Evidence map›Paper›PMID 40247206›Full record

ArticleBMC pediatrics2025

Nutritional rickets and its associated factors among under-five children in Assela referral and teaching hospital, Ethiopia: a hospital based cross-sectional study design.

Helen Abebe, Berhe Gebremichael, Assefa Desalew, Melat B Maruta, Addis Eyeberu, Jemal Ahmed Nure, Adera Debella, Lemma Demissie Regassa, Ibsa Mussa

Abstract read
In one paragraph

Article in BMC pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Helen AbebeSchool of Public Health, College of Health and Medical Sciences, Arsi University, Asella, Ethiopia.
Berhe GebremichaelSchool of Public Health, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.
Assefa DesalewSchool of Nursing and Midwifery, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.
Melat B MarutaObstetrics and Gynecology, Menelik Hospital, Addis Abeba, Ethiopia.
Addis EyeberuSchool of Nursing and Midwifery, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.
Jemal Ahmed NureSchool of Nursing and Midwifery, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.
Adera DebellaSchool of Nursing and Midwifery, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.
Lemma Demissie RegassaSchool of Public Health, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.
Ibsa MussaSchool of Public Health, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia. ibsamussa93@gmail.com.ORCID http://orcid.org/0000-0002-6318-4092

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNutritional rickets is a preventable skeletal disorder caused by deficiencies in vitamin D, calcium, or phosphate, leading to softening and weakening of bones. While it was once nearly eliminated in high-income countries, the resurgence of rickets in various parts of the world-particularly in low- and middle-income countries (LMICs)-reflects the ongoing challenges of malnutrition, inadequate healthcare, and socioeconomic factors. This study aimed to determine the prevalence and associated factors of nutritional rickets in the study area.

methodsA hospital-based cross-sectional study was conducted from June 15 to July 30, 2022, involving 442 children under the age of five who visited the pediatric ward, pediatric OPD, EPI, and pediatric emergency departments of referral and teaching hospitals in Assala, Ethiopia. Data were collected using a pre-tested, structured questionnaire administered through face-to-face interviews. A checklist was used for chart reviews. Data were entered into Epidata version 3.1 and analyzed using STATA version 18. Predictors of nutritional rickets were assessed using multivariate logistic regression analysis, with results presented as adjusted odds ratios (AOR) with 95% confidence intervals (CI). A p-value of < 0.05 was considered statistically significant.

resultsThe study found that the prevalence of nutritional rickets in the study area was 3.8% (95% CI: 1.90-5.70). Factors significantly associated with nutritional rickets included being male (AOR = 1.59, 95% CI: 1.10-16.57), lack of information about rickets (AOR = 7.16, 95% CI: 4.22-12.68), and exposure to sunlight while fully dressed (AOR = 3.27, 95% CI: 1.05-5.28).

conclusionsThis study indicates that nearly one in every twenty-five children in the study area is affected by nutritional rickets. Factors such as male sex, lack of information about rickets, and inadequate sun exposure due to full clothing were identified as significant risk factors. To prevent this condition, coordinated efforts from all relevant bodies are required. Additionally, raising awareness among mothers and caregivers, particularly through maternal education, is essential. Educated mothers are more likely to adopt improved childcare practices, which can reduce the incidence of nutritional rickets.

Indexed as

RicketsChild, PreschoolCross-Sectional StudiesEthiopiaFemaleHospitals, TeachingHumansInfantMalePrevalenceRisk FactorsAssociated factorsEthiopiaNutritional ricketsUnder-five children

Identifiers

PMID40247206
PMCPMC12004594

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.