Evaluation of the Nutritional and Hematological Status of Sickle Cell Children Monitored in the Pediatric Department of the University Hospital Center of Yalgado Ouedraogo

Authors

  • Kalmogho Angèle Department of Pediatrics of the Yalgado Ouédraogo University Hospital Center (CHU-YO), Burkina Faso
  • Barro Makoura Department of Pediatrics, Sourô Sanou University Hospital, Bobo-Dioulasso, Burkina Faso
  • Paré Boyo Constant Department of Public Health, University Joseph Ki Zerbo, Burkina Faso
  • Ouédraogo Ibrahima Department of Pediatrics of the Yalgado Ouédraogo University Hospital Center (CHU-YO), Burkina Faso
  • Bambara Habibata Department of Pediatrics of the Yalgado Ouédraogo University Hospital Center (CHU-YO), Burkina Faso
  • Zoungrana Chantal Department of Pediatrics of the Yalgado Ouédraogo University Hospital Center (CHU-YO), Burkina Faso
  • Kaboré Rolande Department of Pediatrics of the Yalgado Ouédraogo University Hospital Center (CHU-YO), Burkina Faso
  • Ouédraogo Flore Department of Pediatrics of the Yalgado Ouédraogo University Hospital Center (CHU-YO), Burkina Faso
  • Sawadogo Oumarou Department of Pediatrics of the Yalgado Ouédraogo University Hospital Center (CHU-YO), Burkina Faso
  • Yonaba Caroline Department of Pediatrics of the Yalgado Ouédraogo University Hospital Center (CHU-YO), Burkina Faso
  • Dahourou Lucien Desiré Department of Public Health/Biomedical, Health Science Research Institute, Burkina Faso
  • Kouéta Fla Department of Pediatrics of the Yalgado Ouédraogo University Hospital Center (CHU-YO), Burkina Faso

DOI:

https://doi.org/10.6000/1929-4247.2020.09.01.1

Keywords:

Nutrition, Children, Sickle Cell Disease, Hematology, CHU-YO.

Abstract

Objective: To assess the nutritional and hematological status of sickle cell children followed in the department of pediatrics of the Yalgado Ouédraogo University Hospital Centre (CHU-YO).

Methodology: This was a cross-sectional study conducted from September 1, 2017, to February 28, 2018. All children with major sickle cell syndrome followed in the department of pediatrics at the CHU-YO and following their follow-up appointments were included in the study.

Results: We included 230 children aged 11 months to 16 years with an average age of 8.5 years. The sex M/F ratio was 1.09. The SC heterozygotes were the most represented with 56.52%. The average hemoglobin level was 9.39 g/dl. The prevalences of wasting, stunting and underweight were respectively 23.04%, 15.65%, and 13.89%. In univariate analysis, the factors associated with emaciation was hyperleukocytosis (p=0.002).The factors associated with stunting were leukocytosis (p=0.01), severe anemia (p=0.01), SS phenotype (p=0.002), age range of 5-10 years (p=0.007), Secondary (P=0.007) and higher level (p=0.001) of father’s education, secondary (p=0.027) and higher level (p=0.034)of mothers’education , farmer(p=0.003) trader (p=0.042), and informal occupation of father (p = 0.002),and breastfeeding duration after 24 months (p=0.006). For underweight associated factors in univariate analysis were SS phenotype (p=0.003) and severe anemia (p=0.01).

Conclusion: The prevalence of different types of malnutrition deficiency of sickle cell children followed at CHU-YO was high. It is important to strengthen the nutritional monitoring of children with sickle cell disease for better management of the disease.

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Published

2020-03-16

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General Articles