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The aim and objective of this research study was to compare the nutritional status of Severe Acute Malnourished (SAM) Children between Pre and Post admission in Nutrition Rehabilitation Center (NRC). The exploratory as well as descriptive research design was used. The nutritional status was checked by four test variables as Weight-kg, Height-cm, MUAC (Mid-Upper Arm Circumference). The sample size of this study was 211. The normality test was performed using One-Sample Kolmogorov-Smirnov Test. Since the data of four test variable was not normal, hence non-parametric test (Wilcoxon Signed Ranks Test) was used for the comparative study between pre and post condition. The findings concluded that there was a difference of the weight, height, MUAC, of the children in pre and post medical treatment in the NRC for the SAM children.
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Aims: To evaluate the impact of the therapeutic foods on the hematological parameters of malnourished children below 5 years of age. Study Design: This is a Prospective cross-sectional study. Place and Duration of Study: Intensive Nutritional Recovery Center of Tessaoua, Maradi, Niger republic, from June 15 to September 10, 2022. Methodology: We included 60 malnourished children (36 males, 24 females; age range 6-59 months) who are severely acutely malnourished. Standard survey forms that were developed for the purpose have permitted to obtain sociodemographic and hematological data (hemoglobin level and leukocyte count) concerning malnourished children. Results: The results showed that among the 60 children that were surveyed, at entry, 50 (83.33%) were recorded to have a low hemoglobin level and 36 (60%) with highly elevated leucocyte count. At the end of treatment with therapeutic foods, it was observed an overall normalization of these parameters during an average duration of hospitalization. Conclusion: Therapeutic foods have shown a significant positive influence on hematological parameters of malnourished children. Their use should therefore be encouraged in line with other strategies in order to ensure good and rapid recovery in malnourished children under five years of age.
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@#Introduction: Prevalence of malnourished children in Putrajaya was unexpectedly high in 2016. This paper describes the study protocol for a case-control study conducted to identify the associated factors of malnutrition among children under 5 years old in Putrajaya. Methods: This study involved two phases. Phase I was ‘screening’ where all children aged 6-59 months in 118 preschools and four government health clinics were measured for their weight and height. The World Health Organization Anthro software was used to determine the nutritional status of these children. Phase II was the ‘interview’ where children from screening were sampled into four pairs of case and control. The optimum sample size for the case of stunted, wasted, underweight, and overweight were 380, 335, 318, and 308, respectively. The same number of controls were recruited. Parents/caregivers of selected children were approached to obtain data on parental factors, children factors, food intake factors, and environmental factors that contributed to malnutrition. Data analysis was performed by multiple logistic regression in SPSS version 26. Results: Screening phase successfully measured 8,261 (50.1%) children from an estimated 16,500 children under 5 years old in Putrajaya. The number of children who were stunted, wasted, underweight, and overweight were 2,105 (25.5%), 512 (6.2%), 1,516 (18.4%), and 248 (3.0%), respectively. As overweight was undersampled, the number of controls for overweight was doubled to increase the power of the study. Parents/caregivers of selected cases and controls were interviewed in their household or any other venues at their convenience. Conclusion: This protocol promises beneficial outputs to stakeholders and policy makers that can be used for combating malnutrition in children.
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Summary OBJECTIVE: To investigate the prevalence of hypophosphatemia as a marker of refeeding syndrome (RFS) before and after the start of nutritional therapy (NT) in critically ill patients. METHODS: Retrospective cohort study including 917 adult patients admitted at the intensive care unit (ICU) of a tertiary hospital in Cuiabá-MT/Brasil. We assessed the frequency of hypophosphatemia (phosphorus <2.5mg/dl) as a risk marker for RFS. Serum phosphorus levels were measured and compared at admission (P1) and after the start of NT (P2). RESULTS: We observed a significant increase (36.3%) of hypophosphatemia and, consequently, a greater risk of RFS from P1 to P2 (25.6 vs 34.9%; p<0.001). After the start of NT, malnourished patients had a greater fall of serum phosphorus. Patients receiving NT had an approximately 1.5 times greater risk of developing RFS (OR= 1.44 95%CI 1.10-1,89; p= 0.01) when compared to those who received an oral diet. Parenteral nutrition was more associated with hypophosphatemia than either enteral nutrition (p=0,001) or parenteral nutrition supplemented with enteral nutrition (p=0,002). CONCLUSION: The frequency of critically ill patients with hypophosphatemia and at risk for RFS on admission is high and this risk increases after the start of NT, especially in malnourished patients and those receiving parenteral nutrition.
