The effect of daily meal support program on improvement of anthropometric indices in 2-6 years old children in Iranshahr, Iran

Subject Areas :

Arefeh  KhaksarJalali ¹ (Department of Nutrition, Science and Research Branch, Islamic Azad University, Tehran, Iran)
Amirmehdi  Husseini ² (Department of Nutrition, Science and Research Branch, Islamic Azad University, Tehran, Iran)
Mina  Minaie ³ (Department of Community Nutrition, Faculty of Nutrition & Dietetics, Tehran University of Medical Sciences, Tehran, Iran| Community Nutrition Improvement Office of the Ministry of Health and Medical Education, Tehran, Iran)
Shahla  Mirlashari ⁴ (Department of Nutrition, Health Deputy, Bushehr University of Medical Sciences, Bushehr, Iran)
Zahra  Abdollahi ⁵ (Community Nutrition Improvement Office of the Ministry of Health and Medical Education, Tehran, Iran)
Ahmadreza  Dorosty Motlagh ⁶ (Department of Community Nutrition, Faculty of Nutrition & Dietetics, Tehran University of Medical Sciences, Tehran, Iran)

Received: 2018-06-10 Accepted : 2018-08-18 Published : 2018-09-01

Keywords: Obesity, Overweight, Pediatric, Malnutrition, Underweight,

Abstract :

Pediatric malnutrition is prevalent in developing countries including Iran. One of the most important factors that effects on children growth is nutritious food intake. This study was designed to study the effect of daily ready to use meal in 2-6 years children in daycare centers. 715 children have been assessed in this study and weight and height were measured before and after the 6-month intervention with daily ready to use meal. Anthropometric indices compared with WHO standards of 2007. Wasting decreased significantly from 29% to 19% in 2-5 children before and after the intervention, respectively. Also, the underweight prevalence decreased significantly from 27% to 19% in all 2-6 children. Furthermore, the prevalence of wasting and underweight in boys was more than girls. According to BMI/age Z-score, thinness prevalence lowered significantly from 23% to 15%. But height/age Z-score didn’t change significantly. The results of this study showed that nutrition intervention can improve health indicators in children suffering from malnutrition.

References:

1. Roth RA. Nutrition and diet therapy: Cengage Learning; 2013.


2. Rahman A, Chowdhury SJ. Determinants of chronic malnutrition among preschool children in Bangladesh. Journal of Biosocial Science. 2007;39(2):161-73.


3. WHO. Malnutrition 2018 [Available from: https://www.who.int/news-room/fact-sheets/detail/malnutrition.


4. WHO. Training course on child growth assessment, Geneva, 2008 Availablefromhttps://www.who.int/childgrowth/training/module_h_directors_guide.pdf.


5. Bhadoria AS, Kapil U, Bansal R, Pandey R, Pant B, Mohan AJ, et al. Prevalence of severe acute malnutrition and associated sociodemographic factors among children aged 6 months–5 years in rural population of Northern India: A population-based survey. Journal of Family Medicine and Primary Care. 2017;6(2):380.


6. Black RE, Victora CG, Walker SP, Bhutta ZA, Christian P, De Onis M, et al. Maternal and child undernutrition and overweight in low-income and middle-income countries. Lancet. 2013;382(9890):427-51.


7. UNICEF. World Bank Group. Levels and trends in child malnutrition: joint child malnutrition estimates. Key findings of the 2017 edition. 2018.


8. Reilly JJ. Obesity in childhood and adolescence: evidence based clinical and public health perspectives. Postgraduate Medical Journal. 2006;82(969):429-37.


9. Dietz WH, Robinson TN. Overweight children and adolescents.  The New England Journal of Medicine. 2005;352(20):2100-9.


10. Kelishadi R, Hashemi Pour M, Sarraf‐Zadegan N, Sadry GH, Ansari R, Alikhassy H, et al. Obesity and associated modifiable environmental factors in Iranian adolescents: Isfahan Healthy Heart Program− heart health promotion from childhood. Pediatrics International. 2003;45(4):435-42.


11. Kelishadi R, Ardalan G, Gheiratmand R, Majdzadeh R, Hosseini M, Gouya M, et al. Thinness, overweight and obesity in a national sample of Iranian children and adolescents: CASPIAN Study. Child: Care, Health and Development. 2008;34(1):44-54.


12. Mirmohammadi S-J, Hafezi R, Mehrparvar AH, Rezaeian B, Akbari H. Prevalence of overweight and obesity among Iranian school children in different ethnicities. Iranian Journal of Pediatrics. 2011;21(4):514.


13. Akbari F, Azadbakht L. A systematic review on diet quality among Iranian youth: focusing on reports from Tehran and Isfahan. Archives of Iranian Medicine. 2014;17(8).


14. De Onis M, Blössner M. Prevalence and trends of overweight among preschool children in developing countries. The American Journal of Clinical Nutrition. 2000;72(4):1032-9.


15. Bingham DD, Varela‐Silva MI, Ferrão MM, Augusta G, Mourão MI, Nogueira H, et al. Socio‐demographic and behavioral risk factors associated with the high prevalence of overweight and obesity in portuguese children. American Journal of Human Biology. 2013;25(6):733-42.


16. Siasi F. National Integrated Micronutrient Survey (NIMS). 2012:117-25.


17. Karajibani M, Shaykhei M, Montazerifar F, Eftekharenia MJ. Prevalence of malnutrition in children under 6 years in Sistan and Baluchestan province, Iran. Zahedan Journal of Research in Medical Sciences. 2014;16(8):20-4.


18. Steenkamp L, Lategan R, Raubenheimer J. The impact of Ready-to-Use Supplementary Food (RUSF) in targeted supplementation of children with moderate acute malnutrition (MAM) in South Africa. South African Family Practice. 2015;57(5):322-5.