ABSTRACT
@#Introduction: There is a dearth of public health and nutrition information available pertaining to the indigenous groups in the Philippines. Hence, this study described the prevalences of stunting and zinc deficiency, as well as factors associated with zinc status of 3-5 years old children among the Kankana-ey people, an indigenous group living in Kibungan, Benguet, Philippines. Methods: A cross-sectional design was used in the conduct of the study where 63 study participants were randomly selected from a chronological list of names of eligible Kankana-ey children by drawing lots. The mothers/primary caregivers of these children were interviewed to collect their socio-economic and demographic data, and dietary intake was assessed through three non-consecutive days 24-hour food recall. Height and weight of the children were also measured to determine their nutritional status. Lastly, blood samples were collected to determine the zinc status of the children based on serum zinc concentration, analysed through atomic absorption spectrophotometer. Results: Results showed that 54.0% and 50.8% of the Kankana-ey children had stunting and zinc deficiency, respectively. There was significant positive association between being exclusively breastfed and current zinc status (p=0.001). On the other hand, a statistically significant negative correlation was observed between zinc intake and zinc serum concentration (r=-0.291, p=0.021). Conclusion: Undernutrition among Kankana-ey children is a major public health concern in Kibungan, Benguet. Preventive actions must be taken to alleviate the severity of both stunting and zinc deficiency, and to mitigate possible consequences by strengthening the current nutrition and health programmes for indigenous groups, especially among young children.
ABSTRACT
@#Introduction: Environmental enteric dysfunction (EED) is relevant in public health as it is a potential cause of child stunting. In the Philippines, stunting affects 33.4% of children in 2015. As of date, no local studies on EED exist. This study primarily aimed to determine the prevalence of EED, soil transmitted helminthiasis (STH) and stunting; and their relationships. Methods: A cross-sectional study was conducted among 120 children aged 36-59 months old in Quezon Province, Philippines. EED was assessed via glucose hydrogen breath test with a cut-off of >20 ppm over baseline by 90 minutes suggestive of small intestinal bacterial overgrowth (SIBO), a biomarker of EED. Kato Katz Technique was used to determine STH. Stunting was determined using the 2006 World Health Organization Child Growth Standards. Descriptive and correlation analyses of data were done at 10% level of significance. The study received approval from the National Ethics Committee of PCHRD-DOST, Philippines. Results: Data on expired hydrogen level of <20ppm were documented. The prevalence of STH among children were 38.1% for Ascaris lumbricodes, 15.3% for Trichuris trichiura, and 1.7% for hookworm infections. A high rate of stunting at 40.0% was observed. There was a significant positive association between stunting and the presence of Ascaris (p=0.01). Conclusion: There was no case of EED detected in the study. The severity of stunting was high at 40.0%. Among the STH, the prevalence of 38.1% children having Ascaris lumbricodes was alarming in terms of morbidity control. Nutrition interventions including WASH practices and the use of anthelminthic drugs need to be intensified to address stunting and STH.
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@#Introduction: This study aimed to evaluate the effects of micronutrient powders (MNP) containing 15 versus nine nutrients, with or without complementary food blend (BigMo), on the nutritional status of rural young children in the Philippines. Methods: The study was conducted for 6 months among 126 rural children aged 6-17 months in four villages selected by cluster randomisation. Children were randomised into four groups: VitaMix with 15 micronutrients plus Bigas Mongo (BigMo) (n=31); VitaMix without BigMo (n=31); Micronutrient Growth Mix (MGM) with nine micronutrients plus BigMo (n=29); and MGM without BigMo (n=31). Blood samples were collected at baseline and endline to determine haemoglobin, ferritin, retinol, and zinc concentrations. Intervention compliance, weight, length, and dietary intakes were collected every month. One-way ANOVA was used to compare changes in the mean estimates across groups. McNemar and Pearson’s x2 tests were used to compare changes in the proportion estimates within groups and across groups, respectively. Results: Both VitaMix and MGM with or without BigMo improved haemoglobin concentrations and reduced anaemia (Hb<11g/dL). However, only VitaMix and MGM combined with BigMo had effects in reducing moderate anaemia (Hb<10g/dL), compared to groups without BigMo. Only MGM+BigMo group demonstrated significant reduction in the prevalence of moderate non-iron deficiency anaemia (IDA) (Hb<10g/dL and ferritin>12ug/L). A significant increase in the length-for-age z-scores was noted in the MGM with and without BigMo groups. Conclusion: Daily supplementation of MGM with nine micronutrients combined with complementary food blend may have a greater potential than MNP with 15 micronutrients in improving the nutritional status of young children.
ABSTRACT
Introduction: Micronutrient malnutrition among young Filipino children is attributed to inadequate food intake and improper feeding practices. To improve nutrient intake, home fortification using multiple micronutrient powders (MNPs) targeting 6 -23 monthold children became an intervention program referred to as Point of Use Complementary Food Fortification with Multiple Micronutrient Powders in Zamboanga City and the Municipality of Aurora in Region IX, Philippines. This study aimed to determine the extent of knowledge and use of complementary food with MNPs in the context of the said intervention program and implementation areas. Methods: A cross-sectional survey was conducted among 120 randomly selected primary caregivers with 6 -23-month-old children in the covered program areas. A questionnaire designed to elicit knowledge and use of MNPs was developed and pre-tested before data collection. Results: Results showed that all respondents were aware of MNPs, with local health workers as the information source. Percentage of respondents with knowledge of the purpose of MNPs varied widely. Among those who did, the most well-known function was improving children’s health status. The most common practice of fortifying food with MNP involved adding it to boiled rice and vegetable dishes. Home fortification is popularly practised after cooking the food. Of the 20% respondents who claimed to observe changes in their children due to MNP, the top two positive results were children’s increased appetite and increased growth. Conclusion: Awareness of the MNP does not necessarily translate into knowledge of what the MNP is made up of or its purpose. Although home food fortification using MNP was practised by most households, this study revealed deviations from recommendations on how to properly fortify their foods using the MNPs. Based on the findings in this study, there is a need to complement awareness of the primary caregivers with knowledge on MNPs through counselling and initiating support groups among caregivers to serve as credible and first hand examples of the proper use of MNPs.
ABSTRACT
Malnutrition in young children is often viewed as an outcome of the interactions of dietary consumption, socio-economic, and demographic factors. Social capital is a widely explored subject because of its implications on health and socio-economic factors, but has not gained recognition in its role as a determinant of nutritional status. Objectives: The study aimed to determine the association between maternal social capital and nutritional status of 6 to 24-month-old children living in urban and rural areas and to compare the effect of maternal social capital on the child’s nutritional status between an urban and a rural community setting. Methods: A total of 135 randomly selected mothers were interviewed in selected urban and rural communities in San Pablo City and Municipality of Rizal, Laguna, Philippines. Chi-square and Spearman’s test were used to determine the association of variables. Binary logistic regression was used to predict the effect of maternal social capital on nutritional status. Results: Levels of maternal social capital were the same in the urban and rural areas (p=0.24) and had a strong association with household food security ( p <0.05). In the urban area, maternal social capital was strongly associated with mother’s education ( p <0.01) and weight-for-age ( p <0.01) and height-for-age ( p <0.05). In the rural area, maternal social capital was strongly associated with mother’s education ( p <0.01), ethnicity ( p <0.01), marital status ( p <0.05) and weight-for-age ( p <0.01). Conclusion: There is an association between material social capital and nutritional status. Improvements in education and household food security as well as having parents living-in together may lead to better nutritional outcomes as these factors are associated with maternal social capital which in turn affects nutritional status of children aged 6 to 24 months.