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Nutrition in Children with Cancer  [cached]
G?nül Dinler
Güncel Pediatri , 2009,
Abstract: Malnutrition is a common event in children with cancer. Both cancer and its therapies contribute to malnutrition in different proportion. Malnutrition predisposes the child to increased morbidity, poorer outcome and reduction in quality of life. To prevent and/or treat malnutrition, children with cancer need to be evaluated their nutritional status and need to be supported nutritionally. (Journal of Current Pediatrics 2009; 7: 31-6)
Effect of supervised nutrition in malnourished children in Western India
Vineeta Pande,Renuka Jadhav,Sharad Agarkhedkar,Devkinandan Karwa
International Journal of Pharmacy and Biomedical Sciences , 2012,
Abstract: Acute malnutrition or ‘wasting’ (thin individuals for the height), characterized by rapid weight loss, in its severe form can lead to death. This study was conducted to assess the effect of supervised nutrition and supplements on moderately and severely malnourished children from western India. One hundred and three malnourished children in the age group 6 months to 6 years were included in this study. At child day care center, for 30 days, in addition to 2 standard meals, 3 extra energy dense, protein rich meals and food supplements were provided under supervision. Weight gain was recorded at the end of 8, 15, 22 and 30 days. After 30 days, parents were counseled about providing children nutritious diet and supplementation of energy dense food at home. Follow up for weight gain at 6, 12, 18 and 24 months. Statistically significant gain in body weights (t value and p value<0.0001) were noted post administration of nutritional and therapeutic supplements for 8, 15, 22, and 30 days. Mean weight significantly increased after 6, 12, 18 and 24 months. In malnourished children supervised nutritional and supplementation therapy improves the nutritional status.
Nutrition rehabilitation of undernourished children utilizing Spiruline and Misola
Jacques Simpore, Fatoumata Kabore, Frederic Zongo, Deleli Dansou, Augustin Bere, Salvatore Pignatelli, Daniela M Biondi, Giuseppe Ruberto, Salvatore Musumeci
Nutrition Journal , 2006, DOI: 10.1186/1475-2891-5-3
Abstract: The objective of the study is to assess the impact of an elementary integrator composed of Spiruline (Spirulina platensis) and Misola (millet, soja, peanut) produced at the Centre Medical St Camille (CMSC) of Ouagadougou, Burkina Faso, on the nutritional status of undernourished children.550 undernourished children of less than 5 years old were enrolled in this study, 455 showed severe marasma, 57 marasma of medium severity and 38 kwashiorkor plus marasma. We divided the children randomly into four groups: 170 were given Misola (731 ± 7 kcal/day), 170 were given Spiruline plus traditional meals (748 ± 6 kcal/day), 170 were given Spiruline plus Misola (767 ± 5 kcal/day). Forty children received only traditional meals (722 ± 8 kcal/day) and functioned as the control group. The duration of this study was eight weeks.Anthropometrics and haematological parameters allowed us to appreciate both the nutritional and biological evolution of these children. The rehabilitation with Spiruline plus Misola (this association gave an energy intake of 767 ± 5 kcal/day with a protein assumption of 33.3 ± 1.2 g a day), both greater than Misola or Spiruline alone, seems to correct weight loss more quickly.Our results indicate that Misola, Spiruline plus traditional meals or Spiruline plus Misola are all a good food supplement for undernourished children, but the rehabilitation by Spiruline plus Misola seems synergically favour the nutrition rehabilitation better than the simple addition of protein and energy intake.Malnutrition constitutes a public health problem throughout the world and particularly in developing countries [1]. In Africa, more than 30% of the deaths of less than five year old children result directly or indirectly from malnutrition [2]. Since 1999, Burkina Faso has been confronted by protein-energy malnutrition with 13 % of the infant population affected by emaciation, 29% by growth retardation and 30% by insufficient weight [3]. The consequences of the protein-energy
Health Promotion Practices in Hospital: Examination of Nutrition Conditions of the Ill Children
Aysegul Korkmaz,Filiz Arslan,Senay Uzun
TAF Preventive Medicine Bulletin , 2008,
Abstract: BACKGROUND: In this study, it was aimed to compare nutrition condition of children before and after the hospitalization, and to examine changes that hospitalization created on nutrition of children and its causes. METHODS: In this descriptive research, 32 children that hospitalized more than three days in various clinics of Gulhane Military Medical Academy and their families were studied. Data were obtained with questionnaire and also measurements of weight and height of children. RESULTS: In this study, it was determined that daily food intake of 78.1% of the children was decreased after hospitalization, decreases of daily food intake mostly occurred in children who hospitalized for 3-7 days. Daily food intake, especially cereal, vegetable and fruits groups were decreased in comparison to home intake. It was determined that anthropometric values weren t affected by changes of nutritional routine. 93.8% of mothers stated primarily that inadequate arrangements of the nutritional environment have negative effect on children s nutrition. It was determined that 59.4% of mothers focused on their child to finish his/her meal ruling out demands of the child, forced children to eat and used rewarding mostly to encourage child to eat while in hospital. CONCLUSION: It is concluded that children s hospitalization effects the nutrition conditions negatively and the parents tend to use force or prizes to encourage child to eat. [TAF Prev Med Bull. 2008; 7(4): 323-332]