RESUMO OBJETIVO: Determinar a frequência de hipofosfatemia como marcador da síndrome de realimentação (SR) antes e após o início da TN em pacientes críticos. MÉTODOS: Coorte retrospectiva realizada com 917 pacientes adultos de um hospital terciário em Cuiabá-MT. Foi determinada a frequência de hipofosfatemia (fósforo <2,5 mg/dl) como marcador de risco de SR, para valores de fósforo sérico da admissão (P1) e após o início da TN (P2). RESULTADOS: Foi observado um aumento significativo (36,3%) da hipofosfatemia entre P1 e P2 e, consequentemente, do risco de SR (25,6% vs 34,9%; p<0,001) com o início da TN. Após o início da TN, pacientes desnutridos apresentaram maior queda do fósforo sérico. Os pacientes com TN apresentaram aproximadamente 1,5 vez mais chance de desenvolver hipofosfatemia e risco de SR (OR=1,44 IC95% 1,10-1,89; p=0,01) quando comparado aos com dieta oral. Nutrição parenteral foi mais associada à hipofosfatemia versus nutrição enteral (p=0,001) e nutrição enteral suplementada com parenteral (p=0,002). CONCLUSÃO: A frequência de pacientes críticos com hipofosfatemia e em risco de SR é alta e esse risco aumenta após o início da TN, especialmente nos desnutridos e naqueles recebendo nutrição parenteral.
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Humans , Hypophosphatemia , Refeeding Syndrome , Brazil , Retrospective Studies , Critical IllnessABSTRACT
Background: The community management for acute malnutrition (CMAM) was started in 2012 with the aim toimpact the lives of a large number of children suffering from acute malnutrition without any cost. Objective: Thestudy aimed at evaluating the effectiveness of the CMAM program on severe acute malnutrition (SAM) andmoderate acute malnutrition (MAM) treatment. Methods: Children aged 6 to 59 months were screened formalnutrition in a complementary compulsory screening program. Acutely malnourished children underwent freemedical and nutritional treatment. Evaluation of the CMAM program implementation was performed bycomparison with paid services by collecting data from malnourished children’s parents. Results: From the 64458screened children, 835 were diagnosed as new acutely malnourished cases and referred to health centers fortreatment. The anthropometric parameters (MUAC, weight, height) have significantly improved from the time ofadmission to the end of treatment. Performance indicators using the Sphere standards were above the expectedlevel for outpatient treatment but for inpatient treatment, it failed to meet the expected standard. Poverty and theuse of traditional medicine to treat malnutrition, distance, availability, and cost of transportation to the healthcenter were significant barriers to the continuation of healthcare services. Conclusion: The CMAM program iseffective. It covered and allowed the treatment of several children presenting the number of pathologies reducingchildren's morbidity and mortality. In order to increase children’s nutritional status, it will be helpful to workwith traditional healers.
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Summary: Vitamin A is an essential micronutrient needed by the body for various physiological functions. Its deficiency is associated with several functional disorders. The objective of this study is to determine blood vitamin A levels in malnourished and healthy children. Methods: It is a cross-sectional analytical study, consisting of determining the vitamin A content in the blood of children suffering from malnutrition and those in good nutritional status. Our sampling was casual and 59 children aged 6 to 59 months were retained. Among them 30 healthy children chosen from those attending preschool consultation at U HC and 29 malnourished children from those followed at M TNU for the management of malnutrition. The serum vitamin A assay was performed according to the method described by Tietz. Children with serum vitamin A level below 30 μg / 100 ml had vitamin A deficiency and those with a serum level greater than or equal to 30 μg / 100 ml had good vitamin A status. Percent, average and standard deviation calculations were performed. The Chi square statistical test was used to compare serum vitamin A content in healthy and malnourished children, as well as other maternal parameters for a significance level of 0.05. Results: from 59 children examined, 30 or 50.8% were 6-17 months old, the average age was 21.9 ± 13 months. 45.7% had a serum retinol level between 50-59 μg/100 ml; the average value was 46.84 μg ± 14.27. The prevalence of VAD was 20.3% and this deficit was more marked in children aged 6-17 months that is 50% (P<0.014). Among 12 children with VAD, 10 or 83.3% were the wealthy and two were the malnourished, the difference was statically significant (P< 0.011). Conclusion: Vitamin A deficiency remains a major health problem in the DRC. This affect all children regardless of their current nutritional status. Supplementation with this vitamin remains one of the palliative solutions.
