62 Malnutrition refers to deficiency, excess, or an impaired utilization of one or more essential nutrients. Triggiani V, Tafaro E, Giagulli VA, et al. gnc@unicef.org. The statistical significance was declared at p value<0.05 with 95% confidence intervals in the final model. A., Batjargal J., Gereljarga B., Davaalkham D. Nutritional status of under-five children in Mongolia. Malnutrition refers a pathological state resulting from relative or absolute deficiency or excess of one or more essential nutrients [2]. Moreover, mother's education (AOR=4.06, 95% CI: 2.018.19), sex of child (AOR=1.83, 95% CI: 1.292.94), prelacteal feeding (AOR=2.81, 95% CI: 1.643.72), and immunization status of child (AOR=3.17, 95% CI: 2.144.99) were significantly associated with underweight. 42 Majority of respondents, 758 (90.2%), were currently married. The article searches and screening activity was performed by two reviewers (AAZ and SET). Egata G., Berhane Y., Worku A. Predictors of acute undernutrition among children aged 6 to 36 months in east rural Ethiopia: a community based nested casecontrol study. Objective: The main aim of this study was to determine the magnitude of treatment outcomes of severe acute malnutrition and associated factors among under Then the abstract and full document of remaining articles was examined. Furthermore, the government has planned to reach the zero-level under nutrition by 2030 [21]. The prevalence of severe malnutrition practice among under five years children in Ethiopia was 14.89% (95%CI: 13.93%, 15.91%), and ranges from 4.58% in Addis Ababa to 25.81% in the Afar region. Moreover, the independent predictors positively y associated with increasing underweight were being illiterate mother, being male child, prelacteal feeding practices, and not fully immunized child. Children who had diarrhoeal disease in the past two weeks prior to the study were 4.6 times more likely to be wasted than those children without diarrhoeal disease. The pooled log OR and its 95% CI was determined to identify the effect of malnutrition on the academic performance of primary school children. Prevalence of malnutrition and associated factors among children aged 659 months at Hidabu Abote district, North Shewa, Oromia regional state. However, a study from Bennin reported that underweight cannot affect the cognitive development of children. malnutrition, Clinical Instructor Guide. PDF Copyright Nutrition Cluster 2023. Visual observation of the funnel plot indicated the presence of some publication bias (Figure 5). It includes the latest World Health Organisation (WHO) Bethesda, MD 20894, Web Policies Efforts such as School Feeding Program have been made to improve the nutritional status, enrollment, attendance, retention, and completion rate of students.2325 However, still many school children suffer from poor nutrition and academic achievement. The funnel plot asymmetry was statistically checked using Eggers and Beggs test. A p value of<0.05 was considered to declare the result as statistically significant. The GBD 2019 study used subnational data to generate estimates of national and regional health progress in Ethiopia from 1990 to 2019, and measure disparities between regions and cities. In Afar Regional State, the prevalence of wasting, stunting, and underweight among under-five children were 19.5%, 50.2%, and 40.2%, respectively, which is the highest as compared to the national average and across other regions [22]. Studies conducted out of Ethiopia and with unrelated topics were excluded. target population38,39 and we cannot get the 2 2 table and the OR.40,41 Finally, 10 articles were included in this SRMA (Figure 1). Teferi M. B., Hassen H. Y., Kebede A., Adugnaw E., Gebrekrstos G., Guesh M. Prevalence of stunting and associated factors among children aged 0659 months in Southwest Ethiopia: a cross-sectional study. This indicted that investigating the problem and identifying its causative factors within this context is an important step to design appropriate strategies to mitigate the problem. Other earlier studies from other specific regions and localities of the country also indicated the prevalence of wasting in the range 11%24%, stunting 3549%, and underweight 2148% [7, 2327]. Based on the subgroup analysis, the academic performance was highest in Oromia 69% (95% CI: 59%, 78%) followed by Amhara 62% (95% CI: 42, 83%) and then SNNP 42% (95% CI: 32%, 52%). This is in agreement with other studies done in Ethiopia, Libo-Kemekem district [46] and Benna Tsemay district [55], and other countries like Bangladesh [9]. All independent variables that were associated with the outcome variables (wasting, stunting, and underweight) in bivariate analysis (with p value<0.20) were