International Journal of Child Health and Nutrition

Infant Feeding Practices Using Local Flours in Relation to Nutritional Status of Children Aged 6 to 24 Months Surveyed in Maternal and Child Protection Centers of Abidjan (Côte d’Ivoire) - Pages 102-108
Mandoué Stéphanie Bamba, Grodji Albarin Gbogouri, Edith Adouko Agbo, Dogoré Yolande Digbeu and Kouakou Brou


Published: 14 September 2018


Abstract: Objectives: The aim of the study is to evaluate the use of local flours in supplementary feeding for 6 to 24 month old children in relation to their nutritional status in Abidjan.

Methods: A cross-sectional survey was conducted on 480 mother-child couples in twelve maternal and child protection centers located in four municipalities in Abidjan. Questionnaires focused on the economic characteristics of mothers, the frequency of use of local flours, sources of local flours, ingredients used for flour production. The local composite flours mainly consumed by the children were sampled for biochemical analysis.

Results: Our of the 480 mothers, 73% had an income-generating activity and 27% had no activity, 10% of them were students. About 13% of the mothers with income-generating activities use only local flours, 10% of them mainly use industrial flours and 50% alternately use local flours and industrial flours. All mothers used cereals for flour production, 1% of the mothers used cassava and 98.54% used soya flour as supplement. The local flour mainly consumed, "Anango baka" with two variants, was unbalanced as far as its nutrient composition is concerned. The nutritional status of the children surveyed showed that stunting was the most widespread form of malnutrition with a prevalence of 17.9%.

Conclusion: The three local composite flours used by the mothers showed a poor nutritional value. A high rate of chronic malnutrition has been reported for 6 to 24 month old children visiting maternal and child protection centers located in Abidjan.

Keywords:  Complementary feeding, Child nutrition, Malnutrition status, flours.


International Journal of Child Health and Nutrition

Malnutrition Incidence and Determination of Effecting Factors at 1-4 Years Old Children in Konya - Pages 109-114

Serap Bati and Fatih Kara


Published: 14 September 2018


Abstract:  Background and Aim: Every year in the world millions of children die from malnutrition and infectious diseases. Children under the age of five are affected more quickly than other age groups from negative conditions. This study is aimed to determine the risk factors of malnutrition and incidence of malnutrition in children aged 1-4 years living in Konya.

Materials and Methods: This is a cross-sectional epidemiological study. The survey about demographical information about the child and their family, child's nutrition and anthropometric measurements described by both Z-scoring and GOMEZ classification, was conducted between May-December,2016 with 1000 children aged 1-4 years in Konya province. Descriptive statistics, chi-square test, student t-test and multivariate logistic regression were performed by SPSS 18.0 considering p<0.05 as statistically significant.

Results:According to the GOMEZ classification, 18.7% of children living in Konya are malnourished. According to Z-score, 3.5% (n=35) of the children were found to be underweight and 7.2% (n=72) were found as stunted. Factors affecting the malnutrition were the age range of children, the working status of the mother, the kinship status between the parents, the number of living children, maternal age, birth weight, the duration of breastfeeding, the time spent on TV/computer, the attitude and anxiety level of the mother when her child does not eat and the mother's nutrition education.

Conclusion: Malnutrition is a common problem and its rate is high in Konya.It is suggested that health professionals should educate the society, especially mothers by organizing various training meetings. Moreover, it can be emphasized that health planners should prepare a program to determine malnourished children considering the risk factors of malnutrition in health screens and first step medical centers. 

Keywords:  Malnourished child, anthropometric measurement.


International Journal of Child Health and Nutrition

Prevalence of Eating Disorders among Female College Students of Northern Broader University, Arar, Kingdom of Saudi Arabia - Pages 115-121

Waseem Fatima, Rizwan Fatima and Nida Suhail Anwar


Published: 14 September 2018


Abstract:  Objective: The study aimed at examining the prevalence and correlates of eating disorder among female college students of Northern Broader University, Arar city, Kingdom of Saudi Arabia.

Methods: A cross sectional survey was conducted among female college students. The total sample size was 160 (66.66% of total population of college) and stratified random sampling technique was used to select female students age ranged between 18 and 23 years from faculty of medical and faculty of applied medical science. Subjects were ask to fill pre tested questionnaire about socioeconomic status, age at menarche, body image and Eating attitude test 26 (EAT 26), there height and weight were measured and BMI was calculated.

Results: Out of 160 female college students only 120 (75%) returned completely filled questionnaires and they were considered for statistical analysis. It was found that, 32 (26.66%) of study population scored 20 or above, which is the cutoff point of EAT-26, indicating negative eating attitudes. There was significant difference found in prevalence of disordered eating attitudes in different BMI ranges. However, the association between student’s age at menarche and abnormal eating attitude was not statistically significant.

Conclusion: The findings support our hypothesis of a relatively high rate of abnormal eating attitudes (as reflected by high EAT-26 score) in this population. The results have important implication for increasing awareness about an emerging clinical problem. The prevalence of eating disorder is the most useful measure for planning health care facilities, as it indicates the demand for care.

Keywords:  Eating disorders, EAT -26, BMI, age at menarche, Female students.


International Journal of Child Health and Nutrition

Non-Linear Effects of Continuous Predictors on Malnutrition Status of Children in Bangladesh - Pages 122-131

Tasmiah Sad Sutopa and Wasimul Bari


Published: 14 September 2018


Abstract:  Background:To explore non-linear effects of continuous covariates on response variable, generalized additive model (GAM) has now been extensively used. The main aim of this study is to explore the non-linear effect of some selected continuous covariates on malnutrition status of children in Bangladesh using logistic additive model.

Methods: To determine the factors of malnutrition status of children in Bangladesh, data are excluded from Bangladesh Demographic and Health survey 2014 (BDHS 2014). The anthropometric index of nutrition status, stunting is used as binary response variable and several demographic, socio-economic and health related variables are used as covariates. Bivariate analysis and additive logistic regression model is used to uncover the non-linear effect of included continuous variables as well as effect of categorical covariates on stunting in the study.

Results:The analysis exposes that mother’s current age, mother’s BMI and child’s age have significant non-linear impact on stunting of children.

Conclusion: The analysis suggests that to improve nutrition status of children in Bangladesh, the government should take necessary steps targeting women in higher and lower age groups and women with higher and lower BMI. Moreover, the children after 20 months should be properly taken care of for achieving better nutritional health.

Keywords:  Child’s age, Generalized additive regression model, Malnutrition, Mother’s age, Mother’s BMI, Non-linear effect, Stunting.