ArticleIndian journal of pediatrics2015
Epidemiological and clinical profile of hospitalized children with moderate and severe acute malnutrition in South India.
Article in Indian journal of pediatrics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Risk factors for moderate acute malnutrition among children with acute diarrhoea in India and Tanzania: a secondary analysis of data from a randomized trial.BMC pediatrics · 2024Trial
- Article
- Prevalence and determinants of severe malnutrition among children under five in aspirational districts of India.BMC public health · 2025Article
- What matters in good health status of 1-year-old children? - A cross-sectional study of the perinatal factors.Journal of family medicine and primary care · 2024Article
- Undernutrition and associated factors among children 1-5 years of age in rural area of Haryana, India: A community based cross-sectional study.Journal of family medicine and primary care · 2020Article
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Authors and funding
4 authors.
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Abstract
objectiveTo evaluate the clinico-epidemiological profile, pattern of infections, feeding practices, socio-demographic risk factors and outcome of hospitalized children with moderate acute malnutrition (MAM) and severe acute malnutrition (SAM).
methodsCases (children aged 1-60 mo with SAM or MAM) and controls (children with weight for height z score more than -1 SD) were recruited from November 2011 through July 2013. Overall, 126 cases and 126 controls were included.
resultsOnly 33 % of malnourished children (cases) were exclusively breast fed. Among controls, 71 % were exclusively breast fed for the first 6 mo after birth. Most cases had associated infections (p 0.004) and anemia (p < 0.001). ROC curve revealed 120 mm mid upper arm circumference (MUAC) as the best cut off for predicting SAM. Mothers' education, pre-lacteal feeds and co-morbidities were independent predictors of malnutrition (R(2) = 22.1 %) by logistic regression.
conclusionsThough 11.5 cm MUAC has been mentioned by WHO as the cut off for identifying SAM, a higher cut off (12 cm) may be required to use it as a screening tool. Mothers' education, pre-lacteal feeds and co-morbidities were found to be independent determinants for malnutrition in the present patient population, indicating the need towards a targeted approach for modifying these factors.
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