Dietary and nutrition screening for children seeking curative care in health facilities in Botswana
MS Nnyepi
African Journal of Food, Agriculture, Nutrition and Development , 2006,
Abstract: The extent to which nutrition and dietary screening performed in children seeking curative care in health facilities in Botswana was investigated using a cross-sectional survey design. Dietary screening, illness status, demographic and anthropometric data were obtained from a random sample of 522 children in 13 health facilities through structured interviews and actual anthropometric measurements. Amongst these, caregivers of children seeking curative care (n =174) completed a nutrition and dietary screening checklist designed to establish the proportion of ill children screened. Additionally, a self-administered questionnaire was used to examine the knowledge, attitudes, and perceptions of providers in the study clinics about nutrition and dietary screening and the types of indicators routinely used. Data were collected from all providers (n = 39) on duty. The results show that malnutrition was prevalent, with 13. 7%, 11.3 % and 3.9 % of children estimated to be stunted, underweight and wasted respectively. The prevalence of stunting and underweight was higher (p < .05) in older children (37–60 months), children perceived as sickly, or raised in households with periodic shortage of food compared to children under one year of age, children perceived as healthy or raised in households with adequate amounts of food at all times. Less than 20 % of children who sought curative care were screened for possible compromised dietary intake or nutritional status. Only 18 % of children had their weight measured during consultations. Only 10.8 % of providers were reported to have discussed the children’s growth indicators with care-givers. Similarly, few providers specifically discussed the feeding recommendations (10.8%) and feeding frequency (7.8 %) of children with care-givers. The providers’ knowledge about nutrition and dietary screening was low. Most providers (70 %) perceived their didactic training to be adequate and over half of them were satisfied with their skill level in assessing the dietary intake (53 %) and nutritional status (57.9 %) of children. Fewer providers were able to correctly list three indicators of nutritional status (35.9 %) or dietary intake (12.8 %). Study observations show that a large proportion of children seeking curative care in the health clinics are rarely screened for possible compromised dietary intake and nutrition status. Also, a large number of health providers are not satisfied with their skill level in dietary and nutrition screening. Since nutritional problems are often juxtaposed to health problems, efforts should be taken to integrate nutrition screening into the medical care for under-fives.
Nutrition Status Of Children (1-6 Years) In Slums Of Ghaziabad City  [cached]
Garg S.K,Singh J.V,Bhatnagar M,Chopra H
Indian Journal of Community Medicine , 1997,
Abstract: Research question : What are the nutritional problems of pre- school children in slums? Objectives: (i) To assess the nutritional status of the children . (ii) To find out the nutritional deficiency disorders in them (iii) To study their dietary intake. Study design: Cross- sectional. Setting : Slums of Ghaziabad city. Participants :771 children (1-6 years). Study Variables : Age, sex, caste, ICDS beneficiary status, weight, nutritional deficiency disorders, dietary intake and supplementary nutrition. Statistical analysis : Simple proportions and Chi- square test. Results : A majority (58.2 %) of children were having under nutrition of varying grades irrespective of their sex and caste but influenced by their age and ICDS beneficiary status. Anaemia, xerophthalmia and goitre were present in 14.7%, 1.6% and 0.6 % children respectively. Average daily dietary intake of energy & nutrients were lower than the recommended daily allowances (RDA). Conclusion: Regular nutritional supplementation along with adequate nutrition education would reduce the nutritional deficiency disorders among children.
Mothers’ Participation in Improving Growth and Nutrition of the Children: a Model for Community Participation
B Shams,P Golshiri,AR Zamani,S Pourabdian
Iranian Journal of Public Health , 2008,
Abstract: Background: Assessment of national children growth has shown that a high percent of Country children are afflicted to growth failure. Community participation is one of the principles of PHC emphasized by WHO that is necessary for development of health services. The objective of this study was to develop a model for mothers participation in order to improving growth and nutrition of children. Methods: This community-based field trial was rendered on 74 pairs of mothers and children less than three years of age. A model was designed for increasing mothers participation, so that, a group of mothers volunteered and were instructed in the subjects of growth monitoring and child nutrition. The program was evaluated by CIPP Model (Context, Input, Product, Process). Results: Difference between the mean grade of mothers knowledge and practice, before and after intervention were meaningful (P< 0.001).This plan had considerable effects on the increase of individual and social capabilities of the participants, including their self-confidence. Other findings were related to the evaluation of impact, effectiveness, sustainability and transportability of the program. Conclusion: By enhancement of mothers participation, considerable improvement of their knowledge and practice concerning growth and nutrition of children were achieved. Also individual and social capabilities of the mothers increased.
