Assessment of Nutritional Status of Under Five Years Children in Kolati Bhumlu of Kavrepalanchok District

Amita Kc, Ranendra Bohara
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Abstract

Background: The nutritional status of children is one of the major indicators of child survival and a proxy indicator for the general health of the population. Malnutrition is a significant public health issue in the majority of developing nations and is particularly prevalent among children under five years of age. Mortality and morbidity among children under-five years of age are influence by nutritional status. The context of Nepal, more than one-third (36%) of children under-five years of age stunted or too short for their age. 10% of children wasted (too thin for height), a sign of acute malnutrition. 27% of children underweight or too thin for their age. These children had greater risk of severe acute malnutrition and death. Objective: Study’s objective was to assess the nutritional status of under-five year’s children and factors associated with malnutrition. Method: A descriptive cross-sectional study conducted in Kolati Bhumlu of Kavrepalanchok district of Nepal. A total of 115 under-five year’schildren and their mothers were included in study. Statistical Package for the Social Sciences (SPSS) version16 was used to analyze the data. Result: The prevalence of underweight was found to be 28.7% according to the classification of malnutrition based on Z- score .Similarly, the prevalence of wasting was found to be 18.3% and the prevalence of stunting was found to be 29.6%. According to Gomez’s malnutrition classification (NCHS/WHO as standard) for Weight for age (underweight) 3.5% children were severely malnourished. According to Water-low’s classification, regarding the height for age (stunting) 9.6% children were severely malnourished. Regarding MUAC measurement 7.8% children had severe malnutrition. The Gender of the child was associated with stunting. Conclusion: In the study population, the high prevalence of malnutrition especially stunting among under-five years children. Taking weight, height, age, and mid- upper arm circumference (MUAC) measurements of malnourished children more than three-fifths of them were below -2SD and nearly one-fourths were below -3SD which needs intervention.
卡夫雷帕兰乔克县 Kolati Bhumlu 五岁以下儿童营养状况评估
背景:儿童的营养状况是儿童生存的主要指标之一,也是人口总体健康状况的替代指标。在大多数发展中国家,营养不良是一个重要的公共卫生问题,在五岁以下儿童中尤为普遍。五岁以下儿童的死亡率和发病率受营养状况的影响。在尼泊尔,超过三分之一(36%)的五岁以下儿童发育不良或身材矮小。10%的儿童消瘦(与身高相比太瘦),这是严重营养不良的表现。27%的儿童体重不足或过于瘦弱。这些儿童患严重急性营养不良和死亡的风险更大。研究目的研究目的是评估五岁以下儿童的营养状况以及与营养不良相关的因素。研究方法在尼泊尔 Kavrepalanchok 县的 Kolati Bhumlu 进行了一项描述性横断面研究。共有 115 名五岁以下儿童及其母亲参与了研究。研究使用社会科学统计软件包(SPSS)版本 16 对数据进行分析。研究结果根据基于 Z 评分的营养不良分类,体重不足的发生率为 28.7%。同样,消瘦的发生率为 18.3%,发育迟缓的发生率为 29.6%。根据戈麦斯(Gomez)营养不良分类法(以美国国家卫生与健康委员会/世界卫生组织为标准),3.5%的儿童体重不足,属于严重营养不良。根据沃特-洛分类法,9.6%的儿童身高与年龄不符(发育迟缓),属于严重营养不良。在 MUAC 测量中,7.8% 的儿童严重营养不良。儿童的性别与发育迟缓有关。结论在研究人群中,五岁以下儿童营养不良尤其是发育迟缓的发生率很高。营养不良儿童的体重、身高、年龄和中上臂围(MUAC)测量值有五分之三以上低于-2SD,近四分之一低于-3SD,需要进行干预。
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