A Study on the Clinicosocial Profile of Severe Acute Malnutrition Cases Admitted to Nutritional Rehabilitation Centre, Davanagere, Karnataka

H Shalini, G H Vidya

Abstract


Background: Protein-energy malnutrition is an important public health problem which contributes to a significant number of under-five deaths. About 7.6 million under-five deaths occur globally among which 35% deaths are due to nutrition-related factors. Apart from the social and environmental factors, the clinical profile of the children with severe acute malnutrition also plays a role in morbidity and mortality of SAM. Thus, the following study was conducted in the nutritional rehabilitation center. Methods: A hospital-based cross-sectional study was conducted in the nutritional rehabilitation center, Chigateri General Hospital, Davanagere, among the SAM (Severe Acute Malnutrition) cases who were admitted during the study period. Data were collected using a pre-designed, pre-tested, semi-structured questionnaire, and analyzed using SPSS software version 16. Results: The study population comprised 75 (48.4%) males and 80 (51.6%) females. Mean age of the children was 22.32 ± 13.52 months and majority of the children 65 (41%) belonged to 13–24 months age group. Most of mothers 73 (43.09%) were illiterate and were unemployed (homemakers) 123 (79.3%). Majority of the children belonged to lower socio-economic class 72 (46.5%). Majority of 64 (41.3%) children were of second birth order—70 (45.16%) children presented with not gaining weight as the presenting complaint. The most common associated comorbidity in SAM children was an acute respiratory infection. Interpretation and Conclusion: Sociodemographic factors such as lower education of parents, Hindu by religion, lower socioeconomic status, and satisfactory living conditions were the profile of the majority of children. Majority of children presented with not gaining weight. The most common comorbidity associated was ARI.

Key words: Clinical profile, comorbidities, NRC, SAM children


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