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Background: The purpose of this study is to assess perception of Saudi women of childbearing age regarding prenatal care.Methods: Participants were invited to participate in a voluntary online survey. The brief survey consisted of 15 basic multiple choice questions administered in Arabic, and delivered as a secure link through private social media messaging services. The survey permitted only 1 attempt per user. In order to reach and capture non-respondents, 2 follow-up reminders 10 days apart were sent through the same channels of communication. The survey data was collected and analyzed using the survey software platform, Qualtrics by Qualtrics © LLC 2017.Results: Approximately 9% of participants reported previous pregnancy without use of prenatal care. Nearly 12% of respondents thought that prenatal care is only indicated for malnourished pregnant females, and 7% reported not knowing who prenatal care is specifically indicated for. Nearly 21% reported prenatal care should start after confirmation of pregnancy, 14% thought proper start is anytime within the first 3 months, 8% reported proper start should be after confirmation of healthy pregnancy and 8% reported not sure when to initiate prenatal care. Approximately 12% thought taking prenatal vitamins should be once weekly or some days of the week, while 5% do not advice women to take prenatal vitamins during pregnancy at all.Conclusions: The majority of Saudi women are well educated on prenatal care. However, women in early and late twenties are less aware of proper usage of prenatal care.
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Background: There is a paucity of evidence on improvement in malnutrition status after follow-up intervention among malnourished under-five children. Objective: The objective of the study is to assess the effect of community-based follow-up health education intervention on the awareness level of mothers, calorie intake, protein intake, and weight gain of malnourished children. Methods: This intervention study was conducted from December 2012 to October 2014 in three phases at rural Puducherry, coastal South India. The intervention group (57 mothers of 64 children) and control group (60 mothers of 64 children) included moderate and severely malnourished children aged 13� months. Children in the control group were taken from different areas and matched for age (�months) and sex. Health education intervention and follow-up supervision for 15 months were given to the mothers. Results: Awareness level in all domains increased significantly in the intervention group. In the intervention group, 81% (52) of malnourished children turned out to normal, whereas in the control group, 64% (41) of them became normal. There was a statistically significant difference between the mean changes in the protein intake among boys (15.34 g to 19.91 g in the intervention group against 13.6 g to 16.24 g in the control group) and girls (15.09 g to 19.57 g in the intervention group against 13.36 g to 16.51 g in the control group) and calorie intake among girls (993.86 kcal to 1116.55 kcal in the intervention group against 992.65 kcal to 1078.75 kcal in the control group) between the two groups. Conclusion: There was comparatively marginal increase in protein intake, calories' intake, and weight gain in the intervention group.
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Background: The gross composition of human milk is remarkably constant among women of varying nutritional status. Reliable information is now available on the content, and the principal factor affecting it, of most of the trace elements on human milk. However, for some of the trace elements, there is still a wide variation in reported values in the literature, which is due at least in part, to analytical difficulties. Hence this study was taken up to find out if maternal nutritional status influences the copper and zinc concentrations in colostrum of mother.Methods: Total of 100 mothers were enrolled in the study after obtaining prior informed consent. They were divided into 2 groups - group I had 50 malnourished mothers and group II had 50 well-nourished mothers. Sample digestion was attempted with different quantities of various acids. Analysis of digested colostrum was carried out for copper and zinc.Results: The mean levels of copper and zinc were slightly more among well-nourished than malnourished women. Values of copper were significantly higher in the colostrum of well-nourished as compared to that of the malnourished mothers.Conclusions: The parameters of weight, height weight/height ratio and hemoglobin varied significantly between the well-nourished and malnourished mothers. The difference in milk content of malnourished and well-nourished mothers is not significant for zinc. However, copper levels were significantly higher in well-nourished mothers.
