of primary school children.
Suggs, L. Suzanne; Della Bella, Sara; Marques-Vidal, Pedro
Introduction Dietary guidelines aim to inform people of the types of foods and quantities they should consume each day or week to promote and maintain health. The aim of this study was to describe children's dietary behaviors in terms of adherence to the Swiss Society for Nutrition (SSN) dietary guidelines and possible determinants. Methods A cross-sectional study was conducted in September 2010 with 568 children aged 6–12 years old living in Ticino Switzerland. Food intake was collected usin...
Thacher, Tom D; Fischer, Philip R; Isichei, Christian O; Zoakah, Ayuba I; Pettifor, John M
Nutritional rickets in Nigerian children usually results from dietary calcium insufficiency. Typical dietary calcium intakes in African children are about 200mg daily (approximately 20-28% of US RDAs for age). We sought to determine if rickets could be prevented with supplemental calcium or with an indigenous food rich in calcium. We enrolled Nigerian children aged 12 to 18months from three urban communities. Two communities were assigned calcium, either as calcium carbonate (400mg) or ground fish (529±109mg) daily, while children in all three communities received vitamin A (2500IU) daily as placebo. Serum markers of mineral homeostasis and forearm bone density (pDEXA) were measured and radiographs were obtained at enrollment and after 18months of supplementation. The overall prevalence of radiographic rickets at baseline was 1.2% and of vitamin D deficiency [serum 25(OH)DRickets developed in 1, 1, and 2 children assigned to the calcium tablet, ground fish, and control groups, respectively (approximate incidence 6.4/1000 children/year between 1 and 3years of age). Children who developed rickets in the calcium-supplemented groups had less than 50% adherence. Compared with the group that received no calcium supplementation, the groups that received calcium had a greater increase in areal bone density of the distal and proximal 1/3 radius and ulna over time (Prickets.
Rampersaud, Gail C; Pereira, Mark A; Girard, Beverly L; Adams, Judi; Metzl, Jordan D
Breakfast has been labeled the most important meal of the day, but are there data to support this claim? We summarized the results of 47 studies examining the association of breakfast consumption with nutritional adequacy (nine studies), body weight (16 studies), and academic performance (22 studies) in children and adolescents. Breakfast skipping is highly prevalent in the United States and Europe (10% to 30%), depending on age group, population, and definition. Although the quality of breakfast was variable within and between studies, children who reported eating breakfast on a consistent basis tended to have superior nutritional profiles than their breakfast-skipping peers. Breakfast eaters generally consumed more daily calories yet were less likely to be overweight, although not all studies associated breakfast skipping with overweight. Evidence suggests that breakfast consumption may improve cognitive function related to memory, test grades, and school attendance. Breakfast as part of a healthful diet and lifestyle can positively impact children's health and well-being. Parents should be encouraged to provide breakfast for their children or explore the availability of a school breakfast program. We advocate consumption of a healthful breakfast on a daily basis consisting of a variety of foods, especially high-fiber and nutrient-rich whole grains, fruits, and dairy products. PMID:15883552
Baena-Gómez, María Auxiliadora; de la Torre-Aguilar, María José; Aguilera-García, Concepción María; Olza, Josune; Pérez-Navero, Juan Luis; Gil-Campos, Mercedes
Nutritional support is an integral part of the supportive care of hematopoietic stem cell transplantation (HSCT) patients. Omega-3 fatty acids (n-3 FA) emulsions in parenteral nutrition (PN) may modify the inflammatory response. The purpose of this study is to compare plasma cytokine levels in children after HSCT using an n-3 FA-containing lipid emulsion (LE) and a soybean oil-based formulation in PN. A randomized double-blind controlled trial was conducted on 14 children following HSCT. Children were randomized to receive either a fish oil or a soybean oil LE. Blood samples were drawn at baseline, on Day 10 and after completion of PN to analyze plasma interleukin 1 beta (IL-1β), 2 (IL-2), 6 (IL-6), 8 (IL-8), 10 (IL-10), and tumor necrosis factor alpha (TNF-α). After 10 days of PN, there were no significant changes in interleukins levels when comparing the two groups or time points (baseline vs. Day 10 of PN). In children requiring PN >21 days, IL-10 and TNF-α levels (P ≤ 0.05) were lower in the fish-oil-containing LE group. Fish oil- and soybean oil-supplemented PN administered for at least 10 days does not cause inflammatory changes. Prolonged PN based on fish oil LE may modulate the inflammatory response. PMID:27270245
Keiko Asao; Amandine Sambira Marekani; Jessica VanCleave; Rothberg, Amy E
Skipping breakfast is a common dietary habit considered to be unhealthy. However, the mechanisms underlying skipping breakfast have not been fully explored. Leptin is a hormone that regulates food intake and energy storage and secretes in a diurnal rhythm with lowest levels in the morning. We examined the association between the serum leptin level and skipping breakfast in 5714 adults in the U.S. National Health and Nutrition Examination Survey III, 1988–1994. We defined breakfast as any food...
Nutritional management and follow up of infants and children with food allergy: Italian Society of Pediatric Nutrition/Italian Society of Pediatric Allergy and Immunology Task Force Position Statement.
Giovannini, Marcello; D'Auria, Enza; Caffarelli, Carlo; Verduci, Elvira; Barberi, Salvatore; Indinnimeo, Luciana; Iacono, Iride Dello; Martelli, Alberto; Riva, Enrica; Bernardini, Roberto
Although the guidelines on the diagnosis and treatment of food allergy recognize the role of nutrition, there is few literature on the practical issues concerning the nutritional management of children with food allergies. This Consensus Position Statement focuses on the nutritional management and follow-up of infants and children with food allergy.It provides practical advices for the management of children on exclusion diet and it represents an evidence-based consensus on nutritional intervention and follow-up of infants and children with food allergy. Children with food allergies have poor growth compared to non-affected subjects directly proportional to the quantity of foods excluded and the duration of the diet. Nutritional intervention, if properly planned and properly monitored, has proven to be an effective mean to substantiate a recovery in growth. Nutritional intervention depends on the subject's nutritional status at the time of the diagnosis. The assessment of the nutritional status of children with food allergies should follow a diagnostic pathway that involves a series of successive steps, beginning from the collection of a detailed diet-history. It is essential that children following an exclusion diet are followed up regularly. The periodic re-evaluation of the child is needed to assess the nutritional needs, changing with the age, and the compliance to the diet. The follow- up plan should be established on the basis of the age of the child and following the growth pattern.
Nutritional management and follow up of infants and children with food allergy: Italian Society of Pediatric Nutrition/Italian Society of Pediatric Allergy and Immunology Task Force Position Statement.
Giovannini, Marcello; D'Auria, Enza; Caffarelli, Carlo; Verduci, Elvira; Barberi, Salvatore; Indinnimeo, Luciana; Iacono, Iride Dello; Martelli, Alberto; Riva, Enrica; Bernardini, Roberto
Although the guidelines on the diagnosis and treatment of food allergy recognize the role of nutrition, there is few literature on the practical issues concerning the nutritional management of children with food allergies. This Consensus Position Statement focuses on the nutritional management and follow-up of infants and children with food allergy.It provides practical advices for the management of children on exclusion diet and it represents an evidence-based consensus on nutritional intervention and follow-up of infants and children with food allergy. Children with food allergies have poor growth compared to non-affected subjects directly proportional to the quantity of foods excluded and the duration of the diet. Nutritional intervention, if properly planned and properly monitored, has proven to be an effective mean to substantiate a recovery in growth. Nutritional intervention depends on the subject's nutritional status at the time of the diagnosis. The assessment of the nutritional status of children with food allergies should follow a diagnostic pathway that involves a series of successive steps, beginning from the collection of a detailed diet-history. It is essential that children following an exclusion diet are followed up regularly. The periodic re-evaluation of the child is needed to assess the nutritional needs, changing with the age, and the compliance to the diet. The follow- up plan should be established on the basis of the age of the child and following the growth pattern. PMID:24386882
Heavy metals are natural elements that exist in air, water, soils and sediments but at trace level. However, their level might increase due to various domestic and industrial activities. Man can be exposed directly (e. g. drinking polluted water or eating contaminated vegetables and fruits) or indirectly to these heavy metals (e. g. exposure to cigarette smoke (Pb), tobacco or painting areas (Cd), old dwellings (Pb), dental amalgam (Cd, Hg)). The north west region of Morocco, represent a zone where meet all sewages charged of heavy metals coming from different industries and human activities as well. Regarding the nutritional situation of the Ghrab population, many national and regional surveys indicated that stunting (24% children), anaemia (38% children and women), and vitamin A deficiency (40,9 % marginal deficiency in children) are the most known nutritional problem. The main causes of these nutritional problems are poor nutritional intake as well as a poor socio-economic situation. However, no study exists on the relationship between these nutritional disorders (or other not yet discovered) and heavy metals contaminants. This relationship deserves to be solved especially in this region. Indeed several pollution indicators such as aquatic organisms have always recorded a strong level of contamination by heavy metals going from 1 to 6 μg/g for Pb, 0.4 to 2 μg/g for Cd and 0.15 to 1μg/g for Hg. The health consequence of heavy metals contamination of water in this region are not yet well understood. (author)
Scott Jane A
Full Text Available Abstract Background Breastfeeding has been shown consistently in observational studies to be protective of overweight and obesity in later life. This study aimed to investigate the association between breastfeeding duration and weight status in a national sample of Australian children and adolescents. Methods A secondary analysis of the 2007 Australian National Children's Nutrition and Physical Activity Survey data involving 2066, males and females aged 9 to 16 years from all Australian states and territories. The effect of breastfeeding duration on weight status was estimated using multivariate logistic regression analysis. Results Compared to those who were never breastfed, children breastfed for ≥6 months were significantly less likely to be overweight (adjusted odds ratio: 0.64, 95%CI: 0.45, 0.91 or obese (adjusted odds ratio: 0.51, 95%CI: 0.29, 0.90 in later childhood, after adjustment for maternal characteristics (age, education and ethnicity and children's age, gender, mean energy intake, level of moderate and vigorous physical activity, screen time and sleep duration. Conclusions Breastfeeding for 6 or more months appears to be protective against later overweight and obesity in this population of Australian children. The beneficial short-term health outcomes of breastfeeding for the infant are well recognised and this study provides further observational evidence of a potential long-term health outcome and additional justification for the continued support and promotion of breastfeeding to six months and beyond.
Indrapal I. Meshram
Full Text Available Introduction: Street children are the most neglected and vulnerable population group in most of the urban cities in India, and are at risk of undernutrition, and substance abuse. Aims & Objectives: To assess the nutritional status, prevalence of anemia, risk behavior and substance abuse among street children. Material & Methods: It was a street based cross-sectional study carried out on the streets of Hyderabad. Data on age, schooling, family history, reasons for street life, number of years on street etc was collected on pre-designed proforma. Anthropometric measurements such as height and weight were measured and history of substance abuse was obtained from all children, while sexual history was obtained from 12-18 years children. 20 µL finger prick blood sample was collected for hemoglobin estimation. Association was tested using chi square analyses. Results: A total of 305 children of 8-18 years of age were covered. The prevalence of thinness was 26% and that of anemia was 54% among street children. It was observed that about 42% of street children were involved in substance abuse and 14% in sexual risk behaviour. Risk of substance abuse was higher among children staying in railway premises, on street for more than 5 yrs and working in hotels. Sexual involvement was more prevalent among children living in railway or bus station premises and among those living on street for >5 years. Conclusion: Prevalence of anemia was high among street children. The risk of substance abuse and sexual risk behavior was significantly associated with place and duration of stay on the streets.
Roberts, Lindsay S.; Sharma, Sushma; Hudes, Mark L.; Fleming, Sharon E.
Background: African-American and Latino children living in neighborhoods with a low-socioeconomic index are more at risk of obesity-associated metabolic disease than their higher socioeconomic index and/or white peers. Currently, consistent and reliable questionnaires to evaluate nutrition and physical activity knowledge in these children are…
Background: The nutritional status of HIV-infected children is reported to be poor. Diarrhoea and acute respiratory infections tend to be more common and severe in HIV-infected children than in uninfected ones. Deficiencies of micronutrients may result in poor growth and inc
Hong, Sung-woo; Oh, Seung-Won; Lee, CheolMin; Kwon, Hyuktae; Hyeon, Jung-hyeon; Gwak, Jong-seop
Nutrition labels are helpful for chronic disease management in patients requiring balanced nutritional intake. This study aimed to investigate the association between the use of nutrition labels and chronic diseases (hypertension, diabetes mellitus, and hyperlipidemia) by using the 2008-2009 Korea National Health and Nutrition Examination Survey data. A total of 10,695 individuals aged 20 and over was included in the analysis. Using multiple logistic regressions, there was no difference in nutrition label use between the chronic disease and normal groups (men with hypertension OR, 0.97; 95% CI, 0.75-1.27; women with hypertension OR, 0.83; 95% CI, 0.67-1.03; men with diabetes OR, 0.70; 95% CI, 0.45-1.08; women with diabetes OR, 1.13; 95% CI, 0.84-1.53; men with hyperlipidemia OR, 0.85; 95% CI, 0.59-1.23; women with hyperlipidemia OR, 1.14; 95% CI, 0.91-1.44). In hyperlipidemia patients, awareness (OR, 1.55; 95% CI, 1.03-2.35) and control (OR, 2.19; 95% CI, 2.32-3.63) of disease were related to nutrition label use; however, no significant associations were found for the hypertension and diabetes mellitus patients. Considering the importance of dietary habits in the management of chronic diseases, an improvement in nutrition label use by patients with these diseases is required.
Erkan, Tülay; Yalvaç, Sema; Erginöz, Ethem; Çokuğraş, Fügen; Kutlu, Tufan
Aim: To determine the nutritional status of children attending the day nursery by anthropometric measures and to investigate the nutritional status of children who live in families having a certain educational status a socio economic level and social assurance Material and Method: Children who attending the day nursery between November 2004 January 2005 were evaluated for their nutritional status by measuring their weight head circumference thorax circumference superior midarm circumference s...
Vieux, Florent; Brouzes, Chloé M C; Maillot, Matthieu; Briend, André; Hankard, Régis; Lluch, Anne; Darmon, Nicole
The European Food Safety Authority (EFSA) states that young child formulae (YCFs) "cannot be considered as a necessity to satisfy the nutritional requirements" of children aged 12-36 months. This study quantifies the dietary changes needed to ensure nutritional adequacy in U.K. young children who consume YCFs and/or supplements and in those who do not. Dietary data from 1147 young children (aged 12-18 months) were used to identify, using linear programming models, the minimum changes needed to ensure nutritional adequacy: (i) by changing the quantities of foods initially consumed by each child (repertoire-foods); and (ii) by introducing new foods (non-repertoire-foods). Most of the children consumed neither YCFs, nor supplements (61.6%). Nutritional adequacy with repertoire-foods alone was ensured for only one child in this group, against 74.4% of the children consuming YCFs and supplement. When access to all foods was allowed, smaller food changes were required when YCFs and supplements were initially consumed than when they were not. In the total sample, the main dietary shifts needed to ensure nutritional adequacy were an increase in YCF and a decrease in cow's milk (+226 g/day and -181 g/day, respectively). Increasing YCF and supplement consumption was the shortest way to cover the EFSA nutrient requirements of U.K. children. PMID:27598195
Shahraki, Soudabeh Hamedi; Amirkhizi, Farshad; Amirkhizi, Behzad; Hamedi, Sousan
This cross-sectional study was conducted to determine household food security status and sociodemographic factors influencing it and to examine whether food insecurity of household is a risk factor for underweight, stunting, and thinness in primary school children of Sistan and Baluchestan Province in southeastern Iran. A sample of 610 students aged 7-11 years was selected by a multistage cluster random sampling method during December 2013-May 2014. Using U.S. Department of Agriculture Food Security questionnaire, 42.3% of households showed some degree of food insecurity. Food insecurity was positively associated with household size (p = .002) and number of children per household (p = .001) and negatively associated with mother's and father's education level (p = .005 and p = .042, respectively), father's occupation status, and household income (p Nutritional status of children was also associated with food security status of their households.
Burtseva, T I; Skal'nyĭ, A V; Burlutskaia, O I; Malysheva, N V
The paper analyzes the trace element status in the children residing in Orenburg and the Sakmarsky District, Orenburg Region. The study was conducted among 2nd-3rd-form pupils. Their hair samples were used as a biosubstrate to ascertain the trace element status; chemical elements were determined in accordance with guidelines 4.1.1482-03 and 4.1.1483-03 approved by the Ministry of Health of the Russian Federation in 2003. The studies ascertained the children's trace element profiles that are indicative of the high prevalence of imbalance in the hair content of elements among the rural children in the presence of inadequate nutrition in both rural and urban schoolchildren.
Shcherbakova, M Iu; Poriadina, G I; Kovaleva, E A
The article presents the principles of the classes organizations in the school of the rational nutrition for children and adolescents with overweight and obesity, and also for their parents. The school consists of six interactive lessons, which explains the negative consequences of obesity, understand the basic principles of optimal diet. Each class has "minilections", that adapted for both children and parents and accompanied by interactive dialogues, which are attended by all family members of children who are overweight or obese. Presented own observational data for 20 families that attended school. A positive result was achieved in 15 families. The article analyzes the reasons that didn't lead to the expected result in 5 families.
Fernanda Karina dos Santos
Full Text Available OBJECTIVES: The purpose of this study was to examine secular changes in growth and nutritional status of Mozambican children and adolescents between 1992, 1999 and 2012. METHODS: 3374 subjects (1600 boys, 1774 girls, distributed across the three time points (523 subjects in 1992; 1565 in 1999; and 1286 in 2012, were studied. Height and weight were measured, BMI was computed, and WHO cut-points were used to define nutritional status. ANCOVA models were used to compare height, weight and BMI across study years; chi-square was used to determine differences in the nutritional status prevalence across the years. RESULTS: Significant differences for boys were found for height and weight (p2012, and those from 2012 had the highest BMI (1999<2012. In general, similar patterns were observed when mean values were analyzed by age. A positive trend was observed for overweight and obesity prevalences, whereas a negative trend emerged for wasting, stunting-wasting (in boys, and normal-weight (in girls; no clear trend was evident for stunting. CONCLUSION: Significant positive changes in growth and nutritional status were observed among Mozambican youth from 1992 to 2012, which are associated with economic, social and cultural transitional processes, expressing a dual burden in this population, with reduction in malnourished youth in association with an increase in the prevalence of overweight and obesity.
