Sam Marconi, D (2015) The Risk Factors for Severe Acute Malnutrition among the Children of Age Group 6 – 59 months: A Community Based Case- Control Study from Southern India. Masters thesis, Christian Medical College, Vellore.
|
Text
201501115sam_marconi.pdf Download (3MB) | Preview |
Abstract
AIM OF THE STUDY: This study aimed to identify the various risk factors and determinants of severe acute malnutrition (SAM) as defined by WHO growth reference standards in children aged 6 months to 59 months living in Vellore. METHODS: A community based case-control study matched for age (±2 months), gender and location was done among the children of the age group 6- 59 months residing in both rural and urban Vellore. Children of age group 6-59 months with SAM according to WHO definition, i.e., weight for height of less than -3SD with or without nutritional oedema were classified as cases. Children with weight-for-height z-score more than -1 SD and MUAC ≥ 13.5cms were classified as controls. With 2 controls per case, the required sample size was 54 cases and 108 controls. Structured and semi-structured questionnaires used to identify the risk factors including dietary intake. The Z scores were calculated using WHO anthro software. Analysis was done using SPSS v20. Uni- variate and multivariate analysis was done to generate an odds ratio and 95% confidence interval for the risk factors. RESULTS: A total of 160 children were recruited in the study. Among them 54 had severe acute malnutrition (cases) and 106 were controls. Majority of the cases 64.8% and 50% of the controls belonged to low SES. After adjusting all confounders, Severe Acute Malnutrition was significantly associated with birth weight <2.499kg {AOR- 8.95 (95% CI: 2.98-26.85)}, not exclusively breastfed for 6 months {AOR 4.67 (95% CI: 1.72-12.65)}, inadequate calorie intake {AOR 8.09 (95% CI: 3.15-20.82)} and mothers’ underweight {AOR 6.87 (95% CI: 1.92-24.55)}. CONCLUSION: From this study it was concluded that determinant factors of SAM were low birth weight, lack of exclusive breastfeeding, poor calories intake and mother’s low BMI.
| Item Type: | Thesis (Masters) |
|---|---|
| Uncontrolled Keywords: | Children ; Malnutrition ; risk factors. |
| Subjects: | MEDICAL > Community Medicine |
| Depositing User: | Punitha K |
| Date Deposited: | 06 May 2018 12:04 |
| Last Modified: | 06 May 2018 12:04 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/7539 |
Actions (login required)
 |
View Item |
