Predictors of the risk of malnutrition among children under the age of 5 years in Somalia

Datos Bibliográficos

ID15095089
AutoresDamaris K Kinyoki (Kenya Medical Research Institute, autor de correspondencia), James A Berkley (0000-0002-1236-849X, Churchill Hospital), Grainne Moloney, Grainne M Moloney, Ngianga-Bakwin Kandala (0000-0001-7920-0627), Ngianga‐bakwin Kandala (0000-0002-5654-5486, Kenya Medical Research Institute), Abdisalan M Noor (0000-0003-2242-4499, University of Oxford)
Año2015
Volumen18
Número17
Páginas3125-3133
Fecha de publicación2015-12-01
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaPublic Health Nutrition (JOURNAL)
Identificadores de la revistaISSN: 1368-9800 • E-ISSN: 1475-2727
EditorialCambridge University Press (CUP) (PUBLISHER)
DOI10.1017/s1368980015001913
PMID26091444
OpenAlexW2154369295
IdiomaEN
Citas recibidas12
Referencias citadas21

Objective To investigate the predictors of wasting, stunting and low mid-upper arm circumference among children aged 6–59 months in Somalia using data from household cross-sectional surveys from 2007 to 2010 in order to help inform better targeting of nutritional interventions. Design Cross-sectional nutritional assessment surveys using structured interviews were conducted among communities in Somalia each year from 2007 to 2010. A two-stage cluster sampling methodology was used to select children aged 6–59 months from households across three livelihood zones (pastoral, agro-pastoral and riverine). Predictors of three anthropometric measures, weight-for-height (wasting), height-for-age (stunting) and mid-upper arm circumference, were analysed using Bayesian binomial regression, controlling for both spatial and temporal dependence in the data. Setting The study was conducted in randomly sampled villages, representative of three livelihood zones in Somalia. Subjects Children between the ages of 6 and 59 months in Somalia. Results The estimated national prevalence of wasting, stunting and low mid-upper arm circumference in children aged 6–59 months was 21 %, 31 % and 36 %, respectively. Although fever, diarrhoea, sex and age of the child, household size and access to foods were significant predictors of malnutrition, the strongest association was observed between all three indicators of malnutrition and the enhanced vegetation index. A 1-unit increase in enhanced vegetation index was associated with a 38 %, 49 % and 59 % reduction in wasting, stunting and low mid-upper arm circumference, respectively. Conclusions Infection and climatic variations are likely to be key drivers of malnutrition in Somalia. Better health data and close monitoring and forecasting of droughts may provide valuable information for nutritional intervention planning in Somalia

Agriculture · Anthropometry · Body mass index · Circumference · Cluster (spacecraft · Cross-sectional study · Environmental health · Geography · Livelihood · Malnutrition · Psychological intervention · Wasting · Child Nutrition and Water Access · Demography · Food Security and Health in Diverse Populations · Medicine · Poverty, Education, and Child Welfare · Pediatrics