Time to Recovery and Determinants of Uncomplicated Severe Acute Malnutrition Among 6 to 59 Months Children From the Outpatient Therapeutic Feeding Program in North Shewa Zone of Oromia Region, Ethiopia: A Prospective Follow-up Study

IF 2.3 Q3 NUTRITION & DIETETICS

Nutrition and Metabolic Insights Pub Date : 2021-10-05 DOI:10.1177/11786388221106984

Amare Bekalu, Degemu Sahlu, A. Tadesse, Biachew Asmare, Yidersail Hune, B. Tilahun

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引用次数: 1

Abstract

Background: Community-based management of acute malnutrition is implementing in Ethiopia but there is scarce information in our study set up regarding the time to recovery and its predictors of severe acute malnutrition among 6 to 59 months children, so this study aimed to assess the time to recovery and its predictors for uncomplicated severe acute malnutrition among 6 to 59 children managed at the outpatient therapeutic program in north Shewa zone, Ethiopia. Methods: A health post-based prospective follow-up study was conducted on 6 to 59 months children from November 20/2020 to February 20/2021. A total of 423 children had included in the study. A structured interviewer-administered questionnaire had used. The median time to recovery had calculated using the Kaplan-Meier curve. Bi-variable and multi-variable Cox regression models with a 95% confidence interval (CI) were done. Finally, the variable that had a P-value < .05 in the multi-variable analysis was declared as the predictors of time to recovery. Proportional hazard assumption was checked graphically and using Schoenfeld residual test. Result: From the total 423 Children, 327 (77.3%) recovered. The median time to recovery was 42 (IQR 14) days. Children from food secure households; AHR = 9.6 with 95% CI (8.1-18.5), mild food insecure; AHR = 6.5 with 95% CI (3.1, 13.8), moderate food insecure; AHR = 2.5 with 95% CI (1.2-5.3). Mothers who traveled less than 2 hours walking distance to the health post; AHR = 2.6 with 95% CI (1.8-18.7). Children who received the correct dose of the RUTF AHR = 1.6 with 95% CI (1.1-2.3), children who measured their weight weekly AHR = 1.5 with 95% CI (1.1-2.0), and children treated by health extension worker who took the Nutrition-related training AHR = 2.1 with 95% CI (1.0-4.5) were predictors of time to recovery. Conclusion: The median time to recovery was within the acceptable range of the Ethiopian protocol for the management of uncomplicated SAM in the Outpatient setup. Household food security status, the distance between home and health posts, the correct dose of RUTF, weekly weight measurement per protocol, and HEWs nutrition-related training status were the significant predictors of time to recovery.

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埃塞俄比亚奥罗米亚州北谢瓦地区门诊治疗性喂养项目6至59个月儿童非复杂严重急性营养不良的恢复时间和决定因素：一项前瞻性随访研究

背景：埃塞俄比亚正在实施基于社区的急性营养不良管理，但在我们的研究中，关于6至59岁严重急性营养不良的恢复时间及其预测因素的信息很少因此，本研究旨在评估埃塞俄比亚北部谢瓦地区门诊治疗项目中6至59名儿童的无并发症严重急性营养不良的恢复时间及其预测因素。方法：于6～59日进行基于健康岗位的前瞻性随访研究 2020年11月20日至2021年2月20日期间的月龄儿童。共有423名儿童参与了这项研究。使用了一份由面试官管理的结构化问卷。中位恢复时间采用Kaplan-Meier曲线计算。建立了置信区间为95%的双变量和多变量Cox回归模型。最后，具有P值的变量 < .在多变量分析中，05被宣布为恢复时间的预测因素。使用Schoenfeld残差检验对比例危险假设进行了图形检查。结果：423例患儿中327例（77.3%）康复。中位恢复时间为42天（IQR 14）。来自粮食安全家庭的儿童；AHR = 9.6，95%可信区间（8.1-18.5），轻度食物不安全；AHR = 6.5，95%可信区间（3.113.8），中度粮食不安全；AHR = 2.5，95%置信区间（1.2-5.3）。旅行次数少于2次的母亲到卫生站步行数小时；AHR = 2.6，95%CI（1.8-18.7）。接受正确剂量RUTF AHR的儿童 = 1.6，95%CI（1.1-2.3），每周测量体重的儿童AHR = 1.5，置信区间为95%（1.1-2.0），由接受营养相关培训的健康推广工作者治疗的儿童 = 2.1和95%置信区间（1.0-4.5）是恢复时间的预测因素。结论：中位恢复时间在埃塞俄比亚门诊治疗无并发症SAM方案的可接受范围内。家庭粮食安全状况、家庭与卫生岗位之间的距离、RUTF的正确剂量、每周根据方案进行的体重测量以及HEW营养相关培训状况是恢复时间的重要预测因素。

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来源期刊

Nutrition and Metabolic Insights NUTRITION & DIETETICS-

CiteScore

3.30

自引率

0.00%

发文量

审稿时长

8 weeks

期刊介绍： Nutrition and Metabolic Insights is a peer-reviewed, open-access online journal focusing on all aspects of nutrition and metabolism. This encompasses nutrition, including the biochemistry of metabolism, exercise and associated physical processes and also includes clinical articles that relate to metabolism, such as obesity, lipidemias and diabetes. It includes research at the molecular, cellular and organismal levels. This journal welcomes new manuscripts for peer review on the following topics: Nutrition, including the biochemistry of metabolism, Exercise and associated physical processes, Clinical articles that relate to metabolism, such as obesity, lipidemias and diabetes, Research at the molecular, cellular and organismal levels, Other areas of interest include gene-nutrient interactions, the effects of hormones, models of metabolic function, macronutrient interactions, outcomes of changes in diet, and pathophysiology.