Assessment of Growth in Pediatric Syrian Refugee Populations in Jordan

Background Externally displaced pediatric Syrian refugees are at risk of adverse developmental health outcomes in the setting of food insecurity. To evaluate the impact of displacement on nutritional status of Syrian children, this study describes the prevalence of malnutrition of Syrian children re...

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Main Authors: Amanda Vakos, Nadia Khalil, Ambuj Kumar, Lynette Menezes, Minal Ahson
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2021-10-01
Series:Avicenna Journal of Medicine
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1736544
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author Amanda Vakos
Nadia Khalil
Ambuj Kumar
Lynette Menezes
Minal Ahson
author_facet Amanda Vakos
Nadia Khalil
Ambuj Kumar
Lynette Menezes
Minal Ahson
author_sort Amanda Vakos
collection DOAJ
description Background Externally displaced pediatric Syrian refugees are at risk of adverse developmental health outcomes in the setting of food insecurity. To evaluate the impact of displacement on nutritional status of Syrian children, this study describes the prevalence of malnutrition of Syrian children residing in Jordan. Methods A retrospective cross-sectional analysis of data from patient records < 18 years of age from the Syrian American Medical Society's (SAMS) January 2019 mission trip to Jordan was performed. Prevalence of stunting, severe wasting, wasting, overweight, and underweight were calculated using the World Health Organization (WHO) definitions. Results Overall, 392 Syrian children were included. In the 0 to 59 months group (n = 191), prevalence of stunting was 13.9% (n = 165), severe wasting 4.2% (n = 165), wasting 6% (n = 165), overweight 16.4% (n = 165), and underweight 5.3% (n = 190). In the > 59 months group (n = 201), prevalence of stunting was 7.2% (n = 194), severe wasting 3.6% (n = 194), wasting 5.2% (n = 194), overweight 6.7% (n = 194), and underweight 4.6% (n = 153). Age group was significantly associated with stunting (odds ratio [OR]  = 2.08,9 5% CI 1.03 to 4.19) and overweight (OR = 2.72; 95% CI 1.36 to 5.47) with increased odds of each in the 0–59 months group. Conclusion The findings suggest evidence of higher prevalence of malnutrition in Syrian children compared with prior assessments and greater impact on the younger cohort. In 0 to 59 months' old Syrian children, stunting and wasting were of medium severity and overweight was of high severity. This may reflect food insecurity in the setting of ongoing conflict, strain on resources, and evolving refugee policies, acknowledging study limitations. Syrian refugee children living in Jordan experience wasting and stunting. Comprehensive assessment of current nutritional status of Syrian children is needed. Access to adequate and nutritious food is paramount.
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spelling doaj.art-88b3b56f93074ef0a2c7832c9a8d4f172022-12-21T23:11:50ZengThieme Medical and Scientific Publishers Pvt. Ltd.Avicenna Journal of Medicine2231-07702249-44642021-10-01110416717110.1055/s-0041-1736544Assessment of Growth in Pediatric Syrian Refugee Populations in JordanAmanda Vakos0Nadia Khalil1Ambuj Kumar2Lynette Menezes3Minal Ahson4Morsani College of Medicine, University of South Florida, Tampa, Florida, United StatesDepartment of Neurology, Morsani College of Medicine, University of South Florida, Tampa, Florida, United StatesDepartment of Internal Medicine, Morsani College of Medicine, University of South Florida, Tampa, Florida, United StatesDepartment of Internal Medicine, Morsani College of Medicine, University of South Florida, Tampa, Florida, United StatesDepartment of Internal Medicine, Department of Pediatrics Morsani College of Medicine, University of South Florida, Tampa, Florida, United StatesBackground Externally displaced pediatric Syrian refugees are at risk of adverse developmental health outcomes in the setting of food insecurity. To evaluate the impact of displacement on nutritional status of Syrian children, this study describes the prevalence of malnutrition of Syrian children residing in Jordan. Methods A retrospective cross-sectional analysis of data from patient records < 18 years of age from the Syrian American Medical Society's (SAMS) January 2019 mission trip to Jordan was performed. Prevalence of stunting, severe wasting, wasting, overweight, and underweight were calculated using the World Health Organization (WHO) definitions. Results Overall, 392 Syrian children were included. In the 0 to 59 months group (n = 191), prevalence of stunting was 13.9% (n = 165), severe wasting 4.2% (n = 165), wasting 6% (n = 165), overweight 16.4% (n = 165), and underweight 5.3% (n = 190). In the > 59 months group (n = 201), prevalence of stunting was 7.2% (n = 194), severe wasting 3.6% (n = 194), wasting 5.2% (n = 194), overweight 6.7% (n = 194), and underweight 4.6% (n = 153). Age group was significantly associated with stunting (odds ratio [OR]  = 2.08,9 5% CI 1.03 to 4.19) and overweight (OR = 2.72; 95% CI 1.36 to 5.47) with increased odds of each in the 0–59 months group. Conclusion The findings suggest evidence of higher prevalence of malnutrition in Syrian children compared with prior assessments and greater impact on the younger cohort. In 0 to 59 months' old Syrian children, stunting and wasting were of medium severity and overweight was of high severity. This may reflect food insecurity in the setting of ongoing conflict, strain on resources, and evolving refugee policies, acknowledging study limitations. Syrian refugee children living in Jordan experience wasting and stunting. Comprehensive assessment of current nutritional status of Syrian children is needed. Access to adequate and nutritious food is paramount.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1736544global healthpediatricsgrowthnutritionsyrian refugee crisissyrian refugees
spellingShingle Amanda Vakos
Nadia Khalil
Ambuj Kumar
Lynette Menezes
Minal Ahson
Assessment of Growth in Pediatric Syrian Refugee Populations in Jordan
Avicenna Journal of Medicine
global health
pediatrics
growth
nutrition
syrian refugee crisis
syrian refugees
title Assessment of Growth in Pediatric Syrian Refugee Populations in Jordan
title_full Assessment of Growth in Pediatric Syrian Refugee Populations in Jordan
title_fullStr Assessment of Growth in Pediatric Syrian Refugee Populations in Jordan
title_full_unstemmed Assessment of Growth in Pediatric Syrian Refugee Populations in Jordan
title_short Assessment of Growth in Pediatric Syrian Refugee Populations in Jordan
title_sort assessment of growth in pediatric syrian refugee populations in jordan
topic global health
pediatrics
growth
nutrition
syrian refugee crisis
syrian refugees
url http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1736544
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AT lynettemenezes assessmentofgrowthinpediatricsyrianrefugeepopulationsinjordan
AT minalahson assessmentofgrowthinpediatricsyrianrefugeepopulationsinjordan