Nutritional status of children with neurodevelopmental disorders: a cross-sectional study at a tertiary-level hospital in northern Bangladesh.

Bangladesh Children Disability Malnutrition Neurodevelopmental disorders Nutritional status

Journal

BMC nutrition
ISSN: 2055-0928
Titre abrégé: BMC Nutr
Pays: England
ID NLM: 101672434

Informations de publication

Date de publication:
19 Apr 2024
Historique:
received: 21 05 2023
accepted: 11 03 2024
medline: 20 4 2024
pubmed: 20 4 2024
entrez: 19 4 2024
Statut: epublish

Résumé

Malnutrition in children with neurodevelopmental disorders (NDDs) is a significant global public health issue. Nutritional assessment combined with management or advice are essential to produce optimal outcomes. The objective of this study was to assess nutritional status and the sociodemographic profile of children with neurodevelopmental disorders in Bangladesh. A cross-sectional study was conducted from December to April 2020 among the population of children with NDDs who presented to the pediatric department of the TMSS Medical College and Rafatullah Community Hospital in Bogura during this period. Socio-demographic data along with anthropometric measurements of the children were taken. Assessment of nutritional status were made using metrics such as z-scores for weight-for-age (WAZ), height-for-age (HAZ), and body mass index-for-age (BAZ). Descriptive statistics (number and percentage) and analytical statistics (chi-square and logistic regression) were included. 58.6% of children displayed malnutrition, with 47.8% showing undernutrition (WHZ / BAZ - 1 SD-≤-3 SD), and 10.8% overnutrition (BAZ > 2SD). Significant negative associations were found between malnutrition and parental education level, urban residency, and monthly family income. Children diagnosed with cerebral palsy exhibited twice the likelihood to be malnourished (AOR 2.39, 95% CI 0.83-6.87). Furthermore, residing in rural regions was associated with an increased risk of experiencing malnutrition, as indicated by an adjusted odds ratio of 1.60 (95% CI 0.12-3.09). While the results are cross-sectional, over half of children with NDDs were found to be malnourished, suggesting that children with NDD in Bangladesh are vulnerable to developing any form of malnutrition. Therefore, regular assessments and timely nutritional support may improve their situation.

Sections du résumé

BACKGROUND BACKGROUND
Malnutrition in children with neurodevelopmental disorders (NDDs) is a significant global public health issue. Nutritional assessment combined with management or advice are essential to produce optimal outcomes.
OBJECTIVES OBJECTIVE
The objective of this study was to assess nutritional status and the sociodemographic profile of children with neurodevelopmental disorders in Bangladesh.
METHODS METHODS
A cross-sectional study was conducted from December to April 2020 among the population of children with NDDs who presented to the pediatric department of the TMSS Medical College and Rafatullah Community Hospital in Bogura during this period. Socio-demographic data along with anthropometric measurements of the children were taken. Assessment of nutritional status were made using metrics such as z-scores for weight-for-age (WAZ), height-for-age (HAZ), and body mass index-for-age (BAZ). Descriptive statistics (number and percentage) and analytical statistics (chi-square and logistic regression) were included.
RESULTS RESULTS
58.6% of children displayed malnutrition, with 47.8% showing undernutrition (WHZ / BAZ - 1 SD-≤-3 SD), and 10.8% overnutrition (BAZ > 2SD). Significant negative associations were found between malnutrition and parental education level, urban residency, and monthly family income. Children diagnosed with cerebral palsy exhibited twice the likelihood to be malnourished (AOR 2.39, 95% CI 0.83-6.87). Furthermore, residing in rural regions was associated with an increased risk of experiencing malnutrition, as indicated by an adjusted odds ratio of 1.60 (95% CI 0.12-3.09).
CONCLUSIONS CONCLUSIONS
While the results are cross-sectional, over half of children with NDDs were found to be malnourished, suggesting that children with NDD in Bangladesh are vulnerable to developing any form of malnutrition. Therefore, regular assessments and timely nutritional support may improve their situation.

Identifiants

pubmed: 38641622
doi: 10.1186/s40795-024-00863-9
pii: 10.1186/s40795-024-00863-9
doi:

Types de publication

Journal Article

Langues

eng

Pagination

61

Informations de copyright

© 2024. The Author(s).

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Auteurs

Rabeya Khatun (R)

Department of Pediatrics, TMSS Medical College & Rafatullah Community Hospital (TMC&RCH), Bogura, Bangladesh.

Md Kaoser Bin Siddique (MK)

Research, Planning & Development (RP&D), TMSS Grand Health Sector (TGHS), TMSS, Rangpur Road, Thengamara,, Bogura, Bangladesh. kaoserbd@gmail.com.

Mst Reshma Khatun (MR)

Department of Pharmacy, Manarat International University, Dhaka, Bangladesh.

Maskura Benzir (M)

Department of Anatomy, TMSS Medical College (TMC), Rangpur Road, Thengamara, Bogura, Bangladesh.

Md Rafiqul Islam (MR)

Department of Pediatrics, TMSS Medical College & Rafatullah Community Hospital (TMC&RCH), Bogura, Bangladesh.

Sohel Ahmed (S)

Ahmed Physiotherapy & Research Center, Kalabagan, Dhaka, Bangladesh.

Olav Muurlink (O)

Sustainable Innovation, School of Business and Law, Central Queensland University, Brisbane, Australia.

Classifications MeSH