Prevalence and Risk Factors of Stunting among Under-5 Years Children Attending Primary Healthcare Units in Gharbia Governorate

Authors

  • Sayed Ahmed Sayed Khalil
  • Ahmed Ezzat Abd Elaziz
  • Mohamed Sobhy Mohamed
  • Atia Saleh Aly Elhamaky

DOI:

https://doi.org/10.52783/jns.v14.2178

Keywords:

Prevalence, Risk Factors, Stunting, Children Under 5 Years

Abstract

Background: Growth is a typical characteristic of childhood; it is regarded as the best global indicator of children’s well-being as growth impairment has both short- and long-term consequence. This cross sectional study aimed to measure prevalence of stunting among under 5 years children and to determine risk factors of stunting among under 5 years children.

Methods: This cross sectional study conducted on 317 children under 5 years children in Gharbia governorate.

Results: Our study, found that 33.7% were categorized as stunted. Mother's age was higher in the Stunted group (31.32 years) compared to the Non Stunted group (26.91 years). A higher proportion of children in urban areas were stunted. There were significant differences in socioeconomic status, with a higher percentage of the Stunted group in lower categories and a lower mean socioeconomic score.

Conclusion: Several significant findings emerged from the study, including a higher mean age of mothers in the stunted group compared to the non-stunted group, a higher proportion of stunted children in urban areas. Other significant associations were observed with birth order, birth interval, tonsillitis, delayed growth, anemia, cardiac diseases, family history of stunting, maternal education, per-capita income, socioeconomic status and weight measurement. However, child age, child sex, antenatal clinic visits, sewage disposal and refuse disposal did not show significant differences between the stunted and non-stunted groups.

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References

Senbanjo, I. O., Oshikoya, K. A., Odusanya, O. O., & Njokanma, O. F. (2011). Prevalence of and risk factors for stunting among school children and adolescents in Abeokuta, southwest Nigeria. Journal of health, population, and nutrition, 29(4), 364-70.

De Onis M, Branca F. (2016). Childhood stunting: a global perspective. Maternal Child Nutr. 2016; 12:12–26.

Farahat TM, Ragab S, Salama AA& Abdel El Halim HN (2017). Prevalence of stunted growth in children less than 5-year old in Qualyoubia governorate. Menoufia Med J 2017; 30:1089-92

Mushtaq, M. U., Gull, S., Khurshid, U., Shahid, U., Shad, M. A., & Siddiqui, A. M. (2011). Prevalence and socio-demographic correlates of stunting and thinness among Pakistani primary school children. BMC public health, 11, 790.

WHO (2017). Global Database on Child Growth and Malnutrition. Chemistry & …, 2, 2–3. https://doi.org/10.1093/tandt/11.7.180.

Egypt Demographic and Health Survey (EDHS) (2014). Child Health 2014 Egypt Demographic and Health Survey; 2014. Available from: https://www.dhsprogram.com/pubs/pdf/fr302/fr302.pdf [Last accessed on 2020 Jan 20].

Hagag S, Nasser S, Elden NMK, Taha AM. (2022) Prevalence and Determinants of Malnutrition among Under-Five Children in a Rural Village in Giza Governorate. Open Access Maced J Med Sci. 2022 Apr 21; 10(E):1125-1131.

Suraj G (2009). The Short Textbook of Pediatrics. 11th ed. New Delhi: Jaypee Brothers Medical Publishers Pvt. Limited.

CAPMAS. (2021). Vital Statistics Egypt. Available from: https://www. capmas.gov.eg.

Pourhoseingholi MA, Vahedi M, Rahimzadeh M. (2013) Sample size calculation in medical studies. Gastroenterol Hepatol Bed Bench. 2013 Winter;6(1):14-7.

Fahmy SI, Nofal LM, Shehata SF, El Kady HM, Ibrahim HK. (2015) Updating indicators for scaling the socioeconomic level of families for health research. J Egypt Public Health Assoc. 2015;90(1):1–7.

Salehiniya H, Yazdani K, Barekati H, Asadi Lari M. (2012) The Prevalence of Overweight and Obesity in Children Under 5 Years in Tehran, Iran, in 2012: A Population-Based Study. Res Cardiovasc Med. 2016 Jan 6;5(1):e30425.

Akram R, Sultana M, Ali N, Sheikh N, Sarker AR. (2018). Prevalence and determinants of stunting among preschool children and its urban–rural disparities in Bangladesh. Food and nutrition bulletin. 2018; 39(4):521-35.

