Literature DB >> 19274107

Malnutrition: missed opportunities for diagnosis.

S Antwi1.   

Abstract

INTRODUCTION: Malnutrition is a serious public health problem particularly in developing countries where it is responsible for 54% of under 5s mortality. Anthropometric measurements are key tools for the assessment of nutritional status and diagnosis of malnutrition. Height and weight measurements are not routinely done in most clinics and hospitals in Ghana. Children therefore miss the opportunity for accurate nutritional assessment and detection of malnutrition.
OBJECTIVES: To determine the prevalence of wasting among children <5 years and to document extent of under-diagnosis.
METHOD: From June to August 2004, children aged >3 months to <5 years attending the outpatient clinic of Komfo Anokye Teaching Hospital were systematically assessed for wasting using weight-for-height standard deviation score (Z-score).
RESULTS: Of 1182 children (mean age 24.9 months), 251 (21.2%) were wasted, 48 (4.1%) of them severely. Only 15 (5.9%) of the 251 children with wasting were so identified by the attending physician.
CONCLUSION: Malnutrition is widespread yet under-diagnosed. Anthropometric measurements should be promoted in all child health clinics.

Entities:  

Keywords:  Z-score; malnutrition; missed opportunities; wasting; weight-for-height

Year:  2008        PMID: 19274107      PMCID: PMC2643431          DOI: 10.4314/gmj.v42i3.43627

Source DB:  PubMed          Journal:  Ghana Med J        ISSN: 0016-9560


  3 in total

1.  Global mortality, disability, and the contribution of risk factors: Global Burden of Disease Study.

Authors:  C J Murray; A D Lopez
Journal:  Lancet       Date:  1997-05-17       Impact factor: 79.321

2.  Epidemiologic evidence for a potentiating effect of malnutrition on child mortality.

Authors:  D L Pelletier; E A Frongillo; J P Habicht
Journal:  Am J Public Health       Date:  1993-08       Impact factor: 9.308

3.  Physical status: the use and interpretation of anthropometry. Report of a WHO Expert Committee.

Authors: 
Journal:  World Health Organ Tech Rep Ser       Date:  1995
  3 in total
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