Risk factors for wasting among hospitalised children in Nepal
Abstract Background Malnutrition has various adverse effects in children. This study aimed to determine risk factors for malnutrition among hospitalised children, changes in nutritional status at admission and discharge and effects of use of systematic anthropometric measurement in identification of...
| Main Authors: | , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2022-09-01
|
| Series: | Tropical Medicine and Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s41182-022-00461-0 |
| _version_ | 1797995000689065984 |
|---|---|
| author | Aiko Inoue Bhim Gopal Dhoubhadel Dhruba Shrestha Ganendra Bhakta Raya Yumiko Hayashi Sudeep Shrestha Tansy Edwards Christopher Martin Parry Koya Ariyoshi Sharon Elizabeth Cox |
| author_facet | Aiko Inoue Bhim Gopal Dhoubhadel Dhruba Shrestha Ganendra Bhakta Raya Yumiko Hayashi Sudeep Shrestha Tansy Edwards Christopher Martin Parry Koya Ariyoshi Sharon Elizabeth Cox |
| author_sort | Aiko Inoue |
| collection | DOAJ |
| description | Abstract Background Malnutrition has various adverse effects in children. This study aimed to determine risk factors for malnutrition among hospitalised children, changes in nutritional status at admission and discharge and effects of use of systematic anthropometric measurement in identification of malnutrition. Methods We enrolled 426 children, aged between 6 months and 15 years, admitted to Siddhi Memorial Hospital, Bhaktapur, Nepal, from November 2016 to June 2017. Anthropometric measurements were performed at the time of admission and discharge. Risk factors were assessed by multivariable logistic regression models. Results Median age of children was 26 months (IQR: 13–49), and males were 58.7%. The prevalence of wasting was 9.2% (39/426) at admission and 8.5% (36/426) at discharge. Risk factors associated with wasting at admission were ethnic minority (aOR: 3.6, 95% CI 1.2–10.8), diarrhoeal diseases (aOR = 4.0; 95% CI 1.3–11.8), respiratory diseases (aOR: 3.4, 95% CI 1.4–8.1) and earthquake damage to house (aOR = 2.6; 95% CI 1.1–6.3). Clinical observation by care providers identified only 2 out of 112 malnutrition cases at admission and 4 out of 119 cases at discharge that were detected by the systematic anthropometric measurement. Conclusions Ethnic minority, diarrhoeal diseases, respiratory infections and house damage due to the earthquake were risk factors associated with wasting. Systematic anthropometric examination can identify significantly more malnourished children than simple observation of care providers. |
| first_indexed | 2024-04-11T09:54:33Z |
| format | Article |
| id | doaj.art-ec16519ec95e4f3b8bcc3de2df662ad8 |
| institution | Directory Open Access Journal |
| issn | 1349-4147 |
| language | English |
| last_indexed | 2024-04-11T09:54:33Z |
| publishDate | 2022-09-01 |
| publisher | BMC |
| record_format | Article |
| series | Tropical Medicine and Health |
| spelling | doaj.art-ec16519ec95e4f3b8bcc3de2df662ad82022-12-22T04:30:41ZengBMCTropical Medicine and Health1349-41472022-09-015011910.1186/s41182-022-00461-0Risk factors for wasting among hospitalised children in NepalAiko Inoue0Bhim Gopal Dhoubhadel1Dhruba Shrestha2Ganendra Bhakta Raya3Yumiko Hayashi4Sudeep Shrestha5Tansy Edwards6Christopher Martin Parry7Koya Ariyoshi8Sharon Elizabeth Cox9Department of Global Health, School of Tropical Medicine and Global Health (TMGH), Nagasaki UniversityDepartment of Global Health, School of Tropical Medicine and Global Health (TMGH), Nagasaki UniversitySiddhi Memorial HospitalSiddhi Memorial HospitalDepartment of Global Health, School of Tropical Medicine and Global Health (TMGH), Nagasaki UniversitySiddhi Memorial HospitalDepartment