Seedhom A.E, Mohamed E.S MEM. (2014) Determinants of stunting among preschool children, Minia, Egypt. Int Public Heal Forum. 2014;1(2):6–9.

WHO (2010) Department of Nutrition for Health and Development (2010) WHO Global Database on Child Growth and Malnutrition. Available from: http://www.who.int/nutgrowthdb/en/a). [Last accessed on 2012 Feb 20].

Sultana P, Rahman MM, Akter J. (2019) Correlates of stunting among under-five children in Bangladesh: A multilevel approach. BMC Nutr. 2019;5(1):41.

Nomura K, Bhandari AKC, Matsumoto-Takahashi ELA, Takahashi O. (2023) Risk Factors Associated with Stunting among Children Under Five in Timor-Leste. Annals of Global Health. 2023; 89(1): 63, 1–14.

Hackett KM, Mukta US, Jalal CSB, Sellen DW. Knowledge, attitudes and perceptions on infant and young child nutrition and feeding among adolescent girls and young mothers in rural Bangladesh. Matern Child Nutr. 2015;11(2):173-189.

Kavosi E, Hassanzadeh Rostami Z, Nasihatkon A, Moghadami M, Heidari M. (2014) Prevalence and determinants of under-nutrition among children under six: a cross-sectional survey in Fars province, Iran. Int J Health Policy Manag. 2014;3(2):71-76.

Ramli, C. N., Agho, K. E., Inder, K. J., Bowe, S. J., Jacobs, J., & Dibley, M. J. (2009). Prevalence and risk factors for stunting and severe stunting among under‐fives in North Maluku province of Indonesia. BMC Pediatrics, 9, 64 10.1186/1471-2431-9-64

Rana MJ, Goli S. (2018) Does plan of births affect childhood undernutrition? Evidence from demographic and health surveys of selected South Asian countries. Nutrition. 2018; 47: 90–96.

Mohamed AA, Elshehaby DM, Mohamed EM, Saleh MA, Elasheer OM. (2022) Patterns of and risk factors for malnutrition among under-five years children attending a nutrition clinic, Egypt. The Egyptian Journal of Community Medicine. 2022 Jul 1;40(3):208-17.

Islam MM, Alam M, Tariquzaman M, Kabir MA, Pervin R, Begum M, et al. (2013b) Predictors of the number of under-five malnourished children in Bangladesh: application of the generalized poisson regression model. 2013.

Wu L, Yang Z, Yin S, Zhu M, Gao H. (2015) The relationship between socioeconomic development and malnutrition in children younger than 5 years in China during the period 1990 to 2010. Asia Pac J Clin Nutr. 2015; 24(4):665-673.

Larrea C, Kawachi I. (2005) Does income inequality affect child malnutrition? The case of Ecuador. Soc Sci Med 2005; 60:165–178.

Rivera JR, Gonzlez Coss T, Flores M, Hernلndez M, Lezana MA, Seplveda Amor J. (2009) Stunting and emaciation in children under 5 in distinct regions and strata in Mexico. Salud Publica Mex 2009; 37:95–107.

El-Shafie AM, Kasemy ZA, Omar ZA, Alkalash SH, Salama AA, Mahrous KS, Hewedy SM, Kotb NM, Abd El-Hady HS, Eladawy ES, Zeid MA, Abd El Hamid ME, Hemeda EH, El-Shafie MA, El-Meligy EA, Bahbah WA. (2020) Prevalence of short stature and malnutrition among Egyptian primary school children and their coexistence with Anemia. Ital J Pediatr. 2020 Jun 29;46(1):91.

WHO (2014c). Obesity and overweight: fact sheet n 311. Geneva: World Health Organization; 2014. p. 2013.

Prentice AM. (2006) The emerging epidemic of obesity in developing countries. Int J Epidemiol. 2006;35(1):93–99.

El-Zanaty F, Way A. (2015) Egypt health issue survey 2015. Cairo: Egyptian Ministry of Health and Population; 2015.

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Published

2025-03-15

How to Cite

1.
Sayed Khalil SA, Abd Elaziz AE, Sobhy Mohamed M, Aly Elhamaky AS. Prevalence and Risk Factors of Stunting among Under-5 Years Children Attending Primary Healthcare Units in Gharbia Governorate. J Neonatal Surg [Internet]. 2025Mar.15 [cited 2025Sep.21];14(6S):43-51. Available from: https://www.jneonatalsurg.com/index.php/jns/article/view/2178

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