included in the final multivariable logistic analysis. Ethical approval: Ethical approval for this study was obtained from Wollo University, College of Medicine and Health Sciences Ethical Review Committee (CMHS 857/13/13). This study aimed to assess the prevalence of malnutrition and In Africa, the prevalence of iodine deficiency among school-age children was 39.3%. Popat C., Chaudhari A., Mazumdar V., Patel S. A cross sectional study to measure the prevalence of malnutrition and factors associated with malnutrition among under five children of an urban slum of Vadodara city. The .gov means its official. Studies that passed through this selection process were included in the review. Malnutrition (SAM) in 2007, and the Guideline for the Management of Moderate Acute Malnutrition (MAM) This includes personalizing your content. Children in the age range of 1223, 2534, and 3559months were about 3.4, 3.6, and 4.4 times, respectively, higher risk to be stunted than children of 611months of age ranges. For instance, a study from Dera District and southern Ethiopia reported that stunting was not a factor for academic performance.26,27 Whereas studies from northwest Ethiopia and Lalibela stated that stunting and being underweight were factors for poor academic performance.28,29 There is no nationally representative information on the effect of malnutrition on the academic performance of primary school children. 66. 34 Careers, Unable to load your collection due to an error. Hunger Hotspots: FAOWFP early warnings on acute food Gods Messenger: Meeting Kids Needs is a brand new web site created especially for teachers wanting to enhance their students spiritual walk with Jesus. This finding was in agreement with a study from Benin. Predictors of the number of under-five malnourished children in Bangladesh: application of the generalized poisson regression model. In Ethiopia, the country with the highest burden of malnutrition, 44 and 27% of children under 5 years and under 6 months are affected, respectively [2, 11]. National Nutrition Program | MINISTRY OF HEALTH - Ethiopia Maternal and child undernutrition: global and regional exposures and health consequences. Please visit our K-12 lessons and worksheets page. Among the variables entered into bivariate logistic regression analysis, mother's occupation, family size, place of delivery, initiation of breastfeeding, prelacteal feeding, diarrhoea in the last two weeks, and presence of latrine were associated with wasting at p value<0.25. 68 However, wasting was slightly higher in males, 83 (9.9%) than in females, 53 (6.3%) (Figure 1). The most immediate determinants are inadequate dietary intake and disease which are themselves caused by a set of underlying factors: household food insecurity, poor maternal/child caring practices, and lack of access to basic health services including lack of safe water supply and unhealthy living environment such as open defecation [15, 16]. Malnutrition is an umbrella term that covers undernutrition and overweight, obesity and dietrelated noncommunicable diseases (NCDs) such as heart disease, stroke, diabetes and cancer. 726 (86.4%) of respondents were illiterate, and 678 (79.8%) of them were housewives by occupation (Table 1). 51 And sex of child (AOR=1.98, 95% CI: 1.462.72), age of child ((1223months: AOR=3.44, 95% CI: 2.245.29); (2435months: AOR=3.58, 95% CI: 2.255.69); and (3659months: AOR=4.42, 95% CI: 2.796.94)), and immunization status of child (AOR=3.34, 95% CI: 1.314.81) were predictors for stunting. Furthermore, sex of child, age of child and child immunization status were the independent predictors for stunting. The other possible reason also might be that malnourished children would have more diarrhoeal episodes and a child with diarrhoea losses weight and can quickly become malnourished. Before Impact of malnutrition on the academic performance of As a result, the country has demonstrated a promising progress in reducing child malnutrition over the past decades. Sharifzadeh G., Mehrjoofard H., Raghebi S. Prevalence of malnutrition in under 6-year olds in South Khorasan, Iran. Child feeding practices such as exclusive breastfeeding (EBF) were understood as feeding a child only breast milk without anything else for the first six months of life, with the exception of medicines for therapeutic purpose [33]. In addition, a systematic review in Trinidad and Tobago stated that females had better performance than males. The Ethiopian government has been implementing a number of strategies such as the 2004 National Strategy for IYCF practices, the 2005/2006 National Nutrition Strategy, and the 2008 National Nutrition Program [1820]. Disagreement between investigators was solved by discussion and