Determinants Of Nutritional Status Research Articles

Nutritional status at diagnosis of cancer in children and adolescents in Guatemala and its relationship to socioeconomic disadvantage: A retrospective cohort study.

At least 80% of children with cancer live in low- and middle-income countries where the prevalence of malnutrition and socioeconomic disadvantage is high. We examined the relationship between nutritional status (NS), assessed by arm anthropometry, and socioeconomic status (SES) in children diagnosed with cancer at Unidad Nacional de Oncologia Pediatrica (UNOP) in Guatemala over a three-year period. Patients aged 0 to 18 years of age diagnosed between January 2015 and December 2017 were included. NS was evaluated by mid-upper arm circumference, triceps skin fold thickness, and serum albumin level, and subjects were classified as adequately nourished, moderately depleted, and severely depleted nutritionally. SES was measured by a 15-item instrument developed at UNOP. Of 1365 patients diagnosed in the study period, 1060 (78%) fulfilled the eligibility criteria. Only 6% of patients were classified as medium to high, the remainder as medium-low to extremely low SES. Almost 47% were severely depleted at diagnosis, 19% moderately depleted, and 34% adequately nourished. SES was shown to be a determinant of NS; with progressively lower SES, the probability of a decline in NS increased by a factor of 1.04 points (P<0.0001). Leukemia and lymphoma were also important predictors of nutritional depletion with odds ratios of 6.08 (95% CI, 1.74-28.28; P=0.008) for leukemias and 4.83 (95% CI, 1.33-23.03; P=0.03) for lymphomas. Both low SES and a diagnosis of leukemia or lymphoma are strong predictors of poor NS at diagnosis in children with cancer in Guatemala.

Determinant Factors Affecting the Nutritional Status of Children in Regional Health Center of Gresik

Preschool children are at risk developing PEM as they are not breastfed and the food consumed maynot fuilfill the nutrients need for their progressive growth. Nutritional status of preschool childrenis indirectly associated to the socioeconomic and hygiene status and directly associated to the levelof consumptions and infections. The aims of this research is to analyze the associations betweensocioeconomic factors, hygiene, level of consumptions, and infections with the nutritional statusof preschool children in Gresik District. The result of statistical analysis using the Multiple LinearRegression Test showed that maternal education, knowledge, environmental hygienity and protein energyintake have a significant influence on nutritional status of children,while maternal parenting, URI incidentand diarrhea and family income variables have no significant influence on nutritional status. Early detectionthrough intensification monitoring of toddler growth at posyandu, followed by determination ofnutritional status by village midwife or other health worker. It is a striving for a dynamic food andenvironment where monitoring of critical indicators of resources, availability and access to food andnutrition at all levels of society required.