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Nutritional status of rural children in the Lesotho Highlands.
East Afr Med J 1997; 74(11):680-9EA

Abstract

A baseline cross-sectional study was done to evaluate the nutritional status of the population of the Mohale Dam catchment area before construction of the dam commenced. In this article we report on the anthropometric, clinical and dietary assessment of the children less than 15 years of age in the study population. A two stage stratified sampling technique was used to randomly select 29 of the 83 villages in the study area. Children under 15 years of age from 395 households, representing approximately 50% of households in the selected villages, were included in the study. Anthropometric measurements of body height and weight in relation to age and sex indicated undernutrition varying, with few exceptions, from high to very high levels in children under 15 years. Stunting, indicating chronic undernutrition, was of particular concern in children, even from the first year of life. Very few clinical signs of nutritional deficiencies were found except for a goitre prevalence of 17.5% in 10 to 14 year old children. This was supported by the very low urinary iodine excretion (median 1.3 micrograms/dL) which indicated a severe iodine deficiency. Dietary evaluation showed high initiation rates of breastfeeding as well as a long duration of breastfeeding. Complementary foods were introduced at an early age, resulting in low exclusive breastfeeding rates. Regular meals were reported but qualitative analysis of the diet showed that a too small variety of foods were eaten, with an irregular intake of protein-rich foods and milk. Quantitative data on 3- < 5-year-old children showed that micro-nutrient intakes were low and that the energy intake of these children was inadequate. The results showed that these nutritionally vulnerable children should be monitored for the impact of the dam construction on their nutritional status.

Authors+Show Affiliations

Medical Research Council, National Research Programme for Nutritional Intervention, Tygerberg, South Africa.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

9557436

Citation

Jooste, P L., et al. "Nutritional Status of Rural Children in the Lesotho Highlands." East African Medical Journal, vol. 74, no. 11, 1997, pp. 680-9.
Jooste PL, Langenhoven ML, Kriek JA, et al. Nutritional status of rural children in the Lesotho Highlands. East Afr Med J. 1997;74(11):680-9.
Jooste, P. L., Langenhoven, M. L., Kriek, J. A., Kunneke, E., Nyaphisi, M., & Sharp, B. (1997). Nutritional status of rural children in the Lesotho Highlands. East African Medical Journal, 74(11), pp. 680-9.
Jooste PL, et al. Nutritional Status of Rural Children in the Lesotho Highlands. East Afr Med J. 1997;74(11):680-9. PubMed PMID: 9557436.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Nutritional status of rural children in the Lesotho Highlands. AU - Jooste,P L, AU - Langenhoven,M L, AU - Kriek,J A, AU - Kunneke,E, AU - Nyaphisi,M, AU - Sharp,B, PY - 1998/4/29/pubmed PY - 1998/4/29/medline PY - 1998/4/29/entrez KW - Africa KW - Africa South Of The Sahara KW - Age Factors KW - Biology KW - Body Height KW - Body Weight KW - Breast Feeding KW - Child KW - Child Nutrition KW - Cross Sectional Analysis KW - Demographic Factors KW - Developing Countries KW - Diet KW - Diseases KW - English Speaking Africa KW - Health KW - Infant Nutrition KW - Malnutrition KW - Nutrition KW - Nutrition Disorders KW - Nutrition Indexes KW - Physiology KW - Population KW - Population Characteristics KW - Research Methodology KW - Research Report KW - Rural Population KW - South Africa KW - Southern Africa KW - Supplementary Feeding KW - Youth SP - 680 EP - 9 JF - East African medical journal JO - East Afr Med J VL - 74 IS - 11 N2 - A baseline cross-sectional study was done to evaluate the nutritional status of the population of the Mohale Dam catchment area before construction of the dam commenced. In this article we report on the anthropometric, clinical and dietary assessment of the children less than 15 years of age in the study population. A two stage stratified sampling technique was used to randomly select 29 of the 83 villages in the study area. Children under 15 years of age from 395 households, representing approximately 50% of households in the selected villages, were included in the study. Anthropometric measurements of body height and weight in relation to age and sex indicated undernutrition varying, with few exceptions, from high to very high levels in children under 15 years. Stunting, indicating chronic undernutrition, was of particular concern in children, even from the first year of life. Very few clinical signs of nutritional deficiencies were found except for a goitre prevalence of 17.5% in 10 to 14 year old children. This was supported by the very low urinary iodine excretion (median 1.3 micrograms/dL) which indicated a severe iodine deficiency. Dietary evaluation showed high initiation rates of breastfeeding as well as a long duration of breastfeeding. Complementary foods were introduced at an early age, resulting in low exclusive breastfeeding rates. Regular meals were reported but qualitative analysis of the diet showed that a too small variety of foods were eaten, with an irregular intake of protein-rich foods and milk. Quantitative data on 3- < 5-year-old children showed that micro-nutrient intakes were low and that the energy intake of these children was inadequate. The results showed that these nutritionally vulnerable children should be monitored for the impact of the dam construction on their nutritional status. SN - 0012-835X UR - https://www.unboundmedicine.com/medline/citation/9557436/Nutritional_status_of_rural_children_in_the_Lesotho_Highlands_ L2 - https://medlineplus.gov/childnutrition.html DB - PRIME DP - Unbound Medicine ER -