ArticleHeliyon2020
Maternal profiles and social determinants of severe acute malnutrition among children under-five years of age: A case-control study in Nepal.
Article in Heliyon, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.
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Who cites it
20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 38 citations in OpenAlex.
- Pooled it
- Oral health care challenges in individuals with severe mental illness: a qualitative meta-synthesis.Frontiers in oral health · 2025Pooled it
- Integrated community case management plus compared with outpatient therapeutic programs: a quasi-experimental study among children with severe acute malnutrition in Jowhar, Somalia.The American journal of clinical nutrition · 2026Article
- Socioeconomic Risk Factors Associated With Acute Malnutrition Severity Among Under-Five Children Based on a Machine Learning Approach: The Case of Rural Emergency Contexts in Niger and Mali.Maternal & child nutrition · 2025Article
- Factors influencing undernutrition among children in Nepal: a comparative study of Composite Index of Anthropometric Failure (CIAF) using 2016 and 2022 demographic and health survey data.Journal of health, population, and nutrition · 2025Article
- Perceptions of Underlying Factors and Consequences of Childhood Malnutrition and Care-Seeking Behaviour for Children Under 5 Years With Acute Malnutrition: A Qualitative Study in Rural Bangladesh.Maternal & child nutrition · 2025Article
- Utilizing Machine Learning and causal graph approaches to Address Confounding Factors in Health Science Research: A Scoping Review.F1000Research · 2025Article
- Prevalence and socio-economic determinants of growth and developmental delays among Iranian children aged under five years: A cross sectional study.BMC pediatrics · 2024Article
- Determinants of severe acute malnutrition among children less than five years visiting health centers in Leqa Dulacha District, East Wallaga Zone, Oromia Region, Ethiopia: A case control study.Health science reports · 2024Article
- Effect of housing construction material on childhood acute respiratory infection: a hospital based case control study in Bangladesh.Scientific reports · 2024Article
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- Children born during the hunger season are at a higher risk of severe acute malnutrition: Findings from a Guinea Sahelian ecological zone in Northern Ghana.Maternal & child nutrition · 2022Article
- Social determinants of malnutrition in Chilean children aged up to five.BMC public health · 2022Article
- Predictors of wasting among children under-five years in largely food insecure area of north Wollo, Ethiopia: a cross-sectional study.Journal of nutritional science · 2022Article
- Acute malnutrition and its determinants of preschool children in Bangladesh: gender differentiation.BMC pediatrics · 2021Article
- A cross-sectional study of prevalence and risk factors for stunting among under-fives attending acute malnutrition treatment programmes in north-western Nigeria: Should these programmes be adapted to also manage stunting?International health · 2021Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAddressing the determinants of severe acute malnutrition (SAM) among children remains a challenge in Nepal. This study investigated the effect of maternal and social determinants of SAM among under-five children of Nepal.
methodsWe conducted a hospital-based unmatched case-control study with 256 under-five children (128 cases and 128 controls). The children aged 6-59 months were taken, and the cases and controls were defined based on mid-upper arm circumference (MUAC).
resultsBackward Stepwise logistic regression analysis of 6-59 months children showed that the odds of SAM were lower among male children (AOR = 0.50, 95% CI = 0.27-0.92), mothers from high socioeconomic status (AOR = 0.469, 95% CI = 0.26-0.83), breastfeeding 6-12 months (AOR = 0.21, 95% CI = 0.05-0.68), breastfeeding ≥13 months (AOR = 0.18, 95% CI = 0.05-0.54) and optimal complementary feeding (AOR = 0.40, 95% CI = 0.22-0.70). SAM was significantly higher among children of the age group 6-24 months (AOR = 2.57, 95% CI = 1.30-5.22) and children with a history of diarrhea (AOR = 1.75, 95% CI = 0.92-3.39).
conclusionsIn order to reduce the children's SAM, it is necessary to scale up services to improve the socioeconomic status which includes the education, occupation, and monthly income of the mother. Girls of age group 6-24 months were more likely to develop SAM. Two contributing factors to decrease SAM are the importance of exclusive breastfeeding practices and the availability and usage of soap in hand washing, which are ideal for low cost interventions. To reduce SAM in Nepal, a focus on enhancing complementary feeding through increased affordability of nutritious foods is also needed.
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