{"title":"Central Precocious Puberty as a Sign of Congenital Adrenal Hyperplasia: Case Presentations","authors":"R. Markosyan, L. Navasardyan","doi":"10.6000/1929-4247.2020.09.04.5","DOIUrl":"https://doi.org/10.6000/1929-4247.2020.09.04.5","url":null,"abstract":"Central precocious puberty results from the premature activation of the hypothalamic-pituitary-gonadal axis. Rarely congenital adrenal hyperplasia and/or its inappropriate treatment can be a peripheral cause of CPP. There are very few case reports of this etiology. Chronic mildly to moderately elevated adrenal androgens or intermittent hyperandrogenemia in congenital adrenal hyperplasia may trigger the precocious activation of the hypothalamic-pituitary axis, leading to CPP. In the current work, we describe 6 cases of late diagnosis of congenital adrenal hyperplasia associated with central precocious puberty. Central precocious puberty seems to be a complication of congenital adrenal hyperplasia, particularly in countries where a routine neonatal screening program for this condition is lacking. It is unclear whether these patients could avoid central precocious puberty development if the congenital adrenal hyperplasia was diagnosed in the neonatal period and appropriately treated. The current work underlines the need for congenital adrenal hyperplasia neonatal screening implementation and further investigation of the association of these two endocrine disorders.","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":"49028356","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}
G. F. Mulaw, B. F. Kase, Adebabay Dessie Manchilo, Bereket Lopiso Lombebo, Begna Melkamu Tollosa
{"title":"Severe Acute Malnutrition and Feeding Practice of Children Aged 6-59 Months in Pastoral Community, Afar, Ethiopia: Descriptive Cross-Sectional Study","authors":"G. F. Mulaw, B. F. Kase, Adebabay Dessie Manchilo, Bereket Lopiso Lombebo, Begna Melkamu Tollosa","doi":"10.6000/1929-4247.2020.09.04.2","DOIUrl":"https://doi.org/10.6000/1929-4247.2020.09.04.2","url":null,"abstract":"Background: Severe acute malnutrition remains one of the most common causes of morbidity and mortality among children in developing countries, including Ethiopia. Knowing the local burden of SAM has huge importance for public health interventions. Therefore this study aimed to assess the level of severe acute malnutrition and feeding practice of children aged 6–59 months in Abaa’la district, Afar, Northeast, Ethiopia. Methods: Community-based descriptive cross-sectional study was conducted on 422 mother-child pairs of children aged 6–59 months. Kebeles were selected randomly after stratifying the district in to urban and rural, and study participants were selected using a cluster sampling technique. Data were collected using an interviewer-administered questionnaire, and child nutritional status was measured using WHO Mid upper arm circumference measuring tape. Data were entered into Epi data version 3.1 and exported to SPSS version 22 for analysis. The result was presented using Descriptive statistics. Results: The prevalence of severe acute malnutrition (SAM) was found to be 4.3% (95% CI, 2.3-6.1%) and that of moderate acute malnutrition (MAM) was 21.1 %. Almost all (98.8%) of children were ever breastfed. Prelacteal feeding and bottle feeding was practiced by 31% and 33.9% of children, respectively. Only 68.5% of children were feed colostrum. Around 45.5% of children were exclusively breastfed for the first six months, and 70.4% of children wean breastfeeding before the age of two years. Conclusion: The prevalence of severe acute malnutrition in the study area was lower than the regional figures, but still, it is a public health priority. There are improper child care and feeding practices. Therefore, public health interventions that can improve those practices should be strengthened.","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":"44856704","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}
Komal Manerkar, J. Harding, C. Conlon, C. McKinlay
{"title":"Development and Evaluation of an Automated Algorithm to Estimate the Nutrient Intake of Infants from an Electronic Complementary Food Frequency Questionnaire","authors":"Komal Manerkar, J. Harding, C. Conlon, C. McKinlay","doi":"10.6000/1929-4247.2020.09.04.1","DOIUrl":"https://doi.org/10.6000/1929-4247.2020.09.04.1","url":null,"abstract":"Background: We previously validated a four-day complementary food frequency questionnaire (CFFQ) to estimate the nutrient intake in New Zealand infants aged 9-12 months. However, manual entry of the CFFQ data into nutritional analysis software was time-consuming. Therefore, we developed an automated algorithm and evaluated its accuracy by comparing the nutrient estimates with those obtained from the nutritional analysis software. Methods: We analysed 50 CFFQ completed at 9- and 12-months using Food Works nutritional analysis software. The automated algorithm was programmed in SAS by multiplying the average daily consumption of each food item by the nutrient content of the portion size. We considered the most common brands for commercially prepared baby foods. Intakes of energy, macronutrients, and micronutrients were compared between methods using Bland-Altman analysis. Results: The automated algorithm did not have any significant bias for estimates of energy (kJ) (MD 15, 95% CI -27, 58), carbohydrate (g) (MD -0.1, 95% CI -1.2,1.0), and fat (g) (-0.1, 95% CI -0.3,0.1), but slightly