A multilevel analysis of factors associated with wasting in children one to two years old in Hamadan city
Abstract The study aimed to identify risk factors for childhood wasting in 1–2 year-olds in Hamadan city, focusing on this age group due to infection and malnutrition risks. Unlike previous cross-sectional studies on children under 5 years old, this longitudinal study tracked weight-to-height change...
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Nature Portfolio
2024-11-01
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| Series: | Scientific Reports |
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| Online Access: | https://doi.org/10.1038/s41598-024-75535-6 |
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| author | Sara Manoochehri Zohreh Manoochehri Fatemeh Torkaman Asadi Ali Reza Soltanian |
| author_facet | Sara Manoochehri Zohreh Manoochehri Fatemeh Torkaman Asadi Ali Reza Soltanian |
| author_sort | Sara Manoochehri |
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| description | Abstract The study aimed to identify risk factors for childhood wasting in 1–2 year-olds in Hamadan city, focusing on this age group due to infection and malnutrition risks. Unlike previous cross-sectional studies on children under 5 years old, this longitudinal study tracked weight-to-height changes over time. Data were analyzed from 455 mother-child pairs, aged 1–2 years, collected from health centers and recorded in the Integrated Electronic Health System (SIB). The weight-for-height index, an ordinal response with three categories (wasting, normal, and overweight), was measured several times. A two-level longitudinal ordinal model was used to identify factors associated with wasting. The analysis of data from 230 girls and 225 boys identified several factors associated with wasting: lower birth weight (Adjusted Odds Ratio (AOR) = 0.77), age 12–15 months (AOR = 1.15), lack of health insurance (AOR = 3.09), mother-child residence (AOR = 3.80), maternal height (AOR = 0.92), and age at pregnancy < 24 years (AOR = 4.71). The results of this study showed that most of the factors contributing to childhood wasting can be controlled and prevented. Therefore, implementation of targeted policies and appropriate interventions for mothers before, during, and after pregnancy could reduce the burden of childhood wasting. |
| format | Article |
| id | doaj-art-b92f85ed8771475d9f9a1e2a52330642 |
| institution | Kabale University |
| issn | 2045-2322 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | Nature Portfolio |
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| spelling | doaj-art-b92f85ed8771475d9f9a1e2a523306422024-11-24T12:25:43ZengNature PortfolioScientific Reports2045-23222024-11-011411910.1038/s41598-024-75535-6A multilevel analysis of factors associated with wasting in children one to two years old in Hamadan citySara Manoochehri0Zohreh Manoochehri1Fatemeh Torkaman Asadi2Ali Reza Soltanian3Department of Biostatistics, Student Research Committee, Hamadan University of Medical SciencesSocial Development and Health Promotion Research Center, Health Institute, Kermanshah University of Medical SciencesDepartment of Infectious Disease, School of Medicine, Hamadan University of Medical SciencesDepartment of Biostatistics, School of Public Health, Modeling of Noncommunicable Diseases Research Center, Hamadan University of Medical SciencesAbstract The study aimed to identify risk factors for childhood wasting in 1–2 year-olds in Hamadan city, focusing on this age group due to infection and malnutrition risks. Unlike previous cross-sectional studies on children under 5 years old, this longitudinal study tracked weight-to-height changes over time. Data were analyzed from 455 mother-child pairs, aged 1–2 years, collected from health centers and recorded in the Integrated Electronic Health System (SIB). The weight-for-height index, an ordinal response with three categories (wasting, normal, and overweight), was measured several times. A two-level longitudinal ordinal model was used to identify factors associated with wasting. The analysis of data from 230 girls and 225 boys identified several factors associated with wasting: lower birth weight (Adjusted Odds Ratio (AOR) = 0.77), age 12–15 months (AOR = 1.15), lack of health insurance (AOR = 3.09), mother-child residence (AOR = 3.80), maternal height (AOR = 0.92), and age at pregnancy < 24 years (AOR = 4.71). The results of this study showed that most of the factors contributing to childhood wasting can be controlled and prevented. Therefore, implementation of targeted policies and appropriate interventions for mothers before, during, and after pregnancy could reduce the burden of childhood wasting.https://doi.org/10.1038/s41598-024-75535-6Multilevel ordinal modelsMalnutritionThinnessFailure to ThrivePediatrics |
| spellingShingle | Sara Manoochehri Zohreh Manoochehri Fatemeh Torkaman Asadi Ali Reza Soltanian A multilevel analysis of factors associated with wasting in children one to two years old in Hamadan city Scientific Reports Multilevel ordinal models Malnutrition Thinness Failure to Thrive Pediatrics |
| title | A multilevel analysis of factors associated with wasting in children one to two years old in Hamadan city |
| title_full | A multilevel analysis of factors associated with wasting in children one to two years old in Hamadan city |
| title_fullStr | A multilevel analysis of factors associated with wasting in children one to two years old in Hamadan city |
| title_full_unstemmed | A multilevel analysis of factors associated with wasting in children one to two years old in Hamadan city |
| title_short | A multilevel analysis of factors associated with wasting in children one to two years old in Hamadan city |
| title_sort | multilevel analysis of factors associated with wasting in children one to two years old in hamadan city |
| topic | Multilevel ordinal models Malnutrition Thinness Failure to Thrive Pediatrics |
| url | https://doi.org/10.1038/s41598-024-75535-6 |
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