Determinants of malnutrition among under-fives in Bengo province, Angola

Brito, Miguel; Soares, A.; Fançony, C.; Martins, A.

Publication

Determinants of malnutrition among under-fives in Bengo province, Angola

2015-09Conference object

dc.contributor.author	Brito, Miguel
dc.contributor.author	Soares, A.
dc.contributor.author	Fançony, C.
dc.contributor.author	Martins, A.
dc.date.accessioned	2018-12-30T22:06:17Z
dc.date.available	2018-12-30T22:06:17Z
dc.date.issued	2015-09
dc.description.abstract	Introduction - Nutrition is capable of maximize health and minimize morbidity and mortality in early childhood. In fact, some nutritional disturbances, if not detected nor treated in the first 1000 days of a child0s life, can have irreversible consequences impairing an individual for his entire life. New interventions to reduce undernutrition should be designed taking into account their determinants. This study aims to identify factors associated with undernutrition (wasting, stunting and underweight) among children under 5 years in Bengo province, Angola. Materials and Methods - Logistic regression analysis was used to examine undernutrition against a set of variables associated with health, water and parental caregiver factors. Children nutritional status was classified as underweight, stunted and wasted if their Z-scores for weight-for-age (WAZ), heightfor- age (HAZ) and weight-for-height (WHZ) were less than 2.0 SD of the WHO (2006) standards. Results - The present study comprised 803 children, of whom 50.8% were males and 43% aged 0–23 months. Concerning to parental practices, 36% of the under-twos were currently breastfeeding, and 89% were breastfeed for more than 12 months. 84% started complementary feedin within <6 months of birth. The caregivers reported that 34% of the children had diarrhea in the last 2 weeks and 53.4% of the mothers did not treat drinking water. The prevalence of wasting was 5.6%, of stunting 30.7% and of underweight 29.0%. The most significant factors for wasting were age of the child (OR 4.5, 2.1–9.3 risk for 0–23 age), being breastfed (OR 4.0, 2.0–7.7) and diarrhea episodes (OR 2.0, 1.0–3.7). The most significant factors for stunting were mother0s education (OR 0.5, 0.2–0.9 for mother with secondary or higher education), age of the child (OR 0.5, 0.4–0.8 risk for 0–23 age), being breastfed (OR 0.4, 0.3–0.6). The most significant factors for underweight were age of the child (OR 1.7, 1.1–2.6 risk for 0–23 age class), being breastfed (OR 1.7, 1.1–2.7) and diarrhea episodes (OR 1.9, 1.3–3.1). Conclusions The study suggests the necessity of different approaches in interventions depending on the age group. Community-based education interventions are needed to reduce preventable morbidity and mortality triggered by undernutrition.	pt_PT
dc.description.version	info:eu-repo/semantics/publishedVersion	pt_PT
dc.identifier.citation	Brito M, Soares A, Fançony C, Martins A. Determinants of malnutrition among under-fives in Bengo province, Angola. Trop Med Int Health. 2015;20(Suppl 1):280.	pt_PT
dc.identifier.doi	10.1111/tmi.12574	pt_PT
dc.identifier.uri	http://hdl.handle.net/10400.21/9231
dc.language.iso	eng	pt_PT
dc.peerreviewed	yes	pt_PT
dc.publisher	Wiley	pt_PT
dc.relation.publisherversion	https://onlinelibrary.wiley.com/doi/abs/10.1111/tmi.12574	pt_PT
dc.rights.uri	http://creativecommons.org/licenses/by-nc-nd/4.0/	pt_PT
dc.subject	Public health	pt_PT
dc.subject	Children	pt_PT
dc.subject	Malnutrition	pt_PT
dc.subject	Angola	pt_PT
dc.subject	Província do Bengo	pt_PT
dc.title	Determinants of malnutrition among under-fives in Bengo province, Angola	pt_PT
dc.type	conference object
dspace.entity.type	Publication
oaire.citation.endPage	280	pt_PT
oaire.citation.issue	Suppl 1	pt_PT
oaire.citation.startPage	280	pt_PT
oaire.citation.title	Tropical Medicine and International Health	pt_PT
oaire.citation.volume	20	pt_PT
person.familyName	Brito
person.givenName	Miguel
person.identifier.ciencia-id	231F-F341-7E93
person.identifier.orcid	0000-0001-6394-658X
person.identifier.rid	A-7970-2016
person.identifier.scopus-author-id	35224551000
rcaap.rights	openAccess	pt_PT
rcaap.type	conferenceObject	pt_PT
relation.isAuthorOfPublication	4252d8e0-800c-4d67-8b13-0b711d860669
relation.isAuthorOfPublication.latestForDiscovery	4252d8e0-800c-4d67-8b13-0b711d860669