underestimated intake of protein (MD -0.4 g, 95% CI -0.7,-0.1), saturated fat, PUFA, dietary fibre, and niacin. The algorithm provided accurate estimates for other micronutrients. The limits of agreement were relatively narrow. Conclusion: This automated algorithm is an efficient tool to estimate the nutrient intakes from CFFQ accurately. The small negative bias observed for few nutrients was clinically insignificant and can be minimised. This algorithm is suitabl","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":"48143772","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 Relationship between Eating Behaviors of Children and Mothers, and Nutritional Status of Children","authors":"S. A. F. Gunes, A. Islamoglu, G. Akduman","doi":"10.6000/1929-4247.2020.09.04.3","DOIUrl":"https://doi.org/10.6000/1929-4247.2020.09.04.3","url":null,"abstract":"Introduction: Parents have a significant impact on child nutrition and the child's eating habits in long-term behavior. This study aims to examine the effects of mothers' attitudes on the eating behaviors of children and the determination of their nutritional status. Method: Children's eating habits and mothers' eating attitudes were examined in 417 children with face-to-face interviews using the Child Feeding Questionnaire (CFQ). The participants' anthropometric characteristics were determined, and body mass indexes (kg/m2) were calculated. AnthroPlus software was used to determine the children’s BMI-for-age Z-scores. BeBiS nutrition information system was used to assess children’s food intake. Results: The mothers' median BMI was above the overweight threshold. The lowest CFQ score was for perceived child weight, and the maximum score was for food restriction. Significant differences were found in mothers ages, mothers' BMIs, children's WAZ and BAZ scores, and BMIs, weight (p<0.001), perceived parent weight scores (p=0.04), and pressure to eat (p=0.04). Families should be conscious about nutrition for the protection and promotion of children's health.","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":"46314444","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 Role of Mother Empowerment and Macro-Economic Factors for Child Health: An Evidence from Developing Economies","authors":"M. A. Soharwardi","doi":"10.6000/1929-4247.2020.09.03.6","DOIUrl":"https://doi.org/10.6000/1929-4247.2020.09.03.6","url":null,"abstract":"","PeriodicalId":43030,"journal":{"name":"International Journal of Child Health and Nutrition","volume":"9 1","pages":"139-147"},"PeriodicalIF":0.0,"publicationDate":"2020-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49551803","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":"Trends in Orange Juice Consumption and Nutrient Adequacy in Children 2003-2016","authors":"T. Nicklas, Arş, C. O'neil, R. Saab, V. Fulgoni","doi":"10.6000/1929-4247.2020.09.03.2","DOIUrl":"https://doi.org/10.6000/1929-4247.2020.09.03.2","url":null,"abstract":"This study aimed to examine secular trends in 100% orange juice (OJ) consumption and trends in nutrient adequacy in children 2-18 years participating in the 2003-2016 National Health and Nutrition Examination Survey. The National Cancer Institute method was used to estimate the usual intake. Ten deciles of OJ consumption were determined based on intakes with non-consumers in the first decile. Nutrient adequacy was determined using the percentage below the Estimated Average Requirement (EAR) or the Adequate Intake (AI) percentage. Linear regression coefficients for changes in intake over time and across deciles of OJ were generated. Approximately 14% of the total sample consumed OJ with a mean intake of 40.0 g/d (77 KJ [0.9% of total energy intake]). Amounts of all 100% fruit juices consumed decreased by 44%, and whole fruit intake increased by approximately 32% from 2003-2016. Consumption of total energy, total carbohydrates, added sugars, and saturated fatty acids decreased. Intakes of folate, riboflavin, zinc, and vitamin C decreased from 2003-2016. The percentage of children below the EAR increased for vitamin C and zinc and decreased for vitamin A from 2003-2016. Percent of children above the AI increased for fiber. Across the deciles of OJ consumption, the percent of children with an inadequate vitamin D intake, calcium, iron, and phosphorus decreased. OJ and other 100% juices were major food sources of many nutrients consumed at levels below recommendations. One strategy to reduce inadequate intake of calcium, phosphorus, and potassium intake is to maintain or increase the consumption of OJ and other 100% juices.","PeriodicalId":43030,"journal":{"name":"International Journal of Child Health and Nutrition","volume":"9 1","pages":"100-114"},"PeriodicalIF":0.0,"publicationDate":"2020-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47295445","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":"Prevalence, Trends and Predictors of Small Size Babies in Nigeria: Analysis of Data from Two Recent Nigeria Demographic and Health Surveys","authors":"A. I. Wegbom, C. Edet, Victor Alangibi Kir","doi":"10.6000/1929-4247.2020.09.03.3","DOIUrl":"https://doi.org/10.6000/1929-4247.2020.09.03.3","url":null,"abstract":"Results: The proportion of babies reported to have small size at birth in Nigeria declined from 14.9% in 2013 to 13.7% in 2018. Various factors from demographic, socio-economic, and health-seeking behaviour were identified as significant predictors. Women who received