Longitudinal follow up study of clinical and anthropometric profile of severely malnourished children admitted at nutrition rehabilitation centre
DOI:
https://doi.org/10.18203/2349-3291.ijcp20253482Keywords:
Severe acute malnutrition, Nutrition rehabilitation centre, Mid upper arm circumference, Socioeconomic status, Prospective cohort study, Facility based operational guideline by MOHFWAbstract
Background: Nutritional status of children is the common factor to identify the nutritional status of the entire community. Hence, this study was designed to look for clinical and anthropometric profiles of severely malnourished children during admission, discharge and follow up of the child admitted at nutrition rehabilitation centre (NRC) of our hospital.
Methods: Patients will be monitored and outcome will be seen in the form of vital and clinical parameters and detailed anthropometric assessment at admission, discharge and follow up. Total 3 follow up will be done at an interval of 15 days as per MOHFW operational guideline.
Results: Females (n=42, 56%) were slightly more as compared to males (n=33, 44%). Statistically significant results were found with respect to increase in the mean MUAC among subjects from discharge to 3rd follow-up. At discharge mean weight of the subject was 7.38 which increased to 8.99 after 3rd follow-up. When weight was compared with different time interval using ANOVA test; statistically significant result was found as p=0.002. At admission mean height of the subject was 74.73, after 3rd follow-up increased up to mean of 81.02, this shows from the discharge to 3rd follow-up as per time height of the subjects was increasing. When height was compared according to different time interval using ANOVA test; statistically significant result was found.
Conclusions: NRCs provide life-saving care for complicated severe acute malnutrition (SAM) children with high chances of recovery rate in clinical and anthropometric parameter. Follow up visits are more important for clinical and anthropometric assessment of child and counselling of parent. Large number of uncomplicated SAM child can be treated in their community with traditionally available energy dense food.
Metrics
References
National Family Health survey (NFHS-3) India 2005-06. Nutrition in India. Ministry of Health and Family Welfare. Government Available at: https://www.rchiips.org/NFHS/factsheet_NFHS3. Accessed on 12 March 2025.
National Family Health survey (NFHS-3) India 2015-16. Nutrition in India. Ministry of Health and Family Welfare. Government Available at: https://www.rchiips.org/NFHS/factsheet_NFHS4. Accessed on 12 March 2025.
National Family Health survey (NFHS-3) India 2019-20. Nutrition in India. Ministry of Health and Family Welfare. Government Available at: https://www.rchiips.org/NFHS/factsheet_NFHS5. Accessed on 12 March 2025.
Akhade KS. Measuring malnutrition: needs a comprehensive indicator. Int J Comm Med Pub Heal. 2018;5:258-61. DOI: https://doi.org/10.18203/2394-6040.ijcmph20175793
World Bank Report. India Country Overview, 2009. Available at: http://web.worldbank.org/archive/website01291/WE B/0CON-2.HTM. Accessed on 12 March 2025.
Nath LR. Prevalence of malnutrition among under five children and factors contributing to malnutrition. GJRA. 2017;6(3):97-99.
Operational guidelines on facility based management of children with Severe Acute Malnutrition, Ministry of Health and Family welfare government of India. 2011.
Najar BA, Bhat MA, Rather ZE, Sheikh MA. Demographic and clinical profile of children with severe acute malnutrition: an experience from nutritional rehabilitation centre in South Kashmir. Int J Contemp Pediatr. 2021;8(8):1418-23. DOI: https://doi.org/10.18203/2349-3291.ijcp20212886
Shah RH, Javdekar BB. Management of children with severe acute malnutrition: experience of nutrition rehabilitation centre at Baroda, Gujarat. Int J Contemp Pediatr. 2017;1(1):3-6. DOI: https://doi.org/10.5455/2349-3291.ijcp20140502
Tiwari AK, Jaiswal AK, Saurabh K, Priyanka, Supriya. A study of clinical profile and outcome of SAM children admitted in nutritional rehabilitation centre, Patna Medical College and Hospital, Patna, Bihar, India. Int J Contemp Pediatr. 2018;5(4):1497-504. DOI: https://doi.org/10.18203/2349-3291.ijcp20182553
Ngari MM, Iversen PO, Thitiri J, Laura M, Molline T, Greg WF, et al. Linear growth following complicated severe malnutrition: 1year follow-up cohort of Kenyan children. Arch Dis Childhood. 2019;104(3):229-35. DOI: https://doi.org/10.1136/archdischild-2018-315641
Meshram II, Arlappa N, Balakrishna N, Kodavanti MR, Avula L, Ginnela NVB. Trends in the prevalence of undernutrition, nutrient and food intake and predictors of undernutrition among under five-year tribal children in India. Asia Pacific J Clin Nutr. 2012;21(4):568-76.
Mathur A, Tahilramani G, Yadav D, Devgan V. Experience in managing children with severe acute malnutrition in nutrition rehabilitation centre of tertiary level facility, Delhi, India. Int J Contemp Pediatr. 2016;3(2):597-600. DOI: https://doi.org/10.18203/2349-3291.ijcp20161046
Sharma SD, Sharma P, Jamwal A, Saini G. Profile of children with severe acute malnutrition. Int J Sci Study. 2019;7(2):38-42.
Majid A, Hussain MS, Najar BA, Tali SH. Clinical Profile and Outcome of Children with Severe Acute Malnutrition Admitted at Nutritional Rehabilitation Center Of MCCH-Associated Hospital of GMC Anantnag. Asian J Pharm Clin Res. 2023;16(1):61-4. DOI: https://doi.org/10.22159/ajpcr.2023.v16i1.46306
Bhanat NJ, Mall A. Effect of nutritional intervention on anthropometric measurements of malnourished children at Nutritional Rehabilitation Center, Civil Hospital Ahmedabad under “Mission Balam Sukham” scheme. J Fam Med Primary Care. 2022;11(2):696-700. DOI: https://doi.org/10.4103/jfmpc.jfmpc_1681_21
Patel D, Upadhyay N. Evaluation of anthropometric indicators in malnourished children at nutritional rehabilitation center, Gujarat, India. Int J Contemp Pediatr. 2019;6:1410-3. DOI: https://doi.org/10.18203/2349-3291.ijcp20192747
Colecraft EK, Marquis GS, Bartolucci AA, LeaVonne P, 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. DOI: https://doi.org/10.1079/PHN2003553
Dhanalakshmi K, Gayathri Devi C. The outcome of severe acute malnutrition children admitted to nutrition rehabilitation centre of a tertiary level care hospital. Int J Contemp Pediatr. 2017;4(3):801-3. DOI: https://doi.org/10.18203/2349-3291.ijcp20171490
Rawat R, Marskole P. A study to evaluate the effect of nutritional intervention measures on children with severe acute malnutrition admitted in nutrition rehabilitation center at civil hospital Bairagarh, Bhopal, Madhya Pradesh. J Evolut Med Dental Sci. 2015;4(17):2937-43. DOI: https://doi.org/10.14260/jemds/2015/423
Ashworth A, Chopra M, MacCoy DS. 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):11105. DOI: https://doi.org/10.1016/S0140-6736(04)15894-7
Downloads
Published
How to Cite
Issue
Section
