Stunting at birth and associated factors among newborns delivered at the University of Gondar Comprehensive Specialized Referral Hospital.
Stunting at birth and associated factors among newborns delivered at the University of Gondar Comprehensive Specialized Referral Hospital.
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DOI：
10.1371/journal.pone.0245528
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发表时间：
2021
期刊：
影响因子：
3.7
通讯作者：
Takele WW
中科院分区：
文献类型：
--
作者：
Gonete AT;Kassahun B;Mekonnen EG;Takele WW
出生时发育迟缓是一种慢性营养不良形式，主要归因于产前营养不良，这种情况可能在儿童以后的生活中持续存在，并影响他们的身体和认知健康。虽然在埃塞俄比亚进行了多项研究，以显示发育迟缓的程度和因素，但所有研究都集中在6至59个月的儿童身上。因此，本研究旨在确定在埃塞俄比亚西北部贡达尔大学综合专科转诊医院分娩的新生儿中出生时发育迟缓的患病率和相关因素。一项基于机构的横断面研究于2020年2月26日至4月25日进行。采用系统随机抽样技术，共选择了422对新生儿-母亲。采用二元Logistic回归分析确定与发育迟缓相关的因素，并将所有自变量输入多变量Logistic回归模型以调整混杂因素。根据p值< 0.05确定具有显著关联的变量，并应用调整后的比值比及其各自的95%置信区间来确定关联的强度和方向。约30.5%（95%CI：26.3%，35.1%）的新生儿出生时发育不良。男性[校正比值比（AOR）= 2.9（1.62，5.21）]、在Kiremt（雨季）受孕的新生儿[AOR = 2.7（1.49，4.97）]、低出生体重[AOR = 3.1（1.64，6.06）]是出生时发育迟缓的相关因素。同样，身材矮小的母亲[AOR = 2.8（1.21，6.62）]和慢性营养不良的母亲[AOR = 15.3（8.12，29.1）]所生的新生儿发育迟缓的风险更大。不到三分之一的新生儿在出生时发育不良，这意味着一个紧迫的公共卫生问题。长期营养不良和身材矮小的母亲所生的新生儿发育不良的情况更为严重。此外，发育迟缓主要见于男性新生儿、在Kiremet怀孕的新生儿和低出生体重儿。因此，政策制定者和营养方案制定者应通过营养教育，努力防止孕产妇营养不良，以减轻出生体重不足和发育迟缓的负担。此外，建议适当注意在Kiremet季节怀孕的新生儿，以改善营养状况。
Stunting at birth is a chronic form of undernutrition majorly attributable to poor prenatal nutrition, which could persist in children’s later life and impact their physical and cognitive health. Although multiple studies have been conducted in Ethiopia to show the magnitude of stunting and factors, all are concentrated on children aged between 6 to 59 months. Therefore, this study was done to determine the prevalence and associated factors of stunting at birth among newborns delivered at the University of Gondar Comprehensive Specialized Referral Hospital, Northwest, Ethiopia. An institution-based cross-sectional study was conducted from February 26th to April 25th/2020. A systematic random sampling technique was used, to select a total of 422 newborn-mother pairs. The binary logistic regression was employed to identify factors associated with stunting and all independent variables were entered into the multivariable logistic regression model to adjust for confounders. Variables that had significant association were identified based on p-value < 0.05 and the adjusted odds ratio with its respective 95% confidence interval was applied to determine the strength as well as the direction of the association. About 30.5% (95% CI: 26.3%, 35.1%) of newborns were stunted at birth. Being male [Adjusted odds ratio (AOR) = 2.9(1.62, 5.21)], newborns conceived in Kiremt(rainy season) [AOR = 2.7(1.49, 4.97)], being low birth weight [AOR = 3.1(1.64, 6.06)] were factors associated with stunting at birth. Likewise, newborns born to short stature mothers [AOR = 2.8(1.21, 6.62)] and chronically malnourished mothers [AOR = 15.3(8.12, 29.1)] were at greater risk of being stunted. Just under a third of newborns are stunted at birth, implying a pressing public health problem. Newborns born to chronically malnourished and short stature mothers were more stunted. Besides, stunting was prevalently observed among male neonates, newborns conceived in Kiremet, and being low birth weight. Thus, policymakers and nutrition programmers should work on preventing maternal undernutrition through nutrition education to reduce the burden of low birth weight and stunting. Further, paying due attention to newborns conceived in Kiremet season to improve nutritional status is recommended.
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影响因子：
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作者：
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通讯作者：
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DOI：
10.1111/j.1753-6405.2010.00615.x
发表时间：
2010-12-01
影响因子：
3.5
作者：
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Gorton, Delvina
DOI：
10.4103/0970-0218.51224
发表时间：
2009-04
期刊：
Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine
影响因子：
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作者：
Banerjee B
通讯作者：
Banerjee B