International Journal of Child Health and Nutrition最新文献

{"title":"Specifics of the Body Image of Adolescents with Scoliosis: A Case of Being Labeled as ‘A Scoliotic’","authors":"V. Deputatov","doi":"10.6000/1929-4247.2021.10.02.3","DOIUrl":"https://doi.org/10.6000/1929-4247.2021.10.02.3","url":null,"abstract":"The body image is to be reconstructed during adolescence, which is more difficult in the case of somatic illness and social stigma. This research aimed to study adolescents' body image with scoliosis, students of a special educational institution in Ukraine socially identified with stigma as 'a school for scoliotics'. The participants (n=104) of the research were adolescents (13-15 years old) with scoliosis from the institution mentioned above (n=52, 24 males, 28 females) and adolescents without scoliosis from the same city (n=52, 24 males, 28 females). Two methods were used to collect the data: (1) Self-portraits; (2) Dembo-Rubinstein Self-Assessment Scale. The adolescents with scoliosis and labeled as 'scoliotics' face additional obstructions in their psychic body development compared to their peers. For instance, they tend to overinvest in the desired image of a healthy body and do not feel able to get it. We found the markers of four different ways to cope with the situation by the adolescents with scoliosis: (a) identification as 'a scoliotic' instead of hope to be cured soon; (b) psychological distancing from the others to preserve the desire of a more attractive body image; (c) repression or denial of the body parts which could relate to scoliosis; (d) infantilization, aimed to slow down the discovery of their maturing corporeality. Consequently, adolescents with scoliosis affected by stigma experience the gap or conflict between their current, desired and perceived realistic body image.","PeriodicalId":43030,"journal":{"name":"International Journal of Child Health and Nutrition","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43471825","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}

{"title":"Analysis of the Respiratory Tract Morbidity in Children Living in Big Cities","authors":"H. Trotskyy, A.Ye. Lisnyy, Y. Pakulova-Trotska, N. Kamut","doi":"10.6000/1929-4247.2021.10.02.4","DOIUrl":"https://doi.org/10.6000/1929-4247.2021.10.02.4","url":null,"abstract":"Upper and lower respiratory tract pathology is an urgent problem of modern paediatrics since it is the most common paediatric disease. The aim was to conduct a retrospective analysis of the structure of respiratory diseases in children. Materials and methods: We conducted a retrospective analysis of 5,615 medical records of patients undergoing inpatient treatment at the non-profit municipal enterprise City Children's Clinical Hospital in 2018 for respiratory system pathology. Retrospective analysis is performed using the electronic program \"Doctor Eleks\", which allows us to search and form a group of case histories by keyword. The age characteristics and the structure of the respiratory tract morbidity were defined, seasonal prevalence and duration of treatment, and the medical conditions requiring the longest inpatient treatment were determined. A judicious approach is required to the question of hospitalisation of a patient with respiratory pathology - it must be timely and well-founded because the presence of a respiratory pathology does not always require hospitalisation. There is a necessity in studying the causes of hospitalisation of children for respiratory pathology and retrospectively study the history and causes of re-hospitalisations to develop recommendations for reducing the incidence of hospitalisation. It is also planned to study the structure of hospitalised patients according to other nosologies (pathology of the digestive tract, urinary system, etc.) in the nearest future in order to propose an algorithm for optimising the processes of hospitalisation by differentiating visitors who actually need hospitalisation and those who may be in outpatient treatment.","PeriodicalId":43030,"journal":{"name":"International Journal of Child Health and Nutrition","volume":"10 1","pages":"74-79"},"PeriodicalIF":0.0,"publicationDate":"2021-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42479936","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}

