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Journal articles on the topic "Children – Nutrition – Ecuador"
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Freire, Wilma B., William F. Waters, Gabriela Rivas-Mariño, and Philippe Belmont. "The double burden of chronic malnutrition and overweight and obesity in Ecuadorian mothers and children, 1986–2012." Nutrition and Health 24, no. 3 (June 17, 2018): 163–70. http://dx.doi.org/10.1177/0260106018782826.
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Background: The simultaneous presence of undernutrition and over-nutrition represents a paradox in global public health and is of increasing concern in Ecuador, where chronic malnutrition and overweight and obesity occur in the context of demographic and epidemiologic transitions. Two overlapping trends are present in Ecuador; while levels of stunting have decreased slowly in the past three decades, increasing proportions of children <5 years and women of reproductive age suffer from overweight and obesity. Aim: To analyze stunting and overweight and obesity in children <5 and their mothers aged from 15 to 49 years in the context of demographic and household characteristics between 1986 and 2012. Methods: This study compares data from nationally-representative surveys conducted in Ecuador in 1986, 2004, and 2012, each of which collected information on children <5 and mothers aged 15–49 years. Results: The prevalence of chronic malnutrition in children <5 decreased at different rates among Ecuadorians who differ in terms of residence, socioeconomic status, and mothers’ level of education, while overweight and obesity increased dramatically in the same period. Conclusion: Chronic malnutrition in children <5 and overweight in children <5 and mothers 15–49 years represent a double burden of malnutrition in Ecuador. The phenomena differ in their effects, and, while the prevalence of stunting is declining in Ecuador as it is in many parts of the world, the problem of overweight and obesity has emerged in dramatic fashion, and currently represents an extraordinary challenge to public health.
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Ortiz-Prado, Esteban, Anna M. Stewart-Ibarra, Dario Ramirez, Estefania Espin, and Abigail Morrison. "Artificial Infant Formula Consumption and Breastfeeding Trends in Ecuador, A Population-Based Analysis from 2007 to 2014." Global Journal of Health Science 8, no. 11 (March 23, 2016): 184. http://dx.doi.org/10.5539/gjhs.v8n11p184.
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<p><strong>OBJECTIVE:</strong> The aim of this study was to analyze trends in infant breastfeeding and artificial infant milk consumption in Ecuador from 2007 to 2014.</p><p><strong>METHODS: </strong>This descriptive observational study includes all the available data collected and adapted from the National Health and Nutrition Survey of Ecuador, ENSANUT, the Ecuadorian National Institute of Census and Statistics, the national report of the International Marketing Services and data from Enfarma EP. Descriptive and inferential statistics were used to determine sociodemographic distribution and temporal trends.</p><p><strong>RESULTS: </strong>In Ecuador 54% of children initiate breastfeeding during the first hour of life, and 43% of children aged five months are breastfed exclusively. 76% of children under one month of age and 60% of children under six months consume artificial infant formula. Over the last 8 years infant formula consumption has tripled in Ecuador reaching 59.6 million units sold at a cost of $530,100,000 USD from 2007 to 2014.</p><p><strong>CONCLUSIONS:</strong><em> </em>Breastfeeding practices in Ecuador are not complying with WHO recommendations and infant milk formulas consumption has risen significantly since 2007, despite active campaigns by the public health sector to educate women as to the benefits of breastfeeding.</p>
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Levav, M., A. F. Mirsky, P. M. Schantz, S. Castro, and M. E. Cruz. "Parasitic infection in malnourished school children: effects on behaviour and EEG." Parasitology 110, no. 1 (January 1995): 103–11. http://dx.doi.org/10.1017/s0031182000081105.
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This paper describes a study of 194 children (aged 9–13) from a mountain village in Ecuador who were infected with one or more species of intestinal helminth or protozoan parasite. In addition to parasite load, the assessment consisted of a battery of psychological and neuropsychological tests, an EEG examination, measures of iodine level, presence of goitre and level of nutrition. We found that, in general, parasite infection, as measured at the baseline level, was not associated with cognitive impairment. The intensity of infection withA. lumbricoides, however, was correlated with the level of verbal ability and with inhibition-control aspects of cognitive behaviour. Multivariate analysis with level of nutrition, EEG status and parasite burden showed a consistent main effect of the degree of nutrition on neuropsychological performance, particularly the language, problem solving and inhibition-control dimensions.
