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20,788 reports · page 2058 of 2079

Peer-reviewed articleOpenAlex30 Sept 2026

Hospital-acquired infections (HAIs) and delayed recovery from severely malnourished children during stabilization: Evidence from retrospective cohort analysis

Background: Several studies have highlighted the high impact of HAIs and their effects on pediatric recovery in Ethiopia. Objectives: This study examined the effect of hospital-acquired infections (HAIs) on the recovery of children with severe acute malnutrition (SAM). Design: A retrospective cohort study was conducted at Asella Referral and Teaching Hospital in Oromia, Ethiopia. Materials and methods: Hospital acquired infections (HAIs) defined as infections occurred within 48 hours or more after admission to the Hospital and documented by treating clinicians in medical records. Diagnosis was made using routine clinical assessment, and available laboratory findings according to the standard hospital practice. Of 635 children admitted during the study period, 142 records were excluded (not meeting SAM criteria, unacceptable age range, or incomplete data). Consequently, 493 eligible children with comprehensive documentation were included in the final study. Kaplan–Meier survival analysis was used to compare recovery times between children with and without HAIs. Time to nutritional recovery (in days), defined as the length of hospital stay until recovery, and compared between children with and without hospital-acquired infections. Results: Children without hospital-acquired infections had a higher probability of recovery over time compared to those with HAIs (log-rank test, p < 0.001). Factors significantly associated with HAIs included rural residence, incomplete immunization, and nasogastric tube feeding. Conclusions: Hospital-acquired infections are a common complication among children admitted with severe acute malnutrition and are associated with slower recovery and prolonged hospital stay. Improving child survival requires an integrated approach that strengthens infection prevention and control (IPC), ensures reliable WASH infrastructure, and promotes safe feeding and hygiene practices in therapeutic feeding units. Addressing these structural and procedural gaps is essential to achieving sustainable improvements in nutrition recovery and infection control in Ethiopian hospitals.

Peer-reviewed articleOpenAlex30 Sept 2026

Maternal Parenting Practices as a Socio-Cultural Determinant of Stunting and Motor Development among Toddlers in Jeneponto Regency

Stunting is a chronic nutritional condition that can impair physical growth and motor development in early childhood, with maternal parenting practices considered an important factor influencing its occurrence. This study aimed to examine the association between maternal parenting practices, stunting, and motor skill development among children aged 24-59 months at Bontomate’ne Community Health Center, Jeneponto Regency, Indonesia. A quantitative cross sectional design was employed involving 44 children selected through purposive sampling. Maternal parenting practices were assessed using a structured questionnaire, nutritional status was determined based on height-for-age Z-scores (HAZ), and motor development was evaluated using the Denver Developmental Screening Test (DDST). Associations between variables were analyzed using Fisher’s Exact Test. The findings showed that most others demonstrated sufficient parenting practices, accounting for 42 children (95.5%), while good parenting practices were identified in only 2 children (4.5%). Of the total participants, 43 children (97.7%) were classified as stunted. A significant association was found between maternal parenting practices and stunting (p = 0.045). Stunting was also significantly associated with delayed motor development (p = 0.035), with severely stunted children showing a greater tendency to experience delays in motor skills. These findings indicate that maternal parenting practices are associated with the risk of stunting, which is subsequently related to motor development in young children. Therefore, early interventions integrating parenting education and nutritional support are important to prevent stunting and promote optimal growth and motor development during early childhood.

Sri Wahyuni Bahrum, Andi Syarifah Irmadani, Sitti Hasrah Ibrahim et al.

SurvivalDevelopmentIDRead at source

Peer-reviewed articleOpenAlex30 Sept 2026

Food and non-alcoholic beverage marketing and sponsorship at secondary schools in the City of Cape Town, South Africa