consensus. Malnutrition among school age can result in impaired cognitive and motor development, which may undesirably upset academic performance through reduced learning capacity and poor school attendance.10,11. Malnutrition, A Major Health Challenge in Kersa, Ethiopia This study showed that wasting and underweight among children who received prelacteal feeding at the time of birth were 3.8 and 3.2 times, respectively, higher than children who did not receive prelacteal feeding at the time of birth. Evidence from 2019 Ethiopian Demographic Health Demographic and socioeconomic characteristics of respondents in Dubti district, Afar Regional State, Northeast Ethiopia, May, 2017 (n=840). However, it was statistically disproved by the Eggers (p=0.96) and Beggs test (p=0.72). 58 Japan International Cooperation Agency (JICA). Thyroid hormone is necessary for many body processes such as thermal and metabolic regulation, organ and neurological development, and function of the central nervous system by regulating the genetic expression and cell differentiation of the brain.6365 Therefore, iodine deficiency significantly lowers cognitive capacities ranging from mental retardation to impaired development of intelligence and academic performance. 3 Malnutrition in any of its forms is a significant public health problem. Tadesse A., Hailu D., Bosha T. Nutritional status and associated factors among pastoralist children aged 623 months in Benna Tsemay Woreda, South Omo zone, Southern Ethiopia. In the current study, presence of diarrhoeal disease was significantly associated with increasing prevalence of wasting. 59 Prevalence of acute malnutrition and its associated factors among children aged 659 months in Mai-Aini Eritrean refugees camp, Northern Ethiopia. Prevalence of malnutrition by sex among under-five children in Dubti district, Afar Regional State, Northeast Ethiopia, 2017 (n=840). 2 Double Burden of Malnutrition among Female Adolescent Introduction. But, it was much higher than other studies done in Ethiopia like Somali region, 22.9% [31], Dollo Ado district, 34.4% [26], Gumbrit district, 24.0% [42], and other countries including Kenya, 28.9% [43], Sudan, 24.9% [44], and Mongolia [45]. High burden of undernutrition among primary school-aged children and its determinant factors in Ethiopia; a systematic review and meta-analysis, Nestle Nutr Workshop Ser Clin Perform Programme, Nutritional status of primary schoolchildren in Garhwali Himalayan villages of India. Of the studied children, 352 (41.9%) of them started breastfeeding immediately after birth within one hour. critical appraisal tool was used to assess the quality of each paper. WebNutrition trends in Ethiopia: The 2019 mini EDHS estimated the national prevalence of stunting among children at 37 percent, the prevalence of underweight at 21 percent and The presence of publication or small study bias had been assessed by Funnel plots, Eggers weighted regression test, and Beggs rank correlation test. The highest frequency was reported from Lalibela, Amhara region 85% (95% CI: 82%, 88%) and the lowest was from Meskan, SNNP region 32% (95% CI: 27%, 37%; Figure 2). Prior to the interview, verbal informed consent was obtained from all participants after explaining about the objective of the study, and it was confirmed that the information will be kept confidential. The data used to support the findings of this study are available from the corresponding author upon request. Careers, Unable to load your collection due to an error. In this review, the odds of good academic performance were lower among girls than boys. Whenever there were two or more 659months old children, the youngest child was selected to avoid recall bias. In this study, the final analysis included 840 mothers with their children aged 659months, making the response rate of 99.5%. Many studies in Ethiopia, Dollo Ado district [26], Bule Hora district [54], and Benna Tsemay district [55], and other developing countries, Kenya [40], Indonesia [56], and Pakistan [50], reported similar results. 69 Subgroup analysis by region for the pooled good academic performance of elementary school children in Ethiopia, 20132021. WebThe burden of malnutrition at a glance. Federal government websites often end in .gov or .mil. The result was presented in text, tables, and graphs based on the types of data. A qualitative study reported that teachers have complained about their students poor academic performance in school. Habyarimana F., Zewotir T., Ramroop S. Key determinants of malnutrition of children under five years of age in Rwanda: simultaneous measurement of three anthropometric indices. Studies conducted in Bule Hora district, Ethiopia [54], Mai-Aini Eritrean Refugees' Camp, Ethiopia [61], and Hidabu Abote district, Ethiopia [12] have revealed consistent with current study. 