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Sempértegui, Estrella, Vallejo, Tapia, Herrera, Moscoso, Cerón, Griffiths, and Hamer. "Selenium Serum Concentrations in Malnourished Ecuadorian Children: A Case-Control Study." International Journal for Vitamin and Nutrition Research 73, no. 3 (May 1, 2003): 181–86. http://dx.doi.org/10.1024/0300-9831.73.3.181.
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Little is known about the selenium status of children living in the Andean regions of South America, which commonly have volcanic soil with low selenium content. Human selenium deficiency has been hypothesized to have a negative impact on immune function and to increase the risk of infection. The objective of this study was to evaluate the serum selenium concentrations of severely malnourished children living in urban and rural Andean Ecuador, and to compare them to a control group of normally nourished children from the same communities. Forty-three children, aged six to 36 months, with marasmus or kwashiorkor and 30 control children were enrolled from July to November 1993 in Quito, Ecuador. Serum selenium concentrations were lower in the children with marasmus (0.91 ± 0.28 muM/L, n = 21) and kwashiorkor (0.37 ± 0.15 muM/L, n = 22) than in those who were normally nourished (1.77 ± 0.75 muM/L, n = 30; p < 0.001 for each difference). The serum selenium concentrations in children with kwashiorkor were significantly lower than those in children with marasmus (p < 0.001). All 22 of the children with kwashiorkor, 15 of the 21 children with marasmus, and five of the 30 normal children had serum levels < 1.08 muM/L (8.5 mug/dL) (chi2 = 38.4, p < 0.00000001). In the Andean regions of Ecuador, selenium deficiency is prevalent in children with protein and caloric deficiency. Furthermore, 17% of Ecuadorian children with normal weight-for age-Z score are selenium-deficient.
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Waters, William F., Carlos Andres Gallegos, Celia Karp, Chessa Lutter, Christine Stewart, and Lora Iannotti. "Cracking the Egg Potential: Traditional Knowledge, Attitudes, and Practices in a Food-Based Nutrition Intervention in Highland Ecuador." Food and Nutrition Bulletin 39, no. 2 (March 20, 2018): 206–18. http://dx.doi.org/10.1177/0379572118763182.
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Background: Food-based interventions can reduce the prevalence of undernutrition and improve household food security, but nutritious and accessible foods may be underutilized. In Ecuador, eggs are inexpensive and widely available, but while they are a valuable source of essential nutrients for infants and young children, medical advice and community-based information have limited their inclusion in infants' diets. Objective: A qualitative component was conducted to understand local perceptions, knowledge, and practices to complement a randomized control trial that studied the effect of introducing eggs on nutritional status and growth in infants from 6 to 9 months in rural communities in the highland province of Cotopaxi, Ecuador. Methods: The qualitative inquiry consisted of key informant interviews, focus group discussions (FGDs), and structured observations in order to understand perceptions, knowledge, and practices related to household egg consumption and to the introduction of eggs in infants’ diets. Results: The two principal findings were that: (i) eggs are an available and culturally acceptable food source although they are not always a part of the diet; and (ii) perceptions and practices related to household consumption and the introduction of eggs into the diet of infants are shaped by local knowledge and practices, which are shaped by biomedical information and advice provided by public health professionals. Conclusion: Through an effective food-based intervention that includes qualitative research and a social marketing component, the behaviors of mothers and other caregivers can be modified, enabling children to realize the nutritional advantages of early introduction of eggs into their diet.
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Chapnick, Melissa, Jenna Diaz, Arianna Boshara, Jennifer Powers, David Gibson, Carlos Andres Gallegos-Riofrío, Christine Stewart, Chessa Lutter, William Waters, and Lora Iannotti. "Eggs Introduced Early in Complementary Feeding and Egg Specific IgE Antibodies: A Randomized Controlled Trial in Ecuador." Current Developments in Nutrition 5, Supplement_2 (June 2021): 730. http://dx.doi.org/10.1093/cdn/nzab046_027.