Shack, K W; Grivetti, L E; Dewey, K G
The influence of cash crop income, subsistence agriculture, and purchased foods on nutritional status was examined among three ethnic groups in lowland Papua New Guinea. In their home areas, these groups had been hunter-gatherers, agriculturalists, and hunter-gatherers with limited agriculture. Multiple regression revealed that cash crop income was positively associated with anthropometric status and energy intake among children. Expenditure on food was related to the child's arm circumference but not to nutrient intake. The amount of food planted in the garden was not related to child nutritional status. In contrast, the amount of food planted was positively associated with body mass index of mothers. Consumption of rice and fish was related to food expenditures. Nutritional status was better among families who were agriculturalists prior to resettlement than among hunter-gatherers. The former had more income from cash crops, smaller households, and planted more food in their gardens. Therefore, cash cropping need not decrease nutritional status if home gardens are maintained.
Schermbeck, Rebecca M; Powell, Lisa M
We compare the Children's Food and Beverage Advertising Initiative's (CFBAI's) April 2014 list of food and beverage products approved to be advertised on children's television programs with the federal Interagency Working Group's nutrition recommendations for such advertised products. Products were assessed by using the nutrients to limit (saturated fat, trans fat, sugar, and sodium) component of the Interagency Working Group's recommendations. Fifty-three percent of the listed products did not meet the nutrition recommendations and, therefore, were ineligible to be advertised. We recommend continued monitoring of food and beverage products marketed to children. PMID:25906434
Adato, M; Bassett, L
Investing in social protection in sub-Saharan Africa has taken on a new urgency as HIV and AIDS interact with other drivers of poverty to simultaneously destabilise livelihoods systems and family and community safety nets. Cash transfer programmes already reach millions of people in South Africa, and in other countries in southern and East Africa plans are underway to reach tens and eventually hundreds of thousands more. Cash transfers worldwide have demonstrated large impacts on the education, health and nutrition of children. While the strongest evidence is from conditional cash transfer evaluations in Latin America and Asia, important results are emerging in the newer African programmes. Cash transfers can be implemented in conjunction with other services involving education, health, nutrition, social welfare and others, including those related to HIV and AIDS. HIV/AIDS-affected families are diverse with respect to household structure, ability to work and access to assets, arguing for a mix of approaches, including food assistance and income-generation programmes. However, cash transfers appear to offer the best strategy for scaling up to a national system of social protection, by reaching families who are the most capacity constrained, in large numbers, relatively quickly. These are important considerations for communities hard-hit by HIV and AIDS, given the extent and nature of deprivation, the long-term risk to human capital and the current political willingness to act. PMID:22380980
Kirk, T R; de Looy, A; Fletcher, R; Ruxton, C H
Nutritionists working in food manufacturing and retailing are potentially in a more powerful position than any other professional group to contribute towards achieving the national targets for nutrition and the reduction of nutrition-related diseases, set out in The Health of the Nation (DoH, 1992) and in Scotland's Health, A Challenge to Us All (Scottish Office, 1993). The present paper sets out the details of this argument. First, a review is given of the functions and types of activities carried out by nutritionists in industry. Then a number of key practical ways in which nutritionists, through their activities and functions, can help towards achieving national targets for nutrition and nutrition-related diseases are described. Finally, suggestions are made about the knowledge, skills, and personal attributes needed by nutritionists who intend making successful careers in industry and who wish, at the same time, to contribute towards improving the health of the nation. PMID:17539871
Finkelhor, David; Turner, Heather; Ormrod, Richard; Hamby, Sherry; Kracke, Kristen
This Bulletin discusses the National Survey of Children's Exposure to Violence (NatSCEV), the most comprehensive nationwide survey of the incidence and prevalence of children's exposure to violence to date, sponsored by the Office of Juvenile Justice and Delinquency Prevention (OJJDP) and supported by the Centers for Disease Control and Prevention…
Good nutrition is essential to health and quality of life. As a United Nations agency dedicated to helping Member States achieve their social and economic goals, the International Atomic Energy Agency (IAEA) recognizes the importance of good nutrition and is working to address the problems underlying poor nutrition. In fact, many Agency activities serve basic human needs, by applying nuclear science to increase food production, improve health care, improve management of water resources, and assess sources of environmental pollution. Global progress in reducing malnutrition throughout the human life cycle has been slow and patchy. In its 2000 Report on the World Nutrition Situation, the United Nations Sub Committee on Nutrition estimated that in developing countries 182 million children under five years of age are chronically undernourished and 150 million are underweight. An estimated 30 million infants are born each year with impaired growth due to poor nutrition during pregnancy. Worldwide, renewed international commitments have been made to address this situation, and the IAEA is a vital partner in these efforts. Nuclear science provides valuable tools for monitoring factors that influence nutrition, such as micronutrients, body composition, and breast milk uptake. Through its sub-programme on nutrition, the Agency is helping countries to use isotope applications and other nuclear techniques to their nutritional problems and is supporting leading-edge research on the interaction between nutrition and environmental pollution and infection with the ultimate goal of improving human nutrition
O'Dea, Jennifer A.; Wilson, Rachel
A large national study of schoolchildren aged 6-18 years was conducted to assess nutritional and socio-cognitive factors associated with body mass index (BMI). A questionnaire was used to assess nutritional quality of breakfast, importance of physical activity and food variety score, among 4441 students from randomly selected schools in all states…
Full Text Available Introduction: Under-nutrition contributes to more than one-third of all deaths in children. It does this by diminishing children's immunity and making illness more dangerous. The primary aim of the study is to assess the nutritional status of children aged from 0 to 14 years in a slum area of Kolkata and secondary aim is to determine the prevalence of under-nutrition and its association with various risk factors among the study population. Materials and Methods: Community-based cross-sectional analytical study was carried out in urban slum of Chetla, Kolkata involving children of age group (0-14 years from February to May 2012. All children (120 were examined clinically; their anthropometric measurements such as weight, height, mid upper arm circumference (MUAC were taken using the standard operating procedures, after obtaining verbal consent from their parents with the help of a predesigned and pre-tested schedule. The anthropometric data was analyzed using World Health Organization Anthro and Anthro Plus Softwares. Results: The overall prevalence of under-nutrition among the study population was found to be 54 (45%. Among infants 9 (25% were underweight, 3 (8.3% were stunted, 22 (61.1% were wasted and 23 (63.9% showed thinness. Among 1-5 years aged children, 18 (30.5% were underweight, 17 (28.8% were stunted, 17 (28.8% were wasted, 12 (20.3% had MUAC 12.5-13.5 cm and 17 (28.8% showed thinness. Among 5-14 years aged children, 11 (44% were underweight, 10 (40% were stunted and 12 (48% showed thinness. Conclusion: The nutritional status of children in Chetla slum is not satisfactory in spite of proper immunization coverage and institutional deliveries. Special emphasis should be given for promotion of nutritional education to the mothers.
Fristad, Mary A
Treatment guidelines recommend that psychotherapy be used in conjunction with pharmacotherapy in children with bipolar disorder. A well-established category of psychotherapy is family skill-building plus psychoeducation; 3 examples of this are family-focused treatment, psychoeducational psychotherapy, and child- and family-focused cognitive-behavioral therapy. These treatments share several common elements that are important in pediatric populations, including being family-based, providing psychoeducation on symptoms and their management, and training patients and families in emotion regulation, communication, and problem-solving skills. Clinicians may also wish to explore nutritional interventions; multinutrient complexes are experimental, and omega-3 fatty acid supplements are possibly efficacious. Nutritional interventions are particularly attractive in this patient population because of their favorable safety profile. PMID:27570930
Full Text Available School Health has been regarded as a high priority intervention in developing countries. However it has not been prioritized in Nepal for many years. The objectives of the study are to find out the nutritional status and morbidity pattern in school age children. To arouse importance of personal hygiene and healthful surrounding through information, education and communication (IEC. This cross-sectional study was administered in two schools located in Bolde phedeche and Mahure of Kavrepalanchowk. From the selected schools, a total number of 160 students studying from Grade 1 to V were enumerated in the study using census survey method. Among 160 students, the most important three problems were pediculosis 42(26.2 %, dental caries 29(18.1%, and waxy ear 27(17.1 %. Thus the school health education should put more emphasis on oral care, nutrition, personal hygiene and others. Applying classification of Indian Academy of Pediatrics: based on weight for age, 36(55.3% boys and 34(35.8% girls fall under 1st degree malnutrition and 15(23.07% boys and 44(46.3% girls fall under IInd degree malnutrition, 7(7.2 % girls fall under IIIrd degree malnutrition.The health and nutritional standards of school children in this study were found to be unsatisfactory. Among different morbidity pediculosis is found more in girls. The present study put more emphasis on the need for initiation of school health program in the school with more on improving personal hygiene, prevention of disease like parasitic infection/infestation and improvement of their nutritional status. Journal of College of Medical Sciences-Nepal,2012,Vol-8,No-2, 12-16 DOI: http://dx.doi.org/10.3126/jcmsn.v8i2.6832
Potvin Kent, Monique; Martin, Cherie L; Kent, Emily A
Objective To evaluate the self-regulatory Children's Food and Beverage Advertising Initiative pre- and post-implementation in terms of volume of marketing, marketing techniques, and nutritional quality of foods marketed to children on television. Methods Data for 11 food categories for May 2006 and 2011 were purchased from Nielsen Media Research for two children's specialty channels in Toronto. A content analysis of food advertisements examining the volume and marketing techniques was underta...
Nutrition integrity ensures that all foods available in schools for children are consistent with recommended dietary allowances and contribute to the development of lifelong, healthy eating habits. Attaining nutrition integrity is the goal of numerous changes in National School Lunch and Breakfast Program regulations. Outlines new federal…
Medical students of the American Medical Student Association established the Nutrition Curriculum Project (NCP) with the goals of ensuring that adequate nutrition information be taught to medical students; ensuring that there be a framework for integration of nutrition topics at all levels of medical education; and formulating and disseminating essential information for nutrition assessment and management in clinical practice. As a first step, the NCP assembled a ten-member advisory board to develop a comprehensive list of nutrition topics deemed essential for the adequate training of physicians. The advisory board consisted of medical and nutrition educators, physicians, and clinical specialists representing major U.S. professional nutrition organizations. The NCP's director co-ordinated the decision-making process through its three iterations. Final accord on 92 topics was achieved with unanimous approval of the board in 1994. These topics, organized in five major categories, are offered as a guide to the reform of nutrition education and as the basis of a satisfactory nutrition curriculum.
Medical students of the American Medical Student Association established the Nutrition Curriculum Project (NCP) with the goals of ensuring that adequate nutrition information be taught to medical students; ensuring that there be a framework for integration of nutrition topics at all levels of medical education; and formulating and disseminating essential information for nutrition assessment and management in clinical practice. As a first step, the NCP assembled a ten-member advisory board to develop a comprehensive list of nutrition topics deemed essential for the adequate training of physicians. The advisory board consisted of medical and nutrition educators, physicians, and clinical specialists representing major U.S. professional nutrition organizations. The NCP's director coordinated the decision-making process through its three iterations. Final accord on 92 topics was achieved with unanimous approval of the board in 1994. These topics, organized in five major categories, are offered as a guide to the reform of nutrition education and as the basis of a satisfactory nutrition curriculum.
Nutrition Education: USDA Provides Services through Multiple Programs, but Stronger Linkages among Efforts Are Needed. Report to the Committee on Agriculture, Nutrition, and Forestry, U.S. Senate. GAO-04-528
Bellis, David D.
To help improve nutrition, the U.S. Department of Agriculture (USDA) provides nutrition education through five of its programs: Expanded Food and Nutrition Education Program (EFNEP); Food Stamp Program (FSP); Special Supplemental Nutrition Program for Women, Infants, and Children (WIC); National School Lunch Program (NLP); and Child and Adult Care…
Miller, Mark D; Marty, Melanie A; Landrigan, Philip J
Children are especially vulnerable to environmental pollution, a major cause of disease, death, and disability in countries at every level of development. This article reviews threats to children, including air and water pollution, toxic industrial chemicals, pesticides, heavy metals, and hazardous wastes. Global climate change is expected to exacerbate many of these issues. Examples of innovative nongovernmental organizations and governmental programs that address the impacts of environmental hazards on children are included. International travel, adoption, migration, and movement of goods and pollutants worldwide make these conditions concerns for all pediatricians. PMID:26613694
Miller, Mark D; Marty, Melanie A; Landrigan, Philip J
Children are especially vulnerable to environmental pollution, a major cause of disease, death, and disability in countries at every level of development. This article reviews threats to children, including air and water pollution, toxic industrial chemicals, pesticides, heavy metals, and hazardous wastes. Global climate change is expected to exacerbate many of these issues. Examples of innovative nongovernmental organizations and governmental programs that address the impacts of environmental hazards on children are included. International travel, adoption, migration, and movement of goods and pollutants worldwide make these conditions concerns for all pediatricians.
Adela Isabel Herrera
Full Text Available Introduction: Chronic renal disease (CRD can compromise nutritional status in children. Nutritional assessment should be performed in early stages of CRD in order to maintain growth, as well as to prevent malnutrition and to diminish progression of renal diseases and metabolic consequences of uremia. Objective: Evaluation of nutritional status of children with moderate CRD stages 2- 4 by means of anthropometry, biochemical profile and dietary survey by records of last three days. Methods: A descriptive observational study was performed to a total of 17 patients that attended to pediatric nephrology service at the Hospital Universitario del Valle, from December 2007 to March 2008. Results: Of the children 65% were males, mean age was 6.2 for males and 10.3 for females. Causes of CRD were reflux nephropathy in 41%. Malnutrition under-2 Standard Deviation for height and weight for the age was found in 30% of patients. The measurement of triceps fold, showed moderate undernourishment in 75% of the children. According to the biochemical data 5 patients (29% had serum albumin Conclusions: These results support that an early nutritional intervention, is essential in children with of CRD in early stages; nutritional deficiencies were found in early stages of disease. It is essential to consume 100% of calories and other nutrients to avoid growth deficit and other important alterations.
Potvin Kent, Monique; Dubois, Lise; Wanless, Alissa
Childhood obesity is associated with children's exposure to food/beverage marketing. Policy options in this area are being sought in order to reduce childhood obesity rates on a population-level. We examined the nutritional quality of foods advertised to children during their preferred television viewing in Ontario (Canada), where advertising is self-regulated by industry, and in Quebec (Canada), where a child-directed advertising ban exists. A total of 428 children aged 10-12 years completed television viewing diaries for 7 days. Thirty-two television stations were recorded simultaneously between 6 AM and midnight. A content analysis of 90 h of English Ontario, French Quebec, and English Quebec children's preferred viewing was then undertaken. A total of 429 food and beverage advertisements were analyzed and their nutritional quality was assessed. Food advertisements in the Quebec French sample were statistically significantly higher in total fat, saturated fat and protein, and lower in carbohydrates and sugar per 100 g, and as a percentage of energy than food ads in the two English samples. A statistically significantly lower percentage of the Quebec French food advertisements were classified as either high fat, sugar or sodium and a smaller proportion of food ads were classified as "less healthy" compared to the Ontario and Quebec English samples. These results suggest that the Quebec advertising ban is influencing the macronutrient profile of advertised foods viewed by French Quebec children during their preferred viewing and that their promotions are marginally healthier than that viewed by the English samples. PMID:21720425
Sekiyama, Makiko; Roosita, Katrin; Ohtsuka, Ryutaro
Dietary habits of children, including snack foods consumption, in developing countries have seldom been investigated in relation to their nutrition and health. To assess the effects of snack foods consumption of 154 children aged 1-12 years in a rural village of West Java, Indonesia, a 3-hour-interval food recall survey for all meals and snack foods consumed in seven consecutive days for each subject, anthropometry, and interviews for sociodemographic indicators were conducted. Their overall prevalence of stunting and underweight was 69.5% and 35.7%. There were 221 foods consumed by the subjects, among which 68 foods were categorized as snack foods. Though the children of both <7 year and ≥7 year age groups consumed snack foods similarly throughout the day, the latter group only consumed larger amounts of energy from snack foods at school recess-times. The mean percent contribution of snack foods was 59.6% for fat, 40.0% for energy, 20.6% for calcium, and <10% for vitamins A and C. Half number of the subjects who snacked more than the median amount consumed less carbohydrate and vitamin C than the remaining half. Furthermore, the more snack-consuming group the lower z score for height-for-age (HAZ) among schoolchildren. To improve this nutritionally vulnerable situation, consumption of snack foods should be replaced by the non-snack foods which contain much higher nutrient density; i.e. 15 times for calcium and 32 times for vitamin A. Moreover, considering high snack foods consumption of ≥7 y age group at school, appropriate school nutrition programs should be promoted.
Thane, C.W.; Bates, C.J.
