Abstract
INTRODUCTION: There are nearly 815 million people who are chronically undernourished, which contributes to an estimated 3.1 million deaths annually. The National Health and Morbidity Survey (NHMS) 2015 reported that 8% of children suffer from undernutrition. In Jerantut, the prevalence of under-nutrition among children below the age of 5 was 5.67%. This study aims to determine the risk factors associated with undernutrition among children below 5 years old in Jerantut, Pahang. METHODS: A case-control study design was conducted in March 2019. The case dealt with a child suffering from moderate to severe undernutrition with a z-score < -2SD from the median baseline recommended by World Health Organization (WHO) in 2017. The control patient in this case study was a child without undernutrition, with z-score above -2SD. Secondary data from the antenatal book and childrens health records were used. Multivariate logistic regression analysis was conducted using SPSS 25.0 for Windows. RESULTS: A total of 226 respondents amounting to 113 cases and 113 controls were selected. It was found that risk of undernutrition was significantly associated with low household income (aOR: 6.52, 95%CI: 1.81, 23.53), low birth weight (aOR: 6.25, 95%CI: 1.17, 33.30), recurrent illness for acute gastroenteritis (AGE) (aOR: 3.32, 95%CI: 1.07, 10.27) and for upper respiratory tract infection(URTI) (aOR: 6.05, 95%CI: 3.06, 11.94). The daily consumption of fruits or vegetables is a protective factor for undernutrition (aOR: 0.48, 95%CI: 0.25, 0.92). CONCLUSION: Low birth weight, low household income, recurrent AGE and URTI were noted as significant risk factors associated with undernutrition. Daily consumption of fruits or vegetables is a protective factor for undernutrition.
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@proceedings{APCPH-2019-80,
title = {Risk Factors of Undernutrition Among Children Under 5 Years Old in Jerantut, Pahang: A Case-Control Study},
author = {Rafidah Abdul Latif},
year = {2019},
date = {2019-07-22},
urldate = {2019-07-22},
journal = {6th Asia-Pacific Conference on Public Health 2019 Proceedings},
issue = {6},
abstract = {INTRODUCTION: There are nearly 815 million people who are chronically undernourished, which contributes to an estimated 3.1 million deaths annually. The National Health and Morbidity Survey (NHMS) 2015 reported that 8% of children suffer from undernutrition. In Jerantut, the prevalence of under-nutrition among children below the age of 5 was 5.67%. This study aims to determine the risk factors associated with undernutrition among children below 5 years old in Jerantut, Pahang. METHODS: A case-control study design was conducted in March 2019. The case dealt with a child suffering from moderate to severe undernutrition with a z-score \< -2SD from the median baseline recommended by World Health Organization (WHO) in 2017. The control patient in this case study was a child without undernutrition, with z-score above -2SD. Secondary data from the antenatal book and childrens health records were used. Multivariate logistic regression analysis was conducted using SPSS 25.0 for Windows. RESULTS: A total of 226 respondents amounting to 113 cases and 113 controls were selected. It was found that risk of undernutrition was significantly associated with low household income (aOR: 6.52, 95%CI: 1.81, 23.53), low birth weight (aOR: 6.25, 95%CI: 1.17, 33.30), recurrent illness for acute gastroenteritis (AGE) (aOR: 3.32, 95%CI: 1.07, 10.27) and for upper respiratory tract infection(URTI) (aOR: 6.05, 95%CI: 3.06, 11.94). The daily consumption of fruits or vegetables is a protective factor for undernutrition (aOR: 0.48, 95%CI: 0.25, 0.92). CONCLUSION: Low birth weight, low household income, recurrent AGE and URTI were noted as significant risk factors associated with undernutrition. Daily consumption of fruits or vegetables is a protective factor for undernutrition.},
note = {Type: ORAL PRESENTATION; Organisation: Jerantut District Health Office, Ministry of Health Malaysia},
keywords = {Jerantut, PPKZM, Risk Factors, Undernutrition},
pubstate = {published},
tppubtype = {proceedings}
}