Clinical Profile And Major Co-morbidities Among Children With Severe Acute Malnutrition (SAM): Experience From A Tertiary Care Teaching Hospital

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Authors

  • Parul Singh
     ,IN
  • Poonam Mehtanee Marwah
     ,IN

Keywords:

Severe acute malnutrition (SAM), complementary feeding, co-morbidities, outcome

Abstract

Background: Malnutrition is a leading cause of morbidity and mortality in children aged less than 5 years and is responsible for 60% of the 10 million deaths in this age group worldwide. Aim: To study the clinical profile and major clinical co-morbidities among children with severe acute malnutrition (SAM) admitted in a tertiary care teaching hospital. Methods: A prospective study was conducted in a tertiary care teaching hospital of Haryana. All children aged (6 months to 5 years) with severe acute malnutrition (as per WHO definition) admitted in pediatrics ward during 1stApril 2018 to 31st March 2019 were included in the study. The socio-demographic details, anthropometry, clinical details and outcome were recorded in a pre-designed structured performa. Statistical analysis was done using SPSS software versionl6.Chi-square analysis was applied where applicable and Pvalue<0.05 was considered significant. Results: After screening a total of 131children, 102 children who met the inclusion criteria were enrolled in the study. Out of these, 50 (49.02%) were males and 52 (50.98%) were females. Majority of children (i.e. 59.8%) belonged to 6-12 months age group whereas 32.35% were in 12-24 months age group and 7.84% in 24-59 months age group. Majority (92.16% ) belonged to lower socio-economic status. Exclusive breastfeeding for first 6 months was documented in 74.51% of the children while the rest had incomplete/faulty feeding. Delayed initiation of complementary feeds was observed in 80 (78.43%) children and had a significant association with poor future outcome (p<0.05). Major clinical co-morbidities were severe anemia (56.86%), diarrhea (27.45%) and acute lower respiratory tract infection (19.6% ).Specific nutritional deficiencies were rickets in 8 (7.8%) children, nutritional tremors syndrome (NTS) in 03 and scurvy in 01 child respectively. Conclusions: In our study, most vulnerable age group for severe malnutrition was 6-12 months infants. Low socioeconomic status of family and delayed complementary feeding were the major risk factors. Most common co-morbidities were anemia, diarrhea and lower respiratory tract infections.

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Published

2021-06-10

How to Cite

Singh, P., & Marwah, P. M. (2021). Clinical Profile And Major Co-morbidities Among Children With Severe Acute Malnutrition (SAM): Experience From A Tertiary Care Teaching Hospital. Journal of Indian Dietetics Association, 42(1), 26–34. Retrieved from https://www.informaticsjournals.com/index.php/jida/article/view/27934

Issue

Volume 42, Issue 1, June 2019

Section

Articles

 

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