{"title":"Iron-Rich Foods Intakes among Urban Senegalese Adolescent Girls","authors":"Aminata Ndiaye, I. Galibois, Sonia Blaney","doi":"10.6000/1929-4247.2021.10.01.1","DOIUrl":"https://doi.org/10.6000/1929-4247.2021.10.01.1","url":null,"abstract":"Intake of iron-rich foods was investigated in Senegalese adolescent girls. A cross-sectional survey was conducted among 136 girls aged 13 to 18, attending two colleges in Dakar. Data on the consumption of iron-rich foods over the previous week were collected through a food frequency questionnaire. Results show that 12% of the girls had consumed dishes made with iron-rich foods 3 times or less in the past seven days, 34%, 4 to 6 times, and 54%, 7 times and above. However, 83% of the girls had anntake of iron-rich foods below the 84 g per day recommended for animal protein sources by the EAT-Lancet Commission on Healthy Diets from Sustainable Food Systems. The diet of Senegalese adolescent girls seems conducive to iron deficiency. To define effective interventions to improve the situation, investigating underlying factors to the low consumption of iron-rich foods is warranted.","PeriodicalId":43030,"journal":{"name":"International Journal of Child Health and Nutrition","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44370787","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}

{"title":"Anxiety and Pain Severity in Children Based on Self-Report","authors":"Maryam Mirmotalebi, B. Garrusi, M. Danaei","doi":"10.6000/1929-4247.2021.10.01.3","DOIUrl":"https://doi.org/10.6000/1929-4247.2021.10.01.3","url":null,"abstract":"Background and Objective: Evaluation of the severity of pain in children can help the medical team diagnose the type of disease. In this study, anxiety and pain intensity in children were examined based on self-report. Materials and Methods: This cross-sectional study was performed in 2018 on 300 children aged 3 to 12 years, referring to outpatient treatment centres in Kerman. To measure the severity of pain felt by children, FPS-R was used. The level declared by children was evaluated by the pain intensity estimated by parents and doctors using a visual analogue scale (VAS) and the standard FLACC (Face, Legs, Activity, Cry, Consolability scale) for correlation. The data were analysed using SPSS software version 25. Results: The pain reported by children was obtained by VAS (4.16 ± 3.49), and the estimated pain by the doctor was obtained by FPS-R (2.87±1.68). The pain severity estimated by the doctor using FLACC had the highest correlation with the pain estimated by the doctor using VAS and the lowest correlation with the pain estimated by the mother using VAS. Conclusion: The results of this study showed that FPS-R could be used as a suitable self-report tool in children and, along with the standard FLACC, can help the medical team recognize the severity of children's pain.","PeriodicalId":43030,"journal":{"name":"International Journal of Child Health and Nutrition","volume":"10 1","pages":"17-23"},"PeriodicalIF":0.0,"publicationDate":"2021-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71254766","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}

{"title":"The Micronutrient Consumption in Indian Elementary School Children across Socioeconomic Strata","authors":"K. Patki, D. Sanghi., R. Parasher, B. Bhatnagar","doi":"10.6000/1929-4247.2021.10.01.4","DOIUrl":"https://doi.org/10.6000/1929-4247.2021.10.01.4","url":null,"abstract":"Background: The adequate intake of micronutrients in school children has a significant long term beneficial effect on a child’s overall development and performance. Thus, identifying sub-clinical deficiencies, monitoring micronutrient intake in a child’s diet, and subsequently treating each is of paramount importance. The present study aimed to determine the daily micronutrient consumption in elementary school children across socioeconomic strata (SCE) compared to age-specific, recommended daily allowance (RDA). Subjects/Methods: Three hundred and sixty-six (366) healthy, school-going girls and boys between the ages of 6 -14 years volunteered for the study. Socioeconomic status was assessed using the urban socioeconomic status grid questionnaire, and micronutrient consumption was determined by the 24-hour recall questionnaire and the Dietcal software. Results: Seventy per cent of the children tested had a BMI in the normal range, and approximately 15.84% of the children were underweight, of which 82% were in the Mid-low SCE strata. Paradoxically, an equal number of children (15%) were overweight, of which 89% belonged to the high SCE strata. Overall, a large number (70-90%) of children were found deficient (compared to RDA) in the intake of micronutrients, and there were significant differences between children belonging to the high and mid-low SCE strata in the intake of Calcium (10 -14 year), Iron (6 - 12 year) and Vitamin B6 (for 10 -14 year). Additionally, the deficiency in the consumption of Calcium, Iron, Vitamin B6, Vitamin 12, and Vitamin A was the most in the older children, while the consumption of Magnesium and Vitamin C across all age groups was within the recommended daily allowance (RDA). Conclusions: Elementary schools across socioeconomic status and age groups reported severe deficiencies in the consumption of micronutrients. Interestingly, in-spite of the accessibility to nutritious food, children belonging to the high SCE strata were also deficient in micronutrient intake. Hence, it is important to re-focus our attention from gross caloric intake to the consumption of micronutrient-rich foods.","PeriodicalId":43030,"journal":{"name":"International Journal of Child Health and Nutrition","volume":"10 1","pages":"24-33"},"PeriodicalIF":0.0,"publicationDate":"2021-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45766230","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}

