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J Public Health (Oxf) ; 46(3): 305-314, 2024 Aug 25.
Artigo em Inglês | MEDLINE | ID: mdl-38609179

RESUMO

BACKGROUND: Malnutrition is a public health problem that affects physical and psychosocial well-being. It manifests as a rapid deterioration in nutritional status and bilateral edema due to inadequate food intake or illness. METHODS: This study is a retrospective cohort of 1208 children with severe acute malnutrition (SAM) in Sofala Province from 2018 to 2022. It includes hospitalized children aged 6-59 months with SAM and related complications. The dependent variable is recovery, and the independent variables include age, sex of the child, vomiting, dehydration, hypoglycemia, nutritional edema and anthropometry. Survival curves were plotted using the Kaplan-Meier method, and bivariable and multivariable Cox regression analyses were performed. RESULTS: The crude analysis revealed significant factors for nutritional recovery in children with SAM, including age, weight, height, malaria, diarrhea and dehydration. Children under 24 months had a 28% lower likelihood of recovery. Weight below 6.16 kg decreased the likelihood by 2%, and height above 71.1 cm decreased it by 20%. Conversely, malaria, diarrhea and dehydration increased the likelihood of recovery. However, after adjustment, only diarrhea remained a significant predictor of nutritional recovery. CONCLUSION: This study found that diarrhea is a predictor of nutritional recovery in children with SAM.


Assuntos
Estado Nutricional , Desnutrição Aguda Grave , Humanos , Lactente , Masculino , Feminino , Pré-Escolar , Desnutrição Aguda Grave/mortalidade , Desnutrição Aguda Grave/epidemiologia , Estudos Retrospectivos , Moçambique/epidemiologia , Diarreia/epidemiologia , Análise de Sobrevida , Desidratação/epidemiologia , Desidratação/etiologia
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