BACKGROUND: Dietary intakes and nutrient status were compared in meat-eaters and non-meat-eaters from the National Diet and Nutrition Survey of children aged 1.5-4.5 years. METHODS: Children (n = 1351) were categorized as 'omnivores' or 'vegetarians', according to whether they consumed meat or meat products during a 4-day dietary record. Blood samples were also obtained for analysis of haematological and biochemical nutrient status. RESULTS: Three per cent of children were 'vegetarian'. They consumed higher proportions of milk and milk products, although this was significant only in older children (P = 0.007), owing to high consumption by the high proportion of Asian children. In vegetarians, energy intakes tended to be lower in both age groups. Percentage energy from protein and fat were lower, while that from carbohydrate was higher compared with omnivores. Cholesterol intakes were lower, significantly so for younger children (P vegetarians compared with omnivores. Energy-adjusted intakes of iron and zinc did not differ significantly from those of omnivores, although both intakes were low in many children (6-20% vegetarians, significantly so in younger children (P = 0.002). Antioxidant vitamin (A, C and E) status tended to be higher in vegetarians, while vitamin B12 intakes and status were more than adequate. Apart from poorer vitamin D intake and status in older Asian vegetarians, very few ethnic differences were observed. CONCLUSIONS: Nutrient intakes and status were generally adequate in preschool children who did not eat meat. Although serum ferritin levels were inferior (particularly in vegetarians under 3 years old), the lower intakes of fat, cholesterol and sodium, and higher antioxidant vitamin intakes and status indices were potentially beneficial. Given a balanced diet, adequate nutrient intakes and status can be maintained without consuming meat.
Naskova, Sanja; Iljovska, Snezana; Pavlevska, Meri; Alimani - Jakupi, Jetmire
The examined material consisted of 71 examinees from both genders at the age of 12, from which the experimental group consisted of 40 children and the control group consisted of 31 examinees.A survey was carried out in order to assess the socio-economic status of the families, to assess the nutritional status (BMI) of the examinees, to verify the dental health while noting the DMFS, DMFT and the intensity of dental caries. The data that presented the socio-economic status of the e...
Jensen, Jørgen Dejgård; Hartmann, Helene Jeanette; de Mul, Anika;
Purpose: To review the literature on the effectiveness of economic incentives for good nutritional behaviour in schools. Methods: Studies published in English that included baseline and/or outcome data regarding food and beverage intake of school children were eligible for inclusion. A systematic...... the inclusion criteria. The reviewed studies addressing price incentives suggest that such incentives are effective for altering consumption in the school setting. Other types of economic incentives have been included in combined intervention schemes, but due to the inclusion of other intervention elements......, it is difficult to draw conclusions about the effectiveness of the economic incentive instruments per se for these studies....
Schools play an effective role for adopt and maintain healthy eating and physical activity behaviors in children and adolescents. Schools are an important part of national efforts to prevent chronic diseases such as childhood obesity, coronary heart diseases, diabetes and cancer. Nutrition programs in schools can help children and adolescents participate in full educational potential; improve academic performance and health quality. To ensure a healthy future for our children, school-based nu...
Hajeebhoy, Nemat; Nguyen, Phuong Hong; Tran, Do Thanh; de Onis, Mercedes
A comprehensive set of infant and young child feeding (IYCF) indicators for international use was published in 2008. We describe the process followed to incorporate these indicators into Vietnam's National Nutrition Surveillance System (NNSS). Following its establishment in 1980, the National Institute of Nutrition introduced the Vietnam NNSS to provide an evidence base for nutrition interventions. While anthropometric indicators based on international standards were regularly used for programme purposes, data on IYCF could not be collected with similar rigor until 2010. In 2009, with support from Alive & Thrive and UNICEF, the NNSS questionnaire was reviewed and additional content incorporated to measure IYCF practices. The tool was pilot-tested in 10 provinces and revised before nationwide roll-out in 2010.The tool comprises four pages, the first three of which focus on collecting data relating to maternal nutrition and IYCF. The last page is flexibly designed to incorporate planners' data requests for other relevant activities (e.g. mass media interventions, food security). Once analysed, the data are presented in a report comprising provincial profiles and maps illustrating IYCF practices. Importantly, the IYCF data have been used for policy advocacy (e.g. maternity leave legislation, advertisement law), programme planning, trend monitoring and capacity building. Adoption of the IYCF indicators was successful due to strategic timing, a phased approach, buy-in from stakeholders and capacity building at all levels to ensure the quality and use of data. Further revisions to the NNSS (e.g. sampling methodology, quality assurance systems) will be important to ensure the reliability of indicators. PMID:24074323
Herndon, Alison C.; DiGuiseppi, Carolyn; Johnson, Susan L.; Leiferman, Jenn; Reynolds, Ann
Consumption of macro- and micronutrients and food group servings by children with autism spectrum disorders (ASDs; n = 46) and typical development (n = 31) were compared using 3-day diet records. Children with ASDs consumed significantly more vitamin B6 and E and non-dairy protein servings, less calcium, and fewer dairy servings (p less than…
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Background: The current trend towards increasing urbanization due to urban migration among the scheduled tribes in developing countries like India should be reflected in differential nutritional outcomes and its associated factors. The aims of the present study are to investigate the nutritional status amongst Shabar children living in urban, rural and forest habitats and factors associated to nutritional state.
Methods: This cross sectional study was conducted among 577 Shabar children (boys and girls aged 5 to 19 years (258 urban, 195 rural and 124 forest. The anthropometric nutritional indices, socio-economic condition and disease prevalence were used to evaluate the present conditions.
Results: The results revealed that children from forest regions had the highest prevalence of under-nutrition followed by their rural and urban counterparts, 33.87%, 24.62% and 20.16%, respectively. Malaria prevalence in forest areas and economic conditions in rural and urban habitats might have been significantly related to underweight and stunting.
Conclusions: To reduce the prevalence and the extent of under-nutrition, it is essential to improve the economic conditions and to simultaneously carry out measurements for reducing malaria specifically in forest habitats.
Full Text Available A nutrition education programme was conducted for 324 children of two (boys and girls Secondary schools in a village of Burdwan district. Lesson plans and evaluation parameters were formulated based on pre- determined learning objectives. The main methods of training were lectures and discussions using simple and relevant aids. Impact of training was evaluated by pre- training and post- training assessments of knowledge, attitude and dietary practice of students. Results revealed that poor pre- training mean score of knowledge was increased significantly following training but declined thereafter, although final mean score was significantly higher than basal knowledge status. Mean score of attitude also increased significantly but did not decline. Inconsistency of results regarding change in dietary practices observed was recognized as a short coming of isolated training of children only, because dietary habit of a community depends on various factors.
Importance of taste, nutrition, cost and convenience in relation to diet quality: Evidence of nutrition resilience among US adults using National Health and Nutrition Examination Survey (NHANES) 2007-2010.
Aggarwal, Anju; Rehm, Colin D; Monsivais, Pablo; Drewnowski, Adam
Concerns with taste, nutrition, cost, and convenience are said to be key influences on food choices. This study examined the importance of food-related attitudes in relation to diet quality using US national level data. Interactions by socioeconomic status (SES), gender and race/ethnicity were tested. Analyses of 8957 adults from National Health and Nutrition Examination Survey (NHANES 2007-2010) were conducted in 2014-15. Perceived importance of taste, nutrition, cost, and convenience in dietary choices were assessed using 4-point Likert scales. Education and family income-to-poverty ratio (FIPR) were SES indicators. Healthy Eating Index (HEI-2010), a measure of adherence to 2010 dietary guidelines, was the diet quality measure. Survey-weighted regressions examined associations between attitudes and HEI, and tested for interactions. Taste was rated as "very important" by 77.0% of the US adults, followed by nutrition (59.9%), cost (39.9%), and convenience (29.8%). However, it was the perceived importance of nutrition that most strongly predicted HEI (β: +8.0 HEI scores among "very important" vs. "not at all important"). By contrast, greater importance for taste and convenience had a weak inverse relation with HEI (β: -5.1 and -1.5 respectively), adjusting for SES. Significant interactions were observed by race/ethnicity, but not SES and gender. Those who prioritized nutrition during food shopping had higher-quality diets regardless of gender, education and income in the US. Certain racial/ethnic groups managed to eat healthy despite attaching importance to cost and convenience. This is the first evidence of nutrition resilience among US adults using national data, which has huge implications for nutrition interventions. PMID:27374943
de Carvalho, Carolina Abreu; Fonsêca, Poliana Cristina de Almeida; Priore, Silvia Eloiza; Franceschini, Sylvia do Carmo Castro; de Novaes, Juliana Farias
OBJECTIVE: To perform a review of studies of food consumption and nutritional adaptation in Brazilian infants pointing the main findings and limitations of these studies. DATA SOURCE: The articles were selected from Literatura Latino-Americana e do Caribe em Ciências da Saúde (Lilacs) (Latin-American and Caribbean Literature in Health Sciences), Scientific Electronic Library Online (SciELO) and Science Direct in Portuguese and in English. The descriptors were: ''food consumption'', ''nutritional requirements'', ''infant nutrition'' and ''child''. The articles selected were read by two evaluators that decided upon their inclusion. The following were excluded: studies about children with pathologies; studies that approached only food practices or those adaptation of the food groups or the food offert; and studies that did not utilize the Dietary Reference Intakes (DRI). DATA SYNTHESIS: Were selected 16 studies published between 2003 and 2013. In the evaluation of the energy consumption, four studies presented energetic consumption above the individual necessities. The prevalence of micronutrients inadequacy ranged from 0.4% to 65% for iron, from 20% to 59.5% for vitamin A, from 20% to 99.4% for zinc, from 12.6% to 48.9% for calcium and from 9.6% 96.6% for vitamin C. CONCLUSIONS: The food consumption of Brazilian infants is characterized by high frequencies of inadequacy of micronutrients consumption, mainly iron, vitamin A and zinc. These inadequacies do not exist only as deficiencies, but also as excesses, as noted for energetic consumption. PMID:25935607
Carolina Abreu de Carvalho
Full Text Available OBJECTIVE: To perform a review of studies of food consumption and nutritional adaptation in Brazilian infants pointing the main findings and limitations of these studies. DATA SOURCE: The articles were selected from Literatura Latino-Americana e do Caribe em Ciências da Saúde (Lilacs (Latin-American and Caribbean Literature in Health Sciences, Scientific Electronic Library Online (SciELO and Science Direct in Portuguese and in English. The descriptors were: ''food consumption'', ''nutritional requirements'', ''infant nutrition'' and ''child''. The articles selected were read by two evaluators that decided upon their inclusion. The following were excluded: studies about children with pathologies; studies that approached only food practices or those adaptation of the food groups or the food offert; and studies that did not utilize the Dietary Reference Intakes (DRI. DATA SYNTHESIS: Were selected 16 studies published between 2003 and 2013. In the evaluation of the energy consumption, four studies presented energetic consumption above the individual necessities. The prevalence of micronutrients inadequacy ranged from 0.4% to 65% for iron, from 20% to 59.5% for vitamin A, from 20% to 99.4% for zinc, from 12.6% to 48.9% for calcium and from 9.6% 96.6% for vitamin C. CONCLUSIONS: The food consumption of Brazilian infants is characterized by high frequencies of inadequacy of micronutrients consumption, mainly iron, vitamin A and zinc. These inadequacies do not exist only as deficiencies, but also as excesses, as noted for energetic consumption.
O. O. Omitola
Full Text Available This study assessed the geohelminth and nutritional status of preschoolers in a periurban community of Ogun state. Fresh stool specimens were collected for laboratory analysis, processed using ether concentration method, and examined under the microscope for geohelminth ova. Demographic characteristics and daily nutrient intake of children were subjectively assessed during an interview session with parents, following anthropometric data collection. Data obtained were analysed using a statistical software for Windows. Nutritional indicators such as underweight, stunting, and wasting were computed from anthropometric data. Results showed an overall prevalence of 39.2% and 12.4% for Ascariasis and Hookworm infection, respectively, with no significant difference (P>0.05 between the sexes. Prevalence of nutritional indicators was 52.6%, 35.1%, 34.0%, and 9.3% for underweight, stunting, wasting, and thinness conditions, respectively. A good proportion of the malnourished preschoolers were free of Ascaris infection but infected with Hookworm parasite. The adverse effect of geohelminth infection cannot still be ignored in impaired growth, reduced survival, poor development, and cognitive performance of preschoolers. Therefore promotion of adequate health education program on measures of preventing geohelminth infections is needed.
Omitola, O O; Mogaji, H O; Oluwole, A S; Adeniran, A A; Alabi, O M; Ekpo, U F
This study assessed the geohelminth and nutritional status of preschoolers in a periurban community of Ogun state. Fresh stool specimens were collected for laboratory analysis, processed using ether concentration method, and examined under the microscope for geohelminth ova. Demographic characteristics and daily nutrient intake of children were subjectively assessed during an interview session with parents, following anthropometric data collection. Data obtained were analysed using a statistical software for Windows. Nutritional indicators such as underweight, stunting, and wasting were computed from anthropometric data. Results showed an overall prevalence of 39.2% and 12.4% for Ascariasis and Hookworm infection, respectively, with no significant difference (P > 0.05) between the sexes. Prevalence of nutritional indicators was 52.6%, 35.1%, 34.0%, and 9.3% for underweight, stunting, wasting, and thinness conditions, respectively. A good proportion of the malnourished preschoolers were free of Ascaris infection but infected with Hookworm parasite. The adverse effect of geohelminth infection cannot still be ignored in impaired growth, reduced survival, poor development, and cognitive performance of preschoolers. Therefore promotion of adequate health education program on measures of preventing geohelminth infections is needed. PMID:27034905
Kordas, Katarzyna; Queirolo, Elena I; Mañay, Nelly; Peregalli, Fabiana; Hsiao, Pao Ying; Lu, Ying; Vahter, Marie
Arsenic exposure in children is a public health concern but is understudied in relation to the predictors, and effects of low-level exposure. We examined the extent and dietary predictors of exposure to inorganic arsenic in 5-8 year old children from Montevideo, Uruguay. Children were recruited at school; 357 were enrolled, 328 collected morning urine samples, and 317 had two 24-h dietary recalls. Urinary arsenic metabolites, i.e. inorganic arsenic (iAs), methylarsonic acid (MMA), and dimethylarsinic acid (DMA), were measured using high-performance liquid chromatography with hydride generation and inductively coupled plasma mass spectrometry (HPLC-HG-ICP-MS), and the sum concentration (U-As) used for exposure assessment. Proportions of arsenic metabolites (%iAs, %MMA and %DMA) in urine were modelled in OLS regressions as functions of food groups, dietary patterns, nutrient intake, and nutritional status. Exposure to arsenic was low (median U-As: 9.9µg/L) and household water (water As: median 0.45µg/L) was not a major contributor to exposure. Children with higher consumption of rice had higher U-As but lower %iAs, %MMA, and higher %DMA. Children with higher meat consumption had lower %iAs and higher %DMA. Higher scores on "nutrient dense" dietary pattern were related to lower %iAs and %MMA, and higher %DMA. Higher intake of dietary folate was associated with lower %MMA and higher %DMA. Overweight children had lower %MMA and higher %DMA than normal-weight children. In summary, rice was an important predictor of exposure to inorganic arsenic and DMA. Higher meat and folate consumption, diet rich in green leafy and red-orange vegetables and eggs, and higher BMI contributed to higher arsenic methylation capacity. PMID:26828624
... Branch, Child Nutrition Division, Food and Nutrition Service, P.O. Box 66874, Saint Louis, MO 63166..., Section Chief, Policy and Program Development Branch, Child Nutrition Division, Food and Nutrition Service... Kids Act of 2010 (HHFKA), to the Child Nutrition Act of 1966 (CNA) and the Richard B. Russell...
Balcha, Berhanu; Jones, Nicola; Tefera, Bekele
The purpose of this paper is to assess how the needs of children are incorporated into Ethiopia¿s Poverty Reduction Strategy Paper (PRSP)¿known as the Ethiopian Sustainable Development and Poverty Reduction Programme 2002-2005 (SDRDP) ¿and to develop policy recommendations for the second PRSP based...... on a comparative content analysis with other countries¿ PRSPs. The paper begins by identifying the key ingredients of a child-centred PRSP, including: consideration of childhood poverty in the document¿s poverty analysis; spaces for consultation with children; childspecific policies and programmes as well as child...... the multi-dimensionality of childhood poverty in Ethiopia....
Rush, D; Horvitz, D G; Seaver, W B; Alvir, J M; Garbowski, G C; Leighton, J; Sloan, N L; Johnson, S S; Kulka, R A; Shanklin, D S
The Special Supplemental Food Program for Women, Infants, and Children (WIC) aims to improve the nutrition and health of low-income, nutritionally at-risk pregnant women and preschool children with supplemental food, nutrition education, and coordination of health care. Started in 1972, it recently served greater than 3.4 million persons monthly and at a cost of $1.66 billion annually. The National WIC Evaluation (NWE) consisted of four studies: The historical study estimated changes in birth outcome attributable to WIC from 1972 to 1980 in 19 states and the District of Columbia from WIC program data and vital statistics. The longitudinal study of pregnant women compared dietary intake, weight gain, anthropometry, duration of gestation, birth weight, and infant length and head circumference between a representative national sample of WIC participants and economically comparable women. The cross-sectional study of preschool children related WIC to dietary intake, anthropometry, and psychological development. The food expenditures study estimated the impact of WIC on family grocery and other food expenditures. PMID:3400624
Bairagi, R; Edmonston, B; Hye, A
The influence of nutritional status on age misstatement in 1981 among 679 children aged 22-59 months in Companyganj, Bangladesh, is examined. The age limits were established to represent the most vulnerable age group; age information 22 months was unavailable. Calibrated scales were used for measurement. Weight was measured within 100 g, and height and arm circumference within .1 cm. Age error was calculated as actual age minus reported age. Weight for age (WA) and height for age (HA) were also calculated for actual and reported age. The Polish standard was used to calculate arm circumference for age (ACA). This rural area revealed findings different from those previously reported for the Matlab area. Systematic and random error was higher in Companyganj. Interviewer bias needs to be investigated as 1 possible explanation for the differences. There was a difference of 4.1 months between the best and worst interviewer. Although child's sex and mother's age were associated with age error in the Matlab study, child's sex was found to be insignificant. The Matlab study included children 0-14 years, which may explain the difference. The nutritional status of children influenced different interviewers, and literate and illiterate mothers report ages differently. The reasons given are the varying expectations of both the interviewers and the mothers of normal growth patterns by age. A malnourished child might be underestimated and a well-nourished child overestimated. The illiterate mother may be influenced by the opinions of the interviewer or not know the child's actual birth date, and then understate the age. The results are that there was age overreporting for each age group. The standard deviation of the age error reveals random error. The standard error increases with age. The systematic error and random error are significantly higher than in comparable Matlab data. In the analysis of nutritional status, mother's education, and interviewer, nutritional status was
Accelerating improvements in nutritional and health status of young children in the Sahel region of Sub-Saharan Africa: review of international guidelines on infant and young child feeding and nutrition.