{"title":"Predictors for a Cure Rate of Severe Acute Malnutrition 6-59 Month Children in Stabilizing Center at Pawe General Hospital, Northwest Ethiopia: Retrospective Cohort Study","authors":"Fassikaw Kebede, Nemera Eticha, Belete Negese, M. Giza, Tadesse Tolossa, B. Wakuma","doi":"10.6000/1929-4247.2021.10.01.5","DOIUrl":"https://doi.org/10.6000/1929-4247.2021.10.01.5","url":null,"abstract":"Malnutrition (over and undernutrition) is a major public health problem across the globe, especially undernutrition is responsible for one-third of the death of children in underprivileged populations. Each year more than 25 to 35 million under-five children have suffered from Severe Acute Malnutrition (SAM). The sub-Saharan African countries account for the lion's share of this case fatality rate. The case in Ethiopia is not different from other countries. This study's main aim is to assess predictors for the cure rate of Severe Acute Malnutrition in 6-59 month Children in stabilizing center at Pawe General Hospital, Northwest Ethiopia. A retrospective cohort study. Methods: Hospital-based retrospective cohort study was employed among 454 admitted under-five SAM children from Januarys1st 2015-to December 30, 2019. Data were cleaned, coded, and entered into Epi-Data 3.1; then exported to STATA/SE- 14/R for analysis. Survival analysis was used to check each variable's proportional hazard assumption and no variable Schoenfield test <0.05. Variable with AHR at 95 % CI at P-value less than 0.05 considered as significant. Final model adequacy was checked by Nelson Alana and Cox Snell residual plot test. Result: Totally 454 (90.4%) individual data were included for final analysis; Sixty-five percent of 65.4% (95%CI: 50.1- 69.2) admitted children declared as cured, 16.52 % of them defaulted and 11.5% of children reported as dead. The median age and median cure time of SAM children were found at 2.2 years and 13 days (±7), respectively. Children diagnosed marasmus (AHR=1.56: 95% CI 1.08--2.2, p<0.018), with No nasal-gastric intubation (NGT) during admission (AHR= 1.31: 95%CI (1.04 --1.67, P<0.029) and taking F-100 milk (AHR=5.42 95% CI (2.92--9.85, p<0.001) were associated with treatment cure rate. The conclusions: The overall treatment cure rate of this study was remaining low at 65.4% compared to the sphere standard sets reference (i.e., >75-77.9 %). Concerning associated factors addressing F-100 milk, making SAM under-five children with no NGT and increased treatment cure rate was independently associated with treatment cure rate.","PeriodicalId":43030,"journal":{"name":"International Journal of Child Health and Nutrition","volume":"10 1","pages":"34-43"},"PeriodicalIF":0.0,"publicationDate":"2021-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47298197","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}