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Background: Minerals and trace element content of human milk have been a matter of concern among nutritionist in relation to the availability of the essential elements to the new born. Mineral and trace elements occur in the body in a number of chemical forms, such as inorganic ions and salts, or as constituents of organic molecules, for example proteins, fats, carbohydrates and nucleic acids. There is a paucity of data on the effect of nutrition on the composition of trace elements in milk and its effect on the infant. Hence a comparison made between the trace element and mineral such as sodium, potassium, magnesium, iron, zinc, copper, calcium in milk of malnourished and well-nourished mothers in order to determine the effect of maternal nutrition on the quality of milk and its effect on the growth and physical development of the new-born.Methods: Around 100 mothers were enrolled in the study after obtaining prior informed consent. They were divided into 2 groups-group I had 50 malnourished mothers and group II had 50 well-nourished mothers. The pre-fed milk sample which was collected was stored at - 20℃ until it was processed. It was thawed and analysed for copper, zinc, iron, magnesium, sodium, potassium and calcium.Results: The mean levels of trace elements (iron and zinc) and minerals (sodium, potassium, calcium, magnesium) were slightly more among well-nourished than malnourished women. Values of only copper were significantly higher in the colostrum of well-nourished as compared to that of the malnourished mothers.Conclusions: The parameters of weight, height weight/height ratio and hemoglobin varied significantly between the well-nourished and malnourished mothers. The difference in milk content of malnourished and well-nourished mothers is not significant for sodium, potassium, calcium, iron, magnesium, zinc. However, copper levels were significantly higher in well-nourished mothers.
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Background: Malnutrition generally implies under-nutrition and refers to all deviations from adequate and optimal nutritional status in infants, children and in adults. In children, under-nutrition manifests as underweight and stunting (short stature), while severely undernourished children present with the symptoms and signs that characterize conditions known as kwashiorkor, marasmus or marasmic-kwashiorkor. Materials and methods: The present study was carried out in the department of pediatrics and microbiology at UP Rural Institute of Medical Sciences and Research, Saifai, Etawah (U.P) during April 2014 to March 2015. Total 85 children were included in study. Results: Although under reported UTI is common in children with SAM as came out in our study. Prevalence of UTI is common (22.4%) in children with SAM in our study. In our study, Urinary tract infection was more common in females than males in SAM children with maximum prevalence among 37-59 months of age .but there is no significant difference between sex. Sharma IK, Garg KK, Saxena D, Sharma N. Study to determine the prevalence of urinary tract infection and to identify the causative organism and their antibiotic sensitivity pattern in severe acute malnourished children. IAIM, 2017; 4(7): 89-104. Page 90 Conclusion: Most sensitive first line oral Antibiotic was Nitrofurantoin and parentral antibiotic was Amikacin for UTI in children with SAM, in our study.
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Los objetivos de este trabajo fueron definir los trastornos psicopatológicos más comunes asociados a la obesidad y a la desnutrición, así como establecer el grupo de referencia normativo al cual pertenece México en la escala Child Behavior Checklist 6-18 (CBCL/6-18). Este fue un estudio transversal de diseño cuasiexperiemental. Se utilizó la información de 125 niños de escuelas públicas de Ciudad Juárez, Chihuahua, México, en estados de desnutrición, obesidad y normopeso, obtenida mediante las 113 preguntas relacionadas con el comportamiento de niños, que contiene el CBCL 6-18. Por medio de análisis de varianzas se estudiaron las posibles diferencias entre los grupos. Encontramos que nuestra muestra mexicana, pertenece al grupo normativo de referencia tres; las diferencias más significativas se encuentran en el grupo de obesos en la escala de problemas internalizados específicamente en ansiedad/depresión, y en el total de problemas.
This paper sought to define the most common psychopathological disorders associated with obese and malnourished children, and establish the normative group to which Mexico belongs in the Child Behavior Checklist 6-18(CBCL/6-18). This was a cross-sectional study of cuasiexperimental design. CBCL/6-18 data from 125 children from public school in Ciudad Juárez, Chihuahua, México were categorized into obese, malnourished and normal nutrition states. The 113 questions related to the behavior of children of the CBCL 6-18 through variance analysis were used to explore the possible differences between groups. Our Mexican children sample belongs to the normative group three. We found that the major differences were in internalized problems, specifically in anxiety/depression, and on Total Problems with the obese group.