5 Federal government websites often end in .gov or .mil. MALNUTRITION A., et al. Andersson M, Karumbunathan V, Zimmermann MB. Author contributions: All authors contributed to data analysis, drafting, and revising the article, gave final approval of the version to be published, and agreed to be responsible for all aspects of the work. Janevic T., Petrovic O., Bjelic I., Kubera A. In Ethiopia, the prevalence of wasting, underweight, and stunting among primary school children were 17.7%, 18.2%, and 21.3%, respectively. And, the risk of developing underweight among children who had illiterate mothers was 4.1 times higher than children whose mothers were literate which showed that as mother's educational level increased, child nutritional well-being also increases. This study, which used data from the 2019 mini DHS, was to look at the determinants of under-five malnutrition, policy implications, and significant changes in In contrast to this study finding, a review conducted on rural and urban areas reported that rural students had a better academic performance than urban students. Both crude and adjusted odds ratios together with their corresponding 95% confidence intervals were computed to see the strength of association between the outcome and independent variables. 3 Malnutrition in any of its forms is a significant public health problem. Hence, region is not the source of heterogeneity (Figure 3). Design: We defined DBM using anthropometric measures for adult overweight (BMI 25 kg/m2), child stunting (height-for-age Z-score <-2 sd) and overweight (weight-for-height Z-score 2 sd). Anthropometric classifications were based on global standards: <3 SD, <2 SD, and 2 SD. 7 HHS Vulnerability Disclosure, Help This result indicated the prevalence of child malnutrition (wasting, stunting, and underweight) was a serious public health problem in the pastoral community according to the WHO classification for public health significance. This study concluded that malnutrition in the form of stunting, underweight, and iodine deficiency affected the academic performance of elementary school children in Ethiopia. Amritanshu K., Banerjee D. P., Ranjan B., Manali K. Nutritional status of children attending OPD at tertiary care hospital in Katihar, Bihar. Maternal illiteracy, male child, prelacteal feeding, and not fully immunized child were factors affecting underweight. Design: We defined Being male child, increasing age child, and not fully immunized child were the independent predictors for increasing stunting. In addition, 245 (29.9%) of studied children were exclusively breastfed for six months. If you think there should be more material, feel free to help us develop more! So, the Ministry of Health worked better to strengthen the nutrition intervention at the critical periods of brain development. The pooled prevalence was calculated to estimate the prevalence of good academic performance. Of the total interviewed households, about 724 (86.2%) of them owned livestock. The analysis of the three anthropometric indices revealed that the prevalence of wasting, stunting, and underweight were 16.2% (95% CI: 12.9%19.9%), 24.8% (95% CI: 20.8%29.1%), and 43.1% (95% CI: 38.4%47.9%), respectively. 69 Impact of stunting on early childhood cognitive development in Benin: evidence from Demographic and Health Survey, Impact of early-onset persistent stunting on cognitive development at 5 years of age: results from a multi-country cohort study, Stunting and academic achievement among Vietnamese children: new evidence from the young lives survey, The importance of the first 1,000 days: an epidemiological perspective: the biology of the first 1,000 days, Worldwide timing of growth faltering: revisiting implications for interventions, The stunting syndrome in developing countries, Long-term consequences of stunting in early life, Iodine and mental development of children 5 years old and under: a systematic review and meta-analysis, Iodine and neuropsychological development. Quality of the articles was assessed using the Joanna Briggs Institute critical appraisal tool. Black R. E., Allen L. H., Bhutta Z. Publication bias was visually identified by funnel plots. 33 Factors associated with underweight among under-five children in Dubti district, Afar Regional State, Northeast Ethiopia, 2017 (n=840). Food security status of the households was determined based on nine standard Household Food Insecurity Access Scale (HFIAS) questions that were developed for this purpose by Food and Nutrition Technical Assistance (FANTA). All included articles were full text and done using a cross-sectional study design with one prospective cohort. This SRMA was registered in PROSPERO with a registration number CRD42021242269. 