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Nutritional status and dietary practices of 4–24-month-old children from a rural South African community

Published online by Cambridge University Press:  02 January 2007

Mieke Faber  and
AJS Benadé
Mieke Faber*
Affiliation:
National Research Programme for Nutritional Intervention, Medical Research Council, Parow, South Africa
AJS Benadé
Affiliation:
National Research Programme for Nutritional Intervention, Medical Research Council, Parow, South Africa
*
*Corresponding author: Email [email protected]
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Abstract

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Objectives

To assess the nutritional status and dietary practices of 4–24-month-old children (under-twos) in a rural South African community.

Design

Cross-sectional survey.

Setting

A low socioeconomic rural African community (Ndunakazi), approximately 60 km north-west of Durban, KwaZulu-Natal, South Africa.

Subjects

Children (n = 115), 4–24 months old who attended growth monitoring posts in the area.

Results

Of these under-twos, 37.3% had low vitamin A status (serum retinol < 20 μg dl−1), 65.2% were anaemic, 43.2% had serum ferritin levels < 10 μgl−1 (an indicator of low iron stores) and 15.3% were stunted. Breastfeeding was initiated by 99% of mothers. At the time of the survey, 80% of infants in the 4–12-month-old category and 56.9% of children in the 12–24-month-old category were being breastfed. Solid foods were introduced at 3.6 ± 0.8 months. Food intake reflected a high intake of carbohydrate-rich foods, and irregular intakes of fruit and vegetables, especially those rich in vitamin A. Foods of animal origin were not consumed regularly. Of these under-twos, 15.9% experienced an episode of diarrhoea during 2 weeks prior to the survey.

Conclusion

These under-twos had a poor vitamin A and iron status. Nutrition education, intervention programmes and feeding schemes should address micronutrient deficiencies, with the focus on the quality of the diet, rather than quantity.

Keywords

RuralUnder-twosVitamin AIronDiarrhoeaAnthropometry
Type
Research Article
Information
Public Health Nutrition , Volume 2 , Issue 2 , February 1999 , pp. 179 - 185
Copyright
Copyright © CABI Publishing 1999