Background: Multinational food and beverage corporations, collectively termed 'Big Food,' contribute substantially to the global obesity crisis through deliberate product formulation, distribution, sales and marketing. Although food marketing in schools is recognized as a contributor to unhealthy dietary behaviors, evidence on its extent in South African secondary schools is limited. Objective: To identify food and non-alcoholic beverage marketing and sponsorship at secondary schools in the City of Cape Town. Methods: An observational, cross-sectional study was conducted in 37 purposively selected public secondary schools from the two largest educational districts in Cape Town. Fieldworkers captured observations of food and non-alcoholic beverage marketing material (names/logos/brands) visible from outside the school premises and within public view. A web-based search was also done to identify marketing and sponsorship activities on schools’ website pages and Twitter/X accounts. Prominently observed food and non-alcoholic beverage companies were invited to complete an online survey. Results: A total of 137 sightings of visible marketing and sponsorship materials from 35 food and non-alcoholic beverage companies were recorded in and around school premises, on school websites and Twitter/X accounts. One hundred sightings were recorded in and around school premises at 89.2% of the schools, with materials mostly displayed on signboards (40%), retail stores (33%), banners (7%), and flags (5%). The predominant company observed was The Coca-Cola Company, contributing 31.4% of the total sightings. Second was the Spar Group (12.4%). The most observed product was sugar-sweetened beverages (SSBs), contributing 29.2% of the total sightings. No online questionnaires were completed by the seven most prominent companies sighted and approached, regardless of repeated reminders. Conclusions: Food and non-alcoholic beverage marketing and sponsorship were widespread across secondary schools, with SSBs being the most prominent single category, followed by companies and supermarkets that manufacture or sell a combination of ultra-processed food and SSBs. These findings support the need for stronger regulatory measures to protect children and adolescents from unhealthy food marketing within school environments.

Lisanne du Plessis, Kirsty Louw, Henriëtte Joubert et al.

SurvivalProtectionZARead at source

Peer-reviewed articleOpenAlex30 Sept 2026

Effect of Nutritional Rehabilitation on Neurodevelopmental Status of Children with Severe Acute Malnutrition (SAM)

Severe acute malnutrition (SAM) is a major public health problem in children, contributing to high morbidity, mortality, and impaired neurodevelopment. While nutritional rehabilitation improves survival and physical growth, its effect on cognitive, motor, language, and social development remains inadequately explored. Objective: To evaluate the impact of nutritional rehabilitation on neurodevelopmental outcomes in children aged 1–6 years with SAM. Methods: This prospective observational study was conducted over six months in the Department of Paediatrics of Khairpur Medical College, Sindh. A total of 150 children aged 1–6 years diagnosed with SAM (according to WHO criteria: weight-for-height Z-score < −3 SD or mid-upper arm circumference < 11.5 cm) were enrolled. Participants received eight weeks of standardized nutritional rehabilitation, including therapeutic feeding and micronutrient supplementation, along with management of associated complications. Anthropometric parameters and neurodevelopmental domains (cognitive, motor, language, and social) were assessed at baseline and post-intervention. Data were analysed using SPSS version 23, applying paired t-tests and chi-square tests, with p<0.05 considered significant. Results: Significant improvements were observed in weight (7.3 ± 1.4 vs. 9.2 ± 1.6 kg), MUAC (10.4 ± 0.9 vs. 12.5 ± 1.1 cm), and weight-for-height Z-score (−3.42 ± 0.51 vs. −2.18 ± 0.47) (p < 0.001). Neurodevelopmental scores improved significantly across all domains (p < 0.001). The proportion of children with normal development increased from 20.0% to 53.3%, while moderate developmental delay decreased from 33.3% to 14.7%. Conclusions: Nutritional rehabilitation significantly improves both growth and neurodevelopment in children with SAM. Early identification and timely intervention are crucial for optimal developmental recovery.

Tufail Ahmed Soomro, . Bela, Ubedullah Bahalkani et al.

SurvivalDevelopmentPre/postPKRead at source

Peer-reviewed articleOpenAlex30 Sept 2026

Maternal food literacy and its association with household food security and dietary fiber intake among primary school children in Indonesia

