High Burden of Undernutrition among At-Risk Children in Neonatal Follow-Up Clinic in Rwanda

Background: Sufficient knowledge of the disproportionate burden of undernutrition among vulnerable children is required for accelerating undernutrition reduction in low-income countries. Objectives: We aimed to assess the prevalence of stunting, underweight and wasting and associated factors among h...

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Autores principales:	Theoneste Mutsindashyaka, Alphonse Nshimyiryo, Kathryn Beck, Catherine M. Kirk, Kim Wilson, Christine Mutaganzwa, Jessica D. Bradford, Silas Havugarurema, Vianney Bihibindi, Patient K. Ngamije, Joel M. Mubiligi, Ann C. Miller
Formato:	article
Lenguaje:	EN
Publicado:	Ubiquity Press 2020
Materias:	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/b12d94d2c7ad4ad889500f4bdbf6021d
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spelling	oai:doaj.org-article:b12d94d2c7ad4ad889500f4bdbf6021d2021-12-02T12:58:10ZHigh Burden of Undernutrition among At-Risk Children in Neonatal Follow-Up Clinic in Rwanda2214-999610.5334/aogh.2636https://doaj.org/article/b12d94d2c7ad4ad889500f4bdbf6021d2020-10-01T00:00:00Zhttps://annalsofglobalhealth.org/articles/2636https://doaj.org/toc/2214-9996Background: Sufficient knowledge of the disproportionate burden of undernutrition among vulnerable children is required for accelerating undernutrition reduction in low-income countries. Objectives: We aimed to assess the prevalence of stunting, underweight and wasting and associated factors among high-risk children born preterm, with low birth weight or other birth and neurodevelopmental injuries, who received nutritional support and clinical care follow-up in a Pediatric Development Clinic (PDC) in rural Rwanda. Methods: This cross-sectional study included all children from rural areas enrolled in PDC between April 2014–September 2017 aged 6–59 months at their last visit during this period. Anthropometric measurements, socioeconomic and clinical characteristics were extracted from an electronic medical records system. We used the World Health Organization child growth standards to classify stunting, underweight and wasting. Factors associated with undernutrition were identified using logistic regression analysis. Results: Of 641 children, 58.8% were stunted, 47.5% were underweight and 25.8% were wasted. Small for gestational age was associated with increased odds of stunting [OR 2.63; 95% CI 1.58–4.36] and underweight (OR 2.33; 95% CI 1.46–3.71), while history of feeding difficulties was significantly associated with wasting (OR: 3.36; 95% CI: 2.20–5.13) and underweight (OR: 2.68; 95% CI: 1.78–4.04). Later age at PDC enrollment was associated with increased odds of stunting (OR: 1.06; 95% CI: 1.01–1.11), underweight (OR: 1.09; 95% CI: 1.05–1.14) and wasting (OR: 1.07; 95% CI: 1.04–1.10). Conclusions: The prevalence of stunting, underweight and wasting are high in this at-risk population, highlighting the need for specific interventions to address undernutrition among children with similar characteristics. Early PDC enrollment of high-risk infants may reduce undernutrition risk.Theoneste MutsindashyakaAlphonse NshimyiryoKathryn BeckCatherine M. KirkKim WilsonChristine MutaganzwaJessica D. BradfordSilas HavugaruremaVianney BihibindiPatient K. NgamijeJoel M. MubiligiAnn C. MillerUbiquity PressarticleInfectious and parasitic diseasesRC109-216Public aspects of medicineRA1-1270ENAnnals of Global Health, Vol 86, Iss 1 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
spellingShingle	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270 Theoneste Mutsindashyaka Alphonse Nshimyiryo Kathryn Beck Catherine M. Kirk Kim Wilson Christine Mutaganzwa Jessica D. Bradford Silas Havugarurema Vianney Bihibindi Patient K. Ngamije Joel M. Mubiligi Ann C. Miller High Burden of Undernutrition among At-Risk Children in Neonatal Follow-Up Clinic in Rwanda
description	Background: Sufficient knowledge of the disproportionate burden of undernutrition among vulnerable children is required for accelerating undernutrition reduction in low-income countries. Objectives: We aimed to assess the prevalence of stunting, underweight and wasting and associated factors among high-risk children born preterm, with low birth weight or other birth and neurodevelopmental injuries, who received nutritional support and clinical care follow-up in a Pediatric Development Clinic (PDC) in rural Rwanda. Methods: This cross-sectional study included all children from rural areas enrolled in PDC between April 2014–September 2017 aged 6–59 months at their last visit during this period. Anthropometric measurements, socioeconomic and clinical characteristics were extracted from an electronic medical records system. We used the World Health Organization child growth standards to classify stunting, underweight and wasting. Factors associated with undernutrition were identified using logistic regression analysis. Results: Of 641 children, 58.8% were stunted, 47.5% were underweight and 25.8% were wasted. Small for gestational age was associated with increased odds of stunting [OR 2.63; 95% CI 1.58–4.36] and underweight (OR 2.33; 95% CI 1.46–3.71), while history of feeding difficulties was significantly associated with wasting (OR: 3.36; 95% CI: 2.20–5.13) and underweight (OR: 2.68; 95% CI: 1.78–4.04). Later age at PDC enrollment was associated with increased odds of stunting (OR: 1.06; 95% CI: 1.01–1.11), underweight (OR: 1.09; 95% CI: 1.05–1.14) and wasting (OR: 1.07; 95% CI: 1.04–1.10). Conclusions: The prevalence of stunting, underweight and wasting are high in this at-risk population, highlighting the need for specific interventions to address undernutrition among children with similar characteristics. Early PDC enrollment of high-risk infants may reduce undernutrition risk.
format	article
author	Theoneste Mutsindashyaka Alphonse Nshimyiryo Kathryn Beck Catherine M. Kirk Kim Wilson Christine Mutaganzwa Jessica D. Bradford Silas Havugarurema Vianney Bihibindi Patient K. Ngamije Joel M. Mubiligi Ann C. Miller
author_facet	Theoneste Mutsindashyaka Alphonse Nshimyiryo Kathryn Beck Catherine M. Kirk Kim Wilson Christine Mutaganzwa Jessica D. Bradford Silas Havugarurema Vianney Bihibindi Patient K. Ngamije Joel M. Mubiligi Ann C. Miller
author_sort	Theoneste Mutsindashyaka
title	High Burden of Undernutrition among At-Risk Children in Neonatal Follow-Up Clinic in Rwanda
title_short	High Burden of Undernutrition among At-Risk Children in Neonatal Follow-Up Clinic in Rwanda
title_full	High Burden of Undernutrition among At-Risk Children in Neonatal Follow-Up Clinic in Rwanda
title_fullStr	High Burden of Undernutrition among At-Risk Children in Neonatal Follow-Up Clinic in Rwanda
title_full_unstemmed	High Burden of Undernutrition among At-Risk Children in Neonatal Follow-Up Clinic in Rwanda
title_sort	high burden of undernutrition among at-risk children in neonatal follow-up clinic in rwanda
publisher	Ubiquity Press
publishDate	2020
url	https://doaj.org/article/b12d94d2c7ad4ad889500f4bdbf6021d
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High Burden of Undernutrition among At-Risk Children in Neonatal Follow-Up Clinic in Rwanda

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