Some determinants of Stunting in children of Tehran
Advances in Nursing & Midwifery,
Vol. 21 No. 76 (2012),
8 Dey 2012
,
Page 20-27
Abstract
Abstract
Background and aim:
Stunting indicates longWterm effects of inadequate nutrition and/or health.This study aimed to investigate the factors influencing stunting among first grade primary school
children in Tehran, Iran 2008.
Material and Method:
This is a case-control study. The subjects were selected from 3147 Childrenwhose height was measured using standard protocols. 86 stunned children (Case group) and 308
children with normal height recruited for the study, using a cluster sampling method in 5 districts of
Tehran. Stunting was defined as the height for age below the 5th percentile of CDC2000 standard.
The tool for data collection was a questionnaire including questions about children's birth weight
and height, duration of breast feeding and demographic characteristics. Data were analyzed by
SPSS14 and using Chi-square, student t-test and multivariate logistic regression.
Results
: The prevalence of stunting was %3.7 among children. Means for birth weight andduration of breast feeding were 2.9±0.6 kg, 17.4± 8.7 months, respectively among stunted children
which were significantly lower than non stunted children (3.2 ± 0.5 kg 20± 7.7 months,
respectively) (P<0.05).The parents of stunted children had lower education (P<0.05).
Logistic regression analysis showed that odds ratio of stunting among children is 4.6 for children
with "birth weight of lower than 3Kg" compared to children with "birth weight higher than 3Kg"
(CI= 95%; OR:1.4-14.7). Odds ratio of stunning was also 3.3 (CI= 95%; OR: 1.1-9.2) among
children with "breast feeding less than 3months" compared to "breast feeding more than 3 months" .
It was also 6.7 (CI= 95%; OR: 1. 1-9.2).
Conclusion:
This study showed that the prevalence of stunting is relatively low in Tehran. Primaryhealth care during pregnancy and breast feeding in first 3 month of life were shown as the most
important factors influencing stunting.
Key Words
: Children, Stunting, Birth weight, Breast feeding, Parents educationCorresponding Author:
Fatemeh Esfarjani. Department of Food and Nutrition Policy and PlanningResearch, National Nutrition and Food Technology Research Institute, Faculty of Nutrition Sciences
and Food Technology, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
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