OBJECTIVE: To examine the catch up growth in severely wasted children using energy dense local foods at a hospital based nutrition rehabilitation unit. DESIGN: Retrospective cohort. SETTING: In-patient ward at a tertiary care government pediatric hospital in Hyderabad. PATIENTS: Children with severe malnutrition (n=309) admitted to nutrition ward from January 2001 to December 2005. INTERVENTION: A diet based on energy dense local foods along with multivitamin-multimineral supplements. MAIN OUTCOME MEASURES: Catch up growth (g/kg/day) during each week of hospital stay. RESULTS: Mean age of the children was 25 months (range 2-60). Their baseline weight for height (WHZ) Z score was -4.1. Mean weight gain was moderate (5g/kg/day) and baseline WHZ score had a significant negative relationship to the weight gain. The prevalence of morbidities was high and the commonest morbidity was fever. Weight gain was higher by almost 40% in the absence of morbidities in any week. CONCLUSIONS: The diet based on local energy dense foods was found to be suitable for the nutrition rehabilitation of severely malnourished children though the rate of weight gain was moderate.
OBJECTIVE: To examine the catch up growth in severely wasted children using energy dense local foods at a hospital based nutrition rehabilitation unit. DESIGN: Retrospective cohort. SETTING: In-patient ward at a tertiary care government pediatric hospital in Hyderabad. PATIENTS: Children with severe malnutrition (n=309) admitted to nutrition ward from January 2001 to December 2005. INTERVENTION: A diet based on energy dense local foods along with multivitamin-multimineral supplements. MAIN OUTCOME MEASURES: Catch up growth (g/kg/day) during each week of hospital stay. RESULTS: Mean age of the children was 25 months (range 2-60). Their baseline weight for height (WHZ) Z score was -4.1. Mean weight gain was moderate (5g/kg/day) and baseline WHZ score had a significant negative relationship to the weight gain. The prevalence of morbidities was high and the commonest morbidity was fever. Weight gain was higher by almost 40% in the absence of morbidities in any week. CONCLUSIONS: The diet based on local energy dense foods was found to be suitable for the nutrition rehabilitation of severely malnourished children though the rate of weight gain was moderate.
Authors: Alessandra N Bazzano; Kaitlin S Potts; Lydia A Bazzano; John B Mason Journal: Int J Environ Res Public Health Date: 2017-04-11 Impact factor: 3.390
Authors: Prosper J Bashaka; Hendry R Sawe; Victor Mwafongo; Juma A Mfinanga; Michael S Runyon; Brittany L Murray Journal: BMC Pediatr Date: 2019-09-11 Impact factor: 2.125