Stunting and Underweight, but not Wasting are Associated with Delay in Child Development in Southwest Ethiopia.
associated factors
children
developmental delay
nutritional status
stunting
Journal
Pediatric health, medicine and therapeutics
ISSN: 1179-9927
Titre abrégé: Pediatric Health Med Ther
Pays: New Zealand
ID NLM: 101655856
Informations de publication
Date de publication:
2022
2022
Historique:
received:
16
10
2021
accepted:
16
12
2021
entrez:
20
1
2022
pubmed:
21
1
2022
medline:
21
1
2022
Statut:
epublish
Résumé
Stimulating care during childhood is the foundation for optimal health, learning, productivity, and social well-being throughout the life course. In addition, malnutrition is a major public health concern affecting up to half of children under-five years in Ethiopia. However, evidence on the causal contribution of malnutrition to delay in child development is poorly understood in Ethiopia. To identify the relationship between different forms of malnutrition and delay in child development among children in Southwest Ethiopia. A community-based survey was conducted among 507 randomly selected mother-child pairs in the Guraghe Zone, Southwest Ethiopia. A pretested tool and validated anthropometric measurements were used. Anthropometric indices (WFH, WFA, and HFA) were calculated in Anthros software. The data were summarized in mean, median, standard deviation, tables and charts. Bivariable and multivariable binary logistic regression (stepwise backward regression) models were fitted with nutritional status (wasting, stunting and underweight) and other potential factors associated with delay in child developmental. Adjusted odds ratios with 95% confidence intervals and p-values were reported. A total of 507 mother-child (12-59 months) pairs were included in the survey (97% response rate). The mean ASQ-3 score was 150 (± 23.4), with a minimum and maximum score of 45 and 270, respectively. A total of 149 (29.4%; 95% CI: 25.4-33.4) children had developmental delays, where 17.2%, 16.8%, 13.4%, 10.8%, and 10.1% had delays in gross motor, communication, problem-solving, personal-social, and fine motor skills, respectively. Children of working mothers (AOR=2.9; 1.8, 4.8), preterm births (AOR=3.2; 1.4, 7.0), early initiation of complementary feeding (AOR=2.5; 1.37, 4.6), stunting (AOR=3.0; 1.9, 4.7), underweight (AOR= 2.3; 1.1, 4.7) and low dietary diversity score (AOR=3.1; 1.3, 7.5), were predictors of developmental delay. Child development delay is a public health concern and it is strongly associated with stunting, underweight, undiversified dietary consumption, and suboptimal infant and young child feeding practices.
Sections du résumé
BACKGROUND
BACKGROUND
Stimulating care during childhood is the foundation for optimal health, learning, productivity, and social well-being throughout the life course. In addition, malnutrition is a major public health concern affecting up to half of children under-five years in Ethiopia. However, evidence on the causal contribution of malnutrition to delay in child development is poorly understood in Ethiopia.
OBJECTIVE
OBJECTIVE
To identify the relationship between different forms of malnutrition and delay in child development among children in Southwest Ethiopia.
METHODS
METHODS
A community-based survey was conducted among 507 randomly selected mother-child pairs in the Guraghe Zone, Southwest Ethiopia. A pretested tool and validated anthropometric measurements were used. Anthropometric indices (WFH, WFA, and HFA) were calculated in Anthros software. The data were summarized in mean, median, standard deviation, tables and charts. Bivariable and multivariable binary logistic regression (stepwise backward regression) models were fitted with nutritional status (wasting, stunting and underweight) and other potential factors associated with delay in child developmental. Adjusted odds ratios with 95% confidence intervals and p-values were reported.
RESULTS
RESULTS
A total of 507 mother-child (12-59 months) pairs were included in the survey (97% response rate). The mean ASQ-3 score was 150 (± 23.4), with a minimum and maximum score of 45 and 270, respectively. A total of 149 (29.4%; 95% CI: 25.4-33.4) children had developmental delays, where 17.2%, 16.8%, 13.4%, 10.8%, and 10.1% had delays in gross motor, communication, problem-solving, personal-social, and fine motor skills, respectively. Children of working mothers (AOR=2.9; 1.8, 4.8), preterm births (AOR=3.2; 1.4, 7.0), early initiation of complementary feeding (AOR=2.5; 1.37, 4.6), stunting (AOR=3.0; 1.9, 4.7), underweight (AOR= 2.3; 1.1, 4.7) and low dietary diversity score (AOR=3.1; 1.3, 7.5), were predictors of developmental delay.
