The quality of the diet in Malawian children with kwashiorkor and marasmus
Bibliographic Data
| ID | 15536604 |
|---|---|
| Authors | Jesse Sullivan (0000-0002-6651-1618, Washington University in St. Louis, corresponding author), Macdonald Ndekha (University of Malawi), Dawn Maker (Washington University in St. Louis), Christine Hotz (0000-0003-3625-7708, Instituto Nacional de Salud Pública), Mark J Manary (0000-0003-2733-9568, Washington University in St. Louis) |
| Year | 2006 |
| Volume | 2 |
| Issue | 2 |
| Pages | 114-122 |
| Publication date | 2006-03-14 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Maternal and Child Nutrition (JOURNAL) |
| Journal identifiers | ISSN: 1740-8695 • E-ISSN: 1740-8709 |
| Publisher | Wiley (PUBLISHER • GB) |
| DOI | 10.1111/j.1740-8709.2006.00053.x |
| PMID | 16881921 |
| OpenAlex | W1975800249 |
| Language | EN |
| References cited | 17 |
Nutritionists have suggested that kwashiorkor is related to low dietary protein and/or antioxidant intake. This study explored the hypothesis that among Malawian children with severe malnutrition, those with kwashiorkor consume a diet with less micronutrient- and antioxidant-rich foods, such as fish, eggs, tomatoes and orange fruits (mango, pumpkin and papaya), than those with marasmus. A case-control method with a food frequency questionnaire was used to assess the habitual diet. Children with severe childhood malnutrition presenting to the central hospital in Blantyre, Malawi during a 3-month period in 2001 were eligible to participate. The food frequency questionnaire collected data about foods consumed by siblings <60 months of age in the home. It was assumed that the habitual diet of all siblings 1-5 years old in the same home was similar. Dietary diversity was assessed using a validated method, with scores that ranged from 0 to 7. Regression modelling was used to control for demographic and disease covariates. A total of 145 children with kwashiorkor and 46 with marasmus were enrolled. Children with kwashiorkor consumed less egg and tomato than those with marasmus: 17 (15) vs. 24 (31) servings per month for egg, mean (SD), P < 0.01 and 27 (17) vs. 32 (19) servings per month for tomato, P < 0.05. Children with kwashiorkor had a similar dietary diversity score as those with marasmus, 5.06 (0.99) vs. 5.02 (1.10), mean (SD). Further research is needed to determine what role consumption of egg and tomato may play in the development of kwashiorkor
Biology · Dietary diversity · Environmental health · Food security · Kwashiorkor · Malnutrition · Marasmus · Micronutrient · Child Nutrition and Water Access · Global Maternal and Child Health · Medicine · Poverty, Education, and Child Welfare · Internal Medicine · Pediatrics
| Citation velocity | historical |
|---|---|
| Highly cited | No |