International Journal of Child Health and Nutrition最新文献_第4页

The Effects of a Yearlong Recess Intervention on Body Fat Shifts in Elementary-Aged Children 为期一年的课间休息干预对小学儿童体脂转移的影响

International Journal of Child Health and Nutrition Pub Date : 2022-05-18 DOI: 10.6000/1929-4247.2022.11.02.1

David J. Farbo, D. Rhea

{"title":"The Effects of a Yearlong Recess Intervention on Body Fat Shifts in Elementary-Aged Children","authors":"David J. Farbo, D. Rhea","doi":"10.6000/1929-4247.2022.11.02.1","DOIUrl":"https://doi.org/10.6000/1929-4247.2022.11.02.1","url":null,"abstract":"Introduction: Obesity has continued to rise in recent years due to a lack of physical activity. The school environment contributes to this problem as opportunities for physical activity are eliminated for more classroom time. Recess, defined as unstructured, outdoor play, can increase MVPA and improve current obesity trends. This study aimed to examine body fat category shift differences in children who received 40-60 minutes and those who received 30 minutes. A secondary purpose was to examine differences by district, sex, grade, and race across both groups since they received more than the national average for recess. \u0000Methods: Students in 2nd-5th grade (7-11 years old) (N=393) were selected from schools serving as an intervention (N=190) or control school (N=203) in a larger longitudinal intervention titled Let’s Inspire Innovation N’ Kids (LiiNK). Bio-electrical impedance analysis was used to categorize students as either underfat, healthy, overfat, or obese. These categories were then used to determine if students shifted a category between pre and post-measurements. \u0000Results: At least 30 minutes of recess was significantly associated with a body fat shift in 2nd graders and females. Additionally, the percentage of obese students did not change over the school year. There was no association between the group, sex, or race. \u0000Conclusion: Due to this study occurring during COVID-19, it is hard to make definitive conclusions on the effects of increased recess time on obesity. However, some positive trends are pointing towards recess as a successful method of preventing a rise in childhood obesity.","PeriodicalId":43030,"journal":{"name":"International Journal of Child Health and Nutrition","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42365252","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Validation of MUAC Cut-Offs of WHO for Diagnosis of Acute Malnutrition among Children under 5 Years in Karachi, Pakistan 世界卫生组织关于诊断巴基斯坦卡拉奇5岁以下儿童急性营养不良的MUAC截止值的验证

International Journal of Child Health and Nutrition Pub Date : 2022-05-18 DOI: 10.6000/1929-4247.2022.11.02.5

Mehreen Qadri, L. Baig, Zaeema Ahmer, Aimen Asim, Syed Moin Aly

{"title":"Validation of MUAC Cut-Offs of WHO for Diagnosis of Acute Malnutrition among Children under 5 Years in Karachi, Pakistan","authors":"Mehreen Qadri, L. Baig, Zaeema Ahmer, Aimen Asim, Syed Moin Aly","doi":"10.6000/1929-4247.2022.11.02.5","DOIUrl":"https://doi.org/10.6000/1929-4247.2022.11.02.5","url":null,"abstract":"Objective: To validate the WHO recommended Mid-Upper Arm Circumference (MUAC) cut-offs for acute malnutrition screening in children younger than five in Karachi, Pakistan. \u0000Methods: A cross-sectional study was conducted, including an anthropometric examination following WHO guidelines. Height was measured using Stadiometer and Infantometer. The link between MUAC and Weight-for-Height-Z score (WHZ) for different cut-offs of MUAC for Moderate Acute Malnutrition (MAM) and Severe Acute Malnutrition (SAM) was shown using Receiver Operator Characteristics (ROC) curves and the Youden index. Sensitivity and specificity of MUAC <11.5 cm and ≥11.5 to <12.5cm were determined using WHZ scores of -3 Standard Deviation (SD) and ≥-3 to <-2 SD for SAM and MAM, respectively. \u0000Results: Among 499 children, as per WHZ score, 9.6% and 27.1% had SAM and MAM, respectively, whereas according to MUAC, 6.4% and 3.6% had MAM and SAM, respectively. At the maximum value of the Youden index of 55.6%, an optimum cut-off of 12.7cm for screening of SAM with MUAC was found compared to the recommended cut-off of 11.5cm. Similarly, at the maximum value of the Youden index of 57.7%, an optimum cut-off of 13.9cm for screening of MAM with MUAC was found compared to the recommended cut-off of 12.5cm. \u0000Conclusion: The current MUAC cut-off of WHO for screening SAM and MAM cases captures only a small percentage of children under five. This needs to be revised to capture children with acute malnutrition for timely treatment in Pakistan.","PeriodicalId":43030,"journal":{"name":"International Journal of Child Health and Nutrition","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43262336","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Measurement Tools of Pediatric Nutrition and Health Suitable or Adaptable for Low- and Middle-Income Countries in Field Research Settings 儿童营养和健康的测量工具适合或适用于低收入和中等收入国家的实地研究设置

