Asian-Oceanian Journal of Pediatrics and Child Health

Volume Three December 2004 Number Two

     

PREVALENCE OF MALNUTRITION IN CHILDREN UNDER 3 YEARS OF AGE AT QUEEN SIRIKIT NATIONAL INSTITUTE OF CHILD HEALTH


SUNTAREE RATANACHU-EK, MD.
QUEEN SIRIKIT NATIONAL INSTITUTE OF CHILD HEALTH (QSNICH)
420/8 RAJAVITHE ROAD, RAJTHEVEE, BANGKOK, 10400, THAILAND
 


ABSTRACT

Objective:

To study the prevalence of malnutrition in children under 3 years of age at QSNICH.

Method:

Cross-sectional study was done in May 1999. Three groups of children under 3 years visiting QSNICH were included in the study: I, Healthy children from well baby clinic who had come for checkup or immunization, II, Children visiting the OPD and III, Patients admitted in hospital. Data collection included sex, age, weight and length orheight of children. Nutritional status was analyzed using the NCHS growth reference.

Results:

Total of 2,894 children were included in the study; 1,385 healthy children, 1,215 out-patients and 294 in-patients. Forty-nine percent were girls and 51% were boys. Mean age was 13.9 + 9.2 months. Mean age of in-patients was lower than the other groups. Nutritional status was as follows: underweight 30.7%, stunting 18.5%, wasting 19.3%, overweight 12.6% and obesity 12.5%. Comparing nutritional status among groups, in-patients had a significantly higher prevalence of underweight and wasting and lower prevalence of overweight and obesity than out-patients and healthy children respectively.

Conclusion:

Malnutrition is a common problem, present in almost half of the children studied. Healthy children are more likely to have over-nutrition, a problem of increasing importance in our country nowadays. Sick children are prone to have problems of under-nutrition. Good nutrition must be promoted to prevent malnutrition and early detection of malnutrition should be a major concern of health care personnel with introduction of early intervention.

Key words: Nutritional status, Malnutrition, Under-nutrition, Over-nutrition

 

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