DOI: http://dx.doi.org/10.18203/2349-3291.ijcp20192747

Evaluation of anthropometric indicators in malnourished children at Nutritional Rehabilitation Center, Gujarat, India

Dhara Patel, Nisha Upadhyay

Abstract


Background: It is very difficult to recognize the cases with mild-to-moderate malnutrition because clinical criteria for their diagnosis are imprecise and are difficult to interpret accurately. The objective of the study was daily weight gain in gram/kg/day in severely malnourished children.

Methods: This was a hospital based cross sectional study in which total of 114 consecutive patients of SAM less than 5 years treated for complications of severe acute malnutrition using WHO protocol. The study design included 114 children from the NRC and then followed up the period of 6 months to assess the nutritional status during the period of initial stage and the entire follow up period using available record of anthropometry indicators of the admitted children recruited in the study at the NRC.

Results: Mean weight at admission was 6.4 Kg, 6.5 Kg and 6.2 Kg of overall, boys and girls respectively. Mean weight at discharge was 6.8 Kg, 6.7 Kg and 6.6 Kg of overall, boys and girls respectively. Mean MUAC at admission was 10.7 cm, 10.9 cm and 10.6 cm of overall, boys and girls respectively. Mean MUAC at discharge was 10.9 cm, 10.9 cm and 10.8 cm of overall, boys and girls respectively.

Conclusions: For treatment of severe acute malnutrition, systematic guidelines required, thus this study indicates that following WHO guidelines, it has become easier to manage SAM in hospital settings, with least possible stay at hospital. The objective of the study was to know the effect of nutritional intervention measures on selected anthropometric indicators of severe acute malnourished children.


Keywords


Malnutrition, MUAC, Under five children, Weight

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References


Anwar F, Gupta MK, Prabha C, Srivastava RK. Malnutrition among rural Indian children: An assessment using web of indices. Int J Pub Heal Epidemiol. 2013;2(4):78-84.

Victora CG, Adair L, Fall C, Hallal PC, Martorell R, Richter L, et al. Maternal and child undernutrition, consequences for adult health and human capital. Lancet. 2008;371(9609):340-57.

Akhade KS. Measuring malnutrition: needs a comprehensive indicator. Int J Comm Med Pub Heal. 2018;5:258-61.

World Bank Report. India Country Overview, 2009. Available at: http://web.worldbank.org/archive/website01291/WEB/0CON-2.HTM. Accessed 12 March 2019.

Nath LR. Prevalence of malnutrition among underve children and factors contributing to malnutrition. GJRA. 2017;6(3):97-99.

Ministry of Health and Family Welfare. National Family Health Survey (NFHS-3): National Fact Sheet India (provisional data), Government of India, 2005-2006. Available at: https://dhsprogram.com/pubs/pdf/frind3/frind3-vol1andvol2.pdf. Accessed 13 March 2019.

NFHS3 (national family health survey 3, NFHS-3, Kerala report. Available at: http: //www.rchiips.org/nfhs/NFHS%20Data/ke_state_report_for_website.pdf. Accessed 13 March 2019.

KE Elizabeth. Nutrition and child development. Section-4: Triple burden of malnutrition. 4th ed. 2010:163-251.

Colecraft EK, Marquis GS, Bartolucci AA, Pulley L, Owusu WB, Maetz HM. A longitudinal assessment of the diet and growth of malnourished children participating in nutrition rehabilitation centres in Accra, Ghana. Pub Heal Nutr. 2004;7(4):487-94.

Taneja G, Dixit S, Khatri AK, Yesikar V, Raghunath D, Chourasiya S. A study to evaluate the effect of nutritional intervention measures on admitted children in selected nutrition rehabilitation centers of Indore and Ujjain divisions of the state of Madhya Pradesh (India). Ind J Comm Med. 2012;37(2):107.

Savadogo L, Zoetaba I, Donnen P, Hennart P, Sondo BK, Dramaix M. Management of severe acute malnutrition in an urban nutritional rehabilitation center in Burkina Faso. Rev Epidemiol Sante Pub. 2007;55(4):265-74.

Ashworth A, Chopra M, MacCoy DS, Jackson D, Karaolis N, Sogaula N, et al. WHO guideline for management of SAM in rural South African hospitals: effect on case fatality and the influence of operational factor. Lancet. 2004;363(9415):1110-5.

Khanum S, Ashworth A, Huttly SR. Growth, morbidity, and mortality of children in Dhaka after treatment for severe malnutrition: a prospective study. Am J Clin Nutr. 1998;67(5):940-5.

Khanum S, Ashworth A, Huttly SR. Controlled trial of three approaches to the treatment of severe malnutrition. Lancet. 1994;344(8939-8940):1728-32.

Ashworth A, Khanum S. Cost-effective treatment for severely malnourished children: what is the best approach?. Health Policy Plan. 1997;12(2):115-21.

Gaboulaud V, Bouzoua DN, Brasher C, Fedida G, Gergonne B, Brown V. Could nutritional rehabilitation at home complement or replace centre-based therapeutic feeding programmes for severe malnutrition?. J Trop Pediatr. 2007;53(1):49-51.