{"title":"Clinical Picture at Attendance and Response to Flexible FamilyBased Low-Carb Life Style Change in Children With Obesity","authors":"H. Cakmak, İ. Arslanoğlu, M. Sungur, S. Bolu","doi":"10.6000/1929-4247.2021.10.01.2","DOIUrl":"https://doi.org/10.6000/1929-4247.2021.10.01.2","url":null,"abstract":"Aim: The study aims 1) to determine the clinical status of obese children at the admittance to the pediatric endocrinology referral center 2) to investigate the efficiency and compliance of the low-carb diet in a pediatric population with or without exercise, metformin Material and Methods: All subjects with the complaint of obesity and BMI percentile >95 were recruited from January 2012-August 2014. We evaluated basal retrospectively, recommended low carbohydrate family-wide eating practice and exercise to all, and metformin to selected cases, and recorded Self-reported adherence at first, third, sixth, and twelfth months. Results: Thirty-six subjects used metformin with a higher ratio of weight loss (90.0%, p=0.010) without a difference in the number of lost kilograms. In 160 cases without metformin; diet only, exercise only, and both diet and exercise groups lost weight significantly according to neither diet nor exercise group (OR:12.08, 95% CI 3.93-41.66, p<0.001; OR:3.04, 95% CI 1.18-7.84, p=0.022 and OR:32.80, 95% CI 7.14-150.77, p<0.001 respectively). Exercise plus diet (95.3%, p=0,002) and only diet (88.9%, p=0,023) were even more efficient than exercise alone (65.5%). In the twelfth month, 13.8% were on follow-up. Conclusion: Obesity gives rise to metabolic complications in the very early stages. A low carbohydrate diet proved to be acceptable and useful. Long-term consistency remains a challenge.","PeriodicalId":43030,"journal":{"name":"International Journal of Child Health and Nutrition","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48044274","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}

{"title":"Minimum Acceptable Diet and its Predictors among Children Aged 6-23 Months in Mareka District, Southern Ethiopia: Community Based Cross-Sectional Study","authors":"Fentaw Wassie Feleke, G. F. Mulaw","doi":"10.6000/1929-4247.2020.09.04.7","DOIUrl":"https://doi.org/10.6000/1929-4247.2020.09.04.7","url":null,"abstract":"Background: Optimal infant and young child feeding practices are essential for normal growth, better health, and mental and physical development. Even though there are a lot of nutrition intervention programs in Ethiopia, still suboptimal feeding practices are prevalent. This study was devised to assess a level of minimum acceptable diet (MAD) and predictors among children aged 6-23 months in Mareka District, south Ethiopia. Method: A community-based cross-sectional study was employed on 662 study participants from August 15 to September 15/ 2015. They were selected by a multi-stage sampling technique. Data were collected by interviewer-administered semi-structured questionnaires. Statistical significance was declared at p-value <0.05 at multivariable logistic regression. Result: The study showed that 35.5 % of the children aged 6-23 months met the recommended MAD. Maternal primary and secondary education (AOR: 1.90; 95% CI: 1.15-3.16 and AOR: 2.06, 95% CI: 1.12-3.77), Media exposure (AOR: 2.16; 95% CI: 1.46-3.29), health facility delivery (AOR:2.52; 95% CI: 1.54-4.13), child age of 9-11 and 12-23 months (AOR:2.73; 95% CI: 1.41-5.49 and AOR:2.55; 95% CI: 1.39-4.69) and GMP service utilization (AOR: 4.09; 95% CI: 2.51-6.65) were associated with MAD of children. Conclusion: The level of MAD among children was low. Maternal educational status, media exposure, institutional delivery, child age, and GMP service utilization were associated with MAD. Increasing utilization of GMP service, health facility delivery, maternal education, and media promotion was recommended to increase the level of MAD.","PeriodicalId":43030,"journal":{"name":"International Journal of Child Health and Nutrition","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44371046","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}

