Morbidity pattern of underfives with moderate acute malnutrition in southern Nigeria

Background: Moderate acute malnutrition (MAM) is a leading cause of childhood morbidity and mortality globally. The morbidity pattern of underfives with this condition is yet to be described. Objective: To describe the morbidity pattern of underfives with MAM Method: A cross sectional study w...

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Main Authors: Udoh EE, Okorie O, Okpokowuruk FS, Udo E, Motilewa OO, Bassey V, Ikobah J, Adesina S, Ebunlomo I, Akpan M, Ekpo L, Uhegbu K, Umoh R, Nwazuluoke B, Johnson OE, Adeniyi O
Format: Article
Language:English
Published: Nigerian Medical Association, Akwa Ibom State Branch 2024-01-01
Series:Ibom Medical Journal
Subjects:
Online Access:https://ibommedicaljournal.org/index.php/imjhome/article/view/380
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author Udoh EE
Okorie O
Okpokowuruk FS
Udo E
Motilewa OO
Bassey V
Ikobah J
Adesina S
Ebunlomo I
Akpan M
Ekpo L
Uhegbu K
Umoh R
Nwazuluoke B
Johnson OE
Adeniyi O
author_facet Udoh EE
Okorie O
Okpokowuruk FS
Udo E
Motilewa OO
Bassey V
Ikobah J
Adesina S
Ebunlomo I
Akpan M
Ekpo L
Uhegbu K
Umoh R
Nwazuluoke B
Johnson OE
Adeniyi O
author_sort Udoh EE
collection DOAJ
description Background: Moderate acute malnutrition (MAM) is a leading cause of childhood morbidity and mortality globally. The morbidity pattern of underfives with this condition is yet to be described. Objective: To describe the morbidity pattern of underfives with MAM Method: A cross sectional study was conducted in two Primary Health Centres in Uruan Local Government Area of Akwa Ibom State. Caregivers’ brought children aged 6- 59 months to the health facilities following community mobilization. Eligible children were recruited into the study after obtaining parental consent. A validated proforma was used to obtain the biodata and symptoms of common illnesses in the children. A general physical examination, anthropometric measurements and systemic examination were performed. Results: A total of 162 children were recruited into the study. Their mean (±SD) age was 20.4 ± 13.0 months. Over 70% of them were 6 - 23 months of age. Their mean (±SD) length/height was 77.3 ± 29.6 cm, mean (±SD) weight was 8.3 ± 3.4 kg and mean (±SD) mid upper arm circumference was 12.4 ± 4.5 cm. The main symptoms noted in the children were; fever 99 (61.1%), cough 84 (51.9%), weight loss 81 (50.0%), diarrhoea 40 (24.7%) and vomiting 40 (24.7%) while pallor 77 (47.5%), lymphadenopathy 56 (34.6%), hair changes 49 (30.2%), skin changes 27 (16.6%) were the main signs in them. Conclusion: The main symptomatology of underfives with MAM were fever, cough and weight loss while pallor, lymphadenopathy and hair changes were the topmost signs. This morbidity pattern is related to interactions between malnutrition and infection in childhood.