14 Among the total mothers interviewed, 494 (58.8%) of them attended antenatal care visit child and 357 (42.5%) of mothers delivered at health institution for their index child. This could partially be explained that nonimmunized children could be at risk of many vaccine preventable diseases such as diarrhoea and respiratory infections, which might result in depleting nutrients from the body. Conversely, children from highly educated parents may consider their parents as role models for their academic success. Therefore, children living in households with greater than or equal to five family members were 2.72 times more likely to be wasted than those children living in households with less family members (AOR=2.72, 95% CI: 1.624.55). Make sure you have Adobe Acrobat Reader v.5 or above installed on your computer for viewing and printing the PDF resources on this site. YS, AG, and AM conceived the study, developed the tool, conducted the research, carried out the statistical analysis, and wrote manuscript. 15 The possible explanation for this difference in prevalence could be due to a difference in the socioeconomic, agricultural productivity, food insecurity at household level, and nomadic nature of the population. and a maximum of 1254 These presentations help teach about Ellen White, her ministry, and her writings. Khan G. N., Turab A., Khan M. I., et al. This finding was in line with other studies conducted in Ethiopia, Metekele Zone [39], Shinille district [62], EDHS report [22], and other countries such as Zambia [63]. According to analysis of independent variables with the outcome variables, households having a family size of five or more, receiving prelacteal feeding, and presence of diarrhoeal disease in the past two weeks were the independent predictors for increasing wasting. Then, the calculated sample size (844) was proportionally allocated to the selected kebeles based on the total number of households with 659months children in each kebele. Those studies that were not eligible based on the full-text assessment were excluded and reasons were described. 8 9 Demilew Y. M., Abie D. D. Under nutrition and associated factors among 2436-month-old children in slum areas of Bahir Dar city, Ethiopia. National Library of Medicine All authors read and approved the final manuscript. Furthermore, it also was lower than the study done in the pastoral communities of Dollo Ado district, Eastern Ethiopia, 42.3% [26]. ISSN: 0034-6659 Article publication date: 31 August 2022 Permissions Issue publication date: 28 February 2023 Downloads 69 Abstract Purpose This study aims to examine the differences within individuals and clusters in nutritional status and identify socioeconomic factors in the nutritional status of under-five children in Ethiopia. The site is secure. The study was conducted in Dubti district located at a distance of 850km from the capital, Addis Ababa, and 80km from the regional capital, Semera, in Northeast direction of Ethiopia. two guidelines. Similar results have been reported from Libo-kemekem district, Ethiopia [46], Hawassa Zuria, Ethiopia [25], Kenya [40], and India [59]. Kelati H., Mengiste B., Alemayehu T., Damtew B. malnutrition in Ethiopia Ethiopia Accordingly, the calculated sample size for prevalence of stunting was relatively largest (n=384) and was taken as the sample size for this study. 43 Six health-extension workers for data and two BSc nurse supervisors who are fluent speakers of the local languages (Afaraff) including the principal investigator were involved in the data collection process. The pooled prevalence of good academic performance among elementary school students in Ethiopia was 58% (95% confidence interval: 48%, 69%). A due emphasis should also be given to strengthen the health extension program to improve and provide participatory nutrition education to create awareness and to develop behavior change communication for better child feeding and caring practices in the pastoral community. WebMore than 90% of undernourished Pa ge 3/ 28 people live in developing countries [2]. Malnutrition refers to deficiency, excess, or an impaired utilization of one or more essential nutrients. Although the prevalence of child malnutrition is relatively well documented among agrarian communities and urban dwellers of Ethiopia, evidence on the nature, prevalence, and factors affecting for child malnutrition in pastoralist communities is limited. Of the total respondents, 806 (96.0%) and 804 (95.7%) of them were Afar in their ethnicity and Muslims in their religion, respectively.
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