Nutritional Status and Related Factors in Children, Bandar Turkmen District, Iran

authors:

avatar Mohammad-Javad Kabir 1 , avatar Ali-Rez Abadi 2 , avatar Naser Kalantari 3 , avatar Behrooz Ebrahimzadehkor 4 , *

Health Management and Social Development Research Center, Golestan Univers ity of Medical Sciences , Gorgan, Iran
Department of Biostatistics, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Department of Pediatric, Nutrition Science Research, Faculty of Nutrition, Shahid Beheshti Univer sity of Medical Sciences, Tehran, Iran
Nursing Research Center, Research and Technology Deputy, Golestan University of Me dical Sciences, Gorgan, Iran

how to cite: Kabir M, Abadi A, Kalantari N, Ebrahimzadehkor B . Nutritional Status and Related Factors in Children, Bandar Turkmen District, Iran. Zahedan J Res Med Sci. 2014;16(8): -.

Abstract

Background: Prevalence of protein-energy malnutrition (PEM) is one of the important problems of third-world countries including Iran. This study assessed nutritional status and some related factors among children aged 0-5 years in Bandar Turkmen district.
Materials and Methods: In this cross-sectional study, 616 children aged less than 5 years were selected with stratified random sampling. Malnutrition was defined as <-2 SD National Center for Health Statistics (NCHS) reference (weight for age, weight for height and height for age respectively). Obesity was defined as > +2 SD NCHS reference. Data were collected by interview with mothers and were analyzed with SPSS-11.5 software.
Results: In this study, prevalence of underweight, wasting and stunting and obesity were 3.7, 3.9, 7 and 6% respectively. Exclusively breastfeeding, mother’s BMI, mother’s weight and parental educational and economic status had significant correlation with children’s PEM (p<0.05). Birth weight <2500 g and >4000 g (p=0.031), breast feeding duration <18 months (p=0.017), mother’s present age ≥37 years (p=0.039), mother’s delivery age >30 years (p=0.043) and formula or cow’s milk plus breast feeding up to 6 months old (p=0.018) had significant correlation with children’s obesity. In multivariate analysis on logistic regression, mother’s nutritional knowledge (OR=11.22, p=0.001) was most important risk factor for PEM. Exclusively breast feeding up to 6 months of age rather than formula or cow’s milk plus breast feeding, reduced 2.45 times obesity risk (p=0.019).
Conclusion: We conclude that breast feeding at first 6 months of age, longer breast feeding duration and pregnancy in lower than 30 years of age reduce risk of child nutritional status.

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