Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Malnutrition in Infants Aged under 6 Months Attending Community Health Centres: A Cross Sectional Survey

Version 1 : Received: 10 June 2021 / Approved: 14 June 2021 / Online: 14 June 2021 (08:31:54 CEST)

A peer-reviewed article of this Preprint also exists.

Grijalva-Eternod, C.S.; Beaumont, E.; Rana, R.; Abate, N.; Barthorp, H.; McGrath, M.; Negesse, A.; Abera, M.; Abdissa, A.; Girma, T.; Allen, E.; Kerac, M.; Berhane, M. Malnutrition in Infants Aged under 6 Months Attending Community Health Centres: A Cross Sectional Survey. Nutrients 2021, 13, 2489. Grijalva-Eternod, C.S.; Beaumont, E.; Rana, R.; Abate, N.; Barthorp, H.; McGrath, M.; Negesse, A.; Abera, M.; Abdissa, A.; Girma, T.; Allen, E.; Kerac, M.; Berhane, M. Malnutrition in Infants Aged under 6 Months Attending Community Health Centres: A Cross Sectional Survey. Nutrients 2021, 13, 2489.

Journal reference: Nutrients 2021, 13, 2489
DOI: 10.3390/nu13082489

Abstract

Poor understanding of malnutrition burden is a common reason for not prioritizing the care of small and nutritionally at-risk infants aged under-six months (infants u6m). We aimed to estimate the anthropometric deficit prevalence in infants u6m attending health centres, using the Composite Index of Anthropometric Failure (CIAF); and to assess the overlap of different individual indicators. We undertook a two-week survey of all infants u6m visiting each of 18 health centres in two zones of the Oromia region, Ethiopia. We measured weight, length, and MUAC (Mid upper arm circumference); and calculated weight-for-length (WLZ), length-for-age (LAZ), and weight-for-age z-scores (WAZ). Overall, 21.7% (95% CI: 19.2; 24.3) of infants u6m presented CIAF and of these, 10.7% (95% CI: 8.93; 12.7) had multiple anthropometric deficits. Low MUAC overlapped with 47.5% (95% CI: 38.0; 57.3), 43.8% (95% CI: 34.9; 53.1), and 42.6% (95% CI: 36.3; 49.2) of the stunted, wasted and CIAF prevalence, respectively. Underweight overlapped with 63.4% (95% CI: 53.6; 72.2), 52.7% (95% CI: 43.4; 61.7), and 59.6% (95% CI: 53.1; 65.9) of the stunted, wasted and CIAF prevalence, respectively. Anthropometric deficits, single and multiple, are prevalent in infants attending health centres. WAZ overlaps more with other forms of anthropometric deficits than MUAC.

Keywords

Anthropometric deficit; infants under 6 months; malnutrition; weight-for-age; the Composite Index of Anthropometric Failure; MAMI; Ethiopia

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