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Nutritional status and intestinal parasites among young children from pastoralist communities of the Ethiopian Somali region

Osman, Kadra A. and Zinsstag, Jakob and Tschopp, Rea and Schelling, Esther and Hattendorf, Jan and Umer, Abdurezak and Ali, Seid and Cercamondi, Colin I.. (2020) Nutritional status and intestinal parasites among young children from pastoralist communities of the Ethiopian Somali region. Maternal and child nutrition. e12955.

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Abstract

Pastoralist children in the Ethiopian Somali Regional State (ESRS) are at high risk for undernutrition and intestinal parasitic infections (IPIs). We assessed the nutritional status and its association with IPIs in 500 children <5 years of age in a clustered cross-sectional study in Adadle district, ESRS. Stool samples were microscopically examined for IPIs and biomarkers for iron and vitamin A status, anthropometry, and food variety score (FVS) were assessed. Median (interquartile range [IQR]) FVS was 2.0 (2.0, 4.0), and 35% of children were exclusively breastfed up to age 6 months. Prevalence of stunting, wasting, underweight and mid-upper arm circumference (MUAC) <12.5 cm was 30, 34, 40, and 16%, respectively. Median (IQR) haemoglobin, ferritin, and retinol-binding protein concentrations were 9.5 g dL; -1; (8.2, 10.9), 6.2 μg L; -1; (4.0, 10.2), and 0.8 μmol L; -1; (0.67, 0.91), respectively. Prevalence of anaemia, iron, and vitamin A deficiency was 75, 91, and 30%, respectively. IPIs' prevalence was 47%; the most prevalent IPIs were Giardia lamblia (22%) and Ascaris lumbricoides (15%). Giardial infections but not A. lumbricoides increased the risk for MUAC 2 or with exclusive breastfeeding up to 6 months, respectively. Undernutrition and IPIs are alarmingly high in <5 years of age children in ESRS. Giardial infections and low nutritional adequacy of the diet seem to be major contributing factors to the precarious nutritional status and should be addressed by appropriate interventions.
Faculties and Departments:09 Associated Institutions > Swiss Tropical and Public Health Institute (Swiss TPH)
09 Associated Institutions > Swiss Tropical and Public Health Institute (Swiss TPH) > Department of Epidemiology and Public Health (EPH) > Human and Animal Health > One Health (Zinsstag)
UniBasel Contributors:Osman, Kadra Ali and Zinsstag, Jakob Z and Tschopp, Rea and Schelling, Esther and Hattendorf, Jan and Umer, Abdurezak and Ali, Seid Mohammed
Item Type:Article, refereed
Article Subtype:Research Article
Publisher:Wiley-Blackwell
ISSN:1740-8709
Note:Publication type according to Uni Basel Research Database: Journal article
Language:English
Identification Number:
Last Modified:05 Mar 2020 09:49
Deposited On:05 Mar 2020 09:49

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