{"title":"Determinants of Stunting among Children Aged 6-23 Months of Age in Pastoral Community, Afar Region, Ethiopia: Unmatched Case-Control Study","authors":"G. F. Mulaw, O. Adem, A. Belachew","doi":"10.6000/1929-4247.2020.09.04.6","DOIUrl":"https://doi.org/10.6000/1929-4247.2020.09.04.6","url":null,"abstract":"Background: Globally, stunting is a public health concern, more of in developing counties, including Ethiopia. Once occurred, in the first two years of life, it is irreversible and has long-lasting harmful consequences. Exploring the determinants has pivotal importance for evidence-based interventions. Therefore, the rationale of this study was to identify determinants of stunting among children aged 6-23 months in the pastoralist community, Afar region, Ethiopia. Method: A community-based unmatched case-control study was conducted among 381 (cases=126, controls 255) study participants from February 15/2017 to March 30/2017. Cases and controls were identified consecutively using the world health organization growth monitoring chart. Data was collected by interviewer-administered questionnaires and anthropometric measurements. Statistical significance was declared at p-value < 0.05 in the final multivariable logistic regression model. Result: Maternal education (AOR:0.34, 95% CI: 0.16, 0.77), maternal under-nutrition (AOR:2.91, 95% CI:1.51, 5.60), number of under-five children within the household (AOR:2.66, 95% CI: 1.38, 5.10), latrine ownership (AOR:0.28, 95% CI:0.15, 0.55), minimum Dietary Diversity score of children (AOR:0.41, 95% CI:0.22, 0.75), child age (AOR:1.76, 95% CI:1.01, 3.09), colostrum intake (AOR:3.03, 95%CI:1.62, 5.66), and exclusively breastfeed for the first six months (AOR:3.20, 95% CI:1.72,5.95) were found to be determinants of stunting. Conclusion: This study found that determinants of childhood stunting are multifactorial. Maternal, household and child-related characteristics are associated with childhood stunting. Therefore, to improve childhood nutritional status, inter-sectoral collaboration and commitment are vital.","PeriodicalId":43030,"journal":{"name":"International Journal of Child Health and Nutrition","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46439810","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}

{"title":"Knowledge, Attitude and Practice Towards Exclusive Breast Feeding Among Inhabitants of Ginjo Guduru Kebele, Jimma Town, Oromia Region, Ethiopia","authors":"Habtamu Gebresenbet","doi":"10.20431/2455-2550.0602005","DOIUrl":"https://doi.org/10.20431/2455-2550.0602005","url":null,"abstract":"Appropriate feeding practices are fundamental importance for the survival, growth, development and health of the infant and young children. However; exclusive breastfeeding remains a challenge because of many factors. It was suggested that mother's knowledge, attitude and practice determines the effectiveness of exclusive breastfeeding. This research is a cross-sectional study aimed to assesses mother's knowledge, attitude and practice towards optimal breastfeeding among Ginjo Guduru kebele. The survey was conducted from June 29-July30, 2018, from a total of 315 mothers who had children under one (1) year age, 190 mothers were selected using simple random sampling. Structured pre-tested questionnaires, as well as the in-depth interview, was used to collect the data on the socio-economic, demographic characteristics, knowledge attitude and practice towards exclusive breastfeeding. Among mothers studied about 73.94% had good knowledge of effective breastfeeding, 63.99% of mothers had a positive attitude on effective breastfeeding, and 69.69% had a good practice of effective breastfeeding. About 24.06% of mothers had poor knowledge of effective breastfeeding, approximately 36.11% of mothers had a poor level of attitude on effective breastfeeding, and about 31.31% of mothers had a poor practice of effective breastfeeding. Health service delivery staffs Policymakers, administrators and Non-governmental organisation collaborates to draw strategies to enhance the awareness of mothers about effective breastfeeding.","PeriodicalId":43030,"journal":{"name":"International Journal of Child Health and Nutrition","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45401587","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}