Wuehler, Sara E; Hess, Sonja Y; Brown, Kenneth H
The United Nations Convention on the Rights of the Child holds governments responsible to ensure children's right to the highest attainable standard of health by providing breastfeeding support, and access to nutritious foods, appropriate health care, and clean drinking water. International experts have identified key child care practices and programmatic activities that are proven to be effective at reducing infant and young child undernutrition, morbidity, and mortality. Nevertheless, progress towards reducing the prevalence of undernutrition has been sporadic across countries of the Sahel sub-region of Sub-Saharan Africa. In view of this uneven progress, a working group of international agencies was convened to 'Reposition children's right to adequate nutrition in the Sahel.' The first step towards this goal was to organize a situational analysis of the legislative, research, and programmatic activities related to infant and young child nutrition (IYCN) in six countries of the sub-region: Burkina Faso, Chad, Mali, Mauritania, Niger, and Senegal. The purposes of this introductory paper are to review current information concerning the nutritional and health status of infants and young children in the Sahel and to summarize international guidelines on optimal IYCN practices. These guidelines were used in completing the above-mentioned situational analyses and encompass specific recommendations on: (i) breastfeeding (introduction within the first hour after birth, exclusivity to 6 months, continuation to at least 24 months); (ii) complementary feeding (introduction at 6 months, use of nutrient dense foods, adequate frequency and consistency, and responsive feeding); (iii) prevention and/or treatment of micronutrient deficiencies (vitamin A, zinc, iron and anaemia, and iodine); (iv) prevention and/or treatment of acute malnutrition; (v) feeding practices adapted to the maternal situation to reduce mother-to-child transmission of HIV; (vi) activities to ensure food
May A Beydoun
Full Text Available The associations between nutritional biomarkers and measures of sleep quantity and quality remain unclear.Cross-sectional data from the National Health and Nutrition Examination Surveys (NHANES 2005-2006 were used. We selected 2,459 adults aged 20-85, with complete data on key variables. Five sleep measures were constructed as primary outcomes: (A Sleep duration; (B Sleep disorder; (C Three factors obtained from factor analysis of 15 items and labeled as "Poor sleep-related daytime dysfunction" (Factor 1, "Sleepiness" (Factor 2 and "Sleep disturbance" (Factor 3. Main exposures were serum concentrations of key nutrients, namely retinol, retinyl esters, carotenoids (α-carotene, β-carotene, β-cryptoxanthin, lutein+zeaxanthin, lycopene, folate, vitamin B-12, total homocysteine (tHcy, vitamin C, 25-hydroxyvitamin D (25(OHD and vitamin E. Main analyses consisted of multiple linear, logistic and multinomial logit models.Among key findings, independent inverse associations were found between serum vitamin B-12 and sleep duration, 25(OHD and sleepiness (as well as insomnia, and between folate and sleep disturbance. Serum total carotenoids concentration was linked to higher odds of short sleep duration (i.e. 5-6 h per night compared to normal sleep duration (7-8 h per night.A few of the selected serum nutritional biomarkers were associated with sleep quantity and quality. Longitudinal studies are needed to ascertain temporality and assess putative causal relationships.
Huynh, Dieu T T; Estorninos, Elvira; Capeding, Maria Rosario; Oliver, Jeffery S; Low, Yen Ling; Rosales, Francisco J
Nutrient deficiencies during childhood have adverse effects on child growth and health. In a single-arm 48-week long-term intervention, we previously reported the efficacy of oral nutritional supplementation (ONS) and dietary counselling on catch-up growth and growth maintenance in nutritionally at-risk Filipino children. The present analysis was done to assess the contributing effects of ONS to nutritional adequacy, dietary diversity, food intake and longitudinal growth. ONS (450 ml) was consumed daily providing 450 kcal (1880 kJ) and at least 50 % of micronutrient requirements among 200 children aged 3-4 years with weight-for-height percentiles between 5th and 25th (WHO Growth Standards). Weight, height and dietary intakes using 24-h food recalls were measured at baseline, and at weeks 4, 8, 16, 24, 32, 40 and 48. Nutrient adequacy and dietary diversity score (DDS) were calculated. Generalised estimating equations were used to assess the effects of total nutrient intakes, DDS, ONS compliance and sociodemographic factors on longitudinal growth. The percentages of children with adequate intake of energy, protein, Fe, Ca and some vitamins at each post-baseline visit were improved from baseline, reaching 100 % for most nutrients. DDS was also increased from baseline and reached significance from week 16 onwards (P education level and ONS compliance were significantly associated with height-for-age percentile gain over time (P < 0·05). Long-term ONS intervention did not interfere with normal food intake and helped promote nutritional adequacy and growth of Filipino children. PMID:27293557
Reeves, Sue; Wake, Yvonne; Zick, Andrea
Objective: To investigate meals, price, nutritional content, and nutrition and portion size information available on children's menus in fast-food and table-service chain restaurants in London, since the United Kingdom does not currently require such information but may be initiating a voluntary guideline. Methods: Children's menus were assessed…
Hackett, F.J. Paul; Abonyi, Sylvia; Dyck, Roland F.
Background First Nations people are experiencing increasing rates of obesity and type 2 diabetes but no anthropometric information exists from before the 1950s to provide context to these epidemics. Objective To compare anthropometric indices of First Nations children and youth on first entering residential schools with historical and contemporary reference groups. Methods This observational cross-sectional study used archival records from the Department of Indian Affairs to calculate body mass index (BMI), height for age (HA) and weight for age (WA) of all known children and youth undergoing physical examinations on first entering residential schools in Saskatchewan and Manitoba from 1919 to 1953. Proportions of children and youth in each BMI category were determined by age, sex, time period and residential school. Z-scores for HA and WA were determined by age group and sex. Finally, median heights and weights were compared with a non-Indigenous cohort from the 1953 Canadian survey. Results On admission to residential schools, 1,767 First Nations children and youth (847 boys, 920 girls) were more likely to have normal BMIs (79.8%) than Canadian children and youth today (66.5%), but lower rates of overweight/obesity (10.9% vs. 32.0%) and higher rates of underweight (9.3% vs. −2, age-specific median heights tended to be higher than Canadian children and youth in 1953. Under 3% of children and youth had WA Z-scores of >−2. Conclusions A large majority of First Nations children and youth exhibited normal anthropometric indices on first entering residential schools in Manitoba and Saskatchewan from 1919 to 1953. These historical findings provide an important context to the current epidemics of obesity and type 2 diabetes and suggest that the nutritional conditions in these First Nations children's communities were satisfactory during the residential school era. PMID:27357369
F.J. Paul Hackett
Full Text Available Background: First Nations people are experiencing increasing rates of obesity and type 2 diabetes but no anthropometric information exists from before the 1950s to provide context to these epidemics. Objective: To compare anthropometric indices of First Nations children and youth on first entering residential schools with historical and contemporary reference groups. Methods: This observational cross-sectional study used archival records from the Department of Indian Affairs to calculate body mass index (BMI, height for age (HA and weight for age (WA of all known children and youth undergoing physical examinations on first entering residential schools in Saskatchewan and Manitoba from 1919 to 1953. Proportions of children and youth in each BMI category were determined by age, sex, time period and residential school. Z-scores for HA and WA were determined by age group and sex. Finally, median heights and weights were compared with a non-Indigenous cohort from the 1953 Canadian survey. Results: On admission to residential schools, 1,767 First Nations children and youth (847 boys, 920 girls were more likely to have normal BMIs (79.8% than Canadian children and youth today (66.5%, but lower rates of overweight/obesity (10.9% vs. 32.0% and higher rates of underweight (9.3% vs. −2, age-specific median heights tended to be higher than Canadian children and youth in 1953. Under 3% of children and youth had WA Z-scores of >−2. Conclusions: A large majority of First Nations children and youth exhibited normal anthropometric indices on first entering residential schools in Manitoba and Saskatchewan from 1919 to 1953. These historical findings provide an important context to the current epidemics of obesity and type 2 diabetes and suggest that the nutritional conditions in these First Nations children's communities were satisfactory during the residential school era.
Full Text Available Abstract Among dietary factors, learning and behavior are influenced not only by nutrients, but also by exposure to toxic food contaminants such as mercury that can disrupt metabolic processes and alter neuronal plasticity. Neurons lacking in plasticity are a factor in neurodevelopmental disorders such as autism and mental retardation. Essential nutrients help maintain normal neuronal plasticity. Nutritional deficiencies, including deficiencies in the long chain polyunsaturated fatty acids eicosapentaenoic acid and docosahexaenoic acid, the amino acid methionine, and the trace minerals zinc and selenium, have been shown to influence neuronal function and produce defects in neuronal plasticity, as well as impact behavior in children with attention deficit hyperactivity disorder. Nutritional deficiencies and mercury exposure have been shown to alter neuronal function and increase oxidative stress among children with autism. These dietary factors may be directly related to the development of behavior disorders and learning disabilities. Mercury, either individually or in concert with other factors, may be harmful if ingested in above average amounts or by sensitive individuals. High fructose corn syrup has been shown to contain trace amounts of mercury as a result of some manufacturing processes, and its consumption can also lead to zinc loss. Consumption of certain artificial food color additives has also been shown to lead to zinc deficiency. Dietary zinc is essential for maintaining the metabolic processes required for mercury elimination. Since high fructose corn syrup and artificial food color additives are common ingredients in many foodstuffs, their consumption should be considered in those individuals with nutritional deficits such as zinc deficiency or who are allergic or sensitive to the effects of mercury or unable to effectively metabolize and eliminate it from the body.
Ortiz, D; Afonso, C; Hagel, I; Rodriguez, O; Ortiz, C; Palenque, M; Lynch, N R
We investigated the influence of nutritional status, as determined from anthropometric measurement, and of helminthic infections on the immune response of children of low socioeconomic status in two rural communities in Venezuela: El Cardón in the state of Nueva Esparta and San Daniel in the state of Miranda. A total of 125 boys and girls between 2 and 15 years old participated in the study. Their socioeconomic stratum was determined by a modified Graffar method. A physical examination was performed, as was also an anthropometric evaluation that took into account three indicators--weight-for-height, weight-for-age, and height-for-age--according to parameters established by the World Health Organization. Other examinations included feces, secretory IgA in saliva, total serum IgE, and anti-Ascaris-specific immunoglobulins. The children in both of the communities were in strata IV and V of the of Graffar scale, with a significantly greater number of stratum V inhabitants in San Daniel (P < 0.001). The results suggest that exposure level and individual susceptibility to the parasites are determining factors in parasitic infection and immune system behavior. The intensity of the parasitic burden plays an important role in stimulating polyclonal IgE, which diminishes the effectiveness of the specific response to those infections. On the other hand, nutritional deficiencies could change the immune mechanisms of the mucous membranes, negatively influence the synthesis of secretory IgA, and stimulate the production of polyclonal IgE. Poor sanitary and socioeconomic conditions promote more exposure to gastrointestinal parasites and a deficient nutritional status, which modulates the immune response and affects serum IgE and secretory IgA production mechanisms. PMID:11036425
Full Text Available Background: Prevalence of protein-energy malnutrition (PEM is one of the important problems of third-world countries including Iran. This study assessed nutritional status and some related factors among children aged 0-5 years in Bandar Turkmen district. Materials and Methods: In this cross-sectional study, 616 children aged less than 5 years were selected with stratified random sampling. Malnutrition was defined as +2 SD NCHS reference. Data were collected by interview with mothers and were analyzed with SPSS-11.5 software. Results: In this study, prevalence of underweight, wasting and stunting and obesity were 3.7, 3.9, 7 and 6% respectively. Exclusively breastfeeding, mother’s BMI, mother’s weight and parental educational and economic status had significant correlation with children’s PEM (p4000 g (p=0.031, breast feeding duration 30 years (p=0.043 and formula or cow’s milk plus breast feeding up to 6 months old (p=0.018 had significant correlation with children’s obesity. In multivariate analysis on logistic regression, mother’s nutritional knowledge (OR=11.22, p=0.001 was most important risk factor for PEM. Exclusively breast feeding up to 6 months of age rather than formula or cow’s milk plus breast feeding, reduced 2.45 times obesity risk (p=0.019. Conclusion: We conclude that breast feeding at first 6 months of age, longer breast feeding duration and pregnancy in lower than 30 years of age reduce risk of child nutritional status.
Torres-Villanueva, Mario; Dellán-Rodríguez, Graciela; Papale-Centofanti, Jham; Rodríguez, Dioslibeth; Mendoza, Norelis; Berné, Yelitza
Malnutrition is a public health problem for underdeveloped countries. From the 852 million of undernourished estimated by FAO between 2000 and 2002, 815 million belonged to underdeveloped countries, 28 million to countries in transition and 9 million to developed countries. Malnutrition in Venezuela had a 6% raise between 2000 and 2002, when it went from 11% to 17%. This work was done with children under 15 years old from La Escalera, using classic indicators and their combination, relating them with socioeconomic conditions, through the NBI and Graffar Méndez Castellano methods, as to consider the population nutritional profile. The higher prevalence corresponded to normal nutritional values, which oscillated between 55,7% and 80,7% in the 7-14 years old group and the 2-6 years old group, respectively. Malnutrition was found in the under 2 years old group and 7-14 years old group, with values ranging between 12,5 and 41,0% respectively. The least prevalence was found for excess malnutrition. 100% of the families in this study are poor, according to NBI; although the Graffar Mendez Castellano method established that poverty was about 60%, while 40% belonged to a medium-low status. Relating nutritional diagnosis with social stratification and the mother's educational level, three patterns were observed: III, IV and V, prevailing normal diagnosis, followed by malnutrition by deficit and malnutrition by excess, respectively. The predominating mother's educational level corresponded to incomplete high school, followed by analphabetism and the least prevalent has complete basic elementary education. It should be noted that the nutrition deficit was inversely related to the socioeconomic stratification and the mother's educational level.
Lokesh Sonkaria, Afifa Zafer, Kusum Lata Gaur, Ravindra Kumar Manohar
Background: Good nutrition bene-fits families, their communities and the world as a whole. Maternal factors are important in maintaining the nutrition of 1-5 year children. Objective: To ascertain the association of maternal factors with nutrition of 1-5 year children. Materials and Methods: A community based cross sectional descriptive type of observational study was carried out in the field practice area of RHTC Naila in Jaipur district of Rajasthan. 30 Cluster sampling technique was ...
Sato, Nanae; Hayashi, Fumi; Yoshiike, Nobuo
This quasi-experimental study determined whether the nutrition education program we developed to promote chewing food properly influenced children's chewing habits successfully. Four kindergarten classes in Japan (150 children, aged 5-6 years) were studied; one class received the educational program in the classroom and at home (Group A) and three classes received the program in the classroom only (Group B). The educational program was integrated into the classes' daily curriculum for five weeks. It included storytelling with large picture books, chewing consciously while eating lunch, singing a song with gestures, and greetings before and after meals (both groups). Group A also used a paper textbook and was provided information by the leaflet to encourage guardians to implement the program at home. Chewing habits before and after intervention were evaluated: (1) guardians completed seven questionnaire items related to chewing habits and chewing movement and (2) the number of chews and time spent eating the test meal were measured by a portable chewing sensor. Both approaches improved the children's chewing habits; however, no difference was found between the two groups. We concluded that this intervention could be used to improve chewing habits in young children even without active involvement of their guardians. PMID:27382638
Dórea, José G; Barbosa, Antonio C; Ferrari, Iris; De Souza, Jurandir R
Fish are abundant and important dietary items for the Amer-Indians, and total hair-Hg (HHg) concentration is a reliable marker of fish consumption. We studied the impact of fish consumption (HHg) on the nutritional status of Indian children of Eastern Amazonia. Weight-for-height Z score (WHZ) was measured, and HHg was determined in 203 children younger than 10 years of age in three villages. There was significantly higher fish consumption in Kayabi children (16.55 microg Hg/g; SD, 11.44) than in children of the Munduruku villages of Missão-Cururu (4.76 microg Hg/g; SD, 2.09) and Kaburua (2.87 microg Hg/g; SD, 2.13). Anthropometric indices showed WHZ means of -0.27, -0.22, and 0.40, respectively, for Kayabi, Missão-Cururu and Kaburua villages. Despite a different pattern of fish-protein consumption between tribes, there was no significant correlation between WHZ and HHg concentrations (r2 = 0.0079; P < 0.2021). Dietary differences among Amazonian tribes can be traced and used in measuring health outcomes. Higher fish consumption, although important for Kayabis, was compensated by other protein sources by the Kaburua villagers.
King, Sarah E; Nicholas Mascie-Taylor, C G
Growth faltering has been well documented in children from Papua New Guinea, although there is evidence that broad processes of modernization, such as cash cropping, have resulted in increased body size. It is not clear, however, what household socioeconomic factors may be associated with larger body size in populations undergoing early stages of modernization. This cross-sectional study examined the nutritional status of children between birth and 5 years of age living near Kanabea, Papua New Guinea, a relatively remote outpost in the highland fringe experiencing a limited cash economy. Weight and height were measured on 260 children from 190 households. The mean z-scores of -2.26 +/- 1.50 (SD) for height-for-age, -2.43 +/- 1.25 for weight-for-age, and -1.34 +/- 1.49 for weight-for-height are suggestive of both acute and chronic malnutrition. Using a cut-off value of pidgin and/or English in addition to the local language had children with better z-scores.
