International Journal of Child Health and Nutrition

Number 9/1, 2020

1-8
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, Barro Makoura, Paré Boyo Constant, Ouédraogo Ibrahima, Bambara Habibata, Zoungrana Chantal, Kaboré Rolande, Ouédraogo Flore, Sawadogo Oumarou, Yonaba Caroline, Dahourou Lucien Desiré, Kouéta Fla

Abstract

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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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Nutrient Intakes among Jordanian Adolescents Based on Gender and Body Mass Index

Authors: Thana’ Y. ALjaraedah, Reema F. Tayyem, Hamed R. Takruri

Abstract

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Background: This study was conductedto examine the dietary intakes of macro- and micronutrients for a Jordanian adolescents based on gender and compare their intake to the Dietary Recommended Intakes (DRIs). Methods: A sample of 398 male and female adolescents, aged 14-18 years, were recruited from private and public schools using convenience sampling. Socio-demographic questionnaire and 3-days food record were self-reported. Bodyweight and height were measured and body mass index (BMI) was calculated for all participants. Results: There were no significant differences between male and female adolescents regarding the intake of micro and macronutrientsexcept for protein, insoluble fibre, saturated fat, cholesterol, omega-6, vitamin E and calcium. The intake of insoluble fibre (g/day), omega-6(g/day), and vitamin E (mg/day) was significantly higher in female adolescents (3.1±0.1, 5.6±0.5, and 3.1±0.3, respectively, P≤0.05) compared to male adolescents (2.9±0.1, 5.1±0.4, and 2.5±0.2, respectively, P≤0.05). On the other hand, the intakes of protein (g/day), saturated fat (g/day), cholesterol (mg/day), calcium (mg/day) were significantly higher in male adolescents (90.1±2.3, 31.7±1.0, 339.2±18.3, and 651.5±27.8) as compared with female adolescents (79.2±2.1, 29.2±1.2, 263.6±14.9, and 555.2±21.7) (P≤ 0.05). Comparing of the adolescents’ nutrients intake to the DRIs, many nutrients were found to be below or above the recommendations.Conclusion: The study findings highlighted that there is an urgent need to establish a plan of action to combat malnutrition among adolescents in Jordan

17-25
Estimation of the Family and Community Unobserved Heterogeneity Effects on the Risk of Under-Five Mortality in Nigeria using Frailty Model

Authors: Anthony I. Wegbom, Isaac D. Essi, Victor A. Kiri

Abstract

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The Under-five mortality (U5M) rate is an important determinant of societal and national advancement- a key marker of wellbeing, value, and access. In spite of efforts to identify the predictors of U5M to reduce its high level in Nigeria, the problem remains a major cause for concern. This study estimated the potential role of unmeasured/unobserved factors at both family and community levels, using shared frailty models on the 2013 Nigeria Demographic and Health Survey (2013 NDHS) data. The Log-rank test was used to identify variables associated with U5M- hazard ratio estimates with P<0.05 were considered as statistically significant. Our findings suggested region, marital status, place of residence and place of delivery were significant determinants of U5M in both frailty models. We also found evidence of frailty effect on the risk, particularly at the community level- heterogeneity due to unmeasured/unobserved factors, which are generally ignored when we assess the risk using only observed variables. We, therefore, suggest that to achieve the sustainable development goals relating to child health in Nigeria, more significant efforts should be directed at identifying more determinants, such as to reduce the influence of unobserved factors and facilitate an extension of interventions to these factors.

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Natural Antioxidants and Vitamins Supplementation Shelters Adolescents from Upper Respiratory Tract Infection

Authors: Nathalie Chahine, Moni Nader, Wissam Chalhoub, Ramez Chahine

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Context: Several decades of dietary research recommended the consumption of antioxidants and vitamins rich foods as a protective tool against a broad portfolio of diseasesAims: This study aims to test if oral supplementation of natural antioxidants and vitamins before the winter season, may reduce the occurrence of upper respiratory tract infection (URTI) in adolescents.Settings and Design: Natural antioxidants and vitamins supplements were given to 90 adolescents (45 males, and 45 females) from an orphanage against a placebo during three months in a double-blind fashion.Methods and Material: Saliva was collected before and after supplementation. The antioxidant activity of saliva was determined in vitro using electrolysis as a free radical generating system. Additionally, total antioxidant activity, glutathione and ascorbic acid levels in the saliva were evaluated before and after supplementation. The URTI frequency was recorded throughout the winter season (3 months). Statistical Analysis: All values were expressed as means ± SEM. Significance of the results was assessed using Student's t-test and Fisher’s test Results: Data indicated that only five individuals from the group that received antioxidants and vitamins supplements manifested URTI while 14 adolescents from the non-supplemented group showed symptoms of URTI. Biochemical analysis revealed that the saliva in provenance from the supplemented group exhibited a higher capacity to scavenge free radicals compared to its capacity before supplementation. This supplementation also increased the total antioxidant activity and the levels of both ascorbic acid and glutathione in the saliva. Conclusions: We concluded that oral intake of antioxidants and vitamins protects against URTI through increased antioxidant activity

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Prioritizing the Prevention of Child-Family Separation: The Value of a Public Health Approach to Measurement and Action

Authors: Hani Mansourian

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Disaster-affected children are among the most vulnerable populations and face a wide range of threats to their health and wellbeing. One of the most significant risks to children is separation from their family, a problem that occurs in most humanitarian contexts. Because separation can have lasting adverse consequences for children’s health and wellbeing, child protection actors frequently develop programs to respond to the needs of separated children. However, methods to measure prevalence, characteristics, and root causes of separation are scarce and rarely deployed in humanitarian settings. Existing measurement and programmatic approaches focus primarily on responding to already separated children and give little attention to the prevention of separation at a population level, the context and prevalence of separation, and the root causes of separation. Analyzing how a public health approach helps to fill these gaps, this paper presents a systematic, conceptual and practical case for incorporating a public health approach in the measurement of and programming for separation of children in humanitarian settings. It argues that a population-level, preventive approach to measurementand programming will complement the more common case-based, responsive approach to separation of children and enableschildren’s well-being amidst adversity