International Journal of Child Health and Nutrition Pub Date : 2022-05-18 DOI: 10.6000/1929-4247.2022.11.02.3

Venus Kalami, L. Miller, L. Ausman, B. Rogers

{"title":"Measurement Tools of Pediatric Nutrition and Health Suitable or Adaptable for Low- and Middle-Income Countries in Field Research Settings","authors":"Venus Kalami, L. Miller, L. Ausman, B. Rogers","doi":"10.6000/1929-4247.2022.11.02.3","DOIUrl":"https://doi.org/10.6000/1929-4247.2022.11.02.3","url":null,"abstract":"Background: Micronutrient status, body composition, gastrointestinal (GI) functioning, and neurological functioning are important facets of pediatric nutrition and health. When studied in low- and middle-income countries (LMIC), information about these elements is usually obtained via standardized surveys and traditional anthropometry. While convenient, these evaluations offer limited information that may be prone to error and bias. However, a variety of underutilized objective measurement tools exist which can promote a more objective, comprehensive, and deeper understanding of these aspects of pediatric nutrition and health in LMIC. \u0000Objective: Identify field-friendly, relatively low-cost, and portable tools that provide objective measurements of micronutrient status, body composition, GI functioning, and neurological functioning in young children. \u0000Methods: A narrative review of the literature was conducted to assess the state-of-the-art field-friendly research tools targeting micronutrient status, body composition, GI functioning, and neurological functioning in children in LMIC. \u0000Results: A number of field-friendly tools addressing the domains of micronutrient status, GI health, body composition, and neurological functioning were identified. While many tools remain to be fully validated, these tools have yet to be used to their full potential in field-based pediatric nutrition and health research in LMICs. \u0000Conclusions: More robust, field-friendly assessment methods will help to refine knowledge on the state of pediatric health of vulnerable children in LMIC. Such awareness could contribute to the design of interventions, programs and policies, and further research.","PeriodicalId":43030,"journal":{"name":"International Journal of Child Health and Nutrition","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47927456","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Always Open, Seven-Eleven: Education Targeting Healthier Food Choices in a High Convenience Store Density Area in Taipei 永远开放，7 - 11:台北高便利店密度地区的健康食品选择教育

International Journal of Child Health and Nutrition Pub Date : 2022-05-18 DOI: 10.6000/1929-4247.2022.11.02.2

