Assessment of Nutritional Status and Associated Factors in Children Aged 6 to 59 Months in Ayos Locality, Cameroon

Angèle Eveline Tchapda, Serge Berlin Dzeukou, Christine Fernande Biyegue Nyangono, Nicolas Policarpe Nolla, I. Gouado, E. Tetanye
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Abstract

Childhood malnutrition is a serious public health problem around the world, particularly in Cameroon. This study was conducted to assess nutritional status and associated factors for children aged 6 to 59 months in the locality of Ayos. This is a cross-sectional and descriptive study that took place from August to October 2019 on a random sample of 309 children and his mothers. Anthropometric parameters of children were measured, socio-demographic data of mothers and children's eating habits were collected using a questionnaire, association between socio-demographic factors, dietary practices and malnutrition were identified. The results showed that 9.06% of children were wasted with 3.56% in the severe form, 26.54% were underweight with 10.03% in the severe form and 53.07% were stunted with 34.96% in the severe form. Overall, 86.1% of mothers have a poor understanding of the concept of dietary diversity. The first complementary food introduced is the poorly enriched local porridge used by 40.52% of the mothers, followed by the family meal, used by 38.52% of them. Marital status (p=0.009), level of education (p=0.001), occupation (p=0.046) were associated with chronic malnutrition. Type of breastfeeding (p=0.005), age of introduction of complementary foods (p=0.004), reason for introduction (p=0.002) had a significant association on the prevalence of stunting. There is a significant influence between the type of breastfeeding (p=0.017) and the first food introduced (p=0.022) on the prevalence of wasting. The prevalence of malnutrition in Ayos locality was accentuated in children who received inadequate breastfeeding and feeding. Nutrition education for mothers could improve this situation.
喀麦隆阿约斯地区6至59个月儿童营养状况及相关因素评估
儿童营养不良在全世界是一个严重的公共卫生问题,在喀麦隆尤其如此。本研究旨在评估Ayos地区6至59个月儿童的营养状况及其相关因素。这是一项横断面和描述性研究,于2019年8月至10月对309名儿童及其母亲进行了随机抽样。测量儿童的人体测量参数,使用问卷收集母亲和儿童饮食习惯的社会人口学数据,确定社会人口学因素、饮食习惯和营养不良之间的关系。结果:消瘦率为9.06%,重度消瘦率为3.56%;体重不足率为26.54%,重度消瘦率为10.03%;发育不良率为53.07%,重度消瘦率为34.96%。总体而言,86.1%的母亲对饮食多样性的概念理解不佳。首先引入的辅食是营养较差的当地粥,有40.52%的母亲使用,其次是家庭餐,有38.52%的母亲使用。婚姻状况(p=0.009)、教育水平(p=0.001)、职业(p=0.046)与慢性营养不良相关。母乳喂养类型(p=0.005)、添加辅食的年龄(p=0.004)、添加辅食的原因(p=0.002)与发育迟缓发生率有显著相关性。母乳喂养类型(p=0.017)和第一次食用的食物(p=0.022)对消瘦发生率有显著影响。在阿约斯地区,接受母乳喂养和喂养不足的儿童中,营养不良的普遍现象更为突出。对母亲进行营养教育可以改善这种状况。
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