The evaluation of a nutrition education programme on the nutrition knowledge of children aged six and seven years
WH Oldewage-Theron, AA Egal
Journal of Family Ecology and Consumer Sciences /Tydskrif vir Gesinsekologie en Verbruikerswetenskappe , 2009,
Abstract: The purpose of this project was to test if learning took place through the implementation of a nutrition education programme, using specific developed nutrition education tools in pre-primary school children, aged six and seven years old, in the Vaal region. A validated nutrition knowledge questionnaire was completed with the assistance of trained fieldworkers by all 88 purposively selected pre-school children in two randomly selected schools before and after the implementation of a NEP. The intervention was a NEP using various tools, consisting of a food group puzzle, playing cards, board games and activity book. Data were captured and analyzed for descriptive statistics on SPSS, version 15,0, and paired samples tests done to measure impact on knowledge. The results indicated that the nutrition knowledge of the respondents was poor, but knowledge improved significantly on 67% of the variables tested (p≤0,05) after the NEP implementation. Food group knowledge improved from 13,4% before to 64,8% after the NEP. The functions of the various food groups had 60,2 (77,9%) correct answers after the NEP compared with 13,5 (27,4%) before. Conclusions from and implications of the results are that a NEP could be successfully implemented to improve nutrition knowledge of pre-school children. However, further research is needed to test the effectiveness of each Nutrition Education Tool (NET) for impact on nutritional knowledge and dietary intake behaviour.
The dilemma of over and under nutrition coexistence among western Kenya children.
AE Abdulkadir, SA Sohani, F Agoi
African Journal of Food, Agriculture, Nutrition and Development , 2009,
Abstract: Kenya can be considered a relatively better developed country among the sub-Saharan African ranks in terms of social services and yet malnutrition (under-nutrition) is still persistent and on the increase as shown in all nutrition and other surveys carried out in 1977, 1979, 1982, 1983 and 2003. Following these reports, a comprehensive survey was carried out in 2000 to explore all developmental and nutritional issues in Western Kenya, particularly the villages on the eastern shores of Lake Victoria. A comprehensive survey was carried out to explore any health/developmental issues that might have existed in this target group, particularly the school age children. Of the many developmental issues investigated, nutrition concerns were top priority. The analysis of the nutritional component of the survey confirmed coexistence of stunting and over-weight among the surveyed children. However, the impact was more pronounced in boys whereby their respective height- for- age indices were <= 5th centile of the WHO standard reference population and those of the girls were ranging between 5th and 25thcentiles. Concomitantly female children (70%) were more overweight than the boys (42%) in terms of weight- for- age, which can be recognised as a nutrition problem related to child developmental issues. It is also known that childhood obesity and/or overweight have positive correlations to later adult life episodes of degenerative diseases like diabetes mellitus, coronary health diseases and hypertension. On the part of the parents and/or care-givers, about 57% were familiar with growth charts and their respective interpretations indicating more frequent visits to health care centres and posts. From the above findings it can be extrapolated that Kenyan infants/children at the surveyed area are in the midst of nutritional transition. Therefore, local authority’s intervention at this critical stage of the subject children’s life-cycle is needed to secure the desired child growth trajectory for better health outcomes.
Home parenteral nutrition in children: procedures, experiences and reflections
Pedrón-Giner,C.; Martínez-Costa,C.; Gómez-López,L.; Navas-López,V. M.; Redecillas Ferreiro,S.; Moreno-Villares,J. M.; Prieto Borzano,G.; Gomis Mu?oz,P.; Morais López,A.; Irastorza Terradillos,I.; García-Novo,M.a D.;
Nutrición Hospitalaria , 2010,
Abstract: this document summarizes the issues raised in a thinktank meeting held by professionals with expertise in pediatric home parenteral nutrition. this nutritional technology enables patients to return home to their family and social environment, improves their quality of life and decreases health-care costs; however, it is complex and requires an experienced nutritional support team. patient selection is normally made according to their underlying disease, the estimated duration of support and family and social characteristics. the patient''s family must agree to take on caregiver's responsibilities and should be able to perform treatment safely and effectively after receiving proper training from the nutritional support team. close monitoring must be carried out to ensure tolerance and effectiveness of nutritional support, thereby avoiding complications. this nutritional treatment achieves, in most cases, recovery and intestinal adaptation in varying periods of time. in certain diseases, and when home parenteral nutrition becomes complicated, intestinal transplant may be recommendable, so referral to rehabilitation units and intestinaltransplantation should be made early on.
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