C. Dai, Ching-Ying Chen, Ziying Wang, Cheng-Liang Chang

{"title":"Always Open, Seven-Eleven: Education Targeting Healthier Food Choices in a High Convenience Store Density Area in Taipei","authors":"C. Dai, Ching-Ying Chen, Ziying Wang, Cheng-Liang Chang","doi":"10.6000/1929-4247.2022.11.02.2","DOIUrl":"https://doi.org/10.6000/1929-4247.2022.11.02.2","url":null,"abstract":"To enhance children's health, the promotion of nutrition literacy in school is vital as it helps prevent the development of health conditions and diseases and maintain healthy lifestyles. Taiwan features the top highest ratio of convenience stores per population density. Convenience stores, an increasingly popular dining place, were linked to the development of eating behavior and body weight issues in children. An eight-week classroom-based nutrition intervention, employing the Traffic Light Diet as a framework, targeting children's perception of and intention to visit the convenience store was implemented. The study conducted a quasi-experimental pretest-posttest research design with a comparison group. A total of 49 students participated in the study, with 25 in the intervention and 24 in the comparison group. Data were collected by utilizing surveys, interviews, and observations. The study's findings demonstrated the positive trajectory of the impact of this intervention on increasing food-and-nutrition-related knowledge and improving healthier diet choices at convenience stores among children. One main theme was identified in coding interviews: parent involvement in meal preparation may reduce convenience store use and increase consumption of vegetables among children. Assessing the influence of parental support for healthy dietary choices, eating nutritious foods at home, and involving the family in meal preparation is an area for future research.","PeriodicalId":43030,"journal":{"name":"International Journal of Child Health and Nutrition","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44350046","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Adherence to Iron-Folic Acid Supplementation and Associated Factors among Antenatal Care Attendants in Public Health Institutions: The Case of Borena District, Amhara, Ethiopia: Cross-Sectional Study 公共卫生机构产前护理人员对铁叶酸补充剂的依从性及其相关因素：埃塞俄比亚阿姆哈拉Borena区的病例：横断面研究

International Journal of Child Health and Nutrition Pub Date : 2022-03-11 DOI: 10.6000/1929-4247.2022.11.01.5

S. Ali, Eskinder Wolka, Misgan Legesse Liben

{"title":"Adherence to Iron-Folic Acid Supplementation and Associated Factors among Antenatal Care Attendants in Public Health Institutions: The Case of Borena District, Amhara, Ethiopia: Cross-Sectional Study","authors":"S. Ali, Eskinder Wolka, Misgan Legesse Liben","doi":"10.6000/1929-4247.2022.11.01.5","DOIUrl":"https://doi.org/10.6000/1929-4247.2022.11.01.5","url":null,"abstract":"Introduction: Globally, iron deficiency is estimated to be responsible for half of all anemia cases. The reduction of iron deficiency anemia in pregnant women relies largely on their adherence to IFA supplementation. This study aimed to assess the factors associated with adherence to IFA supplementation among women attending antenatal checkups at health centers in Borena district, Ethiopia. \u0000Methods: Institution-based cross-sectional study design was conducted on 348 pregnant women. The data were analyzed using SPSS version 20. Variables with a p-value of ≤0.2 in the univariable logistic regression analysis were included in the multivariable analysis. Adjusted odds ratio with 95% confidence interval was reported, and variables with p<0.05 were considered statistically significant. \u0000Result: A total of 340 pregnant women were enrolled. The study revealed that 45.6% (95% CI: 40.27, 50.92%) of women adhered to the IFA supplement use. Women of husbands with primary education [AOR: 1.95; 95% CI: 1.07, 3.57] and who had taken IFA for two months [AOR: 2.81; 95% CI: 1.37, 5.79] were positively associated with adherence to IFA supplementation. However, women with a previous history of abortion [AOR: 0.16; 95% CI: 0.50, 0.53], who had disease other than anemia [AOR: 0.48; 95% CI: 0.28-0.79] and lack of family support [AOR: 0.12; 95% CI: 0.04, 0.39] were less likely to adhere to the supplement. \u0000Conclusion: This study revealed that nearly nine in twenty women adhered to the IFA supplement. Therefore, strengthening nutritional counseling, health education, and information on iron-folic acid supplementation in a health institution is important to improve adherence.","PeriodicalId":43030,"journal":{"name":"International Journal of Child Health and Nutrition","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46873490","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Risk Factors for Undernutrition among Children in South Central Somalia 索马里中南部儿童营养不良的危险因素

