| Autor: |
Cossa-Moiane I; Instituto Nacional de Saúde (INS), EN1, Marracuene 3943, Mozambique.; Institute of Tropical Medicine, Nationalestraat 155, 2000 Antwerpen, Belgium.; Global Health Institute, Faculty of Medicine and Health Sciences, University of Antwerp, 2000 Antwerp, Belgium., Roucher C; Institute of Tropical Medicine, Nationalestraat 155, 2000 Antwerpen, Belgium., Campos-Ponce M; Department of Health Sciences, VU University Amsterdam, Van der Boechorststraat 7, 1081 BT Amsterdam, The Netherlands., Doak C; Center for Health Sciences Education, College of Health Sciences, St. Ambrose University, 1320 W. Lombard Street, Davenport, IA 52803, USA., Bauhofer A; Instituto Nacional de Saúde (INS), EN1, Marracuene 3943, Mozambique.; Instituto de Higiene e Medicina Tropical, Universidade Nova de Lisboa, 1349-008 Lisboa, Portugal., Chissaque A; Instituto Nacional de Saúde (INS), EN1, Marracuene 3943, Mozambique.; Instituto de Higiene e Medicina Tropical, Universidade Nova de Lisboa, 1349-008 Lisboa, Portugal., Prista A; Faculty of Physical Education and Sports, Universidade Pedagógica, Maputo 1100, Mozambique., de Deus N; Instituto Nacional de Saúde (INS), EN1, Marracuene 3943, Mozambique.; Departamento de Ciências Biológicas, Universidade Eduardo Mondlane, Maputo 1100, Mozambique., Polman K; Institute of Tropical Medicine, Nationalestraat 155, 2000 Antwerpen, Belgium.; Department of Health Sciences, VU University Amsterdam, Van der Boechorststraat 7, 1081 BT Amsterdam, The Netherlands. |
| Abstrakt: |
Mozambique has one of the highest child undernutrition rates in Sub-Saharan Africa. The aim of this study was to characterize the profile of children from 1 to 14 years old hospitalized for undernutrition and to explore associated risk factors. Clinical, demographic, socioeconomic, and environmental data were collected. Anthropometric measurements and stool samples were collected from a child and their caretaker. The wealth index was determined using Principal Components Analysis. A total of 449 children and their caretakers were enrolled. The children had a median age of 1.0 year [IQR: 1.0-2.0], and 53.9% (242/449) were male. Most were admitted with severe undernutrition (35.7%, 159/449 kwashiorkor and 82.0%, 368/449 with -3SD Z-score indexes). The most common co-morbidities were HIV (30.0%, 120/400), diarrhea (20.0%; 80/400), and anemia (12.5%; 50/400). Among the caretakers, 9.5% (39/409) were underweight, 10.1% (40/397) were overweight, and 14.1% (56/397) were obese. Intestinal parasites were found in 24.8% (90/363) children and in 38.5% (77/200) caretakers. The majority of children (60.7%, 85/140) came from low- to middle-wealth households. Most were severely undernourished, suggesting that they seek medical care too late. The finding of overweight/obese caretakers in combination with undernourished children confirms that Mozambique is facing a double burden of malnutrition. |
