Factors influencing concurrent wasting, stunting, and underweight among children under five who suffered from severe acute malnutrition in low- and middle-income countries: a systematic review
2024

Factors Influencing Malnutrition in Children Under Five

Sample size: 1434207 publication Evidence: high

Author Information

Author(s): Dassie Godana Arero, Chala Fantaye Tesfaye, Charkos Tesfaye Getachew, Sento Erba Midhakso, Balcha Tolosa Fufa

Primary Institution: School of Public Health, Adama Hospital Medical College, Adama, Oromia, Ethiopia

Hypothesis

What factors concurrently affect wasting, stunting, and underweight in children under five with severe acute malnutrition?

Conclusion

Inadequate dietary intake, illness, food insecurity, poor maternal and child care, poor hygiene and sanitation, and healthcare inaccessibility contribute to severe acute malnutrition in children.

Supporting Evidence

  • 1,434,207 records were included for analysis from 12 studies.
  • The prevalence of factors influencing concurrent wasting, stunting, and underweight was 26.42% in low-middle-income countries.
  • Unprotected drinking water was associated with stunting.
  • Being male is another factor linked to higher rates of malnutrition.
  • Lack of prenatal care follow-up was associated with a lower risk of wasting.
  • Low birth weight, diarrhea, and being from a poor household were associated with malnutrition.
  • Maternal education and open defecation were linked to stunting and underweight.
  • Birth order was associated with an increased likelihood of being underweight.

Takeaway

This study found that many young children are not getting enough good food, which makes them sick and underweight. We need to help families get better food and healthcare.

Methodology

The review followed PRISMA guidelines and included studies from various databases focusing on children under five with severe acute malnutrition.

Potential Biases

Potential bias due to the lack of blinding in the selection process and interpretation of data.

Limitations

The review did not include certain features of the research population and lacked exhaustive search methods.

Participant Demographics

The study included children under five, with a mean age of 3.50 years and 57% being male.

Statistical Information

Confidence Interval

95% CI: (0.50, 0.92)

Digital Object Identifier (DOI)

10.3389/fnut.2024.1452963

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