International Journal of Child Health and Nutrition Pub Date : 2022-03-11 DOI: 10.6000/1929-4247.2022.11.01.2

Monica Zikusooka, Hebatullah O. Tawfik, J. Robare

{"title":"Risk Factors for Undernutrition among Children in South Central Somalia","authors":"Monica Zikusooka, Hebatullah O. Tawfik, J. Robare","doi":"10.6000/1929-4247.2022.11.01.2","DOIUrl":"https://doi.org/10.6000/1929-4247.2022.11.01.2","url":null,"abstract":"Objectives: Undernutrition is a global public health challenge, especially in countries that experience extreme climate conditions and armed conflict. In Somalia, undernutrition is chronic, often graded for emergency response. The purpose of this study was to provide evidence on immediate, proximate, and distal risk factors for undernutrition in the most affected region of Somalia. \u0000Setting: Data for the study was from cross-sectional nutritional surveys implemented by the Somalia Food Security and Nutrition Analysis Unit. Sampling for the surveys followed a multistage cluster sampling methodology where in the first stage, 30 clusters were randomly assigned to villages, and then 30 households were randomly selected from each cluster. Generalized Estimation Equations were used to determine risk factors for undernutrition. Data analysis followed survey analysis procedures. \u0000Participants: 60,856 children aged 6-59 months from cross-sectional nutritional surveys implemented in South-Central Somalia from 2007 to 2012. \u0000Results: When factors at the individual, household, and society level were considered simultaneously, diarrhea diseases and geographical region were the main risk factors for underweight, child gender, meal frequency, and livelihood zone were risk factors for stunting, while diarrhea and livelihood zone were the risk factors for wasting. Geographical region and livelihood system were significant factors for undernutrition. \u0000Conclusions: Interventions to address undernutrition in Somalia should be tailored to the region and livelihood zone while prioritizing innovative climate-smart food production and addressing childhood illnesses. The study findings provide evidence to inform nutrition policy and programs that could eliminate nutrition disparities and the burden of childhood undernutrition in Somalia and other countries with similar contexts.","PeriodicalId":43030,"journal":{"name":"International Journal of Child Health and Nutrition","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49533615","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Covid-19 Vaccine Acceptance and Predictors of Hesitance among Antenatal care Booked Pregnant in North West Ethiopia 2021: Implications for Intervention and Cues to Action 2021年埃塞俄比亚西北部预定产前保健的孕妇中Covid-19疫苗接受度和犹豫不决的预测因素:对干预的影响和行动线索

International Journal of Child Health and Nutrition Pub Date : 2022-03-11 DOI: 10.6000/1929-4247.2022.11.01.6