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Humans , Male , Female , Child , Psychopathology , Malnutrition , Child , ObesityABSTRACT
Objective: To investigate the various body ailments both communicable and non communicable diseases in conjunction with nutritional status of elderly in Ondo state, Nigeria. Methods: This was a random sampling of 400 elderly individuals (>60 years) living in Ondo State, Nigeria. By means of Open ended and structured questionnaire, data were collected on health, diet and Sociodemographic characteristics. There was anthropometric measurement to assess nutritional status. Results: Most of the elderly aged 60-69 years were married and have no formal education. Most of them were from monogamy and polygamy family structure. The body ailment reported consist of body pain (28%) respiratory related complications (14%) eye ailments (11%), hypertension (8%) diabetes (3%) and musculoskeletal problems (24%) such as rheumatism, cramps and arthritis. The prevalence of self reported hypertension was 26% less in male respondents than in female respondents. The dietary pattern revealed that elderly ate from major food groups with animal protein foods (74% ate daily) but low dairy products (7% ate daily). The food habit related significantly with body ailments such as skipping meals ((c=19.2; P<0.05) and eating three times a day ((c=8.4; P<0.05). The body Mass index classification showed more than half were in normal nutritional status (58%), but 20% underweight, 15% overweight and 7% were obese. The body ailments associated significantly with nutritional status (c=55.1; P<0.05).
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Appropriate nutritional support is the standard of care for hospitalized patients. Total parenteral nutrition has evolved as a distinct therapeutic reality within the past decade for patients with appropriate indications including but not limited to non/dysfunction of the gastrointestinal tract. Starvation/malnutrition historically associated with prolonged hospital stay and protracted illness course can be somewhat addressed successfully. Though it is a well-established fact that current TPN techniques can be both safe and effective if used with due caution, the prevention and awareness of potential complications must be considered. Changes in technique are to be anticipated as advancement of knowledge and improvement and innovation in materials ensues. The current effectiveness and safety of TPN, particularly in comparison to enteral feeding and the clinical situations most appropriate for nutrition support have been the topic of ongoing discussion. Innovative strategies such as supplementation of TPN with medium-chain triglycerides, glutamine or branched-chain amino acids have been compared with standard treatments. Increasing efforts are being made to mitigate the adverse effects associated with TPN such as hyperglycaemia, central venous catheter infection, and hepatic dysfunction. This review focuses on these issues as addressed by the recent literature.
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Background: Diarrhoea is a leading cause of morbidity and mortality in developing countries. This study observed the influences of nutritional status and age on the outcome of severe diarrhoea in adult male patients. Methods and materials: Data were obtained through interview by arranged questionnaire. It is a prospective longitudinal study, where one group of patient was well nourished and other group was malnourished. Results: Significant differences were found in all study factors between malnourished and well nourished diarrhoea patients. Patients with poor nutritional status had low body weight and muscle mass index than well nourished patients. The stool volume was higher in malnourished patients than well nourished patient. In addition mean duration of diarrhoea for malnourished patients was higher than well nourished patients until discharge from hospital. Conclusion: Therefore, the diarrhoea of malnourished and low socioeconomic status of adult patients is more severe, and the incidence of this disease can be reduced by growing awareness as well as improve nutritional and socioeconomic status of those patient groups.
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Para comparar la prevalencia de enteroparásitos en niños con desnutrición severa de la Unidad de Recuperación Nutricional del Hospital Chiquinquirá de Maracaibo, Estado Zulia, con niños eutróficos que asisten a la consulta de niños sanos del mismo hospital; se realizó un examen coproparasitológico a 50 niños desnutridos graves y 50 niños eutróficos, mediante examen directo; técnica de concentración (Ritchie) y coloración de Ziehl Neelsen. Entre los protozoarios, Cryptosporidium sp. ocupó el primer lugar con un 14% en el grupo de los desnutridos graves y Giardia lamblia en los eutróficos con un 20%. De los helmintos identificados, Trichuruis trichiura prevaleció con 12% en los desnutridos, mientras Ascaris lumbricoides en los eutróficos ocupó el primer lugar con un 8%. No se encontró diferencia estadísticamente significativa entre la prevalencia de parásitos en general con la edad, el sexo o la desnutrición, ni entre poliparasitismo versus monoparasitismo. La medida en que se relacionan la desnutrición y las parasitosis intestinales es difícil de esclarecer, al ser la desnutrición una condición multifactorial ya que depende de la especie parasitaria presente, la intensidad de la parasitosis, las características inmunológicas y genéticas del hospedero, del medio socioeconómico en el que se desenvuelva el individuo, entre otros factores.
