Tysa poster presentation
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P value < 0.01 (SIGNIFICANT) INTRODUCTION RISK FACTORS FOR SEVERE ACUTE MALNUTRITION - A CASE CONTROL STUDY Dr.JAGAN MOHAN VARAKALA, Affiliation with NRC Government civil hospital METHODS < 1hr 1-4 hr >4hr 0 20 40 60 80 TIME OF BREAST FEED INITIATION VS SAM cases <6 m 6m 0 20 40 60 80 EXCLUSIVE BREAST FEEDING VS SAM UL IV LM III UM II 0 20 40 60 80 100 79 21 0 20 70 10 cases control SOCIO ECONOMIC CLASS VS SAM INCLUSION CRITERIA CASES : 100 children of age 6 m to 59 m with severe acute malnutrition as per WHO definition, admitted in NRC ward, district civil hospital ,karimnagar. CONTROLS :100 children of age 6 m to 59m with normal nutritional status admitted with other medical ailment in pediatric wards of Prathima hospital. EXCLUSION CRITERIA Children of age Less than 6 months, more than 5years. SAM children who are sick and admitted in ICU Children whose parents have not given consent METHODOLOGY MATERNAL LITERACY VS SAM 0 20 40 60 80 100 24 7 69 6 10 84 cases contro ls Severe Acute Malnutrition is defined as weight for height less than -3SD and/or visible severe wasting and/or edema of both feet (excluding other causes of edema), mid arm circumference less than 11.5 cm among 6m- 59m children. Globally, 17.3 million children, or 2.6% of the pre-school aged children, were severely wasted in 2012 . With a national prevalence of severe wasting of 6.8%, or approximately 8.4 million children, India is home to about half the total wasted. According to National Family Health Survey (NFHS) III there are nearly 57 million undernourished children in India which is 1/3 of the world’s share . Chi square value 12 , P value < 0.01 BOTTLE FEED VS SAM yes no 0 20 40 60 80 100 53 47 14 86 P value < 0.01 (SIGNIFICANT COLSTRUM VS SAM Given Not given 0 20 40 60 80 100 62 38 88 12 P value < 0.01 (SIGNIFICANT)
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Transcript of Tysa poster presentation
P value < 0.01 (SIGNIFICANT)
INTRODUCTION
RISK FACTORS FOR SEVERE ACUTE MALNUTRITION - A CASE CONTROL STUDY
Dr.JAGAN MOHAN VARAKALA, Affiliation with NRC Government civil hospital
METHODS
< 1hr
1-4 hr
>4hr0
20
40
60
80
TIME OF BREAST FEED INITIATION VS SAM
casescontrols <6 m 6m
0
20
40
60
80
EXCLUSIVE BREAST FEEDING VS SAM
UL IV LM III UM II0
102030405060708090 79
21
0
20
70
10
casescontrols
SOCIO ECONOMIC CLASS VS SAM
INCLUSION CRITERIA CASES: 100 children of age 6 m to 59 m with severe acute malnutrition as per WHO definition, admitted in NRC ward, district civil hospital ,karimnagar. CONTROLS :100 children of age 6 m to 59m with normal nutritional status admitted with other medical ailment in pediatric wards of Prathima hospital. EXCLUSION CRITERIA Children of age Less than 6 months, more than 5years. SAM children who are sick and admitted in ICUChildren whose parents have not given consent METHODOLOGY Detailed nutrition and socioeconomic history is taken in both the groups using a predesigned proforma to study the risk factors of malnutrition Modified kuppuswamy scale is used for scoring socioeconomic class.
MATERNAL LITERACY VS SAM
illiterate primary higher0
102030405060708090
24
7
69
6 10
84
cases
controls
Severe Acute Malnutrition is defined as weight for height less than -3SD and/or visible severe wasting and/or edema of both feet (excluding other causes of edema), mid arm circumference less than 11.5 cm among 6m- 59m children.
Globally, 17.3 million children, or 2.6% of the pre-school aged children, were severely wasted in 2012 . With a national prevalence of severe wasting of 6.8%, or approximately 8.4 million children, India is home to about half the total wasted.
According to National Family Health Survey (NFHS) III there are nearly 57 million undernourished children in India which is 1/3 of the world’s share .
Chi square value 12 , P value < 0.01 (SIGNIFICANT)
BOTTLE FEED VS SAM
yes no0
102030405060708090
100
5347
14
86
P value < 0.01 (SIGNIFICANT
COLSTRUM VS SAM
Given Not given0
102030405060708090
100
62
38
88
12
P value < 0.01 (SIGNIFICANT)
REFERENCES
CONCLUSION/SUMMARY
1. Amsalu S, Tigabu Z. Risk factors for severe acute malnutrition in children under the age of five; A casecontrol study. Ethiop J Health Dev 2008;222. Risk factors for severe acute malnutrition in children under the age of five year in Sukkur Pak J Med Res , Vol 51, No 4,2012 3. Nahar B, Ahmed T, Brown KH, Iqbal H. Risk factors associated with severe underweight among young children reporting to a diarrhoea treatment
facility in Bangladesh. J Health Popul Nutr 2010;28:476-83.4. Sharghi A, Kamran A, Faridan M. Evaluating risk factors for protein-energy malnutrition in children under the age of six years: a case-control study
from Iran. Int J Gen Med. 2011; 4: 607-611.5. Dhatrak PP, Pitale S, Kasturwar NB, Nayse J, Relwani N. Prevalence and Epidemiological Determinants of Malnutrition among Under-Fives in an
Urban Slum, Nagpur. Natl J Community Med 2013; 4(1): 91-5.6. World Health Organization multi-centre growth reference study group. World Health Organization. Geneva (2006). WHO child growth standards:
Length/heightfor-age, weight-for-age, weight-for-length, weight-for-height and body mass indexfor-age: Methods and Development.
• Inappropriate infant and young child feeding practices, poor maternal education and poor socioeconomic status are identified as risk factors for severe acute malnutrition.
• There is a need to have a targeted approach to modify these risk factors.• There is a need to strengthen feeding practices and improve the knowledge of parents or
caregivers regarding feeding methods.
This study shows statistically significant association between severe acute malnutrition and feeding practices and socioeconomic class. SAM is associated with delayed initiation of breast feeding with p value <0.01 , lack of colustrum feeds with p value <0.01, lack of exclusive breast feeding for 6 m with p value < 0.01, dilution of top feeds with p value 0.02, bottle feeds with p value <0.01, maternal illiteracy with p value <0.01, low socioeconomic status with <0.01.
RESULTS