Full Text Available Abstract Background Chronic childhood malnutrition remains common in India. As part of an initiative to improve maternal and child health in urban slums, we collected anthropometric data from a sample of children followed up from birth. We described the proportions of underweight, stunting, and wasting in young children, and examined their relationships with age. Methods We used two linked datasets: one based on institutional birth weight records for 17 318 infants, collected prospectively, and one based on follow-up of a subsample of 1941 children under five, collected in early 2010. Results Mean birth weight was 2736 g (SD 530 g, with a low birth weight ( Discussion Our data support the idea that much of growth faltering was explained by faltering in height for age, rather than by wasting. Stunting appeared to be established early and the subsequent decline in height for age was limited. Our findings suggest a focus on a younger age-group than the children over the age of three who are prioritized by existing support systems. Funding The trial during which the birth weight data were collected was funded by the ICICI Foundation for Inclusive Growth (Centre for Child Health and Nutrition, and The Wellcome Trust (081052/Z/06/Z. Subsequent collection, analysis and development of the manuscript was funded by a Wellcome Trust Strategic Award: Population Science of Maternal and Child Survival (085417ma/Z/08/Z. D Osrin is funded by The Wellcome Trust (091561/Z/10/Z.
Pifarre, Paloma; Roca, Isabel [Universitat Autonoma de Barcelona, Department of Nuclear Medicine, Hospital de la Vall d' Hebron, Barcelona (Spain); Irastorza, Inaki; Hill, Susan [Great Ormond Street Hospital, Department of Gastroenterology, London (United Kingdom); Simo, Marc [Instituto Universitario Dexeus, Department of Nuclear Medicine, Barcelona (Spain); Biassoni, Lorenzo; Gordon, Isky [Great Ormond Street Hospital, Department of Nuclear Medicine, London (United Kingdom)
Pulmonary emboli (PE) are one of the major complications associated with total parenteral nutrition (TPN). Ventilation-perfusion scintigraphy (V/Q) remains the most used test for the diagnosis of PE and follow-up of patients on TPN. The aim of our study was to demonstrate the high prevalence of undiagnosed PE in children on TPN. The medical and imaging files of 64 patients on TPN who underwent V/Q examinations covering the period of 1986-2004 were reviewed. Children were aged between 3.18 months and 21.6 years. TPN was started at birth (range 0-15 years). All children had a normal chest radiograph and no symptoms at the time of the V/Q scan. A comparative analysis between the prevalence of PE and risk factors number of days per week with lipophilic content of the TPN, bowel inflammation and thrombophilic factors (protein C and S) was performed. Of the 64 patients, 25 (39%) had an abnormal V/Q scan. A total of 29 PE episodes were diagnosed in all patients. Two children had three episodes of PE. The median age at PE diagnosis was 4.6 years. In 17 patients (68%) diagnosis was achieved on the first V/Q scan performed. PE was bilateral in 56% and unilateral in 44%. PE was the main cause of 2 out 15 recorded deaths. All risk factors were associated with an increase in PE prevalence by statistical analysis. PE is underdiagnosed in children on long-term TPN. Lung V/Q scintigraphy is useful in the diagnosis of PE in children with a low pretest probability. (orig.)
Pulmonary emboli (PE) are one of the major complications associated with total parenteral nutrition (TPN). Ventilation-perfusion scintigraphy (V/Q) remains the most used test for the diagnosis of PE and follow-up of patients on TPN. The aim of our study was to demonstrate the high prevalence of undiagnosed PE in children on TPN. The medical and imaging files of 64 patients on TPN who underwent V/Q examinations covering the period of 1986-2004 were reviewed. Children were aged between 3.18 months and 21.6 years. TPN was started at birth (range 0-15 years). All children had a normal chest radiograph and no symptoms at the time of the V/Q scan. A comparative analysis between the prevalence of PE and risk factors number of days per week with lipophilic content of the TPN, bowel inflammation and thrombophilic factors (protein C and S) was performed. Of the 64 patients, 25 (39%) had an abnormal V/Q scan. A total of 29 PE episodes were diagnosed in all patients. Two children had three episodes of PE. The median age at PE diagnosis was 4.6 years. In 17 patients (68%) diagnosis was achieved on the first V/Q scan performed. PE was bilateral in 56% and unilateral in 44%. PE was the main cause of 2 out 15 recorded deaths. All risk factors were associated with an increase in PE prevalence by statistical analysis. PE is underdiagnosed in children on long-term TPN. Lung V/Q scintigraphy is useful in the diagnosis of PE in children with a low pretest probability. (orig.)
Suresh, E; Srinivasan, R; Valan, A S; Klinton, Joel S; Padmapriyadarsini, C
We studied the level of food insecurity among households with HIV-infected children and its relationship with childhood nutritional indicators. Among the 147 children assessed, food insecurity was present in 59% of households. Majority of children with stunting belonged to-food insecure families. Stunting and Underweight were more prevalent among children >5 years of age.
Review of current practices and recent developments in impact evaluation of nutrition programmes for preschool children in developing countries. A survey of the major types of nutrition programmes for young children - nutrition education, food supplementation, and nutrition rehabilitation - is follo
Full Text Available Introduction. The association of prenatal growth with nutritional status, metabolic syndrome (MS, and insulin resistance (IR was studied in school-age children. Methods. A retrospective cohort study was designed linking present data of children with perinatal records. 3325 subjects were enrolled. Anthropometry, blood pressure (BP, and pubertal status were assessed. Blood lipids, glucose, and insulin were measured. Linear associations were assessed using the Cochran-Armitage test. Odds ratios and nonlinear associations were computed. Results. 3290 children (52% females, mean age of 11.4 ± 1 years were analyzed. Prevalence of obesity, stunting, MS, and IR was 16.0%, 3.6%, 7.3%, and 25.5%, respectively. The strongest positive association was between birth weight (BW and obesity (OR 2.97 (95% CI 2.01–4.40 at BW ≥ 4,000 g compared to BW 2,500–2,999. The strongest inverse association was between birth length (BL and stunting (OR 8.70 (95% CI 3.66–20.67 at BL < 48 cm compared to BL 52-53 cm. A U-shaped association between BL and BP ≥ 90th percentile was observed. Significant ORs were also found for MS and IR. Adjustments for present fat mass increased or maintained the most prenatal growth influences. Conclusions. Prenatal growth influences MS, IR, and nutritional status. Prenatal growth was more important than present body composition in determining these outcomes.
Curran, Margaret A
Australia New Zealand Food Authority (ANZFA) is a bi-national government agency forming a partnership between all of Australia's States and Territories and the New Zealand government. Australia New Zealand Food Authority employs scientific, legal policy, communication and administrative staff in our Australia and New Zealand offices. Prior to 1991 each of Australia's States and Territories had their own food standards; however, in 1991 Commonwealth legislation was introduced to consolidate responsibility for developing food standards in one specialist agency and to ensure the uniformity of Standards across all States and Territories in Australia. This was extended to New Zealand in 1995 when we became a bi-national agency following the signing of a Treaty between Australia and New Zealand to develop joint food standards for both countries. Australia New Zealand Food Authority's objectives in setting food standards are to: protect public health and safety; provide adequate information to enable consumers to make informed choices; and prevent misleading or deceptive conduct. Health Ministers have recently approved a new Joint Food Standards Code for Australia and New Zealand. This is the result of over 6 year's work and many rounds of public consultation. The new Code has had extensive input from government agencies, industry and consumers. In drafting the new code our emphasis has been on making decisions based on sound science and the most up-to-date information available. We also recognized the need for Standards to be practical in not imposing unnecessary costs on food manufacturers with an inevitable flow on effect to consumer prices. The Joint Code will replace both the existing Australian Food Standards Code and the New Zealand Food Regulations after a 2-year transition period. During the development of the Joint Code a wide range of matters were considered in relation to labelling. Amongst these were consumer needs, costs to industry, voluntary versus
Xu, Xianglong; Sharma, Manoj; Liu, Lingli; Hu, Ping; Zhao, Yong
(1) OBJECTIVE: We aimed to explore the role of social cognitive theory (SCT) of mothers in the physical activity and healthy nutrition behaviors of preschool children; (2) METHODS: We used a self-administered five-point Likert common physical activity and nutrition behaviors scale in Chinese based on a social cognitive theory scale in English with established validity and reliability in the USA. The current study adopted the proportional sampling method to survey mothers of preschool children in four areas-namely, Chongqing, Chengdu, Taiyuan, and Shijiazhuang-of China; (3) RESULTS: We included 1208 mothers (80.0% mothers of normal weight children, age 31.87 ± 4.19 years). Positive correlations were found between maternal social cognition and preschool children's physical activity (PA) behavior (p social cognition; (4) CONCLUSIONS: This study provides some implications for increasing fruit and vegetable consumption, increasing physical activity time, and reducing screen time in preschool children using SCT in China. Maternal social cognition is associated with preschool children's PA behavior, and the results suggest that maternal social cognition may not affect children FV and ST behaviors. Further research is necessary to test the mediation of maternal social cognition on preschool children's ST behavior and the correlations between maternal social cognition and children's ST behavior.
Xu, Xianglong; Sharma, Manoj; Liu, Lingli; Hu, Ping; Zhao, Yong
(1) OBJECTIVE: We aimed to explore the role of social cognitive theory (SCT) of mothers in the physical activity and healthy nutrition behaviors of preschool children; (2) METHODS: We used a self-administered five-point Likert common physical activity and nutrition behaviors scale in Chinese based on a social cognitive theory scale in English with established validity and reliability in the USA. The current study adopted the proportional sampling method to survey mothers of preschool children in four areas-namely, Chongqing, Chengdu, Taiyuan, and Shijiazhuang-of China; (3) RESULTS: We included 1208 mothers (80.0% mothers of normal weight children, age 31.87 ± 4.19 years). Positive correlations were found between maternal social cognition and preschool children's physical activity (PA) behavior (p social cognition; (4) CONCLUSIONS: This study provides some implications for increasing fruit and vegetable consumption, increasing physical activity time, and reducing screen time in preschool children using SCT in China. Maternal social cognition is associated with preschool children's PA behavior, and the results suggest that maternal social cognition may not affect children FV and ST behaviors. Further research is necessary to test the mediation of maternal social cognition on preschool children's ST behavior and the correlations between maternal social cognition and children's ST behavior. PMID:27649215
Full Text Available Abstract Background In recent years supermarkets and fast food restaurants have been replacing those “wet markets” of independent vendors as the major food sources in urban China. Yet how these food outlets relate to children’s nutritional intake remains largely unexplored. Method Using a longitudinal survey of households and communities in China, this study examines the effect of the urban built food environment (density of wet markets, density of supermarkets, and density of fast food restaurants on children’s nutritional intake (daily caloric intake, daily carbohydrate intake, daily protein intake, and daily fat intake. Children aged 6–18 (n = 185 living in cities were followed from 2004 to 2006, and difference-in-difference models are used to address the potential issue of omitted variable bias. Results Results suggest that the density of wet markets, rather than that of supermarkets, positively predicts children’s four dimensions of nutritional intake. In the caloric intake model and the fat intake model, the positive effect of neighborhood wet market density on children’s nutritional intake is stronger with children from households of lower income. Conclusion With their cheaper prices and/or fresher food supply, wet markets are likely to contribute a substantial amount of nutritional intake for children living nearby, especially those in households with lower socioeconomic status. For health officials and urban planners, this study signals a sign of warning as wet markets are disappearing from urban China’s food environment.
Morales-Suárez-Varela, María; Rubio-López, Nuria; Ruso, Candelaria; Llopis-Gonzalez, Agustín; Ruiz-Rojo, Elías; Redondo, Maximino; Pico, Yolanda
The aim of our study was to assess nutritional intake and anthropometric statuses in schoolchildren to subsequently determine nutritional adequacy with Spanish Dietary Reference Intake (DRIs). The ANIVA study, a descriptive cross-sectional study, was conducted in 710 schoolchildren (6-9 years) in 2013-2014 in Valencia (Spain). Children's dietary intake was measured using 3-day food records, completed by parents. Anthropometric measures (weight and height) were measured according to international standards, and BMI-for-age was calculated and converted into z-scores by WHO-Anthro for age and sex. Nutrient adequacy was assessed using DRI based on estimated average requirement (EAR) or adequate intake (AI). Pearson's chi-square and Student's t-test were employed. Of our study group (47.61% boys, 52.39% girls), 53.1% were normoweight and the weight of 46.9% was inadequate; of these, 38.6% had excess body weight (19.6% overweight and 19.0% obesity). We found intakes were lower for biotin, fiber, fluoride, vitamin D (p < 0.016), zinc, iodine, vitamin E, folic acid, calcium and iron (p < 0.017), and higher for lipids, proteins and cholesterol. Our results identify better nutritional adequacy to Spanish recommendations in overweight children. Our findings suggest that nutritional intervention and educational strategies are needed to promote healthy eating in these children and nutritional adequacies.
Elham Kavosi; Zahra Hassanzadeh Rostami; Zahra Kavosi; Aliasghar Nasihatkon; Mohsen Moghadami; Mohammadreza Heidari
Background Childhood malnutrition as a major public health problem among children in developing countries can affect physical and intellectual growth and is also considered as a main cause of child morbidity and mortality. The objective of this study was to estimate the prevalence of under-nutrition and identify determinants of malnutrition among children under 6 years of age in Fars province, Iran. Methods This survey was conducted by house to house visit through multi-stag...
We use data on children at age 8, 12 and 15 from Young Lives, a cohort study of 12,000 children across Ethiopia, India (Andhra Pradesh), Peru and Vietnam, to document the presence of a gender gap across a wide variety of indicators, including nutrition, education, aspirations, subjective well-being and psychosocial competencies. First, we find that there is considerable heterogeneity across countries, ages and indicators in whether there is any gender bias and whether it is in favour of boys ...
David C Taylor-Robinson; Maayan, Nicola; Soares-Weiser, Karla; Donegan, Sarah; Garner, Paul
Background The World Health Organization (WHO) recommends treating all school children at regular intervals with deworming drugs in areas where helminth infection is common. As the intervention is often claimed to have important health, nutrition, and societal effects beyond the removal of worms, we critically evaluated the evidence on benefits. Objectives To summarize the effects of giving deworming drugs to children to treat soil-transmitted helminths on weight, haemoglobin, and cognition; ...
Maria de Fátima Rebouças Antunes
Full Text Available Objective: To evaluate the weight-height development and the nutritional status of a sickle cell anemia infantile sample in relation to zinc seric levels and to bone age in comparison to a control group of eutrophic children of the same Brazilian region. Methods: There were studied 66 sickle cell children (GE and 50 eutrophic ones (GC. The nutritional status was assessed using Rohrer Index, Z-score analysis of weight/age, height/age and body mass index (BMI. Zinc seric level (SZn, growth velocity (VC and bone age (IO were assessed using the standards of the National Center for Health Statistic (NCHS data and the results obtained from the GC evaluation. Results: Both groups had similar Rohrer Index. GE presented weight/age and height/age Z scores and BMI of underdevelopment levels with significant statistical difference. VC and IO were also lower in GE. The mean SZn in GE was significantly lower than in GC. Conclusion: The studied sickle cell children were born with normal stature, after that an important decrease in weight-height development occurred, which may be related to under-nourishing status, bone age delay, smaller growth velocity and worse zinc seric levels.
Marcia Cristina Sales
Full Text Available Objective: To evaluate the iron nutritional status of children from 6 to 59 months of age and its relation to vitamin A deficiency. Method: Cross-sectional study involving 100 children, living in nine cities in the state of Paraiba, which were selected for convenience to form two study groups: children with vitamin A deficiency (serum retinol 0.70 μmol/L; n = 50. The iron nutritional status was evaluated by biochemical, hematological and hematimetric indices. The cases of subclinical infection (C-Reactive Protein > 6 mg/L were excluded. Results: Children with vitamin A deficiency had serum iron values statistically lower than the corresponding values in children without deficiency. The other iron nutritional status indices showed no statistical difference according to presence/absence of vitamin A deficiency. Conclusion: The interaction between iron and vitamin A deficiencies was evidenced in the case of circulating iron deficiency (serum iron, suggesting failure in the transport mechanisms of the mineral in children with vitamin A deficiency.
Toftlund, Line Hedegaard; Agertoft, Lone; Halken, Susanne;
Background: New research has shown that type of nutrition in early life may affect not only growth but also later body composition and risk of developing metabolic syndrome. Method: A prospective, randomized, interventional multicentre trial on nutrition of a preterm birth cohort has been...... established and described previously2. Inclusion criteria were gestational age ≤32+0 weeks. From hospital discharge to 4 month corrected aged, the infants received 3 different types of nutrition: A: human milk (HM) B: HM enriched with fortifier C: preterm formula. At 6 years of age, a dexa scan was performed......: It seems that HM is the preferable nutrition for preterm born children if a lower fat mass and higher muscle mass is regarded optimal. The results are not all significant, which might be due to the small sample size. Investigations of the remaining infants are awaited....