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spelling doaj.art-5fd2d12af2144ca3a340c46a21f0c1162024-03-06T11:55:01ZengNigerian Medical Association, Akwa Ibom State BranchIbom Medical Journal1597-71882735-99642024-01-0117110.61386/imj.v17i1.380Morbidity pattern of underfives with moderate acute malnutrition in southern NigeriaUdoh EE0Okorie O1Okpokowuruk FS2Udo E3Motilewa OO4Bassey V5Ikobah J6Adesina S7Ebunlomo I8Akpan M9Ekpo L10Uhegbu K11Umoh R12Nwazuluoke B13Johnson OE14Adeniyi O15Department of Paediatrics, University of Uyo/University of Uyo Teaching Hospital, Uyo, Akwa Ibom State, NigeriaDepartment of Paediatrics, West Cumberland Hospital, Whitehaven, Cumbria, EnglandDepartment of Paediatrics, University of Uyo/University of Uyo Teaching Hospital, Uyo, Akwa Ibom State, NigeriaDepartment of Paediatrics, University of Uyo Teaching Hospital, Uyo, Akwa Ibom State, NigeriaDepartment of Community Medicine, University of Uyo Teaching Hospital, Uyo, Akwa Ibom State, NigeriaNutrition Division, State Ministry of Health, Uyo, Akwa Ibom State, NigeriaDepartment of Paediatrics, University of Calabar/University of Calabar Teaching Hospital, Calabar, Cross River StateDepartment of Paediatrics, University of Uyo Teaching Hospital, Uyo, Akwa Ibom State, NigeriaDepartment of Paediatrics, University of Uyo Teaching Hospital, Uyo, Akwa Ibom State, NigeriaDepartment of Paediatrics, University of Uyo/University of Uyo Teaching Hospital, Uyo, Akwa Ibom State, NigeriaDepartment of Paediatrics, University of Uyo Teaching Hospital, Uyo, Akwa Ibom State, NigeriaDepartment of Paediatrics, University of Calabar/University of Calabar Teaching Hospital, Calabar, Cross River StateDepartment of Paediatrics, University of Uyo Teaching Hospital, Uyo, Akwa Ibom State, NigeriaDietetic Unit, Department of Internal Medicine, University of Uyo Teaching Hospital, Uyo, Akwa Ibom State, NigeriaDepartment of Anatomy, University of Uyo, Akwa Ibom State, NigeriaDepartment of Paediatrics, College of Medicine, University of Lagos/Lagos University Teaching Hospital, Nigeria Background: Moderate acute malnutrition (MAM) is a leading cause of childhood morbidity and mortality globally. The morbidity pattern of underfives with this condition is yet to be described. Objective: To describe the morbidity pattern of underfives with MAM Method: A cross sectional study was conducted in two Primary Health Centres in Uruan Local Government Area of Akwa Ibom State. Caregivers’ brought children aged 6- 59 months to the health facilities following community mobilization. Eligible children were recruited into the study after obtaining parental consent. A validated proforma was used to obtain the biodata and symptoms of common illnesses in the children. A general physical examination, anthropometric measurements and systemic examination were performed. Results: A total of 162 children were recruited into the study. Their mean (±SD) age was 20.4 ± 13.0 months. Over 70% of them were 6 - 23 months of age. Their mean (±SD) length/height was 77.3 ± 29.6 cm, mean (±SD) weight was 8.3 ± 3.4 kg and mean (±SD) mid upper arm circumference was 12.4 ± 4.5 cm. The main symptoms noted in the children were; fever 99 (61.1%), cough 84 (51.9%), weight loss 81 (50.0%), diarrhoea 40 (24.7%) and vomiting 40 (24.7%) while pallor 77 (47.5%), lymphadenopathy 56 (34.6%), hair changes 49 (30.2%), skin changes 27 (16.6%) were the main signs in them. Conclusion: The main symptomatology of underfives with MAM were fever, cough and weight loss while pallor, lymphadenopathy and hair changes were the topmost signs. This morbidity pattern is related to interactions between malnutrition and infection in childhood. https://ibommedicaljournal.org/index.php/imjhome/article/view/380Morbidity patternunderfivesmoderate malnutritionfeverpallor
spellingShingle Udoh EE
Okorie O
Okpokowuruk FS
Udo E
Motilewa OO
Bassey V
Ikobah J
Adesina S
Ebunlomo I
Akpan M
Ekpo L
Uhegbu K
Umoh R
Nwazuluoke B
Johnson OE
Adeniyi O
Morbidity pattern of underfives with moderate acute malnutrition in southern Nigeria
Ibom Medical Journal
Morbidity pattern
underfives
moderate malnutrition
fever
pallor
title Morbidity pattern of underfives with moderate acute malnutrition in southern Nigeria
title_full Morbidity pattern of underfives with moderate acute malnutrition in southern Nigeria
title_fullStr Morbidity pattern of underfives with moderate acute malnutrition in southern Nigeria
title_full_unstemmed Morbidity pattern of underfives with moderate acute malnutrition in southern Nigeria
title_short Morbidity pattern of underfives with moderate acute malnutrition in southern Nigeria
title_sort morbidity pattern of underfives with moderate acute malnutrition in southern nigeria
topic Morbidity pattern
underfives
moderate malnutrition
fever
pallor
url https://ibommedicaljournal.org/index.php/imjhome/article/view/380
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