Factors associated with malnutrition in children < 5 years in western Kenya: a hospital-based unmatched case control study.
BMC Nutr
; 6: 33, 2020.
Article
em En
| MEDLINE
| ID: mdl-32742713
ABSTRACT
BACKGROUND:
Globally, under-nutrition accounts for > 3 million deaths annually among children < 5 years, with Kenya having ~ 35,000 deaths. This study aimed to identify factors associated with malnutrition in children aged < 5 years in western Kenya.METHODS:
We conducted a hospital-based unmatched case-control study between May and June 2017. Cases were defined as children aged 6-59 months with either z-score for weight-for-height ≤ -2SD or ≥ +2SD; weight-for-age ≤ -2SD or ≥ +2SD; or height-for-age ≤ -2SD. Controls were children aged 6-59 months with age-appropriate anthropometric measurements. Cases were consecutively recruited while systematic random sampling was used to select controls. Data from interviews and clinical records were collected and entered into Epi-Info, which was used to run unconditional logistic regression analyses.RESULTS:
A total of 94 cases and 281 controls were recruited. Of the cases, 84% (79/94) were under-nourished. Mother not having attended ante-natal clinic (OR = 7.9; 95% CI 1.5-41.2), deworming (OR = 0.8; 95% CI 0.4-1.2), and pre-lacteal feeding (OR = 1.8; 95% CI 1.1-3.0) were associated with under-nutrition. Delayed developmental milestones (AOR = 13.9; 95% CI 2.8-68.6); low birth weight (AOR = 3.3; 95% CI 1.4-7.6), and paternal lack of formal education (AOR = 4.9; 95% CI 1.3-18.9) were independently associated with under-nutrition.CONCLUSION:
Proper pre-natal care, child feeding practices and deworming programs should be enhanced to reduce pediatric malnutrition.
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Bases de dados:
MEDLINE
Tipo de estudo:
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Idioma:
En
Revista:
BMC Nutr
Ano de publicação:
2020
Tipo de documento:
Article
País de afiliação:
Quênia