Amesty-Valbuena, Alis; Pereira-Medero, Nayda; Núñez-González, José Rafael de Jesús; García, Doris; de Villaroel, Monserrat Vicente; Granadillo, Víctor; Manzanilla, José; Fernández, Denny
The importance of Zinc (Zn) as a necessary oligoclement for human nutrition begins in the first three decades of life. At the moment, the role that Zn plays in the infantile nutrition is very well-known, acquiring a special connotation in children with proteic-energetics malnutrition (PEM). In this study the daily ingestion and the serum measuremets of Zn were determined in 64 undernourished children (light, mild and severe) and in 25 eutrophic children with ages between 1 to 5 years, belonging to families of the strata IV and V according to the Graffar scale corrected by age. The results of the serum values of Zn were for the light undernourished of 39.73 +/- 14.97 microg/dL (30.38 microg/dL-44.56 microg/dL), for the mild undernourished of 35.07 +/- 28.13 microg/dL (27.76 microg/dL-65.80 microg/dL) and for the severe undernourished of 15.48 +/- 10.44 microg/dL (5.57 microg/dL-28.56 microg/dL), which were diminished in relation with the control group, 76.71 +/- 33.29 microg/dL (45.75 microg/dL - 78.27 microg/dL) with p < 0.0001. Equally, there were significant differences (p < 0.001) among the group of severe undernourished with the light undernourished and normal subjects. In relation with the daily ingestion of Zn, a statistically significant difference was observed only (p < 0.001) in the severe undernourished, 1.87 +/- 0.54 mg/día (1.20 mg/día-2.87 mg/día) when comparing them with the light undernourished, 5.48 +/- 0.98 mg/día (3.50 mg/día-7.87 mg/día), the mild undernourished, 4.99 +/- 1.24 mg/día (4.10 mg/día-11.42 mg/día) ) and the normal subjects, 6.22 +/- 0.98 mg/día (4.8 mg/día-8.02 mg/día). There was a positive correlation between ingestion and seric values of Zn when the 3 undernourished groups were studied. These results allow to conclude that both the seric values of Zn and its ingestion show modifications in relation with the degree of nutritional deficiency. PMID:17176903
Full Text Available Introduction: A pilot intervention was conducted to promote physical activity and nutrition in public preschool education (near half a million children in Chile, in order to prevent obesity. Objective: To assess the primary (body fat and secondary outcomes (physical activity and energy intake of a nutrition and physical activity pilot intervention for preschool children, attending day care centres. Methods: A pilot intervention in six day care centres selected at random (n = 530, in 4-5 years old preschool children, Santiago, Chile intending to: provide nutritional and physical activity education to educators and health promotion activities for the family, which in turn, will affect the primary (body fat, and secondary outcomes (physical activity pattern and energy food intake were measured in a representative subsample of 120 intervened and 145 controls children. Results: In relation to secondary outcomes monitoring, moderate-vigorous activity was duplicated in the intervention group (+5.4% and +4.7%, respectively, in both obese and eutrophic children. Energy intake decreased in 11.7% in obese and 7.5% in eutrophic children. Dietary fat intake was reduced (-11 g in obese and -8.4 g in eutrophic children. Intervened obese children reduced body fat in 1.5%, meanwhile in control obese children, body fat increased 1.3% (p < 0.01. Conclusions: The pilot intervention demonstrated the feasibility to influence dietary risk factors and physical activity at the day care centres and families. Therefore, the implementation of the validated intervention program will be tested in different weather conditions, to prevent unhealthy habits in preschool children and their families.
Nicholson, Charles F.; Thornton, Philip K.
Anthropometric measurements for children and household characteristics were collected form 198 households in coastal Kenya to examine the impacts of dairy technology adoption on nutritional status. Random effects models indicate that dairy technology adoption positively influences chronic malnutrition, but that dairy consumption has a larger impact than adoption per se.
Hong, Soon-Myung; Lee, Tae-Kyong; Chung, Hea-Jung; Park, Hye-Kyung; Lee, Eun-Ju; Nam, Hye-Seon; Jung, Soon-Im; Cho, Jee-Ye; Lee, Jin-Hee; Kim, Gon; Kim, Min-Chan
A diet habit, which is developed in childhood, lasts for a life time. In this sense, nutrition education and early exposure to healthy menus in childhood is important. Children these days have easy access to the internet. Thus, a web-based nutrition education program for children is an effective tool for nutrition education of children. This site provides the material of the nutrition education for children with characters which are personified nutrients. The 151 menus are stored in the site together with video script of the cooking process. The menus are classified by the criteria based on age, menu type and the ethnic origin of the menu. The site provides a search function. There are three kinds of search conditions which are key words, menu type and "between" expression of nutrients such as calorie and other nutrients. The site is developed with the operating system Windows 2003 Server, the web server ZEUS 5, development language JSP, and database management system Oracle 10 g. PMID:20126375
Hong, Soon-Myung; Lee, Tae-Kyong; Chung, Hea-Jung; Park, Hye-Kyung; Lee, Eun-Ju; Nam, Hye-Seon; Jung, Soon-Im; Cho, Jee-Ye; Lee, Jin-Hee; Kim, Gon; Kim, Min-Chan
A diet habit, which is developed in childhood, lasts for a life time. In this sense, nutrition education and early exposure to healthy menus in childhood is important. Children these days have easy access to the internet. Thus, a web-based nutrition education program for children is an effective tool for nutrition education of children. This site provides the material of the nutrition education for children with characters which are personified nutrients. The 151 menus are stored in the site together with video script of the cooking process. The menus are classified by the criteria based on age, menu type and the ethnic origin of the menu. The site provides a search function. There are three kinds of search conditions which are key words, menu type and "between" expression of nutrients such as calorie and other nutrients. The site is developed with the operating system Windows 2003 Server, the web server ZEUS 5, development language JSP, and database management system Oracle 10 g.
Robertson, Aileen; Fleischcer Michælsen, Kim
Good feeding practices will prevent malnutrition and early growth retardation, which is still common in some parts of the WHO European Region, especially countries of the former Soviet Union. Despite the importance of nutrition and feeding of infants and young children, limited attention has been...
Full Text Available Organophosphorus (OP insecticides were among the first pesticides that EPA reevaluated as part of the Food Quality Protection Act of 1996. Our goal was to assess exposure to OP insecticides in the U.S. general population over a six-year period. We analyzed 7,456 urine samples collected as part of three two-year cycles of the National Health and Nutrition Examination Survey (NHANES from 1999–2004. We measured six dialkylphosphate metabolites of OP pesticides to assess OP pesticide exposure. In NHANES 2003–2004, dimethylthiophosphate was detected most frequently with median and 95th percentile concentrations of 2.03 and 35.3 µg/L, respectively. Adolescents were two to three times more likely to have diethylphosphate concentrations above the 95th percentile estimate of 15.5 µg/L than adults and senior adults. Conversely, for dimethyldithiophosphate, senior adults were 3.8 times and 1.8 times more likely to be above the 95th percentile than adults and adolescents, respectively, while adults were 2.1 times more likely to be above the 95th percentile than the adolescents. Our data indicate that the most vulnerable segments of our population—children and older adults—have higher exposures to OP pesticides than other population segments. However, according to DAP urinary metabolite data, exposures to OP pesticides have declined during the last six years at both the median and 95th percentile levels.
Rosi, Alice; Scazzina, Francesca; Ingrosso, Lisa; Morandi, Angelica; Del Rio, Daniele; Sanna, Alberto
The aim of this study was observing and improving children's eating habits through an edutainment technological platform. A single-group education intervention was carried out in primary schools in Parma and Milano, Italy. A total of 76 children (32 females and 44 males, 8-10 years old) were involved in a 3-month nutritional program including lessons and educational videogames. Intakes of fruits, vegetables, juices and dietary total antioxidant capacity (TAC) were measured using 3-day food diaries before and after the intervention. The daily total consumption of fruit and vegetables increased from 421.8 (320.3) to 484.3 (337.2) g/day (p = 0.016). Consequently, daily dietary TAC increased by 26%, rising from 1.4 (1.3) to 1.6 (1.3) mmol of Trolox equivalents (p = 0.006). The methods and, particularly, the use of technological tools proved to be effective in conducting an educational intervention in children aged 8-10 years old. PMID:26307556
Orhan Deniz Kara
Full Text Available Objective:Malnutrition is closely linked to chronic kidney disease (CKD in adult patients with poor outcome. But data on pediatric patients is inadequate. The aim of this study was to describe the prevalence of growth failure and malnutrition in pediatric CKD patients and explore the relationship of these parameters to each other and to other clinical parameters. Methods:This study included 42 patients and 29 healthy children matched for age and gender. Patients were classified firstly in age group and secondly in therapy modalities. Nutritional evaluations were performed according to the Kidney Disease Outcomes Quality Initiative guidelines, and we performed adjustments using values from children with the same chronological age as reference. Findings:In pubertal group, the mean height SDS was lower than in pre-pubertal period while it was higher than in early childhood (P=0.4 and P=0.03 respectively. In all groups, 45% of patients had malnutrition: 20 patients on predialysis, 22 patients with end stage renal disease (14 on hemodialysis, and 8 on peritoneal dialysis. The mean weight SDS was lower in end stage renal disease groups (P<0.001. The height SDS was lower in end stage renal disease groups (P<0.001. Conclusion:Growth failure and malnutrition remain a significant clinical problem as age and therapy modalities are dependent in children with CKD.
Dewinter, Louise; Casteels, Kristina; Corthouts, Karen; Van de Kerckhove, Kristel; Van der Vaerent, Katrien; Vanmeerbeeck, Kelly; Matthys, Christophe
The aims of the current cross-sectional study were (1) to assess the intake of aspartame, cyclamate, acesulfame-k, neohesperidine dihydrochalcone, sucralose, saccharin, steviol glycosides and neotame among children with type 1 diabetes mellitus (T1D); (2) to compare the obtained intakes with the respective acceptable daily intake (ADI) values; and (3) to conduct a scenario analysis to obtain practical guidelines for a safe consumption of non-nutritive sweeteners (NNS) among children with T1D. T1D patients of the Paediatrics Department of the University Hospitals Leuven were invited to complete a food frequency questionnaire designed to assess NNS intake using a tier 2 and tier 3 exposure assessment approach. A scenario analysis was conducted by reducing the P95 consumption of the most contributing food categories in order to reach a total sweetener intake lower than or equal to the ADI. Estimated total intakes higher than ADIs were only found for the P95 consumers only of acesulfame-k, cyclamate and steviol glycosides (tier 2 and tier 3 approach). Scenario analysis created dietary guidelines for each age category for diet soda, bread spreads and dairy drinks. There is little chance for T1D children to exceed the ADI of the different NNS, however diabetes educators and dieticians need to pay attention regarding the use of NNS.
Shahraki, Soudabeh Hamedi; Amirkhizi, Farshad; Amirkhizi, Behzad; Hamedi, Sousan
This cross-sectional study was conducted to determine household food security status and sociodemographic factors influencing it and to examine whether food insecurity of household is a risk factor for underweight, stunting, and thinness in primary school children of Sistan and Baluchestan Province in southeastern Iran. A sample of 610 students aged 7-11 years was selected by a multistage cluster random sampling method during December 2013-May 2014. Using U.S. Department of Agriculture Food Security questionnaire, 42.3% of households showed some degree of food insecurity. Food insecurity was positively associated with household size (p = .002) and number of children per household (p = .001) and negatively associated with mother's and father's education level (p = .005 and p = .042, respectively), father's occupation status, and household income (p food insecure with severe hunger households were 10.13, 10.07, and 4.54 times as likely to be underweight, stunted, and thin, respectively, as counterparts from food secure households. The findings showed food insecurity was prevalent and associated with sociodemographic factors among households with schoolchildren in southeastern Iran. Nutritional status of children was also associated with food security status of their households. PMID:27494152
Dewinter, Louise; Casteels, Kristina; Corthouts, Karen; Van de Kerckhove, Kristel; Van der Vaerent, Katrien; Vanmeerbeeck, Kelly; Matthys, Christophe
The aims of the current cross-sectional study were (1) to assess the intake of aspartame, cyclamate, acesulfame-k, neohesperidine dihydrochalcone, sucralose, saccharin, steviol glycosides and neotame among children with type 1 diabetes mellitus (T1D); (2) to compare the obtained intakes with the respective acceptable daily intake (ADI) values; and (3) to conduct a scenario analysis to obtain practical guidelines for a safe consumption of non-nutritive sweeteners (NNS) among children with T1D. T1D patients of the Paediatrics Department of the University Hospitals Leuven were invited to complete a food frequency questionnaire designed to assess NNS intake using a tier 2 and tier 3 exposure assessment approach. A scenario analysis was conducted by reducing the P95 consumption of the most contributing food categories in order to reach a total sweetener intake lower than or equal to the ADI. Estimated total intakes higher than ADIs were only found for the P95 consumers only of acesulfame-k, cyclamate and steviol glycosides (tier 2 and tier 3 approach). Scenario analysis created dietary guidelines for each age category for diet soda, bread spreads and dairy drinks. There is little chance for T1D children to exceed the ADI of the different NNS, however diabetes educators and dieticians need to pay attention regarding the use of NNS. PMID:26523968
Full Text Available The present study was carried out on 571 Ao Naga children including 289 boys and 282 girls aged 8 to 15 years from Mokokchung town, Nagaland. This study tried to find out the physical growth according to the height and weight and nutritional status according to the body mass index (BMI following the classification by Cole et al. Our study revealed that the girls were taller than boys till 13 years and the boys became taller thereafter. As for weight, the girls were heavier during 10 to 14 years. The mean height and weight increased as the age advanced in both boys and girls. The prevalence of underweight was 30.12% and the prevalence of overweight was 2.28% among the Ao Naga children, and the girls were found to have a higher prevalence of overweight and the boys had a higher prevalence of underweight. This revealed that both underweight and overweight coexisted among the Ao Naga children from Mokokchung town, although the prevalence of overweight was not high.
Full Text Available BACKGROUND: In 2006, the Médecins sans Frontières nutritional program in the region of Maradi (Niger included 68,001 children 6-59 months of age with either moderate or severe malnutrition, according to the NCHS reference (weight-for-height38.5 degrees C (1.83 [1.25; 2.69], and age below 1 year (1.42 [1.01; 1.99]. CONCLUSIONS: Although clinicians will continue to perform screening using clinical signs and anthropometry, these risk indicators may provide additional criteria for the assessment of absolute and relative risk of death. Better appraisal of the child's risk of death may help orientate the child towards either hospitalization or ambulatory care. As the transition from the NCHS growth reference to the WHO standards will increase the number of children classified as severely malnourished, further studies should explore means to identify children at highest risk of death within this group using simple and standardized indicators.
Full Text Available Background: Tribal communities are "at risk" of undernutrition due to geographical isolation and suboptimal utilization of health services. Objectives: The objective of this study was to assess the nutritional status of Sahariya tribes of Madhya Pradesh (MP, India. Materials and Methods: A cross-sectional study was conducted in villages inhabited by Sahariya tribal community (specifically women in reproductive age group and children under 5 years in three districts of MP. Dietary surveys, anthropometric and biochemical assessments were carried out and descriptive statistics on the socio-economic and nutritional profile were reported. Association between household (HH food security and nutritional status of children was carried out using the logistic regression. Strength of effects were summarized by odd′s ratio. Results: Chronic energy deficiency and anemia was observed in 42.4% and 90.1% of women respectively. Underweight, stunting and wasting among under five children were 59.1%, 57.3% and 27.7% respectively. Low food security was found in 90% of HHs and the odds of children being underweight and stunted when belonging to HHs with low and very low food security was found to be significant (P = 0.01 and 0.04 respectively. Calorie, fat, vitamin A, riboflavin, vitamin C and folic acid intake among women was lower than recommended dietary allowance. Infant and young child feeding practices were suboptimal. Awareness on nutritional disorders and utilization of nutrition and health services was poor. Conclusion: A high prevalence of undernutrition and dietary deficiency exists among Sahariyas. System strengthening, community empowerment and nutrition education may play a pivotal role in addressing this.
Department of Health
Food & Nutrition Guidelines for Primary Schools The Government has identified school children as one group to be given priority during the planning and delivery of programmes and initiatives for good health throughout life. In the GovernmentÃ¢?Ts National Health Promotion Strategy 2000/2005, the two major objectives for children are: Click here to download PDF 458kb
Robabeh Sheikholeslam; Hossein Ghassemi; Osman Galal; Abolghassem Djazayery; Nasrin Omidvar; Issa Nourmohammadi; Ma Antonia G Tuazon
Iran has been active in human nutrition training for the past five decades, but the existing curricular programs do not equip the graduates with the knowledge and skills required for solving food security and nutritional problems of the country. Given this, the Nutrition Department (ND) of Iran’s Ministry of Health and Medical Education (MOHME) initiated a curricular reform to develop responsive graduate programs in key areas of nutrition that fill the existing gaps in nutrition training with...
Full Text Available Background: Maternal nutrition and some variables are the main determining factors of birthweight and delayed intrauterine growth of children.Objective: To explore the association between the mothers’ biological and sociodemographic characteristics, and the anthropometry status in children under five years of age.Design: The population consisted of a sub-sample of 1,047 mother-and-child selected pairs from the probabilistic National Nutrition Survey, carried out in Mexico. Mother-and-child pairs included mothers aged 12 to 49 years, with children under five years of age. Data on sociodemographic characteristics, obstetric history, 24-hour recall dietary intake, and the women and children’s anthropometry were collected. The association between maternal characteristics and children’s anthropometry status was assessed using multiple logistic regression models.Result: Nearly 16.7% of the children 2y. The height/age of the children was severely affected by maternal height and birth order. In addition, the interaction between socioeconomic level and maternal schooling had a marginal effect (p = 0.09 in the ≤2y group. On the other hand, whether the family received social services and the interaction between maternal height and a dichotomy urbanism variable were significant ( p = 0.05 and (p 2y group.Conclusion: Some biological and socioeconomic characteristics among mothers have a negative effect on their children’s attained size, especially in the period between 2 and 5 years of age.
Posthauer, Mary Ellen; Banks, Merrilyn; Dorner, Becky; Schols, Jos M G A
Nutrition and hydration play an important role in preserving skin and tissue viability and in supporting tissue repair for pressure ulcer (PrU) healing. The majority of research investigating the relationship between nutrition and wounds focuses on PrUs. This white paper reviews the 2014 National Pressure Ulcer Advisory Panel, European Pressure Ulcer Advisory Panel, and Pan Pacific Pressure Injury Alliance Nutrition Guidelines and discusses nutrition strategies for PrU management. PMID:25775201
Hillesheim, Elaine; Lima, Luiz R A; Silva, Rosane C R; Trindade, Erasmo B S M
This cross-sectional study aimed to investigate the nutritional status and dietary intake of HIV-infected children and adolescents and the relationship between nutritional status and dietary intake and CD4(+) T-cell count and viral load. The sample was composed of 49 subjects aged 7-17 years and living in Florianópolis, Brazil. Nutritional status was assessed by height-for-age and body mass index-for-age. Dietary intake was assessed by a food frequency questionnaire. Spearman correlations and multiple linear regressions were used to determine the relationship between energy, nutrient intake and body mass index-for-age and CD4(+) T-cell count and viral load. The mean body mass index-for-age and height-for-age values were -0.26 ± 0.86 and -0.56 ± 0.92, respectively. The energy intake was 50.8% above the estimated energy requirement and inadequate intake of polyunsaturated fat, cholesterol, fibre, calcium and vitamin C was present in 100%, 57.1%, 40.8%, 61.2% and 26.5% of the sample, respectively. Multiple linear regression analyses revealed that energy intake was correlated with CD4+ T-cell count (r = 0.33; p = 0.028) and viral load (r = -0.35; p = 0.019). These data showed low body mass index-for-age and height-for-age z-scores, high energy intake and inadequate intake of important nutrients for immune function, growth and control of chronic diseases. A lower energy intake was correlated with viral suppression and immune preservation.
