Factors associated with malnutrition in children < 5 years in western Kenya: a hospital-based unmatched case control study.

Autor: Gudu E; Ministry of Health, Moi Teaching and Referral Hospital, Eldoret, Kenya.; Ministry of Health, Field Epidemiology & Laboratory Training Program, Nairobi, Kenya., Obonyo M; Ministry of Health, Field Epidemiology & Laboratory Training Program, Nairobi, Kenya., Omballa V; Center for Global Health Research, Kenya Medical Research Institute, Nairobi, Kenya., Oyugi E; Ministry of Health, Field Epidemiology & Laboratory Training Program, Nairobi, Kenya., Kiilu C; West Pokot County Health Department, Kapenguria, West Pokot Kenya., Githuku J; Ministry of Health, Field Epidemiology & Laboratory Training Program, Nairobi, Kenya., Gura Z; Ministry of Health, Division for Human Resource for Health Development, Nairobi, Kenya., Ransom J; Piret Partners Consulting, 611 Pennsylvania Avenue SE, Unit 358, Washington, DC 20003 USA.
Jazyk: angličtina
Zdroj: BMC nutrition [BMC Nutr] 2020 Jul 29; Vol. 6, pp. 33. Date of Electronic Publication: 2020 Jul 29 (Print Publication: 2020).
DOI: 10.1186/s40795-020-00357-4
Abstrakt: Background: Globally, under-nutrition accounts for > 3 million deaths annually among children < 5 years, with Kenya having ~ 35,000 deaths. This study aimed to identify factors associated with malnutrition in children aged < 5 years in western Kenya.
Methods: We conducted a hospital-based unmatched case-control study between May and June 2017. Cases were defined as children aged 6-59 months with either z-score for weight-for-height ≤ -2SD or ≥ +2SD; weight-for-age ≤ -2SD or ≥ +2SD; or height-for-age ≤ -2SD. Controls were children aged 6-59 months with age-appropriate anthropometric measurements. Cases were consecutively recruited while systematic random sampling was used to select controls. Data from interviews and clinical records were collected and entered into Epi-Info, which was used to run unconditional logistic regression analyses.
Results: A total of 94 cases and 281 controls were recruited. Of the cases, 84% (79/94) were under-nourished. Mother not having attended ante-natal clinic (OR = 7.9; 95% CI: 1.5-41.2), deworming (OR = 0.8; 95% CI: 0.4-1.2), and pre-lacteal feeding (OR = 1.8; 95% CI: 1.1-3.0) were associated with under-nutrition. Delayed developmental milestones (AOR = 13.9; 95% CI: 2.8-68.6); low birth weight (AOR = 3.3; 95% CI: 1.4-7.6), and paternal lack of formal education (AOR = 4.9; 95% CI: 1.3-18.9) were independently associated with under-nutrition.
Conclusion: Proper pre-natal care, child feeding practices and deworming programs should be enhanced to reduce pediatric malnutrition.
Competing Interests: Competing interestsThe authors declare that they have no personal or financial competing interests that may bias publication of this manuscript.
(© The Author(s) 2020.)
Databáze: MEDLINE
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