Clinical And Socio-Demographic Profile Of Chidren Aged 6-59 Month With Severe Acute Malnutrition Presenting In A Tertiary Care Hospital In Nuh, Haryana

Authors

  • Meetu Yadav Shaheed Hasan khan mewati GMC Nuh https://orcid.org/0000-0002-5983-1664
  • Pawan Kumar SHKMGMC, Nalhar , Nuh
  • Maha Singh SHKMGMC Nalhar, Nuh
  • Suraj Chawla SHKMGMC Nalhar, Nuh  
  • Priyanka Tank SHKM GMC Nuh

DOI:

https://doi.org/10.37506/nac0e221

Keywords:

malnutrition, Diarrhoea, under five, prevention, home management, Acute diarrheal diseases, Birth order, malnutrition, overcrowding, under-five mortality

Abstract

Background: Malnutrition adversely affects achievement of all the milestones namely motor, sensory, cognitive and social.

Methods: The records of 150 patients with severe acute malnutrition over a period of one year (July 2022-July 2023) were reviewed, and a statistical comparison of various variables were made.

Results: As per study,  mean weight(kg) 7.48 ± 2.02, mostly i.e.78.67% were having weight <-3 SD. Mean height or length(cm) was  77.5 ± 11.14 ,majority was in between 2SD to -3SD i.e. 48.00%, MUAC was < 11.5 among 123 (82%), 11.6-12.5 among 10 (6.67%), 12.6-13.5 among 17 (11.33%).There were 41.33% males and 58.67% females.Of study population, Birth order was 1st among 9 (6.0%), 2nd among 11 (7.33%), 3rd among 38 (25.33%) and 4th and above among 92 (61.34%) subjects with a mean of 4.05± 1.52.Among my study most of children were mixed Feeding 53.34%,while only 13.33% were Exclusive breast feed while 33.33% were Top feed .Immunization was Complete among 10.67%, Incomplete among 62.67% and Unimmunized among 26.67% subjects. Pedal Edema was present among 44 (29.33%) subjects and absent in 106(70.67%).The presenting complaint reported were anemia (38.67%), pneumonia (26.67%), acute gastroenteritis (12.67%), hypoglycemia (10.00%), Dehydration (8.0%) and UTI (4.00%) and most common presenting complication wasanemia (80%), followed by pneumonia (52%), acute gastroenteritis (34.00%), dehydration (29.67%), Lethargy/hypoglycaemia (30%), meningitis (8.00%), tuberculosis(5.33%)and  UTI (4.00%)As per my study, complication are more severe unvaccinated children, however effect is statistically insignificant (p> 0.05)

Conclusion:  SAM was most common in 13-24 months age group and with increasing age, a lesser proportion of children were affected with SAM. There was a strong correlation between adverse outcomes and dietary risk factors such as the length of time spent nursing exclusively, using a bottle, and delaying the introduction of supplementary foods. Most common co-morbidities were anaemia and pneumonia.

Author Biographies

  • Meetu Yadav, Shaheed Hasan khan mewati GMC Nuh

    Associate Professor department of pediatrics

  • Pawan Kumar, SHKMGMC, Nalhar , Nuh

    Secondary DNB Resident, Department of Pediatrics SHKMGMC, Nalhar , Nuh

  • Maha Singh, SHKMGMC Nalhar, Nuh

    Professor Department of Pediatrics, SHKMGMC Nalhar, Nuh

  • Suraj Chawla, SHKMGMC Nalhar, Nuh  

    Associate Professor, Department of Community Medicine SHKMGMC Nalhar, Nuh  

  • Priyanka Tank, SHKM GMC Nuh

    Assistant professor , Department of pediatrics  SHKM GMC Nuh

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Published

2025-01-07

How to Cite

Clinical And Socio-Demographic Profile Of Chidren Aged 6-59 Month With Severe Acute Malnutrition Presenting In A Tertiary Care Hospital In Nuh, Haryana. (2025). Indian Journal of Public Health Research & Development, 16(1), 396-402. https://doi.org/10.37506/nac0e221