TY - JOUR
T1 - Profile of Children with Undernutrition Admitted in Two Secondary-Level Hospitals in Maputo City, Mozambique
AU - Cossa-Moiane, Idalécia
AU - Roucher, Clémentine
AU - Campos-Ponce, Maiza
AU - Doak, Colleen
AU - Bauhofer, Adilson
AU - Chissaque, Assucênio
AU - Prista, António
AU - de Deus, Nilsa
AU - Polman, Katja
N1 - This article belongs to the Special Issue Malnutrition and Food Fortification in Low- and Middle-Income Countries
PY - 2024/4/1
Y1 - 2024/4/1
N2 - Mozambique has one of the highest child undernutrition rates in Sub-Saharan Africa. The aim of this study was to characterize the profile of children from 1 to 14 years old hospitalized for undernutrition and to explore associated risk factors. Clinical, demographic, socioeconomic, and environmental data were collected. Anthropometric measurements and stool samples were collected from a child and their caretaker. The wealth index was determined using Principal Components Analysis. A total of 449 children and their caretakers were enrolled. The children had a median age of 1.0 year [IQR: 1.0-2.0], and 53.9% (242/449) were male. Most were admitted with severe undernutrition (35.7%, 159/449 kwashiorkor and 82.0%, 368/449 with -3SD Z-score indexes). The most common co-morbidities were HIV (30.0%, 120/400), diarrhea (20.0%; 80/400), and anemia (12.5%; 50/400). Among the caretakers, 9.5% (39/409) were underweight, 10.1% (40/397) were overweight, and 14.1% (56/397) were obese. Intestinal parasites were found in 24.8% (90/363) children and in 38.5% (77/200) caretakers. The majority of children (60.7%, 85/140) came from low- to middle-wealth households. Most were severely undernourished, suggesting that they seek medical care too late. The finding of overweight/obese caretakers in combination with undernourished children confirms that Mozambique is facing a double burden of malnutrition.
AB - Mozambique has one of the highest child undernutrition rates in Sub-Saharan Africa. The aim of this study was to characterize the profile of children from 1 to 14 years old hospitalized for undernutrition and to explore associated risk factors. Clinical, demographic, socioeconomic, and environmental data were collected. Anthropometric measurements and stool samples were collected from a child and their caretaker. The wealth index was determined using Principal Components Analysis. A total of 449 children and their caretakers were enrolled. The children had a median age of 1.0 year [IQR: 1.0-2.0], and 53.9% (242/449) were male. Most were admitted with severe undernutrition (35.7%, 159/449 kwashiorkor and 82.0%, 368/449 with -3SD Z-score indexes). The most common co-morbidities were HIV (30.0%, 120/400), diarrhea (20.0%; 80/400), and anemia (12.5%; 50/400). Among the caretakers, 9.5% (39/409) were underweight, 10.1% (40/397) were overweight, and 14.1% (56/397) were obese. Intestinal parasites were found in 24.8% (90/363) children and in 38.5% (77/200) caretakers. The majority of children (60.7%, 85/140) came from low- to middle-wealth households. Most were severely undernourished, suggesting that they seek medical care too late. The finding of overweight/obese caretakers in combination with undernourished children confirms that Mozambique is facing a double burden of malnutrition.
KW - anthropometry
KW - children
KW - double burden of malnutrition
KW - intestinal parasites
KW - Mozambique
KW - risk factors
KW - undernutrition
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U2 - 10.3390/nu16071056
DO - 10.3390/nu16071056
M3 - Article
C2 - 38613090
AN - SCOPUS:85190489888
SN - 2072-6643
VL - 16
SP - 1
EP - 14
JO - Nutrients
JF - Nutrients
IS - 7
ER -