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Abstract Objectives The purpose of the study was to assess the safety of using eggs as a nutritional intervention for stunting in infants living in a rural indigenous community in Ecuador and to further understand the prevalence of egg allergy in this population. Methods The Lulun Project was a randomized controlled trial conducted in a rural indigenous population in Ecuador. Infants age 6–9 months were recruited and randomly assigned to the intervention (1 egg/day; n = 80) or control (no intervention, n = 83) group. At baseline and end line, enumerators collected anthropometric, dietary intake, morbidity, and sociodemographic data along with blood samples. Symptoms of allergies were assessed, including rash, congestion, coughing or wheezing, and diarrhea. Children in the intervention group were monitored by the study team for allergy symptoms during consumption of the first study egg. All children were monitored for illness and allergy symptoms throughout the study. We used ELISA assays to determine serum anti-ovomucoid and ovalbumin IgE levels, a validated approach to identify “risk of” egg allergy. Results 131 of the children had a sufficient serum sample to be analyzed for IgE levels. Ovomucoid levels were <0.35 kUA/L in all children. 57 paired samples were available, 1 of 51 in the control and 2 of 56 in the intervention group developed increased responses to ovalbumin during the study (0.51−1.04 kUA/L). For unpaired endline samples (n = 51), 3 of 25 in the control group and 2 of 26 in the egg group had increased ovalbumin responses (0.6–1.36 kUA/L). No child was removed from the study due to a reaction to eggs. Conclusions These findings support the use of eggs as a safe option to improve growth and reduce stunting in this community in Ecuador. Our study's findings are in alignment with current guidelines that recommend introducing eggs early in the complementary feeding period, and the evidence that doing so does not increase the risk of developing an egg allergy. Funding Sources The Mathile Institute for Human Nutrition, The Bill and Melinda Gates Foundation, and the Washington University in St. Louis Institute for Public Health Summer Research Program funded this study.
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Weigel, M. Margaret, Rodrigo X. Armijos, Marcia Racines, and William Cevallos. "Food Insecurity Is Associated with Undernutrition but Not Overnutrition in Ecuadorian Women from Low-Income Urban Neighborhoods." Journal of Environmental and Public Health 2016 (2016): 1–15. http://dx.doi.org/10.1155/2016/8149459.
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Household food insecurity (HFI) is becoming an increasingly important issue in Latin America and other regions undergoing rapid urbanization and nutrition transition. The survey investigated the association of HFI with the nutritional status of 794 adult women living in households with children in low-income neighborhoods in Quito, Ecuador. Data were collected on sociodemographic characteristics, household food security status, and nutritional status indicators (dietary intake, anthropometry, and blood hemoglobin). Data were analyzed using multivariate methods. The findings identified revealed a high HFI prevalence (81%) among the urban households that was associated with lowerper capitaincome and maternal education; long-term neighborhood residency appeared protective. HFI was associated with lower dietary quality and diversity and an increased likelihood of anemia and short stature but not increased high-calorie food intake or generalized or abdominal obesity. Although significant progress has been made in recent years, low dietary diversity, anemia, and growth stunting/short stature in the Ecuadorian maternal-child population continue to be major public health challenges. The study findings suggest that improving urban food security may help to improve these nutritional outcomes. They also underscore the need for food security policies and targeted interventions for urban households and systematic surveillance to assess their impact.
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Ramírez-Luzuriaga, María J., Philippe Belmont, William F. Waters, and Wilma B. Freire. "Malnutrition inequalities in Ecuador: differences by wealth, education level and ethnicity." Public Health Nutrition 23, S1 (September 27, 2019): s59—s67. http://dx.doi.org/10.1017/s1368980019002751.
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AbstractObjective:To describe and quantify the magnitude and distribution of stunting, wasting, anaemia, overweight and obesity by wealth, level of education and ethnicity in Ecuador.Design:We used nationally representative data from the 2012 Ecuadorian National Health and Nutrition Survey. We used the Multidimensional Poverty Index (MPI) as a proxy of wealth. The MPI identifies deprivations across three dimensions (health, education and standard of living). We defined education by years of schooling and ethnicity as a social construct, based on shared social, cultural and historical experiences, using Ecuadorian census categories.Setting:Urban and rural Ecuador, including the Amazon rainforest and the Galapagos Islands.Participants:Children aged <5 years (n 8580), adolescent women aged 11–19 years (n 4043) and adult women aged 20–49 years (n 15 203).Results:Among children <5 years, stunting and anaemia disproportionately affected low-wealth, low-education and indigenous groups. Among adolescent and adult women, higher rates of stunting, overweight and obesity were observed in the low-education and low-wealth groups. Stunting and short stature rates were higher in indigenous women, whereas overweight and obesity rates were higher in Afro-Ecuadorian women.Conclusions:Malnutrition differs significantly across sociodemographic groups, disproportionately affecting those in the low wealth tertile and ethnic minorities. Rates of stunting remain high compared with other countries in the region with similar economic development. The effective implementation of double-duty actions with the potential to impact both sides of the double burden is urgently required.