of Global Health, School of Tropical Medicine and Global Health (TMGH), Nagasaki UniversityDepartment of Global Health, School of Tropical Medicine and Global Health (TMGH), Nagasaki UniversityDepartment of Global Health, School of Tropical Medicine and Global Health (TMGH), Nagasaki UniversityDepartment of Global Health, School of Tropical Medicine and Global Health (TMGH), Nagasaki UniversityAbstract Background Malnutrition has various adverse effects in children. This study aimed to determine risk factors for malnutrition among hospitalised children, changes in nutritional status at admission and discharge and effects of use of systematic anthropometric measurement in identification of malnutrition. Methods We enrolled 426 children, aged between 6 months and 15 years, admitted to Siddhi Memorial Hospital, Bhaktapur, Nepal, from November 2016 to June 2017. Anthropometric measurements were performed at the time of admission and discharge. Risk factors were assessed by multivariable logistic regression models. Results Median age of children was 26 months (IQR: 13–49), and males were 58.7%. The prevalence of wasting was 9.2% (39/426) at admission and 8.5% (36/426) at discharge. Risk factors associated with wasting at admission were ethnic minority (aOR: 3.6, 95% CI 1.2–10.8), diarrhoeal diseases (aOR = 4.0; 95% CI 1.3–11.8), respiratory diseases (aOR: 3.4, 95% CI 1.4–8.1) and earthquake damage to house (aOR = 2.6; 95% CI 1.1–6.3). Clinical observation by care providers identified only 2 out of 112 malnutrition cases at admission and 4 out of 119 cases at discharge that were detected by the systematic anthropometric measurement. Conclusions Ethnic minority, diarrhoeal diseases, respiratory infections and house damage due to the earthquake were risk factors associated with wasting. Systematic anthropometric examination can identify significantly more malnourished children than simple observation of care providers.https://doi.org/10.1186/s41182-022-00461-0MalnutritionWastingChildrenNepalEarthquakeHospital |
| spellingShingle | Aiko Inoue Bhim Gopal Dhoubhadel Dhruba Shrestha Ganendra Bhakta Raya Yumiko Hayashi Sudeep Shrestha Tansy Edwards Christopher Martin Parry Koya Ariyoshi Sharon Elizabeth Cox Risk factors for wasting among hospitalised children in Nepal Tropical Medicine and Health Malnutrition Wasting Children Nepal Earthquake Hospital |
| title | Risk factors for wasting among hospitalised children in Nepal |
| title_full | Risk factors for wasting among hospitalised children in Nepal |
| title_fullStr | Risk factors for wasting among hospitalised children in Nepal |
| title_full_unstemmed | Risk factors for wasting among hospitalised children in Nepal |
| title_short | Risk factors for wasting among hospitalised children in Nepal |
| title_sort | risk factors for wasting among hospitalised children in nepal |
| topic | Malnutrition Wasting Children Nepal Earthquake Hospital |
| url | https://doi.org/10.1186/s41182-022-00461-0 |
| work_keys_str_mv | AT aikoinoue riskfactorsforwastingamonghospitalisedchildreninnepal AT bhimgopaldhoubhadel riskfactorsforwastingamonghospitalisedchildreninnepal AT dhrubashrestha riskfactorsforwastingamonghospitalisedchildreninnepal AT ganendrabhaktaraya riskfactorsforwastingamonghospitalisedchildreninnepal AT yumikohayashi riskfactorsforwastingamonghospitalisedchildreninnepal AT sudeepshrestha riskfactorsforwastingamonghospitalisedchildreninnepal AT tansyedwards riskfactorsforwastingamonghospitalisedchildreninnepal AT christophermartinparry riskfactorsforwastingamonghospitalisedchildreninnepal AT koyaariyoshi riskfactorsforwastingamonghospitalisedchildreninnepal AT sharonelizabethcox riskfactorsforwastingamonghospitalisedchildreninnepal |