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العنوان
Assessment of Different Protocols In The Management of Nutritionally Stunted Egyptian Children
المؤلف
El-Feky,Eman Essam El-Din Abdel Raouf
هيئة الاعداد
باحث / Eman Essam El-Din Abdel Raouf El-Feky
مشرف / Sanaa Youssef Shaaban
مشرف / May Kamel Mattar
مشرف / Sahar Abdel Aziz Khairy
الموضوع
5. Nutritional causes of stunted growth-
تاريخ النشر
2009
عدد الصفحات
154.p:
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
طب الأطفال ، الفترة المحيطة بالولادة وصحة الطفل
تاريخ الإجازة
1/1/2009
مكان الإجازة
جامعة عين شمس - كلية الطب - Pediatrics
الفهرس
Only 14 pages are availabe for public view

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Abstract

- This is an intervention study that started in December 2007 to July 2008. A purposeful sample of 150 stunted Egyptian children who attended the outpatient clinic of National Nutrition Institute (NNI) was designed to asses the impact of certain micronutrients supplementation on height gain.
- The studied subjects were classified according to supplement intake into three groups:
1- Group (1) composed of 50 patients who received daily treatment of micronutrient.
2- Group (2) composed of 50 patients who followed alternate day therapy of micronutrient.
3- Group (3) composed of 50 patients who followed weekly therapy.
- All patients were subjected to history taking, clinical examination, anthropometric measurements and nutrition education.
- The mean age for the whole group was 5-10 years old. Majority of cases were males (60%) and (40%) females.
- All patients were stunted (height for age <-2SD of references standard child according WHO, 1995).
- All the patients were chosen by a random sample selection was done according to inclusion and exclusion criteria. Inclusion criteria were proportionate stunting due to nutritional deficiency. Exclusion criteria was stunting due to hormonal, chromosomal, bone diseases or any metabolic conditions.
- After 6 months data was tabulated and analyzed statistically and the study show that:
o The first group was composed of 50 patients (54%) males and (46%) females, the mean height in this group was 108.7 cm (+ 9.95), the maximum height was 126.2 cm and the minimum height was 83.5 cm.
o The second group was composed of 50 patients (56%) males and (44%) females, the mean height in this group was 103.65 cm (+ 9.32), the maximum height was 123.5 cm and the minimum height was 78 cm.
o The third group was composed of 50 patients 70% males and 30% females, the mean height in this group was 02.04 cm (+ 9.90), the maximum height was 121.5 cm and the minimum height was 85.5% cm.
- After intake of the micronutrient intervention therapy the height gain was as the following:
o In group (1) the number of males was 27, 11 of them reach the normal height while 16 of them still stunted. The number of females in this group was 23, 7 of them reach the normal height, while 16 female remained stunted.
o In group (2) the number of males was 28 children 2 of them reach the normal height, while 26 still stunted, the females in this group were 22, 2 of them reach the normal height while 20 girls remained stunted.
o In group (3) the number of males was 35, 6 of them reach the normal height while 29 of them remained stunted; the females in this group were 15 patients of no improvement in height in all of them.
- The mean height change in the 3 groups was as the following:
o In the first group, the mean height increase by 1.37 cm, in the second group it increased by 2.74 cm while in the third group, the mean height increased by 3.19 cm.
o At the end of the study, it was clear that the children who followed the micronutrient intervention therapy weekly show best improvement as the mean height in this group increased by 3.19 cm due to good compliance and easy administration.
o So, there was a statistically significance between the three groups as regards the change in mean height.