Burcu Tokuc; Ufuk Berberoglu; Galip Ekuklu
AIM: This study was conducted for determining the eating habits and food knowledge and rate of recognizing brand logos currently featured in promotional campaigns of the food industry of the school children. And to explore the relationship between the ability of recognizing brand logos currently featured in promotional campaigns of the food industry and eating habits, food knowledge and preferences. METHOD: This cross-sectional study was conducted in 15 primary schools in the provincial cente...
Full Text Available Research question: What is the prevalence of protein energy malnutrition (PEM in 1 – 5 yrs of age and factors associated with it. Objective: 1. To assess prevalence of protein energy malnutrition in children 1 – 5 yrs of age. 2. To identify the socio-economic and cultural factor associated with protein energy malnutrition Setting: Rural Health Training Centre, Jawan, Department of Community Medicine, J N Medical College, Aligarh. Study design: Cross-sectional study Study variable: Nutritional status, sex, family size, caste, social class, literacy status of parents. Statistical analysis: Chi-square (÷² test of significance Result: Overall prevalence of PEM was 56.4% in study population, with higher prevalence in female (58.6% as compared to males (54.2%. Significant relationship was seen between PEM and sex, social class, caste, literacy status of parents and mother.
Livia Rocha; Tatiana Engel Gerhardt; Daniel Labernarde dos Santos
OBJECTIVES: this study is inserted in an Interdisciplinary Program of Research and aims to learn about the nutritional situation and life context of children under five in the rural environment of Arambaré/RS, Brazil, through an epidemiological cross-sectional descriptive study. METHOD: the data of anthropometrical assessment (Weight/Age, Age/Height, Weight/Height) expressed in Z scores, whose reference population is that of the National Center for Health Statistics (NCHS) were analyzed in th...
Full Text Available We describe the approach taken by the National Children's Study (NCS to understanding the role of environmental factors in the development of obesity. We review the literature with regard to the two core hypotheses in the NCS that relate to environmental origins of obesity and describe strategies that will be used to test each hypothesis. Although it is clear that obesity in an individual results from an imbalance between energy intake and expenditure, control of the obesity epidemic will require understanding of factors in the modern built environment and chemical exposures that may have the capacity to disrupt the link between energy intake and expenditure. Through its embrace of the life-course approach to epidemiology, the NCS will be able to study the origins of obesity from preconception through late adolescence, including factors ranging from genetic inheritance to individual behaviors to the social, built, and natural environment and chemical exposures. It will have sufficient statistical power to examine interactions among these multiple influences, including geneenvironment and geneobesity interactions. A major secondary benefit will derive from the banking of specimens for future analysis.Descrevemos a abordagem do National Children's Study (NCS para entender o papel dos fatores ambientais no desenvolvimento da obesidade. Revisamos a literatura a respeito de duas hipóteses principais no NCS que se relacionam a origens ambientais da obesidade e descrevem estratégias que serão utilizadas para testar cada hipótese. Apesar de estar claro que a obesidade em um indivíduo é resultado de um desequilíbrio entre consumo e gasto de energia, o controle da epidemia de obesidade requer o entendimento de fatores no ambiente moderno e exposições químicas que podem ter a capacidade de interromper a ligação entre o consumo e gasto de energia. Através da aceitação da abordagem do curso de vida a epidemiologia, o NCS será capaz de estudar
Baldwin, R.A.; Bender, L.C.
We used scat analysis to determine diets and relative nutritional values of diets for black bears (Ursus americanus Pallas, 1780) in Rocky Mountain National Park, Colorado, from 2003 to 2006, and compared foods consumed and nutritional components to identify important sources of fecal gross energy (GE), crude fat (CF), and fecal nitrogen (FN) in annual and seasonal diets. Patterns of use of food classes followed typical seasonal patterns for bears, although use of animal matter was among the highest reported (>49% annually). Use of animal matter increased after spring, although crude protein levels in bear diets were always >25%. GE was typically lowest for grasses and other herbaceous plants and highest for ants and ungulates; FN was strongly positively related to most animal sources, but negatively correlated with vegetative matter; and CF showed the strongest positive relationship with ungulates and berries, with the latter likely influenced by the presence of seeds. Compared with historic data (1984-1991), contemporary diets included substantially greater prevalence of anthropogenic foods, which likely contributed to increases in size, condition, and productivity of the contemporary bear population. Management strategies are needed to increase quantity and quality of natural foods while minimizing dependence on anthropogenic sources.
van der Hoek, Wim; Feenstra, Sabiena G; Konradsen, Flemming
This study assessed whether availability of water for domestic use had any impact on nutritional status of children in an area where people depend on irrigation water for all their domestic water needs. During May 1998-April 1999, data on the occurrence of diarrhoea among 167 children aged less......, hygiene, and socioeconomic status. Height-for-age and longitudinal prevalence of diarrhoea were used as outcome measures. Quantity of water available in households was a strong predictor of height-for-age and prevalence of diarrhoea. Children from households with a large storage capacity for water...
Ahn, Jae-Young; Park, Hae-Ryun; Lee, Kiwon; Kwon, Sooyoun; Kim, Soyeong; Yang, Jihye; Song, Kyung-Hee; Lee, Youngmi
BACKGROUND/OBJECTIVES To encourage healthier food choices for children in fast-food restaurants, many initiatives have been proposed. This study aimed to examine the effect of disclosing nutritional information on parents' meal choices for their children at fast-food restaurants in South Korea. SUBJECTS/METHODS An online experimental survey using a menu board was conducted with 242 parents of children aged 2-12 years who dined with them at fast-food restaurants at least once a month. Particip...
... Obesity in children Related Health Topics Body Weight Child Nutrition Obesity Weight Control National Institutes of Health The primary ... Nation Growing Challenge of "Diabesity" Healthy Weight, Healthy Child Reducing Childhood Obesity Reducing Childhood Obesity: We Can! Wanted: Active Role ...
Kehoe, Sarah H; Krishnaveni, Ghattu V; Veena, Sargoor R; Guntupalli, Aravinda M; Margetts, Barrie M; Fall, Caroline H D; Robinson, Sian M
The burden of non-communicable chronic disease (NCD) in India is increasing. Diet and body composition 'track' from childhood into adult life and contribute to the development of risk factors for NCD. Little is known about the diet patterns of Indian children. We aimed to identify diet patterns and study associations with body composition and socio-demographic factors in the Mysore Parthenon Study cohort. We collected anthropometric and demographic data from children aged 9.5 years (n = 538). We also administered a food frequency questionnaire and measured fasting blood concentrations of folate and vitamin B12. Using principal component analysis, we identified two diet patterns. The 'snack and fruit' pattern was characterised by frequent intakes of snacks, fruit, sweetened drinks, rice and meat dishes and leavened breads. The 'lacto-vegetarian' pattern was characterised by frequent intakes of finger millet, vegetarian rice dishes, yoghurt, vegetable dishes and infrequent meat consumption. Adherence to the 'snack and fruit' pattern was associated with season, being Muslim and urban dwelling. Adherence to the lacto-vegetarian pattern was associated with being Hindu, rural dwelling and a lower maternal body mass index. The 'snack and fruit' pattern was negatively associated with the child's adiposity. The lacto-vegetarian pattern was positively associated with blood folate concentration and negatively with vitamin B12 concentration. This study provides new information on correlates of diet patterns in Indian children and how diet relates to nutritional status. Follow-up of these children will be important to determine the role of these differences in diet in the development of risk factors for NCD including body composition.
Full Text Available Research findings are inconsistent about improvement of specific cardio-metabolic variables after lifestyle intervention in obese children. The aim of this trial was to evaluate the effect of a 1-year intervention, based on normocaloric diet and physical activity, on body mass index (BMI, blood lipid profile, glucose metabolism and metabolic syndrome. Eighty-five obese children aged ≥6 years were analyzed. The BMI z-score was calculated. Fasting blood samples were analyzed for lipids, insulin and glucose. The homeostatic model assessment of insulin resistance (HOMA-IR was calculated and insulin resistance was defined as HOMA-IR >3.16. HOMA-β%, quantitative insulin sensitivity check index and triglyceride glucose index were calculated. The metabolic syndrome was defined in accordance with the International Diabetes Federation criteria. At the end of intervention children showed a reduction (mean (95% CI in BMI z-score (−0.58 (−0.66; −0.50, triglycerides (−0.35 (−0.45; −0.25 mmol/L and triglyceride glucose index (−0.29 (−0.37; −0.21, and an increase in HDL cholesterol (0.06 (0.01; 0.11 mmol/L. Prevalence of insulin resistance declined from 51.8% to 36.5% and prevalence of metabolic syndrome from 17.1% to 4.9%. Nutritional-behavioral interventions can improve the blood lipid profile and insulin sensitivity in obese children, and possibly provide benefits in terms of metabolic syndrome.
The occurrence of weight loss and malnutrition are more common among children having frequently diarrhea. Among many causal factors of diarrhea, Helicobacter pylori (H. pylori) infection plays an important role. The study consisted of two phases, Phase I and Phase II. Phase I: A crossectional study of H. pylori infection was carried out in 275 children aged 6-36 months from low SES in rural and suburb areas in Bogor, West Java - Indonesia. H. Pylori infection was determined by using 13C urea breath test, and nutritional status analyzed by z-scores. The study revealed that a strong (x2=30.9; df=4; p<0.01) association was observed between the ages of children with the prevalence of H. pylori infection. The younger the child the higher was the prevalence of H. pylori infection. A similar trend but less stronger (c2=8.1; df=3; p<0.05) was observed between mother's education with the prevalence of H. pylori infection. The higher the level of mother's education the lower was the percentage of H. pylori infection. Although there was a trend toward positive association, but the analysis yielded no significant association was found between diarrhea and H. pylori infection. A similar result of analysis was also shown between anemia status and H. pylori infection. Of particular interest is that the percentage of breastfed children with positive H. pylori infection is significantly (P<0.05) higher than those who were weaned. Stunting, a deficit of length-for-age is the only one among the three indicators of malnutrition (underweight, wasting, stunting) is significantly (P<0.05) associated with H. pylori infection, although the other two of indicators following the same pattern. These findings demonstrate that H. Pylori infection has an effect on malabsorption leading to a negative impact on the ability of children to thrive. Phase II: A total of 83 children aged 6-36 months with the third degree of undernourished who were outpatients at the Nutrition Clinic in Bogor served as
Ana Flávia de Oliveira
Full Text Available OBJETIVOS: Este estudo teve como finalidade avaliar a evolução nutricional de crianças hospitalizadas com doenças infecciosas, que estiveram sob acompanhamento nutricional. MÉTODOS: Foram estudadas 125 crianças com idade de 6 a 36 meses de vida, admitidas na enfermaria de infectologia pediátrica do Hospital São Paulo, durante o período de Março de 2001 a Dezembro de 2002. As avaliações do estado nutricional e da ingestão energética basearam-se nos dados obtidos em inquéritos alimentares e medições antropométricas. RESULTADOS: Das crianças avaliadas, 67 eram do sexo masculino (53,6%; a mediana de idade foi 17 meses e o tempo médio de internação, dez dias. Na época da admissão, 24,8% das crianças estavam desnutridas enquanto 10,0% delas apresentavam sobrepeso e obesidade. Prevaleceu o diagnóstico de doenças agudas (69,6%. Realizaram terapia nutricional 21,6% das crianças, sendo que destas, 81,5% receberam terapia nutricional via oral. O grupo de desnutridos teve melhora significativa do escore-Z de peso para estatura-Z peso/estatura (p=0,001; o grupo de eutróficos não teve alteração significativa de escore-Z peso/estatura (p=0,651 e o grupo com sobrepeso/obesos teve redução significativa do escore-Z peso/estatura (p=0,026. Não houve associação significativa entre realização de terapia nutricional e melhora do estado nutricional (p=0,37. A melhora doescore-Z peso/estatura esteve relacionada à ingestão de energia maior que a recomendação normal para a idade (pOBJECTIVE: This study aimed at evaluating the nutritional evolution of hospitalized children with infectious diseases, who were put under nutritional orientation. METHODS: Evaluate the effect of therapeutic nutritional orientation on 125 children between 6 and 36 months of age, who were admitted at the Pediatric Infectology Ward of the Hospital São Paulo, São Paulo, Brazil, between March 2001 and December 2002. The evaluations of nutritional status
A Study to Evaluate the Effect of Nutritional Intervention Measures on Admitted Children in Selected Nutrition Rehabilitation Centers of Indore and Ujjain Divisions of the State of Madhya Pradesh (India)
Gunjan Taneja; Sanjay Dixit; A K Khatri; Veena Yesikar; Deepa Raghunath; Sanjay Chourasiya
Background: The state of Madhya Pradesh has 1.3 million severely malnourished children. Nutrition rehabilitation centers (NRCs) were started in the state to control severe malnutrition and decrease the prevalence of severe malnourished children to less than 1% among children aged 1–5 years. Materials and Methods: The present study was conducted from November 2008 to October 2009; 100 children admitted to seven different NRCs in Indore and Ujjain divisions of Madhya Pradesh were observed durin...
Full Text Available The aim of our study was to assess nutritional intake and anthropometric statuses in schoolchildren to subsequently determine nutritional adequacy with Spanish Dietary Reference Intake (DRIs. The ANIVA study, a descriptive cross-sectional study, was conducted in 710 schoolchildren (6–9 years in 2013–2014 in Valencia (Spain. Children’s dietary intake was measured using 3-day food records, completed by parents. Anthropometric measures (weight and height were measured according to international standards, and BMI-for-age was calculated and converted into z-scores by WHO-Anthro for age and sex. Nutrient adequacy was assessed using DRI based on estimated average requirement (EAR or adequate intake (AI. Pearson’s chi-square and Student’s t-test were employed. Of our study group (47.61% boys, 52.39% girls, 53.1% were normoweight and the weight of 46.9% was inadequate; of these, 38.6% had excess body weight (19.6% overweight and 19.0% obesity. We found intakes were lower for biotin, fiber, fluoride, vitamin D (p < 0.016, zinc, iodine, vitamin E, folic acid, calcium and iron (p < 0.017, and higher for lipids, proteins and cholesterol. Our results identify better nutritional adequacy to Spanish recommendations in overweight children. Our findings suggest that nutritional intervention and educational strategies are needed to promote healthy eating in these children and nutritional adequacies.
Morales-Suárez-Varela, María; Rubio-López, Nuria; Ruso, Candelaria; Llopis-Gonzalez, Agustín; Ruiz-Rojo, Elías; Redondo, Maximino; Pico, Yolanda
The aim of our study was to assess nutritional intake and anthropometric statuses in schoolchildren to subsequently determine nutritional adequacy with Spanish Dietary Reference Intake (DRIs). The ANIVA study, a descriptive cross-sectional study, was conducted in 710 schoolchildren (6–9 years) in 2013–2014 in Valencia (Spain). Children’s dietary intake was measured using 3-day food records, completed by parents. Anthropometric measures (weight and height) were measured according to international standards, and BMI-for-age was calculated and converted into z-scores by WHO-Anthro for age and sex. Nutrient adequacy was assessed using DRI based on estimated average requirement (EAR) or adequate intake (AI). Pearson’s chi-square and Student’s t-test were employed. Of our study group (47.61% boys, 52.39% girls), 53.1% were normoweight and the weight of 46.9% was inadequate; of these, 38.6% had excess body weight (19.6% overweight and 19.0% obesity). We found intakes were lower for biotin, fiber, fluoride, vitamin D (p < 0.016), zinc, iodine, vitamin E, folic acid, calcium and iron (p < 0.017), and higher for lipids, proteins and cholesterol. Our results identify better nutritional adequacy to Spanish recommendations in overweight children. Our findings suggest that nutritional intervention and educational strategies are needed to promote healthy eating in these children and nutritional adequacies. PMID:26694443
Full Text Available According to the Food and Agriculture Organization (FAO, 2006 the most sustainable way to reduce hunger effectively is to improve agriculture and rural development simultaneously. The study investigated the impact of irrigation dam projects on child nutritional status. A total of 397 mother-child pair from three communities (control, 1 year and 2 year intervention with introduction of irrigation dam with and without irrigation dams participated in the study. Nutritional status was assessed using anthropometric indicators (height/length, weight and MUAC and haemoglobin levels. For haemoglobin assessment a sub-sample of 200 children was used. Twenty four h dietary recall was used to assess dietary intake. The results showed significant differences (p<0.001 in wasting rates of 11.0, 21.2 and 12.3%, respectively among children in the control, 1 year intervention and 2 year intervention communities respectively. Haemoglobin assessment revealed that a greater proportion of children (70.1% were anaemic. The 1 year intervention had a significantly higher number of children (p<0.001 who had haemoglobin in the normal range. Most (95.9% of the children did not meet their energy needs according to their dietary intake records. Child feeding practices continue to be a challenge in these communities. Currently, the impact of the irrigation dam on the livelihoods and nutritional status of the children is not obvious but more time is needed to realize the full potential. Nutrition education should target the incorporation of fish from the dam into young child feeding in these communities.
