DOI: http://dx.doi.org/10.18203/2349-3291.ijcp20194735

Study on impact of protein energy malnutrition on development in children

Dhara Patel, Greeshma Issac

Abstract


Background: Majority of the children in India who live below the poverty line in an environment of deprivation and starvation have physical and developmental retardation. The Objective of this study to study the impact and comparison of protein energy malnutrition on the development with normal children.

Methods: This was a hospital based cross sectional study in which total 128 cases of protein energy malnutrition and 30 normal children were enrolled from nutritional rehabilitation center and in patients wards. The study population comprised of children less than 5 years of age, having weight for height/length ≤3 SD, with visible wasting, or bipedal oedema, with mid arm circumference <11.5 cm were assessed for their development in all four domains using Denver II developmental Screening Test (DDST-II).

Results: The gross motor milestones are affected in 62.5% with grade4 PEM & 42.85% with grade 3, the fine motor component is affected more in grade 4 with other domains less affected, no significant relation of language delay with PEM was observed in this study, 40% of children with grade 4 PEM shows delay in social domain while 18.18% of the patients with grade 3 PEM show delay in social domain. No patients with grade 1 or grade 2 PEM showed delay in social domain. All four domains are affected in PEM with a maximum effect in gross motor, but the difference does not seem to be significant as the p value is 0.3 i.e.  >0.05 which is insignificant.

Conclusions: My study on the effect of protein energy malnutrition on development proves that there in increasing delay in all the domains of development with increasing grade of malnutrition. Early detection of malnutrition in community can cause early intervention and increase the productivity of nation.


Keywords


Development delay, DDST-II, Malnutrition, MUAC, Protein energy, Weight

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References


Jacob M. Schooling experience and earnings, Columbia University press, New York; 1974:71-94. Available at: http:// www. nber. org/ chapters/ c3693. Accessed on 25th July 2019.

Chhabra R, Rokx C. The nutrition MDG indicator: interpreting progress. World Bank, Washington, DC; 2004.

Haq MN. Age at menarche and the related issue: A pilot study on urban school girls. Journal of Youth and Adolescence. 1984;13(6):559-7.

Karim A, Chowdhury AKMA, Kabir M. Nutritional status and age at secondary sterility in rural Bangladesh. J Biosocial Sci. 1985;17(4):497-502.

Measham AR, Chatterjee M. Wasting away: the crisis of malnutrition in India. The World Bank. 1999 May 31.

Elizabeth KE. Nutrition and child development (4th Edition), 2010;64-172.

Longitudinal study of language development in severly malnourished children Jaoquin Cravioto Nutrition Growth and Mental development J August 2004:123-127.

Peter CH. Undernutrition and child development. The New England J Med. 1970;282.

Kar BR, Rao SL, Chandramouli BA. Cognitive development in children with chronic protein energy malnutrition. Behavioral and Brain Functions. 2008 Dec;4(1):31.

Mönckeberg F, Tisler S, Toro S, Gattás V, Vega L. Malnutrition and mental development. The American J clin nutrition. 1972 Aug 1;25(8):766-72.