Fassikaw Kebede, B. Kebede, Tsehay Kebede

{"title":"Covid-19 Vaccine Acceptance and Predictors of Hesitance among Antenatal care Booked Pregnant in North West Ethiopia 2021: Implications for Intervention and Cues to Action","authors":"Fassikaw Kebede, B. Kebede, Tsehay Kebede","doi":"10.6000/1929-4247.2022.11.01.6","DOIUrl":"https://doi.org/10.6000/1929-4247.2022.11.01.6","url":null,"abstract":"Despite efforts to decrease the burden, vaccine hesitancy is increasing worldwide and deterring efforts to control the spread of COVID-19 after the approval of SARS-CoV-2 vaccines. This study aims to assess levels of COVID-19 vaccine acceptance and predictors of hesitancy for pregnant women attending antenatal care in Ethiopia. \u0000Methods: Facility-based cross-sectional study was employed among 336 pregnant women from April 7 to June 10, 2021. The systematic random sampling technique was used to select pregnant from three health centers. Epi-Data version 3.2 and STATA/14 software were used for both data entry and analysis, respectively. A Logistic regression model was used to identify predictors of COVID-19 vaccine hesitance. Adjusted odds ratio (AOR) with a 95% confidence interval was used to estimate the strength of association at P<0.05. \u0000Result: This study included 336 pregnant mothers who were booked ANC in three health centers. The overall levels of COVID-19 vaccine acceptance among pregnant mothers were 79.17 %(95%CI: 74.5 --83.2). Whereas, having poor attitude towards COVID-19 vaccines (AOR=9.4; 95%CI: 3.7--21.1, P<0.001), monthly income ≤118.5 US dollar (AOR =6.3; 95%CI: 2.9--12.2, P<0.002), Mother who are illiterate and started ANC (AOR=9.5; 95%CI: 4.6--22.6, P<0.001), Being unplanned pregnant (AOR =7.5; 95%CI: 3.6-11.2, P<0.002), first time ANC initiated (AOR =4.2; 95%CI: 2.9--15.1, P<0.001), and pregnant didn’t used social media (AOR= 6.0: 95%CI: 2.5--14.6, P< 0.02) were significantly associated with COVID-19 Vaccine hesitance. \u0000Conclusion: The acceptability of the COVID-19 vaccine among pregnant mothers was insufficient compared with previous research. Health care workers should provide health education during ANC visits to change their negative attitude and reassurance for the safety and effectiveness of the COVID-19 vaccine.","PeriodicalId":43030,"journal":{"name":"International Journal of Child Health and Nutrition","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48176133","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Magnitudes of Immunization Dropout Rate and Predictors for 12-23 Months Aged Children in Abobo District Southwest Ethiopia 埃塞俄比亚西南部阿波波区12-23月龄儿童免疫失学率及其预测因素

International Journal of Child Health and Nutrition Pub Date : 2022-03-11 DOI: 10.6000/1929-4247.2022.11.01.3

Ayalew Kassaw, A. G. Mariam, Alemi Kebede, Fassikaw Kebede

{"title":"Magnitudes of Immunization Dropout Rate and Predictors for 12-23 Months Aged Children in Abobo District Southwest Ethiopia","authors":"Ayalew Kassaw, A. G. Mariam, Alemi Kebede, Fassikaw Kebede","doi":"10.6000/1929-4247.2022.11.01.3","DOIUrl":"https://doi.org/10.6000/1929-4247.2022.11.01.3","url":null,"abstract":"Vaccination is the epicenter of preventive care for good children's health outcomes in each nation. Nevertheless, a number of factors have been hindering the attainment of targets from providing complete vaccination in different nations. This study aims to assess predictors of immunizations in 12-23 months aged children in Abobo District, Gambela regions southwest Ethiopia. \u0000Method: A community-based cross-sectional study was employed in 436 pairs of mothers to children aged 12–23 months from 12 marches---27 April 2019. The study participant was recruited by multistage-sampling were used for each kebele. Data were entered into Epi-Data version 3.1 after cleaning and coded, exported to STATA/SE-14/R logistic regression analysis. Variables with P-value <0.25 in bivariate logistic regression were transported into multivariable logistic regression. A variable with 95%CI in AOR was used as claim predictors for the dropout rate. \u0000Results: The overall dropout rate of immunization from completion was found 25.8% (95%CI: 21.5--30.2). Factors like mothers did not attend ANC (AOR= 4.59, 95% CI: 2.58, 7.84), being home delivery (AOR=6.46, 95% CI: (3.5--- 11.4), postponed last immunization scheduled (AOR=3.44, 95% CI: 1.98---5.97), children ill during measles vaccine (AOR=1.83, 95% CI: (1.02---3.28), Mothers refused ≥30 minutes for vaccine service waiting (AOR=3.58, 95% CI: (1.99, 6.44) were significantly associated with immunization dropout out. \u0000Conclusion: The immunization dropout rate was unacceptable and higher compared to WHO reference (<10%). Home delivery postponed measles vaccine, child illness, ANC status Service refusal ≥30 minutes waiting for the vaccine were independently associated with dropout.","PeriodicalId":43030,"journal":{"name":"International Journal of Child Health and Nutrition","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46583603","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

The Community-Based Child Health Integrated Program in Iran: A Mixed-Methods Process Evaluation 伊朗社区儿童健康综合方案:混合方法过程评价

