Prevalence of malnutrition among under-five year old children with acute lower respiratory tract infection hospitalized at Udupi district hospital

Ramesh Bhat Yellanthoor, Vishal Kumar Bharath Shah

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Background: Increased incidence and severity of acute lower respiratory tract infection (ALRI) are variably associated with malnutrition. Objectives: We aimed to examine the prevalence of malnutrition in under-five year old hospitalized children with ALRI. Patients and Methods: Children aged from 6 to 60 months, mostly from a low socioeconomic population, admitted with ALRI, were enrolled prospectively. WHO case definition was used for ALRI. The data about the weight, length/height, mid-arm circumference (MAC) in 1-5 year old children and acute respiratory infections (ARI) episodes in the preceding 6 months were collected in addition to demographic characteristics. Nutritional status was assessed using an age independent criteria in the form of ratio of weight (in kilograms multiplied by 100) to the length or height (in centimeter) squared. Results: Among 206 children with ALRI, 21.9% had pneumonia, 55.8% had severe pneumonia and 22.3% had very severe disease. About 85% of the children were younger than 3 years old. Male to female ratio was 1.34:1. The prevalence of malnutrition was seen in 54.9% of the children. MAC was below 13.5 cm in 59.4 %. Severe malnutrition was observed in 68.7% of 3-5 years age group and 59.4% of 1-3 years age group. Severe malnutrition had shown higher percentages among children with pneumonia and severe pneumonia. Severely malnourished children had more ARI episodes in the preceding 6 months although it was not statistically significant (OR 1.22; 95% CI 0.71-2.12; P = 0.47). Conclusions: High prevalence of severe malnutrition and its significant association with increased ALRI in 1-5 year old children highlights the need for strengthened nutrition intervention programs.

Original languageEnglish
Pages (from-to)203-206
Number of pages4
JournalArchives of Pediatric Infectious Diseases
Volume2
Issue number2
DOIs
Publication statusPublished - 01-01-2014
Externally publishedYes

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District Hospitals
Malnutrition
Respiratory Tract Infections
Pneumonia
Age Groups
Weights and Measures
Hospitalized Child
Nutritional Status
Demography
Incidence

All Science Journal Classification (ASJC) codes

  • Pediatrics, Perinatology, and Child Health
  • Infectious Diseases

Cite this

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title = "Prevalence of malnutrition among under-five year old children with acute lower respiratory tract infection hospitalized at Udupi district hospital",
abstract = "Background: Increased incidence and severity of acute lower respiratory tract infection (ALRI) are variably associated with malnutrition. Objectives: We aimed to examine the prevalence of malnutrition in under-five year old hospitalized children with ALRI. Patients and Methods: Children aged from 6 to 60 months, mostly from a low socioeconomic population, admitted with ALRI, were enrolled prospectively. WHO case definition was used for ALRI. The data about the weight, length/height, mid-arm circumference (MAC) in 1-5 year old children and acute respiratory infections (ARI) episodes in the preceding 6 months were collected in addition to demographic characteristics. Nutritional status was assessed using an age independent criteria in the form of ratio of weight (in kilograms multiplied by 100) to the length or height (in centimeter) squared. Results: Among 206 children with ALRI, 21.9{\%} had pneumonia, 55.8{\%} had severe pneumonia and 22.3{\%} had very severe disease. About 85{\%} of the children were younger than 3 years old. Male to female ratio was 1.34:1. The prevalence of malnutrition was seen in 54.9{\%} of the children. MAC was below 13.5 cm in 59.4 {\%}. Severe malnutrition was observed in 68.7{\%} of 3-5 years age group and 59.4{\%} of 1-3 years age group. Severe malnutrition had shown higher percentages among children with pneumonia and severe pneumonia. Severely malnourished children had more ARI episodes in the preceding 6 months although it was not statistically significant (OR 1.22; 95{\%} CI 0.71-2.12; P = 0.47). Conclusions: High prevalence of severe malnutrition and its significant association with increased ALRI in 1-5 year old children highlights the need for strengthened nutrition intervention programs.",
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Prevalence of malnutrition among under-five year old children with acute lower respiratory tract infection hospitalized at Udupi district hospital. / Yellanthoor, Ramesh Bhat; Shah, Vishal Kumar Bharath.

In: Archives of Pediatric Infectious Diseases, Vol. 2, No. 2, 01.01.2014, p. 203-206.

Research output: Contribution to journalArticle

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N2 - Background: Increased incidence and severity of acute lower respiratory tract infection (ALRI) are variably associated with malnutrition. Objectives: We aimed to examine the prevalence of malnutrition in under-five year old hospitalized children with ALRI. Patients and Methods: Children aged from 6 to 60 months, mostly from a low socioeconomic population, admitted with ALRI, were enrolled prospectively. WHO case definition was used for ALRI. The data about the weight, length/height, mid-arm circumference (MAC) in 1-5 year old children and acute respiratory infections (ARI) episodes in the preceding 6 months were collected in addition to demographic characteristics. Nutritional status was assessed using an age independent criteria in the form of ratio of weight (in kilograms multiplied by 100) to the length or height (in centimeter) squared. Results: Among 206 children with ALRI, 21.9% had pneumonia, 55.8% had severe pneumonia and 22.3% had very severe disease. About 85% of the children were younger than 3 years old. Male to female ratio was 1.34:1. The prevalence of malnutrition was seen in 54.9% of the children. MAC was below 13.5 cm in 59.4 %. Severe malnutrition was observed in 68.7% of 3-5 years age group and 59.4% of 1-3 years age group. Severe malnutrition had shown higher percentages among children with pneumonia and severe pneumonia. Severely malnourished children had more ARI episodes in the preceding 6 months although it was not statistically significant (OR 1.22; 95% CI 0.71-2.12; P = 0.47). Conclusions: High prevalence of severe malnutrition and its significant association with increased ALRI in 1-5 year old children highlights the need for strengthened nutrition intervention programs.

AB - Background: Increased incidence and severity of acute lower respiratory tract infection (ALRI) are variably associated with malnutrition. Objectives: We aimed to examine the prevalence of malnutrition in under-five year old hospitalized children with ALRI. Patients and Methods: Children aged from 6 to 60 months, mostly from a low socioeconomic population, admitted with ALRI, were enrolled prospectively. WHO case definition was used for ALRI. The data about the weight, length/height, mid-arm circumference (MAC) in 1-5 year old children and acute respiratory infections (ARI) episodes in the preceding 6 months were collected in addition to demographic characteristics. Nutritional status was assessed using an age independent criteria in the form of ratio of weight (in kilograms multiplied by 100) to the length or height (in centimeter) squared. Results: Among 206 children with ALRI, 21.9% had pneumonia, 55.8% had severe pneumonia and 22.3% had very severe disease. About 85% of the children were younger than 3 years old. Male to female ratio was 1.34:1. The prevalence of malnutrition was seen in 54.9% of the children. MAC was below 13.5 cm in 59.4 %. Severe malnutrition was observed in 68.7% of 3-5 years age group and 59.4% of 1-3 years age group. Severe malnutrition had shown higher percentages among children with pneumonia and severe pneumonia. Severely malnourished children had more ARI episodes in the preceding 6 months although it was not statistically significant (OR 1.22; 95% CI 0.71-2.12; P = 0.47). Conclusions: High prevalence of severe malnutrition and its significant association with increased ALRI in 1-5 year old children highlights the need for strengthened nutrition intervention programs.

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