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Garrido, David Israel. "Response to: Prevalence of Anaemia in Children Diagnosed with Pneumonia in a Tertiary Hospital in Quito, Ecuador: Correspondence." Journal of Nepal Paediatric Society 40, no. 1 (August 10, 2020): 64–66. http://dx.doi.org/10.3126/jnps.v40i1.29062.
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Dear editor,
This letter is in response to Chaudhary, Shrestha, and Pathak, who highlighted various aspects of our previous manuscript "Prevalence of Anaemia in Children Diagnosed with Pneumonia in a Tertiary Hospital in Quito, Ecuador." I want to respond to each point referred to in a similar extension as used by the authors.
We agreed on the fact that it is prompt to conclude in nutritional deficiencies as a risk factor to suffer pneumonia in Ecuadorian children that is why we express this conclusion as a possibility. Nevertheless, as evidenced in the meta-analysis presented by Jackson et al., the Odds Ratio (OR) meta-estimate for under nutrition as a risk factor for acute lower respiratory infections was 4.5 (95% CI 2.1-9.5)1. To add, in the same paper, the OR meta-estimate for anaemia, vitamin D deficiency, and zinc supplementation, was 3.9 (95% CI 2.4-6.3), 7.3 (95% CI 2.5 to 21.5), and 0.5 (95% CI 0.3 to 0.9), respectively 1.
Moreover, in a study conducted in Malawi including 9 533 children, severe malnutrition and moderate malnutrition were associated not only with a pneumonia risk but with an increased risk of inpatient mortality, with Odds Ratios (OR) of 4.63 (3.08, 6.97) and 1.73 (1.21, 2.48) respectively. Therefore, there is supporting evidence globally of the suggested risk 2.
I am glad that the authors in the letter bring to the table a discussion of pneumonia diagnosis. In our study, the evaluation of pneumonia started with the clinical assessment including parameters with an acceptable sensitivity (Sen%) or specificity (Spe%), such as; fever on examination (Sen% 47, Spe% 68), history of fever (Sen% 92, Spe% 21), tachypnoea (Sen% 13, Spe% 95), rhonchi (Sen% 26, Spe% 98), crackles (Sen% 43, Spe% 73), wheezing (Sen% 4, Spe% 98) (3). However, as referred to in the original paper, the evaluation was not limited to these factors "Hypoxemia, defined as a sustained saturation of peripheral oxygen (SpO2) <90 %, was used as criteria for hospitalization, along with criteria for respiratory distress, which includes: tachypnoea, dyspnoea, retractions (suprasternal, intercostal, or subcostal), grunting, nasal flaring, apnoea and altered mental status. Furthermore, CBC, acute-phase reactants and chest radiography were performed" (4). Nonetheless, I should remark two factors; firstly, pneumonia severity assessment is based on clinical parameters as presented in the New South Wales Government guideline (5). So, minimizing the utility of the clinical evaluation may be a mistake, especially in institutions without prompt access to the radiologic test. Secondly, even we knew that the patients included in this study were evaluated in other differential diagnoses like bronchiolitis, asthma or cardiac diseases which can mimic pneumonia, this was a cross-sectional study using retrospective data collection.
Regarding the exclusion criteria, concomitant conditions that could affect anthropometric measurements include any congenital disease, which compromises a normal growth independently of the nutritional intake (Examples; Down syndrome, achondroplasia). Conditions that could affect the haemoglobin measurement or other parameters in the complete blood count include haematological, infectious or any disease which physiopathology may influence the interpretation of these results in the context of our study (Examples; Sickle cell disease, thalassemia, haemolytic anaemia, solid tumour cancers, haematological neoplasm, paludism), and conditions that could predispose to pneumonia include diseases which may produce an increased risk of infections (Examples; haematological neoplasm, inherited and acquired immunodeficiencies, immunosuppressive therapy)
It is true that without specific evaluation of iron profile is not possible to establish with a high certainty iron deficiency. However, in our study are some relevant considerations; we excluded patients with a current diagnosis of other types of anaemia (haemolytic anaemia), chronic inflammatory conditions, cancer, and haematological neoplasms. All these factors reduce the possible causes of anaemia, and in the light that nutritional anaemia is the most frequent type in Latin America, it is reasonable to think that iron deficiency may be the leading cause in our patients. When we think about microcytic anaemia, as this was the most frequent type in our study, and as we excluded thalassemia, chronic inflammatory disease, and was no evidence of lead poisoning or newly diagnosed thalassemia in our patients, the possibility of iron deficiency increases. Although, at the end of our paper, we recommend the use of iron profile in new studies. I should highlight that we did not report cases of macrocytic anaemia.