ABSTRAK Latar Belakang: Ibu memiliki peran penting dalam pengambilan keputusan terkait penyediaan pangan dan pola makan keluarga. Literasi pangan dan gizi ibu yang baik dapat meningkatkan ketahanan pangan keluarga dan kualitas diet anak. Tujuan: Penelitian ini bertujuan untuk menguji literasi pangan dan gizi ibu serta hubungannya dengan ketahanan pangan rumah tangga dan kualitas diet anak (asupan serat) di Indonesia Metode: Penelitian menggunakan desain cross-sectional yang dilakukan terhadap 86 pasang ibu dan anak (anak berusia antara 9–12 tahun) di wilayah Kecamatan Kedungbanteng. Literasi pangan dan gizi ibu dievaluasi menggunakan Short Food Literacy Questionnaire (SFLQ). Ketahanan pangan rumah tangga ditentukan menggunakan Household Food Insecurity Access Scale (HFIAS), sementara konsumsi makanan dicatat melalui 24-hour food recall. Korelasi bivariat dan model regresi multivariat (logistik dan linear) digunakan untuk menganalisis data Hasil: Hasil analisis bivariat menunjukkan bahwa literasi ibu dan pendapatan keluarga berhubungan positif dengan ketahanan pangan. Berdasarkan regresi logistik multivariat, hanya pendapatan rumah tangga yang tetap memiliki hubungan yang signifikan dengan ketahanan pangan (AOR = 1,431; p = 0,041). Pada analisis regresi linier berganda, literasi pangan dan gizi ibu menjadi satu-satunya prediktor terhadap asupan serat anak (B = 0,089; p = 0,043), setelah disesuaikan dengan pendapatan rumah tangga, usia ibu, jumlah anggota keluarga, dan kovariat lain yang dimasukkan ke dalam model. Kesimpulan: Literasi pangan dan gizi ibu berkontribusi terhadap asupan serat anak, walaupun hubungan yang diamati relatif kecil. Namun demikian, peningkatan literasi pangan dan gizi pada ibu tetap diperlukan untuk meningkatkan kualitas diet anak. ABSTRACT Background: Mothers play a critical role in decision-making regarding household food security and family dietary patterns. Adequate maternal food and nutrition literacy can enhance household food security and improve children's diet quality. Objectives: This study aimed to examine maternal food literacy and its relationship with household food security and children's dietary quality (fiber intake) in Indonesia. Methods: A cross-sectional survey was completed in 86 mother-child pairs (child’s age between 9 to 12 years) in the Kedungbanteng sub-district. Maternal food literacy was evaluated with the Short Food Literacy Questionnaire (SFLQ). Household food security was determined using the Household Food Insecurity Access Scale (HFIAS), and dietary intake was recorded using a 24-hour food recall. Bivariate correlations and multivariate regression models (logistic and linear) were used to analyze the data. Results: Bivariate analysis showed that maternal literacy and family income were positively associated with food security. Based on multivariate logistic regression, only household income retained an association with food security (AOR = 1.431, p = 0.041). In a multiple linear regression model, maternal food literacy was the only predictor of child fiber intake (B = 0.089, p = 0.043), after adjusting for household income, mother's age, family size, and other covariates included in the model Conclusions: Maternal food and nutrition literacy contributes to child fiber intake, despite a relatively small observed association. However, enhancing maternal food and nutrition literacy is still required to improve children's dietary quality.

Dyah Umiyarni Purnamasari, Atikah Proverawati, Wahyu Vera Wardani

SurvivalIDRead at source

Peer-reviewed articleOpenAlex30 Sept 2026

Determinants of Stunting among under-fives aged 24–59 months in the villages of Labuan Ratu Kampung, Banjar Ketapang, and Gunung Labuhan

