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Nutritional status of preschool children in informal settlement areas near Bloemfontein, South Africa

Published online by Cambridge University Press:  02 January 2007

A Dannhauser ,
CJ Bester ,
G Joubert ,
PN Badenhorst ,
M Slabber ,
AM Badenhorst ,
E Du Toit ,
HC Barnard ,
P Botha  and
L Nogabe
A Dannhauser*
Affiliation:
Department of Human Nutrition, University of the Orange Free State, PO Box 330, Bloemfontein 9300, South Africa
CJ Bester
Affiliation:
Department of Biostatistics, University of the Orange Free State, PO Box 330, Bloemfontein 9300, South Africa
G Joubert
Affiliation:
Department of Biostatistics, University of the Orange Free State, PO Box 330, Bloemfontein 9300, South Africa
PN Badenhorst
Affiliation:
Department of Haematology and Cell Biology, University of the Orange Free State, PO Box 330, Bloemfontein 9300, South Africa
M Slabber
Affiliation:
Department of Human Nutrition, University of the Orange Free State, PO Box 330, Bloemfontein 9300, South Africa
AM Badenhorst
Affiliation:
Department of Human Nutrition, University of the Orange Free State, PO Box 330, Bloemfontein 9300, South Africa
E Du Toit
Affiliation:
Department of Human Nutrition, University of the Orange Free State, PO Box 330, Bloemfontein 9300, South Africa
HC Barnard
Affiliation:
Department of Chemical Pathology, University of the Orange Free State, PO Box 330, Bloemfontein 9300, South Africa
P Botha
Affiliation:
Department of Medical Microbiology, University of the Orange Free State, PO Box 330, Bloemfontein 9300, South Africa
L Nogabe
Affiliation:
Mangaung University Community Partnership Programme, P.O. Box 23160, Kagisanong, 9323
*
*Corresponding author: Email [email protected]
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Abstract

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Objective

To determine the nutritional status and household resources of preschool children.

Design

A cross-sectional survey.

Setting

Two informal settlement areas, Joe Slovo (JS) and JB Mafora (JBM) in Mangaung, near Bloemfontein, South Africa.

Subjects

Preschool children (<72 months) of a randomly selected sample of households in JS (experimental) (n = 162) and JBM (control) (n = 186) were included. Standard methods were used to obtain household and care-giver particulars, weight and height measurements, blood and stool samples, and 24-hour dietary recalls.

Results

Breast-feeding and dietary intake in the two areas were nearly similar; breast-feeding was continued for 12 months and longer. Although the children's total protein intake was sufficient, their energy intake was low. A low median intake of micronutrients prevailed, including iron, zinc, calcium, niacin, riboflavin, thiamine and vitamins C, B6, A and D. The prevalence of being underweight (JS = 19.8%; JBM = 18.8%), stunted (JS = 29%; JBM = 21.5%) and wasted (JS = 6.5%; JBM = 3.7%) were fairly similar in both areas, as well as the prevalence of marginal vitamin A deficiency, anaemia, iron deficiency and parasite infestations. No significant associations could be found between household and nutritional status indicators, probably due to the small number of well-nourished children and the generally poor household situation of the participants.

Conclusions

The generally poor nutritional status and environmental conditions emphasize the urgency of intervention for these children.

Keywords

Nutritional statusLow incomeSouth African children
Type
Research Article
Information
Public Health Nutrition , Volume 3 , Issue 3 , September 2000 , pp. 303 - 312
Copyright
Copyright © CABI Publishing 2000