The question regarding the use of nutritional supplements is interesting, especially considering that in Ecuador, the governmental normative of micronutrients supplementation with the product "Chis Paz" consider children between 6 and 24 months of age. In our study, there was no possibility to know if the patients receive any supplementation. But, it would be useful to include this variable in prospective studies.
Subclinical infections and iron deficiency anaemia have been described extensively in subclinical malaria, in other types of subclinical infections and even acute infections, there are still debate.
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Smith, Janette L., N. Paul Johnston, Kirk A. Dearden, Dennis L. Eggett, and Alison K. Campbell. "The Impact of Altitude and Diet on Anemia in School-Aged Children in Lago San Pablo, Ecuador." ICAN: Infant, Child, & Adolescent Nutrition 2, no. 5 (October 2010): 288–93. http://dx.doi.org/10.1177/1941406410383013.
Full textDissertations / Theses on the topic "Children – Nutrition – Ecuador"
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Gomez, Chiran Olga Maria. "Educacion alimentaria nutricional y de salud, con lecciones educativas en la Escuela de la Comunidad de la Rinconada del Cantón Ibarra, Provincia de Imbabura /." Diss., Ibarra, Ecuador, 2001. http://contentdm.lib.byu.edu/cgi-bin/docviewer.exe?CISOROOT=/Benson&CISOPTR=5498.
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Tesis de Grado previa a la obención del Titulo de Licenciado(a) en Nutrición y Dietética, Universidad Technica del Norte, Facultad de Ciencias de la Salud, Escuela de Nutricion y Dietética.Abstract in Spanish and English.
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Chávez, Verónica. "Determination of seric retinol levels in relation to consumed diet and the prevalence of anemia in preschool- and school-aged children in the communities of Cuambo and La Rinconada, Imbabura province." BYU ScholarsArchive, 2003. https://scholarsarchive.byu.edu/etd/5347.
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In this investigation the seric retinol levels were determined in order to relate them with consumed diets by preschool- and school-aged children and the prevalence of anemia in the communities of Cuambo and La Rinconada, Imbabura province, in order to later compare them with reference values. Blood samples were taken from 74 children from the two communities, 30 in La Rinconada and 44 in Cuambo, beneficiaries of the Benson Institute, to determine retinol, ferritin, hemoglobin, and hematocrit. Also, a 24-hour record with frequency of food consumption survey was given to the studied children's parents, making a sample of 56 families. Among the principal results we can determine that the inhabitants of the two communities have a low consumption of foods rich in Vitamin A compared to recommendations, despite having family gardens that include a large quantity of foods rich in this micronutrient.
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Chiles, Sandra. "The Relation between the Nutritional Status and the Acute Respiratory Infections in Children Younger than Five Years of Age in the Indigenous, Black, and Mestizo Ethnic Groups of the Rural Area in the Imbabura Province, 1998-1999." BYU ScholarsArchive, 1998. https://scholarsarchive.byu.edu/etd/5348.
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The problems of social-economics, culture, politics, and health, among those, are factors that influence both directly and indirectly the style of life of hundreds of thousands of people, due to the lack of economic resources, unemployment, poverty, their own culture can lead to a more serious state of health, consequently causing problems of their nutritional state, such as obesity in its varying degrees of malnutrition, in addition to the presence of preventable illnesses such as acute respiratory disease (IRA), that seriously affect the infant population. Factors, consequences, everything becomes one vicious circle that can be broken thereby preventing more deaths that could be averted with time. Faced with this situation, in general, alarming people, the need to conduct an investigation is imposed in the field, in social awareness of the turning point that rural areas are faced with, in my case the rural area of the province of Imbabura, taking rural communities belonging to the three predominant ethnicities in our province, which are Indigenous, Black, and Mixed-Race. A realistic study of these areas safely projected confidant results, since its base will be the taking of anthropometric measurements (weight-height) with children under the age of 5, surveys about the presence of IRA in mothers of these children, with the purpose of subsequently establishing a relation between the nutritional state, IIRA, ethnicity of the study population. I hope that this work and its results are constituted as an element and factor of change towards the welfare of these sectors, those in need and vulnerable, it is clear, in collaboration with government organization, health team, and over all the community participation, with the sole purpose of improving this situation and of achieving a better development of these sectors and of the country in general.
