Prevalence and patterns of anthropometric failure among under-five children in Nigeria: Evidence from the National nutrition and health survey, 2018.

Globally, malnutrition among under-five children remains a public health concern. There is increasing concern at research and policy levels about anthropometric failure and the double burden of child malnutrition across different groups of children. The objective of this study was to describe the magnitude and distribution of various forms of anthropometric failure (AF) among children under age five in Nigeria. We used the 2018 National Nutrition and Health Survey data collected among 19,471 under-five children in Nigeria. The most prevalent AF was stunting only (17.7%) followed by stunting and underweight (13.9%). Wasting, stunting and underweight was found among 3.5% of the sample. Wasting, stunting and underweight was most common in age 6-11 months (7.0%) and 12-23 months (6.9%). Overall, about 1 out of 5 under-five children has multiple anthropometric failure. The peak age group for multiple AFs was between six months and 35 months. Multiple AF was less likely among females compared to males (RR=0.74, CI: 0.69, 0.80). The risk of multiple AF was higher in both North East (RR=2.15, CI: 1.78, 2.59) and North West (RR=2.98, CI: 2.51, 3.55) relative to the North Central. In contrast, the risk was lesser in the South East (RR=0.75, CI: 0.59, 0.95) and other southern regions. The study showed that multiple anthropometric failure is a common problem among children in Nigeria. Programmes that will support prevention and early identification of different types of malnutrition among under-five children across States in Nigeria are recommended.

Zinc deficiency among the elderly attending a care centre in Sharpeville, South Africa.

BACKGROUND: The elderly are particularly prone to zinc deficiency because of nutritional and physiological vulnerabilities associated with ageing. A low socio-economic status may further increase the risk of zinc deficiency. This cross-sectional descriptive study assessed the zinc status of an elderly sample in the Vaal region, South Africa. METHODS: The participants were 170 randomly selected elderly people attending a day care centre in Sharpeville. Twenty-four-hour recalls were administered for dietary intake. Weight and height were measured and venous blood samples (n = 67) were drawn to determine biochemical indices. RESULTS: The mean age of the respondents was 71.7 years. The mean +/- SD daily dietary intake for zinc was 11.0 +/- 6.12 mg. Approximately half of the subjects (51.5%) did not reach two-thirds of the recommended dietary allowance for zinc. The mean serum zinc concentration was 61.8 +/- 8.5 microg dL(-1) (9.4 +/- 1.3 micromol L(-1)), with 76.3% of the subjects having zinc values less than the recommended values of 70 microg dL(-1) (10.7 micromol L(-1)). Maize meal was the staple in the diet of approximately half the study population. Although South African maize meal is now fortified with zinc oxide, maize also contains high concentrations of phytate, a known inhibitor of mineral bioavailability. CONCLUSIONS: The results of the present study suggested that zinc deficiency existed in these elderly people. Further research is, however, needed to elucidate possible underlying factors so that appropriate intervention can be implemented.