Affiliation:
1. Department of Paediatric Medicine, Sardar Patel Medical College and Associated Group of Hospital, Bikaner (Rajasthan).
2. Department of Paediatric Surgery, Sir Padampat Mother and Child Health Institute, SMS Medical College, Rajasthan University of Health Sciences, Jaipur, (Rajasthan,) India.
Abstract
Background –Severe acute malnutrition (SAM) among children below ve years of age is a major health problem for developing countries. These
malnourished children are more prone to various infections. This leads to increase burden of morbidity and mortality. So, this over all affect the
capital growth of country. we tried to nd out a correlation of malnutrition with exclusive breast feeding, weaning practice, socioeconomic status
and infection etc. on the basis of clinical laboratory data. Method –This study was conducted in 178 children, at Department of Pediatrics in
collaboration with Department of Pathology, Microbiology, Radiology and Pulmonary medicine, at Sardar Patel Medical College and
Associated Group of Hospitals, Bikaner (Rajasthan), between 01.01.2013 and 31.12.2013. Results – Total 178 children were included in this
study. Out of 178, 102 were male and 76 female. Non oedematous malnourished (wasted) were 147 (82.58%) children and while 31 (17.42%)
children were diagnosed as having oedematous malnutrition (p <0.001). exclusive breast feed were given to 106 children. Mean weight was 5.37 ±
2.78 kg in our study. Out of 178, 145 (81.46%) children had anaemia with median hemoglobin 8 gm/dl. Delayed milestone were seen in 64
(35.95%) children. SAM is common in overcrowded, lower socioeconomic, joint family with lack of sanitary facility. Conclusion - Malnutrition
remains a major health problem among under ve year children population altering physical and mental health of the nation. The most prone age
group for malnutrition was below 2 years of age. Poor socio-economic status, overcrowded and unhygienic living conditions and low education
level were the associated causes for malnutrition
Reference24 articles.
1. De Onis M, Monteiro C, Clugston G. The worldwide magnitude of protein energy malnutrition: an overview from the WHO global database on child growth. Bull World Health Organ 1993; 71(6):703–12.
2. Heikens GT, Bunn J, Amadi B, Manary M, Chhagan M, Berkley JA et al. Case management of HIV-infected severely malnourished children: challenges in the area of highest prevalence. The Lancet. 2008; 371 (9620):1305–1307.
3. Elizabeth KE. Changing profile of under nutrition and edematous severe acute malnutrition (ESAM). Indian Pediatr. 2012 Oct; 49 (10):843. doi: 10.1007/s13312-012-0176-4..
4. United Nations Children’s Fund, World Health Organization, The World Bank. UNICEF-WHO-The World Bank: 2012 Joint Child Malnutrition Estimates - Levels and Trends. UNICEF, New York; WHO, Geneva; The World Bank, Washington, DC; 2013.
5. Gomez F., Chavez R., Frenk S., Galvan R.R., Munoz J.C., Vazquez J. Mortality in second and third degree malnutrition. J. Trop. Pediatr. 1956; 2:77–83.