Incidence of Malnutrition in Karbala Teaching Hospital Inpatient and Associated Some Sociodemographic Factors

*Oday Abdul Ridha Mohammed Alnasari
Department Of Pediatrics, F.I.B.M.S Of Pediatrics, Iraq

*Corresponding Author:
Oday Abdul Ridha Mohammed Alnasari
Department Of Pediatrics, F.I.B.M.S Of Pediatrics, Iraq

Published on: 2021-04-12

Abstract

Background: Malnutrition is a major health problem in pediatrics age group contribute to increase mortality and morbidity of admitted patients.

A descriptive randomized cross sectional study of 2965 cases between 6-60 months from which 500 cases had malnutrition from15th of November 2019 to 31th of January 2020 hospital based data to evaluate incidence of sever acute malnutrition and moderate acute malnutrition and mild malnutrition and its relation to some sociodemographic factors (paternal job, birth weight, type of feeding, age, sex).

Results: The incidence of severe acute Malnutrition is 1%, the incidence of moderate acute malnutrition is 10% and mild malnutrition in 27% from the sample of patients taken 469 patients and this is a strong relationship of all degree of malnutrition to paternal age and low birth weight with some relation to type of feeding.

Conclusions: While the incidence of severe acute malnutrition has been decreased last years In Karbala teaching hospital, there is marked increase in incidence of moderate acute malnutrition and mild malnutrition with their impact on general pediatric health regarding morbidity and mortality efforts should be taken to manage the moderate acute malnutrition and mild malnutrition by offering nutritional advice and support especially in people who are not governmental Employers.

Keywords

Malnutrition, Pediatrics Age Group

Introduction

The term malnutrition encompasses both overnutritions associated with overweight and obesity and undernutrition referring to multiple conditions Including acute and chronic undernutrition and micronutrient deficiency [1].

Sever acute malnutrition (SAM) defined by world health organization (WHO) as:

z score below -3 or mid upper arm circumference (MUAC) below 115 mm or presence of bilateral pitting Edema or both [2].

Moderate acute malnutrition is defined as moderate wasting i.e. (weight for height between -3 and -2, z score) of WHO child growth standard or mid upper arm circumference (MUAC) greater or equal to 115 mm and less than 125mm [2].

About 47 million children under five years of age are wasted and 14.3 million are severely wasted. 14.4 million are stunted [3].

Around 45% of death among children under five years of age are linked to undernutrition. These mostly occur in Low- and middleincome Countries [3].

Degrees of Malnutrition are associated with increased risk of all causes of mortality and increased risk of death like diarrhea pneumonia and measles [4].

Moderate acute Malnutrition affect many children in poor countries and have increase the risk of mortality. Moderate acute malnutrition Is associated with high number of nutritional deaths. If some of these moderate acute malnutrition children Don’t receive adequate support They may progress toward severe acute malnutrition or severe stunting (height for age) Below - 3 z score. Both of These conditions are Life-threatening conditions so the management of moderate acute malnutrition (MAM)should be a public health priority [5].

Global acute malnutrition (GAM) refers to MAM and SAM together its used as measurement of nutritional status at a population level and as an indicator of severity of an emergency status (G.N.C 2014) [6].

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