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Nutritional Status of Children Under Five Years of Age and Factors Associated in Padampur VDC, Chitwan 奇旺省帕丹普尔县5岁以下儿童营养状况及相关因素

Health Prospect

Pub Date : 2012-06-01 DOI: 10.3126/HPROSPECT.V10I0.5639

D. Ruwali

Background: Malnutrition is a major underlying cause of the child morbidity and mortality in Nepal. Factors that contribute to malnutrition are many and varied, so multifaceted strategies are required to combat it. It is therefore important to determine its causative factors before appropriate intervention can be implemented. This analysis tries to analyze the factors associated with nutritional status among children of under five years of age so that nutritional intervention can be better designed.Methodology: A community based cross-sectional descriptive survey using a structured questionnaire and measurements of weight and height to determine the nutritional status of underfive children and factors associated with it. A structured questionnaire was then administered to the mothers in their home settings. Anthropometric measurement was then used to determine if children were underweight (weight-for-age), wasting (weight-for-height) and stunting (height-for-age) based on CDC/WHO reference. Logistic regression statistical tool was used to analyze the influence of different predictors.Results: Prevalence of underweight, stunting and wasting was 22.7%, 37.3% and 25.7% respectively. Study indicated that the risk of stunting increases with age. Socioeconomic status was most important factors associated with stunting, underweight and wasting. Meeting the minimum dietary diversity, minimum meal frequency and minimum acceptable diet was associated with better nutritional status of children.Conclusion: Results of this study indicate that undernutrition is still an important problem among children under five years of age in Padampur VDC, Chitwan. Furthermore, this malnutrition was found to be a result of maternal, socio-economic and child individual factors.DOI: http://dx.doi.org/10.3126/hprospect.v10i0.5639Health Prospect Vol.10 2011, pp.14-18

背景:营养不良是尼泊尔儿童发病率和死亡率的主要潜在原因。造成营养不良的因素多种多样，因此需要采取多方面的战略来解决这一问题。因此，在实施适当的干预措施之前，确定其致病因素是很重要的。本分析试图分析与5岁以下儿童营养状况相关的因素，以便更好地设计营养干预措施。方法:一项基于社区的横断面描述性调查，使用结构化问卷和体重和身高测量来确定五岁以下儿童的营养状况及其相关因素。然后在家中对母亲进行结构化问卷调查。然后根据CDC/WHO的参考资料，使用人体测量来确定儿童是否体重不足(年龄体重比)、消瘦(身高体重比)和发育迟缓(年龄身高比)。采用Logistic回归统计工具分析不同预测因子的影响。结果:体重过轻、发育迟缓和消瘦的患病率分别为22.7%、37.3%和25.7%。研究表明，发育迟缓的风险随着年龄的增长而增加。社会经济地位是与发育迟缓、体重不足和消瘦相关的最重要因素。满足最低膳食多样性、最低进餐频率和最低可接受饮食与儿童更好的营养状况有关。结论:本研究结果表明，营养不良仍然是Chitwan Padampur VDC 5岁以下儿童的一个重要问题。此外，发现这种营养不良是由产妇、社会经济和儿童个人因素造成的。DOI: http://dx.doi.org/10.3126/hprospect.v10i0.5639Health Prospect Vol.10 2011, pp.14-18

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