To compare the prevalence of intestinal parasites in children with severe malnutrition in the Nutritional Recovery Unit at the Chiquinquirá Hospital of Maracaibo, State of Zulia, with eutrophic children attending consult for healthy children at the same hospital, stool examinations were performed for 50 seriously malnourished children and 50 eutrophic children by direct examination, using the concentration technique (Ritchie) and Ziehl Neelsen. Among the protozoa, Cryptosporidium sp. ranked first, with 14% in the group of severely malnourished and Giardia lamblia in 20% of the eutrophic children. Of the identified helminths, Trichuris trichiura prevailed, with 12% in the malnourished group, while Ascaris lumbricoides took first place with 8% in the eutrophic group. No statistically significant difference was found between the prevalence of parasites in general with age, sex or malnutrition, or between polyparasitism versus monoparasitism. The extent to which malnutrition and intestinal parasites relate is difficult to clarify, since malnutrition is a multifactorial condition that depends on the parasite species present, intensity of the parasitosis, immunologic and genetic characteristics of the host, the socio economic environment in which the individual develops and other factors.
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Humans , Male , Female , Child , Protozoan Infections/parasitology , Intestinal Diseases, Parasitic/parasitology , Intestinal Diseases, Parasitic/pathology , Child Nutrition Disorders/diagnosis , Child Nutrition Disorders/parasitologyABSTRACT
Introduction: While the prevalence of malnutrition in the free living elderly population is relatively low, the risk of malnutrition increases dramatically in the hospitalized elderly. Patients who are malnourished when admitted to the hospital tend to have longer hospital stays, experience more complications, and have greater risk of morbidity and mortality than those whose nutritional state is normal. Goal: To assess the nutritional status among hospitalized elderly in Secondary healthcare systems by the MNA screening tool. Materials and Methods: To the study were enrolled 411 hospitalized elderly patients in secondary healthcare systems. The study protocol was approved by the Ethics Committee of the HSUM, and written informed consent was obtained from all study participants. We assessed the participants’ nutritional status by the MNA (Mini nutritional assessment) tool and divided into three groups: malnourished, risk of malnutrition and normal nutritional status. We compared the relationship between nutritional status and some biochemical indicates such as total protein, albumin, cholesterol and blood glucose levels. The ANOVA and Pearson correlation tests were used for statistical analysis. Results: 146 (36.01%) elders were well nourished among our study participants. Serum albumin was significantly low in malnourished elders. Conclusion: Among the assessed elderly 36.01% had adequate nutritional status; 43.79% were at a risk of malnutrition and 20.19% were malnourished. Serum albumin was significantly low in malnourished elders.
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<p><b>OBJECTIVE</b>To assess the neuroprotective effects of aqueous extract of Garcinia kola on neurotoxin administered malnourished mice adopting histological procedure.</p><p><b>METHODS</b>The study was carried out using thirty-two adult malnourished mice which were randomly assigned into four groups (n=8): A, B, C and D. Group A served as control, while the other groups served as the experimental groups. Animals in group A were fed malnourished diet ad libitum and given water liberally. Animals in group B were administered with 3-Nitropropionic acid (3-NP) (neurotoxin) only at 20 mg/kg body weight, group C were given only Garcinia kola extracts, and group D were pre-treated with Garcinia kola extracts at 200 mg/kg for seven days prior to administration of neurotoxin at 20 mg/kg body weight. After three days of neurotoxins administration in the relevant groups, the brains were excised and fixed in formal calcium for histological processing.</p><p><b>RESULTS</b>The study showed that hippocampal and cerebellar neurons of animals in group B exhibited some cellular degeneration and blood vessel blockage, which were not seen in groups A, C and D. Cresyl violet staining was least intense in group B than in groups A, C and D. Despite the fact that animals in group D has equal administration of 3-Nitropropionic acid concentration, there were no traces of neural degeneration as it was evidenced in group B.</p><p><b>CONCLUSIONS</b>It is concluded that Garcinia kola has protective effects on the neurons of the hippocampus and cerebellum of malnourished mice.</p>
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Animals , Mice , Cerebellum , Pathology , Garcinia kola , Chemistry , Hippocampus , Pathology , Histocytochemistry , Malnutrition , Drug Therapy , Neuroprotective Agents , Plant Extracts , Treatment OutcomeABSTRACT