CONCLUSION
CONCLUSIONS
Child development delay is a public health concern and it is strongly associated with stunting, underweight, undiversified dietary consumption, and suboptimal infant and young child feeding practices.
Identifiants
pubmed: 35046749
doi: 10.2147/PHMT.S344715
pii: 344715
pmc: PMC8761030
doi:
Types de publication
Journal Article
Langues
eng
Pagination
1-12Informations de copyright
© 2022 Oumer et al.
Déclaration de conflit d'intérêts
The authors declare that they have no conflicts of interest for this work.
Références
Nutrition. 2014 Jan;30(1):55-60
pubmed: 24290599
J Health Popul Nutr. 2020 Apr 14;39(1):6
pubmed: 32290871
BMJ Open. 2018 Sep 1;8(8):e021628
pubmed: 30173158
Matern Child Nutr. 2013 Sep;9 Suppl 2:27-45
pubmed: 24074316
BMC Pediatr. 2020 Mar 6;20(1):108
pubmed: 32138722
Am J Prev Med. 2003 Apr;24(3 Suppl):32-46
pubmed: 12668197
Soc Sci Med. 2017 Nov;193:101-109
pubmed: 29028557
Afr Health Sci. 2019 Jun;19(2):1897-1909
pubmed: 31656473
Arch Argent Pediatr. 2018 Feb 1;116(1):7-13
pubmed: 29333806
PLoS Med. 2017 Jan 30;14(1):e1002233
pubmed: 28135271
Lancet Glob Health. 2016 Dec;4(12):e916-e922
pubmed: 27717632
Am J Clin Nutr. 2020 Sep 14;112(Suppl 2):875S-893S
pubmed: 32844167
Am J Clin Nutr. 2016 Jul;104(1):104-12
pubmed: 27357091
J Pediatr. 2016 Aug;175:16-21
pubmed: 27266965
J Dev Behav Pediatr. 2011 Sep;32(7):499-511
pubmed: 21760526
Int J Environ Res Public Health. 2021 Feb 02;18(3):
pubmed: 33540885
Lancet. 2017 Jan 7;389(10064):77-90
pubmed: 27717614
Am Fam Physician. 2017 Jul 1;96(1):36-43
pubmed: 28671370
Eur J Clin Nutr. 2020 Mar;74(3):377-386
pubmed: 31142828
Epidemiology (Sunnyvale). 2016 Apr;6(2):
pubmed: 27274911
Ethiop J Health Dev. 2017;31(2):75-84
pubmed: 29249889
Lancet. 2011 Oct 8;378(9799):1325-38
pubmed: 21944375
Early Hum Dev. 2015 Mar;91(3):217-25
pubmed: 25703316
Public Health Nutr. 2021 Aug;24(12):3662-3673
pubmed: 33517942
JAMA Pediatr. 2017 Apr 3;171(4):e164805
pubmed: 28152144
Lancet. 2007 Jan 20;369(9557):229-42
pubmed: 17240290
Early Hum Dev. 2020 Aug;147:105081
pubmed: 32502946
Child Care Health Dev. 2016 Mar;42(2):213-9
pubmed: 26493366
Clin Med (Lond). 2010 Dec;10(6):624-7
pubmed: 21413492
J Nutr. 2015 Dec;145(12):2705-14
pubmed: 26446481
J Educ Health Promot. 2019 Jun 27;8:112
pubmed: 31334264
Early Hum Dev. 2021 Jun;157:105367
pubmed: 33839477
J Glob Health. 2020 Jun;10(1):010427
pubmed: 32566165
Pediatrics. 2014 Sep;134(3):e903-18
pubmed: 25157020
Food Chem Toxicol. 2020 Dec;146:111789
pubmed: 33011353
Int Breastfeed J. 2007 Oct 22;2:14
pubmed: 17953747
Int J Obes (Lond). 2011 Apr;35 Suppl 1:S45-51
pubmed: 21483422
Lancet. 2017 Jan 7;389(10064):91-102
pubmed: 27717615