M K Gupta
Full Text Available Background: With the adoption of western lifestyle the problem of overweight and obesity is gradually increasing in children, while problem of malnutrition is persisting continuously in the country. With this background a school based cross sectional study was conducted to assess the nutritional status of school going children in a rural area: Chiraigaon block of Varanasi. Study period: July 2010 to September 2010 Methods: A school-based study with cross-sectional design was adopted. A total of 1448 school children were examined from 3 middle-schools that were selected by simple random sampling method. Height and weight of the children were measured, and BMI and other parameters were assessed. Results: On applying the BMI-for-age criteria, twelve percent of the children (12.4% boys and 11.1% girls were found underweight while 5.4% were overweight or obese (5.71% of the boys and 4.63% of the girls. But when the previous WHO’s BMI classification was used, 86.5% children had BMI <18.5 (88.4% of total boys and 81.9% of all girls. Conclusion: Nutritional status of school going children based on WHO criteria of BMI for age has been satisfactory. However, this approach needs scientific validation by undertaking a multi-centric study.
Bruno F Sunguya
Full Text Available METHODS: We conducted this mixed-method study among 748 children aged 6 months-14 years attending 9 of a total of 32 care and treatment centers in Tanga region, Tanzania. We collected quantitative data using a standard questionnaire and qualitative data through seven focus group discussions (FGDs. RESULTS: HIV-positive children had high magnitudes of undernutrition. Stunting, underweight, wasting, and thinness were prevalent among 61.9%, 38.7%, 26.0%, and 21.1% of HIV-positive children, respectively. They also had poor feeding practices: 88.1% were fed at a frequency below the recommendations, and 62.3% had a low level of dietary diversity. Lower feeding frequency was associated with stunting (β = 0.11, p = 0.016; underweight (β = 0.12, p = 0.029; and thinness (β = 0.11, p = 0.026. Lower feeding frequency was associated with low wealth index (β = 0.06, p<0.001, food insecurity (β = -0.05, p<0.001, and caregiver's education. In the FGDs, participants discussed the causal relationships among the key associations; undernutrition was mainly due to low feeding frequency and dietary diversity. Such poor feeding practices resulted from poor nutrition knowledge, food insecurity, low income, and poverty. CONCLUSION: Feeding practices and nutrition status were poor among HIV-positive children even in food rich areas. Improving feeding frequency may help to ameliorate undernutrition. To improve it, tailored interventions should target children of poor households, the food insecure, and caregivers who have received only a low level of education.
Patel, N; Kent, S; Rai, SS
It has been well documented that obesity amongst young children is on the increase. By the age of 5 the level of obesity is alarming and is much greater than expected in comparison to the national standards. To address this problem, an overall health programme is required encompassing healthy eating and physical activity. However, a radical change of this nature has not shown any long-term benefits and can result in a negative attitude from the child. Therefore, more subtleways of increasing ...
Gao, Yongqing; Huang, Yuee; Zhang, Yongjun; Liu, Fengqiong; Feng, Cindy Xin; Liu, Tingting; Li, Changwei; Ling, Dong Dong; Mu, Yongping; Tarver, Siobhan L; Wang, Mao; Sun, Wenjie
A community-based intervention study was conducted to assess a nutrition education intervention on western style fast food consumption among Chinese children and parents. Eight kindergartens from three district areas of Hefei City (a total of 1252 children aged 4-6 years and their parents) were randomly selected. Descriptive and analytical statistical methods were used to evaluate the baseline, midterm, and final western style fast food knowledge, attitude, and practice in both parents and children were used to identify and compare the knowledge, attitude, and practice in the parents and children. Parents and children were divided into "intervention" and "control" groups based on nutrition education status. Consumption of western style fast food at breakfast in Chinese children and parents is not high. The main reasons for this in children is that consumption of western style fast food is not viewed as "food", but rather as a "gift" or "interesting". The time of children's consumption of western style fast food is mostly likely to be in the weekends. The nutrition education modified the parents' western style fast food behavior (p < 0.01), although it did not change significantly in children. The healthy nutrition concept should be built up among Chinese, especially in children. Insights from the families provide leads for future research and ideas for the nutrition education. PMID:24983391
Nutritional assessment is an essential component of the history and physical examination of children with gastrointestinal disorders. Protein-energy malnutrition, linear growth failure, overweight, and iron deficiency anemia frequently complicate the clinical course of common gastrointestinal proble...
Full Text Available Iran has been active in human nutrition training for the past five decades, but the existing curricular programs do not equip the graduates with the knowledge and skills required for solving food security and nutritional problems of the country. Given this, the Nutrition Department (ND of Iran's Ministry of Health and Medical Education (MOHME initiated a curricular reform to develop responsive graduate programs in key areas of nutrition that fill the existing gaps in nutrition training with the goal of improving nutrition policy-making and program development, implementation and evaluation. ND called for a request for proposals for a project entitled "Graduate Level Training in Nutrition". Specifically, with technical assistance from leading academic institutions in Asia, North America and UK, seven new graduate programs were housed in three separate institutions, but coordinated so that together they form a broad multidisciplinary resource for graduate education and research. These seven-degree programs are MSc and PhD in Molecular/Cellular Nutrition, MSc and PhD in Nutritional Epidemiology, MSc and PhD in Food Policy and Nutrition Intervention, and MSc in Community Nutrition. The programs were prepared in collaboration and active participation of selected faculty members of the three Iranian universities, International Union of Nutritional Sciences and the University of Philippines at Los Baños. The development of these programs was made possible through a loan from the World Bank, under the Second Primary Health and Nutrition Project in the MOHME.
Larissa Galastri Baraldi
Full Text Available INTRODUCTION: The analysis of social indicators and health status of parents and children is a preferred way to estimate the potential for social mobility in different societies or different periods in the same society. OBJECTIVE: To analyze the evolution of educational and nutritional status of the Brazilian families by an intergenerational approach. METHODS: A representative sample of the Brazilian population, consisting of parents (35 to 65 years old and young adults (20 to 24 years old obtained from three national surveys NHNS (1989, HBS (2003 and 2009. We performed a descriptive analysis and, for the sons, we calculated the probability of starting college using the multilevel logistic regression with random intercept model. RESULTS: The advance of the nutritional status of young people was statistically higher than to their parents (p < 0.005. Social conditions experienced in childhood and family status had great influence on their later school success. CONCLUSION: These data indicate improvements in social status controlled by the nutritional status, initiated in the period of 1989 - 2003. Although inequality persists in the country, the family's influence declined in the period 2003 - 2009.
Sarson, Evelyn, Comp.
Action for Children's Television (ACT) was organized to attempt to change the nature of television (TV) for children--to persuade TV networks that children are not miniature consumers, to encourage appropriate programming for children, and to eliminate commercialism. This report of the First National Symposium of ACT presents papers of…
Izutsu, T; Tsutsumi, A; Sato, T; Naqibullah, Z; Wakai, S; Kurita, H
The study sought to ascertain and describe the physical and mental health states of Afghan refugee children after the terrorist attack on September 11, 2001 in the US and the aerial bombing of Afghanistan that followed. A cross-sectional survey was carried out in four refugee camps in Peshawar, Pakistan from February to March 2002, and comparisons among camps were made. A total of 70 males (mean age SD = 9.81 +/- 1.98 years old) and 30 females (7.94 +/- 2.07) answered a self-developed questionnaire on demographic data, traumatic events experience, living environment in the camps, and physical and mental health, through interviews. Anthropometric measures were measured and physical symptoms including anaemia and edema were assessed. Severe malnutrition was not shown and there were no significant differences in most nutritional and physical states among the camps. Nevertheless, in the newer camps more children experienced war related traumatic events. Mental symptoms were prevalent in all camps, though the characteristics of the symptoms differed among the camps. PMID:16425652
Vega, Juliana Bergamo; Poblacion, Ana Paula; Taddei, José Augusto de Aguiar Carrazedo
The rising consumption of sweetened beverages such as soft drinks or artificial juices is associated with the prevalence of obesity in Brazil and around the world. This study seeks to verify the frequency of consumption of these beverages among Brazilian children aged 24-59 months and to investigate the association of soft drinks with demographic, socioeconomic and nutritional variables. Using data from the National Survey on Demography and Health of Women and Children - 2006, the eating habits were obtained using the food and drink frequency questionnaire for the seven days preceding the interview, and anthropometry recorded the weight and height of children. Among preschoolers, 37.3% consumed soft drinks and artificial juices 4 or more days per week. The factors significantly associated with frequent consumption of soft drinks were living in regions of higher economic development of the country, in urban areas, belonging to the higher income bracket, with mothers watching TV regularly and excess weight of the child, were associated with consumption of soft drinks and artificial juices 4 or more days per week. Further studies are needed to understand the effective contribution of soft drinks on the epidemic of childhood obesity. PMID:26221802
... NSIP) The Emergency Food Assistance Program (TEFAP) Child Nutrition Programs Child and Adult Care Food Program (CACFP) Fresh Fruit and Vegetable Program National School Lunch Program (NSLP) School Breakfast Program ... Nutrition Assistance Program (SNAP) WIC (Special Supplemental Nutrition Program ...
De Steur, Hans; Gellynck, Xavier; Saeed, Hibbah Araba; Makokha, Anselimo
BACKGROUND/OBJECTIVES Although it is crucial to identify those children likely to be treated in an appropriate nutrition rehabilitation programme and discharge them at the appropriate time, there is no golden standard for such identification. The current study examined the appropriateness of using Mid-Upper Arm Circumference for the identification, follow-up and discharge of malnourished children. We also assessed its discrepancy with the Weight-for-Height based diagnosis, the rate of recovery, and the discharge criteria of the children during nutrition rehabilitation. SUBJECTS/METHODS The study present findings from 156 children (aged 6-59 months) attending a supplementary feeding programme at Makadara and Jericho Health Centres, Eastern District of Nairobi, Kenya. Records of age, weight, height and mid-upper arm circumference were selected at three stages of nutrition rehabilitation: admission, follow-up and discharge. The values obtained were then used to calculate z-scores as defined by WHO Anthro while estimating different diagnostic indices. RESULTS Mid-upper arm circumference single cut-off (< 12.5 cm) was found to exhibit high values of sensitivity, specificity, positive predictive value, negative predictive value, positive likelihood ratio, negative likelihood ratio at both admission and discharge. Besides, children recorded higher rate of recovery at 86 days, an average increment of 0.98 cm at the rate of 0.14mm/day, and a weight gain of 13.49gm/day, albeit higher in female than their male counterparts. Nevertheless, children admitted on basis of low MUAC had a significantly higher MUAC gain than WH at 0.19mm/day and 0.13mm/day respectively. CONCLUSIONS Mid-upper arm circumference can be an appropriate tool for identifying malnourished children for admission to nutrition rehabilitation programs. Our results confirm the appropriateness of this tool for monitoring recovery trends and discharging the children thereafter. In principle the tool has potential
Full Text Available Objectives: Growth curves are the most important tools for the assessment of growth of children, which could further helps to develop preventive interventions. Geographical and physical differences necessitate using national growth curves. This study aims to construct growth curves using anthropometric measurements namely weight and height for Indian children using cross-sectional data from National Family and Health Surveys. Materials and Methods: Box-Cox power exponential, a flexible distribution, was used that offers to adjust kurtosis and improves the estimation of extreme percentiles. LMS-methods that fit skewed data adequately and generate fitted curves that follow closely the empirical data, with maximum penalized likelihood, Akaike information criteria (AIC and generalized AIC with penalty 3 were used to construct the growth curves. Before fittings this model factors which influence the nutritional status of children were examined, similar to World Health Organization (WHO (2006 factors, namely standard infant feeding practices, sanitation, non-smoking mothers additionally poverty (household consumable assets based. Results: Model fitted in LMS-model and standard based on height and weight for children aged 0-60 months was obtained after iteration for degrees of freedom for the parameters. Growth curves for mean Z-scores and percentiles were constructed for both sexes and significant lower values were noticeably found to be set as growth-standard compared to WHO-standards. Conclusion: Study showed the prospect of constructing regional/national growth curve and their need for the assessment of children′s growth, which could help to identify undernourished-children at national level. There is an urgent need to collect longitudinal data of children to fit the growth curve of children in India.
Full Text Available Introduction: The field of anthropometry encompasses a variety of human body measurements, such as weight, height and size; including skin fold thickness, circumference, lengths, and breadths. Anthropometry is a key component of nutritional status assessment in children and adults. Anthropometric data for children reflect general health status, dietary adequacy and growth and development over time. The main objective of the study was to diagnose and analyze the magnitude and causes of nutritional and health problems of the village. Method: Anthropometric reference data of 100 children between 7-14 years of age from a small village situated 30 km from Pune. Using this data BMI i.e. Body Mass Index was calculated which helps in determining whether an individual is overweight or underweight. Result: The overall study helped us to find out the socioeconomic condition, hygienic condition as well as nutritional status of children. All the anthropometric measurements of the girls and boys in 7-14 years age group was found to be significantly normal. Conclusion: The hygienic condition of the village was good enough and in turn BMI data shows that the socioeconomic condition of the village was also good.
Lee, Haeng-Shin; Park, Sohyun; Kim, Mi-Hyun
Water is essential for life and plain water instead of sugar-sweetened beverages is one approach for decreasing energy intake. Due to limited data on characteristics associated with water intake among Korean adolescents, this study examined associations of demographic and behavioral characteristics with plain water intake by using nationally representative sample of South Korean adolescents. The data (2007-2010 Korea National Health and Nutrition Examination Survey) for 1,288 high school-aged...
Full Text Available The main aim of this study was to determine consumer preferences by school-aged children and selected quality indicators of new, highly nutritive grain bars designed as a snack during school break. Consumer acceptance was evaluated by the scaling method using a five-point mimic hedonic scale. Triacylglycerols (TAG and fatty acids (FA composition was assayed in fats extracted from the designed bars (fresh and stored by gas chromatography. Contents of oxidation and hydrolysis products were determined using peroxide value (PV, anisidine value (AnV, and acidic value (AV. The antioxidant activity of the ethanolic extract from bars was measured by scavenging 1,1-diphenyl-2-picrylhydrazyl (DPPH radicals and Folin-Ciocalteau methods. The overall liking of bars was high (4.05 pts on average in the 5-point scale. The majority of children (71% scored the designed bars as tasty and very tasty. The designed products contained 22.3% of fat with about 44 g/100 g FA of valuable fatty acids, e.g., short-chain saturated fatty acids (SCSFA, monounsaturated fatty acids (MUFA and odd and branched chain fatty acids (OBCFA, recommended for young organisms. The content of CN52, CN54, CN50 and CN46 triacylglycerols (TAGs (about 49 g/100 g TAG was due to both milk and cocoa fat. Storage of bars did not influence their content of oxidation and hydrolysis products, resulting from a substantial content of total phenolics (TPC (53.64 mg GAE/100 mL of extract and DPPH scavenging activity at the level of 24%. The designed bars may be an interesting confectionery product for children and an alternative to snacks currently available in school shops.
Full Text Available A community-based intervention study was conducted to assess a nutrition education intervention on western style fast food consumption among Chinese children and parents. Eight kindergartens from three district areas of Hefei City (a total of 1252 children aged 4–6 years and their parents were randomly selected. Descriptive and analytical statistical methods were used to evaluate the baseline, midterm, and final western style fast food knowledge, attitude, and practice in both parents and children were used to identify and compare the knowledge, attitude, and practice in the parents and children. Parents and children were divided into “intervention” and “control” groups based on nutrition education status. Consumption of western style fast food at breakfast in Chinese children and parents is not high. The main reasons for this in children is that consumption of western style fast food is not viewed as “food”, but rather as a “gift” or “interesting”. The time of children’s consumption of western style fast food is mostly likely to be in the weekends. The nutrition education modified the parents’ western style fast food behavior (p < 0.01, although it did not change significantly in children. The healthy nutrition concept should be built up among Chinese, especially in children. Insights from the families provide leads for future research and ideas for the nutrition education.
Gao, Yongqing; Huang, Yuee; Zhang, Yongjun; Liu, Fengqiong; Feng, Cindy Xin; Liu, Tingting; Li, Changwei; Lin, DongDong; Mu, Yongping; Tarver, Siobhan L.; Wang, Mao; Sun, Wenjie
A community-based intervention study was conducted to assess a nutrition education intervention on western style fast food consumption among Chinese children and parents. Eight kindergartens from three district areas of Hefei City (a total of 1252 children aged 4–6 years and their parents) were randomly selected. Descriptive and analytical statistical methods were used to evaluate the baseline, midterm, and final western style fast food knowledge, attitude, and practice in both parents and children were used to identify and compare the knowledge, attitude, and practice in the parents and children. Parents and children were divided into “intervention” and “control” groups based on nutrition education status. Consumption of western style fast food at breakfast in Chinese children and parents is not high. The main reasons for this in children is that consumption of western style fast food is not viewed as “food”, but rather as a “gift” or “interesting”. The time of children’s consumption of western style fast food is mostly likely to be in the weekends. The nutrition education modified the parents’ western style fast food behavior (p < 0.01), although it did not change significantly in children. The healthy nutrition concept should be built up among Chinese, especially in children. Insights from the families provide leads for future research and ideas for the nutrition education. PMID:24983391
... Toddler Nutrition -- see more articles Reference Desk Toddler Nutrition and Health Resource List (Department of Agriculture) - PDF Find an ... Related Health Topics Child Nutrition Infant and Newborn Nutrition National Institutes of Health The primary NIH organization for research on Toddler ...
Nordang, Sunniva; Shoo, Tiransia; Holmboe-Ottesen, Gerd; Kinabo, Joyce; Wandel, Margareta
Some progress has been achieved in reducing the prevalence of undernutrition among children under 5 years of age in Tanzania. In the Rukwa region (2010), the level of stunted and underweight children was 50·4 and 13·5 %, respectively. The aim of this study was to assess the nutritional status of children under 5 years of age, feeding practices and risk factors of undernutrition in a rural village in the Rukwa region, as well as to discuss the results in light of a similar study conducted in 1987/1988. This cross-sectional study was conducted in 152 households with children under 5 years of age. Data were obtained from the child's main caretaker and the household head, using a structured questionnaire and a 24 h dietary recall. Children's length/height and weight were measured. The prevalence of stunting and underweight was found to be 63·8 and 33·6 % (Z-scorechild-feeding practices were not in line with WHO recommendations. Women working in farms, food shortage, dry-season cultivation and diseases partly explain the children's poor nutritional status.