Demographic and clinical profile of children with severe acute malnutrition: an experience from nutritional rehabilitation centre in South Kashmir
DOI:
https://doi.org/10.18203/2349-3291.ijcp20212886Keywords:
SAM, NRC, WHOAbstract
Background: Malnutrition is significant contributor of childhood morbidity and mortality in developing countries. More than 1/3rd of world’s severely malnourished children live in India. The aim was to evaluate the clinical-epidemiological profile and co-morbidities of SAM (severe acute malnutrition) children and to recognize socio-demographic risk factors of SAM children.
Methods: It was a prospective hospital based case study. The prospective hospital based study was conducted from September 2018 to February 2020 and included children less than 5 years admitted to an paediatrics ward and satisfying the WHO definition of SAM. Data were entered in Microsoft excel sheet and SPSS software version 16 for windows was used for analysis.
Results: 112 patients were taken for study. Mean age of admitted children were 16±3 months. Male:female ratio was 1:1.22. SAM is more common in nuclear families (N=67, 59.83%), illiterate mothers (N=72, 62.48%), children with high birth order more than 3 (N=42, 37%) and low socioeconomically status Kuppaswamy IV (N=72, 64.28%).The most common associated infections were acute gastroenteritis (82.14) and respiratory tract infections (54.20%). Hypoglycaemia (14.28) was the most common metabolic complication. The most commonly used supplementary food used was over diluted cow milk (43.67%).
Conclusions: The problem of SAM is multifactorial (rural background, low socioeconomic status, maternal illiteracy, incomplete immunization). The findings of this study confirm the association of severe acute malnutrition with appropriate infant and young child feeding practices. NRCS provide life-saving care for children.
References
Dhirar N, Dudeja S, Khandekar J, Bachani D. Childhood morbidity and mortality in India-analysis of national family health survey 4 (NFHS-4) findings. Indian Pediatr. 2018;55(4):335-8.
International institute of poulation science (IIPS). National health family survey (NFHS-4) 2015-16http//rchipps.org.
World health organisation updates on management of severe acute malnutrition in children; 2013. Available at: http//apps.who.int.
Bhatnagar S, Lodha R, Choudhury P, Sachdev HP, Shah N, Narayan S, et al. IAP guidelines 2006 on hospital-based management of severely malnourished children (Adapted from the WHO Guidelines). Indian Pediatr. 2007;44(6):443-61.
National rural health mission, ministry of health and family welfare govt of india 2011.operational guidlines on facilty based management of children with severe acute malnutrition. 2011:33-55.
Kumar R, Singh J, Joshi K, Singh HP, Bijesh S. Comorbidities in hospitalized children with severe acute severe malnutrition. Indian Pediatr. 2014;51(2):125-7.
Choudhary M, Sharma D, Nagar RP, Dutt B, Nagar T, Pandita A. Clinical profile of severe acute malnutrition in western Rajasthan: A prospective observational study from India. J Pediatr Neonat Care. 2045;2(1):00057.
Sharma SD, Sharma P, Jamwal A, Saini G. Profile of children with severe acute malnutrition. Int J Sci Study. 2019;7(2):38-42.
Shah RH, Bakul B. Javdekar. Management of children with severe acute malnutrition: Experience of nutrition rehabilitation centre at Baroda, Gujarat. Int J Contemp Pediatr. 2014;1(1):3-6.
Goyal S, Agarwal N. Risk factors for severe acute malnutrition in Central India. Inter J Medical Sci Res Prac. 2015;2(2):70-2.
Syed TA, Naik SA, Wasim RA, Saleem R. Demographic, clinical profile of severe acute malnutrition and our experience of nutrition rehabilitation centre at children hospital Srinagar Kashmir. Int J Contemp Pediatr. 2015;2(3):233-7.
Joshi S, Walgankar SS. Epidemiology of malnutrition in a rural field practice area of Navi Mumbai. Indian J Prev Soc Med. 2004;35:80-4.
Patil BM, Patil S, Mangshetty R, Boralkar PP. Severe acute malnutrition (SAM): a vicious socio-economic problem in South India. Paed Edu Res. 2020;8(2):57-65.
Baskaran VM, Naaraayan SR, Priyadharishini D. Comorbidities in children hospitalized with severe acute malnutrition. Indian J Child Health. 2018;5(8):530-2.
Ministry of health and child devlopement. Govt of India. Available at: http//poshanabiyaan.gov.in.
UNICEF. Fact sheet: Breastfeeding: a mother’s gift, for every child, 2018. Available at: https://www.unicef.org/publications/index_102824.html. Accessed on 28 April 2021.
WHO. Fact sheet: Exclusive breastfeeding for six months best for babies everywhere, 2011. Available at: http://www.who.int. Accessed on 28 April 2021.