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Muriel, Ruth. "Diagnostico alimentario, nutricional y de salud de los niños escolares de las comunidades de Guambo y la Rinconada, Provincia de Imbabura 2000-2001 /." Diss., Ibarra [Ecuador], 2001. http://contentdm.lib.byu.edu/cgi-bin/docviewer.exe?CISOROOT=/Benson&CISOPTR=5504.
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Tesis Previa a la Obtencion de la Licenciatura en Nutricion y Dietetica, Universidad Téchnica del Norte, Facultad de Ciencias de la Salud, Escuela de Nutricion y Dietetica, Escuela de Nutricion y Dietetica.Abstract in Spanish and English.
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Rosero, Carlos. "Relacion entre parasitosis intestinal con servicios basicos y estado nutricional en niños menores de cinco años, en la etnia indigena, negra y mestiza del area rural de la provincia de imbabura, 1998-1999." Diss., 6barra, Ecuador, 2000. http://contentdm.lib.byu.edu/u?/Benson,4189.
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Tesis previs a la obtencion del titulo de licenciado en nutricion y dietetica, Universidad Technica del Norte, Facultad Ciencias de la Salud, Escuela de Nutricion y Dietetica.Abstract in spanish and English.
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Echeverría, Alexandra. "Effect of the consumption of farm animals on the diet and hemoglobin levels of school age children in the rural communities of Topo, Imbabura, Gualabi, Calpaqui, and Compania of the Imbabura province." BYU ScholarsArchive, 2007. https://scholarsarchive.byu.edu/etd/5358.
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This research addressed malnutrition in the villages of Topo, Imbabura, Gualabí, Calpaquí and Compañía in the city Otavalo, which is in the Province of Imbaura, Ecuador. The research determined the effects of consumption of small-animals on the diet and hemoglobin levels in school aged boys and girls. This study involved 311 indigenous children between 6 and 12 years of age. Following parental authorization, blood tests and fecal samples were taken from each child to analyze hemoglobin and parasites. Additional information gathered from this study group included a socio-economic survey, frequency of food consumption, 24 hour inventory, animal production, and basic knowledge on anemia to compare the results with the normal standards. The results showed prevalent anemia, poor nutritional conditions, parasite presence, dietary iron deficiencies, and low school performance. Recommendations from these results include using dietary iron supplements and deworming children. This information increases community knowledge of the nutritional conditions of school children and how to improve these situations in general.
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Muriel, Ruth. "Eating, Nutrition and of Health Diagnostic of the Elementary Schools of the Communities of Guambo and the Rinconada, Province of Imbabura 2002-2001." BYU ScholarsArchive, 2001. https://scholarsarchive.byu.edu/etd/5406.
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The rural communities of the province of Imbabura present multiple problems of environmental, educational, and economic kind. Previous studies show that the rural communities of the Ecuadorian population present serious problems of health and nutrition, among those that excel are: poliparasitosis, respiratory infections and diarrheal, malnutrition, deficiency of micro nutrients, sanitary deficiency, scarce economic resources and low level of instruction. All these factors have caused a decrease in the productive capacity of the country and affected their level of development. In addition, delay exists in size in the students, which leads to a decrease in the capacity for physical work, alterations of mental development and frequent repetitions of the school grade. The malnutrition is a product of biological, social and environmental factors directly influence good health, intellectual development and academic performance. In the province of Imbabura, there is no up to date information relating to diet, nutrition and some aspects of the health of the students. Therefore it has been considered important to perform a food, nutritional and health diagnosis that contributes to the planning and development of actions that will improve the situation.
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Sackey, Mamie Eleanor. "Intestinal Parasitic Infection: Prevalence, Risk Factors and Consequences for Child Growth, Iron Status and Development in Rural Ecuador." Thesis, Virginia Tech, 2001. http://hdl.handle.net/10919/34712.