Candida albicans es una levadura, frecuente comensal en la microflora bucal, sin embargo, la predisposición del hospedero interviene como cofactor en la génesis de la candidiasis bucal, aunado a las deficiencias nutricionales. El objetivo de este estudio fue determinar la presencia de C. albicans y otras especies de Candida en un grupo de niños desnutridos y compararla con un grupo de niños nutridos o eutróficos. En esta investigación se estudiaron sesenta y tres niños de 3 a 6 años de edad que acudieron al Centro Atención Nutricional Infantil de Antímano (CANIA), 34 eran desnutridos y 29 eutróficos; ninguno de los niños evaluados presentó signos clínicos de candidiasis bucal. Del total de casos, 28 (44.44%) dieron positivos para levaduras, de estos 19 (67,87%) correspondieron a niños desnutridos y 9 (32,14%) a niños eutróficos. De los 35 casos de cultivos negativos para levaduras, el mayor porcentaje (57,14%) se encontró en los niños eutróficos. El análisis de test estadístico de diferencias de dos proporciones, demostró que C. albicans fue la especie mas frecuente (35,71%) en los niños desnutridos, en comparación a los eutróficos (14,28%). Otras especies de Candida también fueron encontradas. En cuanto a sexo y edad, no hubo diferencias estadísticamente significativas. La evaluación de la respuesta inmune celular en 40 niños de este estudio con el antígeno de Candidina, evidenció solo un 38% de positividad en los niños desnutridos, ante un 63% en niños eutróficos, esto nos señala la baja respuesta o defensa inmunológica que presenta el grupo de niños desnutridos frente a esta levadura, lo cual nos hace sugerir, que esto puede ser un factor predisponente en este grupo para el desarrollo de la enfermedad.
Candida albicans is a yeast, frequent diner in the oral microflora, however, the predisposition of the host acts as a cofactor in the genesis of oral candidiasis, coupled with nutritional deficiencies. The aim of this study was to determine the presence of C. albicans and other Candida species in a group of malnourished children and compare it with a group of children nourished or eutrophic. This study examined sixty-three children from 3 to 6 years of age who came to the Center for Child Care Nutrition Antímano (Cania), 34 were malnourished and 29 eutrophic; none of the children tested showed signs of clinical oral candidiasis. Of the total cases, 28 (44.44%) were positive for yeast, these 19 (67.87%) children were malnourished and 9 (32.14%) children eutrophic. Of the 35 cases negative for yeast cultivation, the highest percentage (57.14%) were found in children eutrophic. An analysis of statistical test of differences of two proportions, showed that C. albicans species was the most frequent (35.71%) in malnourished children, compared to eutrophic (14.28%). Other Candida species were also found. As for sex and age, there was no statistical difference. The evaluation of the cellular immune response in 40 children in this study with the antigen Candidina, showed only 38% of positivity in malnourished children, with 63% in eutrophic children, we noted that the low immune response or defense that presents the group of malnourished children in front of this yeast, which makes us suggest that this may be a predisposing factor in this group for developing the disease.
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Objective. To study the iron profile and find out an accurate diagnostic tool which reflects iron status in different types of infection in severely malnourished children aged 12 months to 71 months. Methods. Hundred and Eight (108) children of whom 72 children were infected and 36 non infected severely malnourished children according to WHO criteria in the age group of 12-71 months were interrogated. 36 healthy control in the same age group were also interrogated. Results. Mean serum iron, total iron binding capacity (TIBC), ferritin concentration in normal children were significantly higher (P<0.001) than non-infected severely malnourished children. On the other hand mean serum ferritin concentration was significantly higher (P<0.001) in infected group than non-infected group but still lower than normal. Mean serum TIBC concentration significantly reduced in severely malnourished children than normal children but no significant difference was observed between non-infected and infected group. Mean serum iron, and transferrin saturation were significantly reduced (P<0.05) in parasitic infestation. Conclusion. Severely malnourished children had reduced mean serum iron profile. Parasitic infestation influenced the marked reduction of mean serum iron concentration and transferrin saturation level. Mean serum iron concentration was reduced in acute respiratory infection(ARI) and parasitic infestation than other infections. Serum ferritin concentration was elevated in all types of infection as acute phase protein but still lower than normal. So Iron, TIBC and Transferin saturation <16% constitute good evidence for iron deficiency in both infected and non-infected severely malnourished children.