References

1UNICEF. The state of the world's children 1998: a UNICEF report – malnutrition: causes, consequences, and solutions. Nutr. Rev. 1998; 56(4): 115–23.Google Scholar
2Glatthaar, II. Protein-energy malnutrition in South African preschool children. S. Afr. J. of Continuing Medical Education 1992; 10(8): 1329–38.Google Scholar
3Hugo-Hamman, CT, Kibel, MA, Michie, CA, Yach, D.Nutrition status of pre-school children in a Cape Town township. S. Afr. Med. J. 1987 72: 353–5.Google Scholar
4Nutrition Committee. Draft Report: an Integrated Nutrition Strategy for South Africa. Pretoria: Department of Health, 1994.Google Scholar
5Labadarios, D, Van Middelkoop, A, eds. Children aged 6 to 71 months in South Africa, 1994: their Anthropometric, Vitamin A, Iron and Immunisation Coverage Status. Johannesburg: South African Vitamin A Consultative Group (SAVACG), 1994.Google Scholar
6De Onís, M, Monteiro, C, Akré, J, Clugston, G.The worldwide magnitude of protein-energy malnutrition: an overview from the WHO Global Database on Child Growth. Bull. World Health Organ. 1993 6: 703–12.Google Scholar
7Williams, CD. The story of kwashiorkor. Nutr. Rev. 1973 31: 334–40.CrossRefGoogle Scholar
8UNICEF. A UNICEF Policy Review: Strategy for Improved Nutrition of Children and Women in Developing Countries. New York: United Nations Children's Fund, 1990.Google Scholar
9Mahan, LK, Escott-Stump, S. Krause's Food Nutrition and Diet Therapy, 9th edn. Philadelphia: WB Saunders, 1996.Google Scholar
10Lee, RD, Nieman, DC. Nutritional Assessment. Oxford: WCB Brown & Benchmark, 1993.Google Scholar
11Frisancho, AR. Anthropometric Standards for the Assessment of Growth and Nutritional Status. Ann Arbor: University of Michigan Press, 1990.CrossRefGoogle Scholar
12Torún, B, Chew, F. Protein-energy malnutrition. In: Shils, ME, Olson, JA, Shike, M, eds. Modern Nutrition in Health and Disease, 8th edn. Philadelphia: Lea & Febiger, 1994; 950–76.Google Scholar
13Langenhoven, ML, Conradie, PJ, Gouws, E, Wolmerans, P, Van Eck, M. NRIND Food Quantities Manual. Parow: National Research Institute for Nutritional Diseases (NRIND) of the Medical Research Council (MRC), 1986.Google Scholar
14Langenhoven, ML, Kruger, M, Gouws, E, Faber, M. MRC Food Composition Tables (1991), 3rd edn. Parow: National Research Institute for Nutritional Diseases (NRIND) of the Medical Research Council (MRC), 1991.Google Scholar
15Food and Nutrition Board. Recommended Dietary Allowances, 10th edn. Washington: National Academy Press, 1989.Google Scholar
16Simopoulos, AP. Omega-3 fatty acids in health and disease and in growth and development. Am. J. Clin. Nutr. 1991; 54: 438–63.Google Scholar
17Jelliffe, DB. The Assessment of the Nutritional Status of the Community. Geneva: World Health Organization, 1966.Google ScholarPubMed
18Golden, BE. Primary protein-energy malnutrition. In: James, JC, Garrow, WPT, eds. Human Nutrition and Dietetics, 9th edn. London: Churchill Livingstone, 1993; 441–4.Google Scholar
19Waterlow, JC. Protein Energy Malnutrition. London: Edward Arnold, 1992.Google Scholar
20Nierenberg, DW, Nann, SL. A method for determining concentrations of retinol, tocopherol and five carotenoids in human plasma and tissue samples. Am. J. Clin. Nutr. 1992 56(2): 417–26.Google Scholar
21UNICEF–WHO Joint Committee on Health Policy. Indicators for Assessing Vitamin A Deficiency. Geneva: World Health Organization, 01 1994 (review version, May 1994).Google Scholar
22Bain, BJ. Blood Cells. A Practical Guide, 2nd edn. London: Blackwell Science, 1995.Google Scholar
23Frip, PJ. An Introduction to Human Parasitology with Reference to Southern Africa. Wynberg: Rustica Press, 1979.Google Scholar
24Dean, AD, Dean, JA, Burton, JH, Dicker, RC. Epi-Info Version 5:0 Word Processing, Database, and Epidemiology on Micro Computers. Atlanta, GA: Centers for Disease Control, 1990.Google Scholar
25SAS Institute Inc. SAS/STAT® User's Guide, Version 6, Vol. 1. 4th edn.Cary, NC:SAS Institute Inc., 1989.Google Scholar
26Keller, W, Fillmore, CM. Prevalence of protein-energy malnutrition. World Health Stat. Q. 1983; 36, 129–67.Google ScholarPubMed
27WHO. World Declaration on Nutrition – Plan of Action. Geneva: World Health Organization, Division of Food and Nutrition, 1992.Google Scholar
28ACC/SCN (Administrative Committee on Coordination/Subcommittee on Nutrition). Malnutrition and Infection. A Review. London: London School of Hygiene and Tropical Medicine, 1989.Google Scholar
29Leventhal, RL, Cheadle, RF. Medical Parasitology. A Self Instructional Text. Philadelphia: FA Davies, 1979.Google Scholar
30WHO. Global Prevalence of Vitamin A Deficiency. Geneva: World Health Organization, 1995.Google Scholar
31Stoltzfus, R, Klemm, R. Report of the XVIII International Vitamin A Consultative Group meeting, 1997. Sustainable Control of Vitamin A Deficiency: Defining progress through assessment, surveillance, evaluationWashington, DC ILSI Press 1998.Google Scholar
32Hallberg, L, Sandström, B, Agget, PJ. Iron, zinc, and other trace elements. In: Garrow, JS, James, WPT, Ralph, A, eds. Human Nutrition and Dietetics, 9th edn. London: Churchill Livingstone, 1993; 174–88.Google Scholar
33Buzina, R, Bates, CJ, Van der Beek, J, et al. Workshop on functional significance of mild-to-moderate malnutrition. Am. J. Clin. Nutr. 1989; 50, 172–6.Google Scholar
34Gorstein, J, Sullivan, K, Yip, R, et al. Issues in the assessment of nutritional status using anthropometry. Bull. World Health Organ. 1994 72(72), 272–83.Google ScholarPubMed