International Journal of Child Health and Nutrition Pub Date : 2022-03-11 DOI: 10.6000/1929-4247.2022.11.01.4

M. Barzegari, Pourya Fathollahi, F. Afsharpour, E. Foroumandi

{"title":"The Community-Based Child Health Integrated Program in Iran: A Mixed-Methods Process Evaluation","authors":"M. Barzegari, Pourya Fathollahi, F. Afsharpour, E. Foroumandi","doi":"10.6000/1929-4247.2022.11.01.4","DOIUrl":"https://doi.org/10.6000/1929-4247.2022.11.01.4","url":null,"abstract":"Objectives: The community-based Child Health Integrated Program (CHIP) was established to improve children’s health status in Iran. The current study was performed to understand how this program was implemented and experienced by the care providers and target group. \u0000Methods: A total number of 249 mothers who had children under 5 years (clients) and 70 caregivers (providers) were selected from 42 health care centers of Tabriz city to participate in the study. Quantitative and qualitative data were collected using two separated semi-structured interviews as well as self-developed questionnaires. The mixed-method process evaluation study was examined and reported the exposure and satisfaction status of the clients, and reach, delivery, fidelity rates, and contextual factors toward the CHIP. \u0000Results: Overall, low reach (11.2%), moderate-exposure (62.6%), and high satisfaction (80.1%) rates of the clients were reported to the program. The fidelity rate of the program tools was 42.9%, considered as an inadequate rate. Anthropometric measurement and vaccination of the children, as well as face-to-face training sessions for the mothers, were well delivered. However, some parts of the program including follow-up and group training sessions were delivered poorly. \u0000Conclusions: This process evaluation study demonstrated that the CHIP is a promising intervention for improving children's health care. However, the barriers identified in this study warrant consideration in subsequent health care needs among children. Further research is required to identify ways to improve the implementation and delivery of this intervention. \u0000Practice Implications: There is a dire need to enter some audit and feedback strategies in the form of monthly tracking of process indicators to extent of implementation of intervention components.","PeriodicalId":43030,"journal":{"name":"International Journal of Child Health and Nutrition","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47198167","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Relationship Between Urinary Stone Disease and Nutrition Type in Infants 婴幼儿尿路结石病与营养类型的关系

International Journal of Child Health and Nutrition Pub Date : 2022-03-11 DOI: 10.6000/1929-4247.2022.11.01.1

K. Latt, Y. Turkmenoglu, Alper Kaçar, A. Irdem, H. Dursun

{"title":"The Relationship Between Urinary Stone Disease and Nutrition Type in Infants","authors":"K. Latt, Y. Turkmenoglu, Alper Kaçar, A. Irdem, H. Dursun","doi":"10.6000/1929-4247.2022.11.01.1","DOIUrl":"https://doi.org/10.6000/1929-4247.2022.11.01.1","url":null,"abstract":"The relationship between urinary stone disease and nutrition in infants is not well known. This study investigates the relationship between breast milk, formula and supplementary foods, vitamin D usage, and family stone history with urinary system stones in children aged 3-24 months. The study included 100 infants aged 3-24 months of age with urinary tract stones and 40 healthy infants with similar age and gender as the control group. Sixty of the patients were boys, and 40 were girls; the control group consisted of 26 boys and 16 girls. There was no significant difference in only breastfeeding, breastfeeding plus formula, and formula feeding in the patients and controls. Positive family history of urolithiasis was significantly higher in the patients compared to the controls (p=0.04). While breastfeeding duration time was negatively correlated with spot urine calcium to creatinine ratio in children exclusively breastfed infants. No direct effect of nutrition type and vitamin D usage on stone formation was found in infants. It has been shown that stone formation in this age group is associated with a family history of stones. In this study, the duration of breastfeeding is negatively correlated with the spot urinary calcium to creatinine ratio.","PeriodicalId":43030,"journal":{"name":"International Journal of Child Health and Nutrition","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43041837","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0