References

1White Paper for the Transformation of the Health System in South Africa. Government Gazette 1997; 382(17910): 84–96.Google Scholar
2 Report of a joint WHO/UNICEF Consultation, Geneva, Switzerland, 9–11 November 1992. Indicators for Assessing Vitamin A Deficiency and their Application in Monitoring and Evaluating Intervention Programmes. Review version, 05 1994, pp. 1–56.Google Scholar
3The South African Vitamin A Consultative Group (SAVACG). Children Aged 6 to 71 Months in South Africa, 1994: Their Anthropometric, Vitamin A, Iron and Immunisation Status. South Africa, 1995.Google Scholar
4Steyn, NP, Badenhorst, CJ, Nel, JH, Ladzani, R. Breast-feeding and weaning practices of Pedi mothers and the dietary intakes of their preschool children. S. Afr. J. Food Sci. Nutr. 1993; 5: 10–13.Google Scholar
5Vorster, HH, Oosthuizen, W, Jerling, JC, Veldman, FJ, Burger, HM. The Nutritional Status of South Africans. A Review from the Literature. Part 1. Durban, Health Systems Trust, 1997; 19.Google Scholar
6Faber, M, Oelofse, A, Benadé, AJS. A model for a community-based growth monitoring system. Afr. J. Health Sci. 1998; 5: 72–8.Google Scholar
7Jelliffe, DB, Jelliffe, EFP (eds). Anthropometry: major measurements. In: Community Nutritional Assessment, first edition. Oxford: Oxford University Press, 1989; 68–104.Google Scholar
8Catignani, GL, Bieri, JG. Simultaneous determination of retinol and α-tocopherol in serum or plasma by liquid chromatography Clin. Chem. 1983; 29: 708–12.CrossRefGoogle ScholarPubMed
9Pilch, SMSenti, FR (eds) Assessment of the Iron Nutritional Status of the US Population Based on Data Collected in the Second National Health and Nutrition Examination Survey, 1976–1980. Bethesda, Maryland, Life Sciences Research Office, Federation of the American Societies for Experimental Biology, 1984.Google Scholar
10WHO. Iron Deficiency: Indicators for Assessment and Strategies for Prevention: WHO/Nutr/96.12. Geneva: World Health Organization, 1997.Google Scholar
11Hinchliffe, RF Reference values. In: Lilleyman, JS, Hann, IM, eds. Paediatric Haematology. New York: Churchill Livingstone, 1992; 1–22.Google Scholar
12Flores, H. Frequency distribution of vitamin A levels in cross-sectional surveys and in surveys before and after vitamin A supplementation. In: A Brief Guide to Current Methods of Assessing Vitamin A Status. A Report of the International Vitamin A Consultative Group (IVACG). Washington DC: the Nutrition Foundation, 1993; 9–11.Google Scholar
13WHO Working Group on the Use and Interpretation of Anthropometric Indicators of Nutritional Status. Bull WHO 1986; 64: 929–41.Google Scholar
14Witte, DL. Can serum ferritin be effectively interpreted in the presence of the acute-phase response? Clin. Chem. 1991; 37: 484–5.CrossRefGoogle ScholarPubMed
15Oski, FA. Iron deficiency in infancy and childhood. N. Engl. J. Med. 1993; 329: 190–3.Google ScholarPubMed
16Fairweather-Tait, SJ. Iron in food and its availability. Acta. Paediatr. Scand. 1989; (suppl.) 1989; 361: 12–20.CrossRefGoogle ScholarPubMed
17Faber, M, Oelofse, A, Kriek, JA, Benadé, AJS. Breastfeeding and complementary feeding practices in a low socio-economic urban and a low socio-economic rural area. S. Afr. J. Food Sci. Nutr. 1997; 9: 43–51.Google Scholar
18Faber, M, Smuts, CM, Benadé, AJS. Dietary intake of primary school children in relation to food production in a rural area in KwaZulu-Natal, South Africa. Int. J. Food Sci. Nutr. (in press).Google Scholar
19Alvarez, JO, Salazar-Lindo, E, Kohatsu, J, Miranda, P, Stephensen, CB. Urinary excretion of retinol in children with acute diarrhoea. Am. J. Clin. Nutr. 1995; 61: 1273–6.CrossRefGoogle Scholar
20World Health Organization. Nutrition: global surveillance through anthropometric measurement. Wkly. Epidemiol. Rec. 1987; 62: 37–8.Google Scholar
21Pelletier, DL. The relationship between child anthropometry and mortality in developing countries: implications for policy, programs and future research. J. Nutr. 1994; 124: 2047S–81.Google ScholarPubMed
22Wiecha, J, Casey, V. High prevalence of overweight and short stature among Head Start children in Massachusetts. Publ. Health Rep. 1994; 109: 767.Google ScholarPubMed
23Adair, LS, Guilky, DK. Causes of Stunting in Filipino children. Carolina Population Center, the University of North Carolina at Chapel Hill, Chapel Hill, NC, 1996.Google Scholar
24Bøhler, E, Bergström, E. Frequent diarrhoeas in early childhood have sustained effects on the height, weight and head circumference of children in East Bhutan. Acta. Paediatr. 1996; 85: 26–30.CrossRefGoogle ScholarPubMed
25Lutter, CK, Mora, JO, Habicht, JP, Rasmussen, KM, Robson, DG, Sellers, SG, Super, CM, Herrera, MG. Nutritional supplementation: effects on stunting because of diarrhoea. Am. J. Clin. Nutr. 1989; 50: 1–8.CrossRefGoogle Scholar
26Popkin, BM, Richards, MK, Montiero, CA. Stunting is associated with overweight in children of four nations that are undergoing the nutrition transition. J. Nutr. 1996; 126: 3009–16.CrossRefGoogle ScholarPubMed
27Vorster, HH, Oosthuizen, W, Jerling, JC, Veldman, FJ, Burger, HM. The Nutritional Status of South Africans. A Review of the Literature from 1975–1996. Part 2. Durban, Health Systems Trust, 1997; 53.Google Scholar