iron pills and tetanus toxoids during pregnancy had at most 79% and 80% less risk of having small size babies, respectively, than those who received none of these two. Female children had at least 21% more chance of being small in size than male children. Other key predictors were geopolitical region, maternal age at child birth, maternal literacy level, wealth status, religion, source of water supply, number of ANC visits during pregnancy, and desirousness of pregnancy.","PeriodicalId":43030,"journal":{"name":"International Journal of Child Health and Nutrition","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43044469","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":"Dietary Diversity in School Going Children: Review","authors":"B. Singh, Mahak Sharma","doi":"10.6000/1929-4247.2020.09.03.5","DOIUrl":"https://doi.org/10.6000/1929-4247.2020.09.03.5","url":null,"abstract":"Child malnutrition is a public health problem in developing countries, and dietary diversity is one of the important determinants of undernutrition. Different nutrients are obtained from different food groups and to meet the requirement of recommended Dietary Allowances entitled as Dietary Diversity. The current review revealed that the nutrition status of children is directly related to the food groups consumed. Food diversity depends on many factors such as Socio-economic Status, education level, sex, and age of the subjects. The food group consumed and food items taken from each group were low in the low Socio-Economic Status (SES) subjects, rural areas, females, and less educated families, resulting in malnutrition among children of various countries. Low level of Dietary Diversity can be the reason for undernutrition in children worldwide, especially in developing countries. Many studies thus supported that Dietary Diversity and Food Variety can provide nutritional adequacy.","PeriodicalId":43030,"journal":{"name":"International Journal of Child Health and Nutrition","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46971833","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":"Associations between Emotional Eating and Metabolic Risk Factors at Adolescents with Obesity","authors":"F. K. Sayın, M. Buyukinan, Ç. Deniz, D. Arslan","doi":"10.6000/1929-4247.2020.09.03.1","DOIUrl":"https://doi.org/10.6000/1929-4247.2020.09.03.1","url":null,"abstract":"Purpose: This study aimed to determine whether emotional eating (EE) and uncontrolled eating (UCE) scores affect the metabolic risk factors in obese adolescents. Methods: A sample of 100 adolescents have BMI-SDS between 1.41 and 2.83 (aged 12-17 years) was selected. EE and UCE scores were estimated using the TFEQ21. The association of EE and UCE with anthropometric data, lipid profile, glucose profile, liver enzymes, and inflammation factors was assessed in boys and girls. Results: Using Spearman rank correlation, EE scores significantly correlated with uric acid (r = 0.393 and P = 0.001), CRP (r = 0.273 and P = 0.017), TG (r = 0.317 and P = 0.001), TC (r = 0.258 and P = 0.019) and VAI (r = 0.276 and P = 0.034). Also UCE scores were showed positive correlation with CRP (r = 0.257 and P = 0.024). Conclusion: In conclusion, interrelationships tend to exist between EE and triglyceride, uric acid, visceral adiposity index, and CRP levels among obese adolescents.","PeriodicalId":43030,"journal":{"name":"International Journal of Child Health and Nutrition","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41399120","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}
S. Acharya, S. Adhikari, D. Moon, S. Pahari, Y. Shin
{"title":"Malnutrition and Associated Factors with Nutritional Status among Orphan Children: An Evidence-Based Study from Nepal","authors":"S. Acharya, S. Adhikari, D. Moon, S. Pahari, Y. Shin","doi":"10.21203/rs.3.rs-38763/v1","DOIUrl":"https://doi.org/10.21203/rs.3.rs-38763/v1","url":null,"abstract":"\u0000 Background: Malnutrition is common public health problem among children in low- and middle-income countries. Orphan’s children are vulnerable and neglected group in the society and are more prone to malnutrition. The study aims to identify prevalence of underweight, stunting and thinness of children residing in slum area with its associated factors. Method: Quantitative method & analytical cross-sectional research design were used to assess the nutritional status and its associated factors among orphan children in Pokhara, Nepal. The sample size of 160 children were obtained by simple random technique. Semi-structured questionnaire, digital bathroom scale, stadiometer was used as data collection technique. Data management and analysis was done from Epi-info, SPSS 25 version & WHO Anthro plus. Result: Out of 160 children, majority 80% were malnourished & 55.1% were stunted whereas 13.8% were thinness & 6.9% were found to be overweight. Our study revealed a significant association between sex, age, ethnicity, duration of stay in children’s home and education of caregiver (p <0.05). Conclusion: Malnutrition is highly prevalent in orphan children and need to be addressed. Nutritional status should be monitored regularly for early identification & timely intervention of malnutrition to promote the nutrition health status of children.","PeriodicalId":43030,"journal":{"name":"International Journal of Child Health and Nutrition","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47349395","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}