A Cohort Study to Evaluate the Effect of Nutritional Intervention on Severe Acute Malnutrition Children Admitted to A Nutritional Rehabilitation Centre in A Tertiary Care Hospital in Central Gujarat, India

National journal of community medicine Pub Date : 2024-07-01 DOI:10.55489/njcm.150720243583

Foram Panchal, Rahul Parmar, K. Shringarpure, J. Damor

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Abstract

Background: Undernutrition is one of the most concerning health and development issues in India as well as in the world. Nutritional rehabilitation centres (NRC) were started by Government of India to control severe acute malnutrition. The aim is to assess the effect of nutrition interventional measures for severe acute malnutrition (SAM) children admitted at NRC through selected anthropometric indicators. Methodology: A hospital-based prospective cohort study was conducted at NRC of SSG Hospital, Vadodara, Gujarat from April to September 2022, all children of 6-60 months of age admitted during this period were observed during their stay with three follow-ups after discharge at 15 days interval. The data was entered in Microsoft Excel and was analysed using Medcalc Software. Results: A total of 76 children were analysed for anthropometric indicators. A statistically significant difference was obtained between the weight of children at admission, discharge and 3 follow-ups (ANOVA=141, p<0.001); difference of mid upper arm circumference (MUAC) (ANOVA=84.2, p<0.001) and difference of height (ANOVA=43.3. p<0.001) at admission, discharge and follow-up were also statistically significant. Conclusions: NRCs have had a positive impact on the selected anthropometric indicators of severe malnourished children but lag behind proper follow-up visits.

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评估营养干预对印度古吉拉特邦中部一家三级医院营养康复中心收治的严重急性营养不良儿童的影响的队列研究

背景：营养不良是印度乃至全世界最令人担忧的健康和发展问题之一。印度政府成立了营养康复中心（NRC）来控制严重急性营养不良。本研究旨在通过选定的人体测量指标，评估营养康复中心收治的严重急性营养不良（SAM）儿童的营养干预措施的效果：2022 年 4 月至 9 月，在古吉拉特邦瓦多达拉 SSG 医院的 NRC 开展了一项基于医院的前瞻性队列研究，在此期间收治的所有 6-60 个月大的儿童都在住院期间接受了观察，出院后每隔 15 天进行了三次随访。数据输入 Microsoft Excel，并使用 Medcalc 软件进行分析：结果：共对 76 名儿童的人体测量指标进行了分析。入院时、出院时和三次随访时，儿童体重的差异有统计学意义（方差分析=141，P<0.001）；入院时、出院时和三次随访时，儿童上臂中围（MUAC）的差异（方差分析=84.2，P<0.001）和身高的差异（方差分析=43.3，P<0.001）也有统计学意义：国家康复中心对严重营养不良儿童的特定人体测量指标产生了积极影响，但落后于适当的随访。

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National journal of community medicine

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0.20

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0.00%

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