Assessment of Growth in Pediatric Syrian Refugee Populations in Jordan

Background Externally displaced pediatric Syrian refugees are at risk of adverse developmental health outcomes in the setting of food insecurity. To evaluate the impact of displacement on nutritional status of Syrian children, this study describes the prevalence of malnutrition of Syrian children re...

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Autores principales:	Amanda Vakos, Nadia Khalil, Ambuj Kumar, Lynette Menezes, Minal Ahson
Formato:	article
Lenguaje:	EN
Publicado:	Thieme Medical and Scientific Publishers Pvt. Ltd. 2021
Materias:	global health pediatrics growth nutrition syrian refugee crisis syrian refugees Medicine R
Acceso en línea:	https://doaj.org/article/88b3b56f93074ef0a2c7832c9a8d4f17
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spelling	oai:doaj.org-article:88b3b56f93074ef0a2c7832c9a8d4f172021-12-02T19:40:43ZAssessment of Growth in Pediatric Syrian Refugee Populations in Jordan2231-07702249-446410.1055/s-0041-1736544https://doaj.org/article/88b3b56f93074ef0a2c7832c9a8d4f172021-11-01T00:00:00Zhttp://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1736544https://doaj.org/toc/2231-0770https://doaj.org/toc/2249-4464Background Externally displaced pediatric Syrian refugees are at risk of adverse developmental health outcomes in the setting of food insecurity. To evaluate the impact of displacement on nutritional status of Syrian children, this study describes the prevalence of malnutrition of Syrian children residing in Jordan. Methods A retrospective cross-sectional analysis of data from patient records < 18 years of age from the Syrian American Medical Society's (SAMS) January 2019 mission trip to Jordan was performed. Prevalence of stunting, severe wasting, wasting, overweight, and underweight were calculated using the World Health Organization (WHO) definitions. Results Overall, 392 Syrian children were included. In the 0 to 59 months group (n = 191), prevalence of stunting was 13.9% (n = 165), severe wasting 4.2% (n = 165), wasting 6% (n = 165), overweight 16.4% (n = 165), and underweight 5.3% (n = 190). In the > 59 months group (n = 201), prevalence of stunting was 7.2% (n = 194), severe wasting 3.6% (n = 194), wasting 5.2% (n = 194), overweight 6.7% (n = 194), and underweight 4.6% (n = 153). Age group was significantly associated with stunting (odds ratio [OR] = 2.08,9 5% CI 1.03 to 4.19) and overweight (OR = 2.72; 95% CI 1.36 to 5.47) with increased odds of each in the 0–59 months group. Conclusion The findings suggest evidence of higher prevalence of malnutrition in Syrian children compared with prior assessments and greater impact on the younger cohort. In 0 to 59 months' old Syrian children, stunting and wasting were of medium severity and overweight was of high severity. This may reflect food insecurity in the setting of ongoing conflict, strain on resources, and evolving refugee policies, acknowledging study limitations. Syrian refugee children living in Jordan experience wasting and stunting. Comprehensive assessment of current nutritional status of Syrian children is needed. Access to adequate and nutritious food is paramount.Amanda VakosNadia KhalilAmbuj KumarLynette MenezesMinal AhsonThieme Medical and Scientific Publishers Pvt. Ltd.articleglobal healthpediatricsgrowthnutritionsyrian refugee crisissyrian refugeesMedicineRENAvicenna Journal of Medicine (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	global health pediatrics growth nutrition syrian refugee crisis syrian refugees Medicine R
spellingShingle	global health pediatrics growth nutrition syrian refugee crisis syrian refugees Medicine R Amanda Vakos Nadia Khalil Ambuj Kumar Lynette Menezes Minal Ahson Assessment of Growth in Pediatric Syrian Refugee Populations in Jordan
description	Background Externally displaced pediatric Syrian refugees are at risk of adverse developmental health outcomes in the setting of food insecurity. To evaluate the impact of displacement on nutritional status of Syrian children, this study describes the prevalence of malnutrition of Syrian children residing in Jordan. Methods A retrospective cross-sectional analysis of data from patient records < 18 years of age from the Syrian American Medical Society's (SAMS) January 2019 mission trip to Jordan was performed. Prevalence of stunting, severe wasting, wasting, overweight, and underweight were calculated using the World Health Organization (WHO) definitions. Results Overall, 392 Syrian children were included. In the 0 to 59 months group (n = 191), prevalence of stunting was 13.9% (n = 165), severe wasting 4.2% (n = 165), wasting 6% (n = 165), overweight 16.4% (n = 165), and underweight 5.3% (n = 190). In the > 59 months group (n = 201), prevalence of stunting was 7.2% (n = 194), severe wasting 3.6% (n = 194), wasting 5.2% (n = 194), overweight 6.7% (n = 194), and underweight 4.6% (n = 153). Age group was significantly associated with stunting (odds ratio [OR] = 2.08,9 5% CI 1.03 to 4.19) and overweight (OR = 2.72; 95% CI 1.36 to 5.47) with increased odds of each in the 0–59 months group. Conclusion The findings suggest evidence of higher prevalence of malnutrition in Syrian children compared with prior assessments and greater impact on the younger cohort. In 0 to 59 months' old Syrian children, stunting and wasting were of medium severity and overweight was of high severity. This may reflect food insecurity in the setting of ongoing conflict, strain on resources, and evolving refugee policies, acknowledging study limitations. Syrian refugee children living in Jordan experience wasting and stunting. Comprehensive assessment of current nutritional status of Syrian children is needed. Access to adequate and nutritious food is paramount.
format	article
author	Amanda Vakos Nadia Khalil Ambuj Kumar Lynette Menezes Minal Ahson
author_facet	Amanda Vakos Nadia Khalil Ambuj Kumar Lynette Menezes Minal Ahson
author_sort	Amanda Vakos
title	Assessment of Growth in Pediatric Syrian Refugee Populations in Jordan
title_short	Assessment of Growth in Pediatric Syrian Refugee Populations in Jordan
title_full	Assessment of Growth in Pediatric Syrian Refugee Populations in Jordan
title_fullStr	Assessment of Growth in Pediatric Syrian Refugee Populations in Jordan
title_full_unstemmed	Assessment of Growth in Pediatric Syrian Refugee Populations in Jordan
title_sort	assessment of growth in pediatric syrian refugee populations in jordan
publisher	Thieme Medical and Scientific Publishers Pvt. Ltd.
publishDate	2021
url	https://doaj.org/article/88b3b56f93074ef0a2c7832c9a8d4f17
work_keys_str_mv	AT amandavakos assessmentofgrowthinpediatricsyrianrefugeepopulationsinjordan AT nadiakhalil assessmentofgrowthinpediatricsyrianrefugeepopulationsinjordan AT ambujkumar assessmentofgrowthinpediatricsyrianrefugeepopulationsinjordan AT lynettemenezes assessmentofgrowthinpediatricsyrianrefugeepopulationsinjordan AT minalahson assessmentofgrowthinpediatricsyrianrefugeepopulationsinjordan
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Assessment of Growth in Pediatric Syrian Refugee Populations in Jordan

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