International Journal of Child Health and Nutrition

100-114

Authors: Theresa A. Nicklas, Carol E. O’Neil, Rabab Saab, Victor L. Fulgoni

This study aimed to examine secular trends in 100% orange juice (OJ) consumption and trends in nutrient adequacy in children 2-18 years participating in the 2003-2016 National Health and Nutrition Examination Survey. The National Cancer Institute method was used to estimate the usual intake. Ten deciles of OJ consumption were determined based on intakes with non-consumers in the first decile. Nutrient adequacy was determined using the percentage below the Estimated Average Requirement (EAR) or the Adequate Intake (AI) percentage. Linear regression coefficients for changes in intake over time and across deciles of OJ were generated. Approximately 14% of the total sample consumed OJ with a mean intake of 40.0 g/d (77 KJ [0.9% of total energy intake]). Amounts of all 100% fruit juices consumed decreased by 44%, and whole fruit intake increased by approximately 32% from 2003-2016. Consumption of total energy, total carbohydrates, added sugars, and saturated fatty acids decreased. Intakes of folate, riboflavin, zinc, and vitamin C decreased from 2003-2016. The percentage of children below the EAR increased for vitamin C and zinc and decreased for vitamin A from 2003-2016. Percent of children above the AI increased for fiber. Across the deciles of OJ consumption, the percent of children with an inadequate vitamin D intake, calcium, iron, and phosphorus decreased. OJ and other 100% juices were major food sources of many nutrients consumed at levels below recommendations. One strategy to reduce inadequate intake of calcium, phosphorus, and potassium intake is to maintain or increase the consumption of OJ and other 100% juices

125-132

Authors: Shiva Raj Acharya, Shiksha Adhikari, Sandip Pahari, Yong Chul Shin, Deog Hwan Moon

Background: Malnutrition is a common public health problem among children in low and middle-income developing countries. Orphan's children are vulnerable and neglected groups in society and are more prone to malnutrition. The study aims to identify the prevalence of underweight, stunting, thinness, and factors associated with nutritional status among orphan children.Methods:Quantitative method & analytical cross-sectional research design were used to assess the nutritional status and its associated factors among orphan children in Pokhara Valley, Nepal. The sample size of 160 children was obtained by a simple random technique. The semi-structured questionnaire, digital bathroom scale, stadiometer was used as the data collection technique. Data management and analysis were done from Epi-info, SPSS 25 version, and WHO Anthro plus. Findings:The majority of children were malnourished (80.6%) with the prevalence of stunting (55.1%), thinness (13.8%), and overweight (6.9%). Prevalence of underweight, stunting, and thinness was high among the boys (85.5%, 26.3%, and 15.8%), but overweight was more prevalent among the girls (7.1%). Ethnicity, sex, age, stay duration in an orphanage, and education of caregivers was associated with the nutritional status of orphan children (p <0.05). Non-privileged children and children below 11 years were more prone to malnutrition. Conclusion:Malnutrition is highly prevalent in orphan children and needs to be addressed. There is still limited study available on the nutritional status of orphan children in Nepal. Nutritional status should be monitored regularly for early identification and timely intervention of malnutrition to promote the nutrition health status of orphan children

139-147

Authors: Mariam Abbas Soharwardi

Objective: To analyzed the role of maternal empowerment and macro-economic variables in the improvement of child health in developing economies. Methodology: Maternal empowerment has measured through five dimensions: work status, awareness, decision making, self-esteem, and self-confidence. Moreover, countries' net foods imports, countries as secular or non-secular and region are selected as macro-economic factors. On the other hand, child health has analysed through the anthropometric measure, i.e. stunting. The most recent data sets of Demographic and Health Surveys (DHS) of 38 countries have been used. Data has been analyzed through the use of binary logistic regression and explore the impact of maternal empowerment and macro-economic factors on child health. Results: The results explain the positive impact of mother empowerment in the improvement of child health. Furthermore, net food imports are positively effecting the child's health. Sub-Saharan Africa and Secular states proved to have negative impacts on child health. Most probably the more empowered mothers are more contributors and implement positive effects on their children’s health. Conclusion: The countries which can fill their food deficiencies through food imports have the probability of improved health for the next generation