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Intestinal parasitic infections (IPI's) are considered to be a public health problem of global importance by the World Health Organization. The present epidemiologic survey study investigated the prevalence, risk factors, and consequences of pathogenic IPI's on the growth, nutrition and psychomotor development of 244 Ecuadorian children aged 0.2-14 years. The study was conducted in five rural hamlets located in a tropical rainforest area in northwest Ecuador. The study data were obtained by means of a structured questionnaire, a developmental screening examination, anthropometry, and lab analysis of blood and fecal samples. Data analysis was conducted using appropriate bivariate and multivariate statistical techniques.
The study results revealed that 90% of the child subjects were infected with at least one pathogenic IPI species. Fifty-one percent were identified with helminthic infections, 37.6% with protozoal infections, and 21.4% were infected with both. The most common intestinal parasites detected were Ascaris lumbricoides (39.7%), Giardia intestinalis (25.2%), Trichuris trichiura (19.7%), Entamoeba histolytica/dispar (18.5%), Blastocystis hominis (13.3%), and Ancylostoma duodenale (1.7%). The prevalence of growth stunting (40%) and iron-deficiency anemia (26%) also was high. Children infected with Giardia exhibited a risk for stunted growth that was twice that of their non-infected counterparts (51.7% vs. 33.1%; OR=2.16, 95% C.I.= 1.13-4.15; p= 0.01). They also had significantly reduced mean blood hemoglobin levels compared to non-infected children 11.8 + 1.5.g/dL vs. 12.2 + 1.4g/dL; p= 0.023) but the proportion with iron-deficiency anemia was slightly but not significantly increased (29.4% vs. 24.3%). The characteristic most consistently associated with risk for pathogenic protozoal IPI's was a high density of domestic animals living in and around the home. Children who lived in such households had a risk for infection that was 2-5 times greater than others. This suggests that domestic animals were important reservoirs for IPI infection in the child group studied. Contrary to the a priori hypothesis, no gender, ethnic, nor age differences in infection risk were identified except for Trichuris infection, which was reduced in younger children contrary to expectations.
Mass or targeted chemotherapy combined with health education and promotion are needed to reduce the cycle of infection and re-infection and the negative impact of these on child growth and iron status. Health education and promotion messages can be incorporated into other types of programs already in place in local schools and by the Ecuadorian Ministries of Public Health, Education, and Social Welfare and other agencies.Master of Science
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Vaca, Tanya. "The Relation between the Nutritional Status and the Acute Diarrhetic Diseases in Children Younger than Five Years of Age in the Indigenous, Black, and Mestizo Ethnic Groups of the Rural Area in the Imbabura Province, 1998-1999." BYU ScholarsArchive, 1999. https://scholarsarchive.byu.edu/etd/5444.
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The study conducted in the rural area of the province of Imbabura included a total of 518 families that when compared with the estimated sample of 96%, 42.7 % corresponding to the indigenous ethnic group, 28.15% to Black and 25% to mixed-race ethnic groups, these differences of involvement between ethnic groups is due to the fact that the indigenous population is greater than the two remaining populations. Of the 518 families studied they were able to obtain a total of 794 children younger than 5, in which 48.5% pertaining to the male sex and 51.4% to the female sex. In linking the number of participating families and the number of children studied we were able to find that mothers have 1 to 2 children younger than the age of 5 in every family. In evaluating the nutritional state of the 794 studied children, 47.09% were found to have global malnutrition (P/E), 67.26% presented a chronic malnutrition that is to say a lower height for their age, whereas 13.97% presented an acute malnutrition, a percentage that doesn’t attract attention due to what I have already noted previously with children presenting low height and weight for their age when using the indicated weight/height, the nutritional state of the children is appropriate. The nutritional state of children under the age of 5, by considering the indicators of weight/age and height/age, identified the indigenous ethnicity having major problems of malnutrition (54% and 80.97%) respectively, while the two remaining ethnic groups have presented similar percentages. The opposite occurs with the indicator of weight/height, which detected that the Black ethnic group presented a major nutritional deterioration (24%) unlike the other two ethnic groups, we believe that this difference is due to indigenous children presenting a diminished height, consequently when we use the indicator of weight/height, an adequate weight for height is presented. According to the magnitude of diarrheal processes we find that 28.34% of children presented EDA, the indigenous ethnicity being that with the highest percentage (12.84%) in relation to the other two ethnic groups. According to the severity of the diarrheal processes, light EDA presents the highest percentage with 62.67%, with the indigenous ethnicity being affected the most, moderate EDA presents a 34.22% similarly affecting the indigenous ethnicity and severe EDA presents a 3.11% with the mixed-race ethnicity being the most affected. Relating the nutritional state with acute diarrheal illnesses, considering the indicators of weight/age and height/age, we find that the indigenous population is mostly affected in nutritional state as well as in the presence of EDA. Malnourished children present a higher number of diarrheal processes. Considering the indicator of weight/height, diarrhea is more frequent in children with a normal nutritional state, with the Black ethnicity that which presents the greater percentage of EDA in normal and malnourished children. For this reason, it is urgent that national programs of health and alimentation are defined and implemented in order to combat the nutritional problem and ensure an adequate supply of food for the whole population, improving the conditions of health and environmental sanitation in order to reduce the high rates of malnutrition, diarrhea and acute respiratory infections.
