Fufa Dinaol Abdissa, Laloto Teshale Darebo
Department of Nutrition and Reproductive Health, School of Public Health, College of Health and Medical Sciences, Mizan-Tepi University, Mizan-Aman, Ethiopia.
Heliyon. 2021 May 18;7(5):e07072. doi: 10.1016/j.heliyon.2021.e07072. eCollection 2021 May.
Malnutrition is a term used to refer a condition of both excessive and under-nutrition. Even in the 21 c, it is yet among the major public health challenges that affect the health, growth, and development of millions of children across continents. Studies show that malnutrition during early childhood could result in devastating long-term effects such as poor school performance, weak immune system, and growth and development. Unfortunately, Ethiopia is among the developing countries hard hit by the problem of malnutrition (under-nutrition).
To assess the magnitude of stunting, wasting, and underweight and risk factors associated with them; among Children aged between 6- 36 months.
A community-based cross-sectional study design was conducted on 700 study participants from April to May 2020. Nutritional status of children aged between 6-36 months was determined based on the WHO reference population with Z score ≤ -2 SD (HAZ, WHZ and WAZ) was looked upon for stunting, wasting and underweight accordingly. Data were collected through structured and measuring anthropometric of the eligible sample unit. The questionnaire data were first entered into Epi-data and later analyzed following binary and multiple logistic regression analysis procedures with the help of IBM SPSS 26. Adjusted odds ratios, with 95% CI of the association and statistical significance declared at P-values ≤ 0.05 in this study.
In the present study, the response rate of the respondent was 100%. Factors significantly associated with undernutrition: stunting, Mothers who have no formal education (AOR = 2.58, 95% CI; 1.44-4.63), food insecure (AOR = 1.9, 95% CI; 1.23-2.9) and children had no feeding plate (AOR = 1.53, 95% CI; 1.07-2.19).
have not individual feeding plate (AOR = 2.39, 95% CI; 1.42-4.03), poor dietary diversity (AOR = 1.82, 95% CI; 1.23-2.69) and food insecurity (AOR = 4.24, 95% CI; 2.68-6.71).We have also identified age between 6-11 months (AOR = 6.81, 95% CI; 2.93-15.79), 12-23 months (AOR = 2.28, 95% CI; 1.03-5.06), food insecure (AOR = 10.34, 95% CI; 5.22-20.45) and poor dietary diversity (AOR = 5.58, 95% CI; 2.36-13.19) as risk factors associated with wasting.
This study relived that six variables significantly associate with undernutrition. These are: children have not his/her own feeding plate, household food insecurity, mother who had no formal education, poor dietary diversity and children aged between 6-11months and children age 6-23 months. Based on the findings of this study, the following recommendations are made. First, strategies and programs targeted towards the reduction and prevention of undernutrition among 6-36-month children should be made at all level to improve childhood nutritional status. Second, provide health information to families regarding the importance of separating children's feeding plate. Three, provide nutritional counselling about feeding practice and dietary diversity for mothers who have no formal education.
营养不良是一个用于指代营养过剩和营养不足状况的术语。即使在21世纪，它仍是影响各大洲数百万儿童健康、生长和发育的主要公共卫生挑战之一。研究表明，幼儿期营养不良可能会导致长期的严重后果，如学业成绩不佳、免疫系统薄弱以及生长发育问题。不幸的是，埃塞俄比亚是受营养不良（营养不足）问题严重影响的发展中国家之一。
评估6至36个月儿童的发育迟缓、消瘦和体重不足的程度及其相关风险因素。
于2020年4月至5月对700名研究参与者进行了一项基于社区的横断面研究设计。根据世界卫生组织参考人群确定6至36个月儿童的营养状况，相应地，Z评分≤ -2标准差（身高别年龄Z评分、体重别身高Z评分和年龄别体重Z评分）用于评估发育迟缓、消瘦和体重不足情况。通过对符合条件的样本单位进行结构化和人体测量来收集数据。问卷数据首先录入Epi - data，随后借助IBM SPSS 26按照二元和多元逻辑回归分析程序进行分析。本研究中，调整后的优势比、95%置信区间以及在P值≤ 0.05时声明的关联和统计学意义。
在本研究中，应答率为100%。与营养不足显著相关的因素：发育迟缓、未接受过正规教育的母亲（调整后优势比 = 2.58，95%置信区间；1.44 - 4.63）、粮食不安全（调整后优势比 = 1.9，95%置信区间；1.23 - 2.9）以及儿童没有餐盘（调整后优势比 = 1.53，95%置信区间；1.07 - 2.19）。
没有个人餐盘（调整后优势比 = 2.39，95%置信区间；1.42 - 4.03）、饮食多样性差（调整后优势比 = 1.82，95%置信区间；1.23 - 2.69）以及粮食不安全（调整后优势比 = 4.24，95%置信区间；2.68 - 6.71）。我们还确定6至11个月（调整后优势比 = 6.81，95%置信区间；2.93 - 15.79）、12至23个月（调整后优势比 =
