Determinants of Undernutrition among Young Children Living in Soth Nikum District, Siem Reap, Cambodia.
Cambodia
determinant
dietary intake
nutritional status
young children
Journal
Nutrients
ISSN: 2072-6643
Titre abrégé: Nutrients
Pays: Switzerland
ID NLM: 101521595
Informations de publication
Date de publication:
22 Mar 2019
22 Mar 2019
Historique:
received:
27
02
2019
revised:
17
03
2019
accepted:
18
03
2019
entrez:
27
3
2019
pubmed:
27
3
2019
medline:
26
7
2019
Statut:
epublish
Résumé
Child undernutrition is of public concern in Cambodia. An understanding of factors influencing child nutritional status is essential to design programs that will reduce undernutrition. Using the UNICEF conceptual framework of causes of malnutrition, our research investigates the relationship between nutritional status of children aged 6⁻23 months and its immediate and underlying determinants. Baseline data from a cluster-randomized controlled trial aiming to assess the impact of the promotion of optimal feeding practices combined or not with the provision of local foods among 360 children 6⁻23 months of age were used. Anthropometry and biochemical measurements were performed at baseline. Data on each determinant of undernutrition were collected through interviews and direct observations. Our results show that the degree of satisfaction of proteins and zinc requirements as well as the access to improved water sources and sanitation were positively associated with length-for-age, while having a better health status and a higher degree of satisfaction of energy, protein, zinc, and iron requirements were associated to an improved weight-for-length. Only child health status was associated to ferritin. Our results reiterate the importance of improving child diet and health status, but also the access to a healthy environment to ensure an optimal nutritional status.
Sections du résumé
BACKGROUND
BACKGROUND
Child undernutrition is of public concern in Cambodia. An understanding of factors influencing child nutritional status is essential to design programs that will reduce undernutrition. Using the UNICEF conceptual framework of causes of malnutrition, our research investigates the relationship between nutritional status of children aged 6⁻23 months and its immediate and underlying determinants.
METHODS
METHODS
Baseline data from a cluster-randomized controlled trial aiming to assess the impact of the promotion of optimal feeding practices combined or not with the provision of local foods among 360 children 6⁻23 months of age were used. Anthropometry and biochemical measurements were performed at baseline. Data on each determinant of undernutrition were collected through interviews and direct observations.
RESULTS
RESULTS
Our results show that the degree of satisfaction of proteins and zinc requirements as well as the access to improved water sources and sanitation were positively associated with length-for-age, while having a better health status and a higher degree of satisfaction of energy, protein, zinc, and iron requirements were associated to an improved weight-for-length. Only child health status was associated to ferritin.
CONCLUSION
CONCLUSIONS
Our results reiterate the importance of improving child diet and health status, but also the access to a healthy environment to ensure an optimal nutritional status.
Identifiants
pubmed: 30909463
pii: nu11030685
doi: 10.3390/nu11030685
pmc: PMC6471553
pii:
doi:
Substances chimiques
Dietary Proteins
0
Drinking Water
0
Zinc
J41CSQ7QDS
Types de publication
Journal Article
Langues
eng
Subventions
Organisme : World Vision Canada
ID : H1CH5A6P1A
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