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Rosero, Carlos. "Relationship between intestinal parasitosis with the basic services, and the nutritional state of children under the age of five of black, native, and mestizo ethnicities in the rural area of the province of Imbabura 1998-1999." BYU ScholarsArchive, 2000. https://scholarsarchive.byu.edu/etd/5433.
Full textAbstract:
The parasitosis in the tropical countries like Ecuador, are found in the different population groups of all ages, sexes, social conditions, ethnic groups, especially in those without hygienic conditions, pertaining to different geographic zones and the prevalence varies in agreement with the ecology, the human factors and the social economic characteristics. The fecal contamination on land and water where an adequate disposition of excretes, the surrounding conditions, the deficient living conditions, the rural life, the absence of bathrooms, the custom to not use shoes and to have contact with the water. The deficiency of hygienic education, contamination of foods and human migration all favor intestinal parasites. The parasitic plague in Ecuador and especially in the province of Imbabura is not very well known, this is because of the little attention and economical means that are given to an investigation. This investigation clearly points out the different concepts, definitions, consequences, treatments and prophylaxis that the community should take into account. This investigative work was done in the rural area of the Imbabura province for the following ethnic groups: Indigenous, Black, and Mestizo, with children younger than five years old and it is directed to the health personnel, and students It is estimated that in the whole world more than 20 million people are infected by the "himenolepsis" parasite. The Intestinal parasite has a direct relation with the Nutritional state of any given country, as well as the basic services, like water, collection of trash, elimination of excretes, illiteracy, bad family hygiene habits, and a healthy environment. This is how 40 thousand children die of hunger in the world daily, the difference here is an American child eats 500 times more than third world child. The lack of interest by the governments both international and national in health Programs in rural zones, impedes a solution being found. 50% of investigations are dedicated to the advancements in military, which also influences the lack of water, 3 billion people in the world lack drinkable water. There are many forms of exposure to the parasite, including, ground (garbage or trash left on floor) or contaminated water, contaminated food, biting insects, domestic or wild animals which have the parasite, another person, and their clothes or bed sheets. The most common of these being contaminated water. There are many reasons these parasites are found in higher numbers in third world countries. The lack of healthiness in the rural population increases the intestinal parasite in children under five years old, the lack of knowledge by part of the mothers on the consequences of the intestinal parasites. Bad hygiene habits that the mothers have as well as the children under five years old in not washing their hands before eating and after using the restroom add to the rapid spread of the parasite. The nutritional state of the children greatly increases exposure, mostly concerning food preparation. The presence of intestinal parasites in the children under five years old does the same damage with no importance to age, race, or sex. The bad form in which excretes are eliminated in the town also contributes to parasite spreading. To fight against further parasite spreading it is advised that a program of investigation is applied with many disciplinary teams including: Doctors, Epidemists, Microbiologists, Anthropologist, Nutritionists, and nurses to study and help find solution for the well-being of the areas that most need it. To also help, it is advised that Nutritionists, Nurses, Doctors, and people who have direct knowledge of what is health, capacitate the leaders of the community and citizens on the basic hygiene norms, including preparation and manipulation of foods, consequences and ways to prevent parasites. This would help slow the rapid spread of parasites among youth as well as adults. Have meetings teaching proper use of bathrooms both private and public in rural areas, to avoid massive parasite contamination. It is important to teach families that they should treat the water before drinking it because water has a direct link with parasite spreading. Demand that government pay more attention to health issues in rural communities.