Burden of Severe Acute Malnutrition in under-five Children (2-59 Months) Admitted in a Tertiary Care Hospital of Delhi

J Trop Pediatr. 2018 Feb 1;64(1):45-50. doi: 10.1093/tropej/fmx026.

Abstract

Objective: The aim of the present study is to assess the burden of severe acute malnutrition (SAM) and other malnutrition in a tertiary care hospital in Delhi.

Methods: All patients aged 2-59 months admitted from August 2012 to July 2014 were screened for malnutrition by anthropometry using standard techniques, and SAM was diagnosed as per guidelines [1, 2].

Results: During the study period, 4520 children of age 2-59 months were admitted and complete data of 4354 children were available, which were analysed. Of these, 50.4% were underweight, 44.6% were stunted, 33.5% were wasted, 0.76% had oedematous malnutrition and 18.3% had SAM. Of all patients with SAM, 80% were <24 months old, with 54.1% males and 45.9% females. Moderate acute malnutrition was present in 21.4%. Associated co-morbidities were diarrhoea or respiratory infection or both.

Conclusion: Hospitals of Delhi have a high load of complicated SAM and need adequate infrastructure and facilities for management of these children.

Keywords: SAM; stunting; underweight; wasting.

MeSH terms

  • Anthropometry
  • Child, Preschool
  • Cost of Illness*
  • Female
  • Growth Disorders / epidemiology
  • Growth Disorders / etiology
  • Hospitalization / statistics & numerical data
  • Humans
  • India
  • Infant
  • Male
  • Nutritional Status
  • Severe Acute Malnutrition / complications*
  • Tertiary Care Centers / statistics & numerical data