ABSTRAK Latar Belakang: Stunting masih menjadi masalah kesehatan masyarakat yang berdampak terhadap pertumbuhan fisik, perkembangan kognitif, serta kualitas sumber daya manusia di masa mendatang. Kejadian stunting dipengaruhi oleh berbagai faktor. Prevalensi stunting di Indonesia 21,5% dan Kabupaten Lampung Utara memiliki prevalensi yang lebih tinggi sebesar 23,5% pada tahun 2023. Tujuan: Penelitian ini bertujuan menganalisis hubungan riwayat pemberian asi ekslusif, jumlah anggota keluarga dan pendapatan keluarga dengan kejadian stunting pada balita di Desa Labuhan Ratu Kampung, Desa Banjar Ketapang, dan Desa Gunung Labuhan, Kabupaten Lampung Utara. Metode: Penelitian ini merupakan penelitian kuantitatif dengan desain observasional analitik menggunakan pendekatan cross-sectional. Penelitian dilaksanakan pada November 2024 sampai dengan Januari 2025 terhadap 65 balita yang dipilih menggunakan teknik cluster random sampling. Data dikumpulkan melalui kuesioner dan pengukuran antropometri, kemudian dianalisis menggunakan uji Gamma dengan tingkat kemaknaan 95% (α=0,05). Hasil: Sebanyak 35 balita (53,8%) mengalami stunting. Hasil analisis menunjukkan terdapat hubungan antara riwayat pemberian ASI eksklusif (p=0,01; Gamma=0,53), jumlah anggota keluarga (p=0,04; Gamma=-0,50) dan pendapatan keluarga (p=0,01; Gamma=-1,00) dengan kejadian stunting. Proporsi stunting lebih tinggi pada balita yang tidak memperoleh ASI eksklusif dan berasal dari keluarga dengan jumlah anggota lebih dari empat orang. Kesimpulan: Riwayat pemberian ASI eksklusif, jumlah anggota rumah tangga, dan pendapatan rumah tangga merupakan faktor-faktor yang berhubungan dengan status stunting pada balita. Upaya pencegahan stunting perlu dilaksanakan melalui pendekatan terpadu yang mendorong pemberian ASI eksklusif dan pemantauan pertumbuhan secara berkala, sembari mempertimbangkan pendapatan rumah tangga dan jumlah anggota keluarga dalam upaya memenuhi kebutuhan gizi anak. ABSTRACT Background: Stunting remains a public health issue that impacts physical growth, cognitive development, and the future quality of human resources. The occurrence of stunting is influenced by various factors. The national prevalence of stunting in Indonesia is 21.5%, while North Lampung Regency recorded a higher prevalence of 23.5% in 2023. Objectives: This study aims to analyze the relationship between the history of exclusive breastfeeding, family size, and family income and the incidence of stunting among children under five in Labuhan Ratu Kampung, Banjar Ketapang, and Gunung Labuhan villages, North Lampung Regency. Methods: This study is a quantitative, analytic observational study employing a cross-sectional design. It was conducted from November 2024 to January 2025, involving 65 children under five years of age selected via cluster random sampling. Data were collected through questionnaires and anthropometric measurements and subsequently analyzed using the Gamma test at a 95% significance level (α=0.05). Results: A total of 35 under-fives (53.8%) were stunted. The results showed significant associations between exclusive breastfeeding history (p=0.01; Gamma=0.53), household size (p=0.04; Gamma=-0.50), and household income (p=0.01; Gamma=-1.00) and stunting status. The proportion of stunting was higher among under-fives who were not exclusively breastfed and who came from families with more than four members. Conclusions: Exclusive breastfeeding, household size, and income are associated with stunting in under-fives. Prevention should promote exclusive breastfeeding and growth monitoring while considering household resources and family size.

Masayu Dian Khairani, Intan Maharani

SurvivalIDRead at source

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Hospital-acquired infections (HAIs) and delayed recovery from severely malnourished children during stabilization: Evidence from retrospective cohort analysis

Edukasi Pencegahan Stunting bagi Orang Tua dan Pengenalan Gizi Seimbang bagi Siswa Kelas 1 SD di Desa Melati II, Dusun Kenari Kecamatan Perbaungan, Kab. Serdang Bedagai

Maternal Parenting Practices as a Socio-Cultural Determinant of Stunting and Motor Development among Toddlers in Jeneponto Regency

Relationship Between Mothers' Knowledge and Parenting Patterns in Feeding and The Incidence of Wasting in Toddlers Aged 6-59 Months

CORRELATION BETWEEN BODY MASS INDEX (BMI) AND DENTAL CARIES STATUS USING THE HI-BOGI APPLICATION AT SDN CITEREUP CIMAHI Authors

Food and non-alcoholic beverage marketing and sponsorship at secondary schools in the City of Cape Town, South Africa

THE EFFECT OF MATERNAL NUTRITION EDUCATION AND PURPLE SWEET POTATO SUPPLEMENTARY FEEDING ON THE NUTRITIONAL STATUS OF CHILDREN AGED 12-36 MONTHS

Effect of Nutritional Rehabilitation on Neurodevelopmental Status of Children with Severe Acute Malnutrition (SAM)

Maternal food literacy and its association with household food security and dietary fiber intake among primary school children in Indonesia

Determinants of Stunting among under-fives aged 24–59 months in the villages of Labuan Ratu Kampung, Banjar Ketapang, and Gunung Labuhan

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