Malnutrition, Child Clinical Trial
Official title:
Effect of Chronic Arsenic Exposure on Malnutrition Among Under-five Children Attending Assiut University Children Hospital
Early life malnutrition is associated with later life health problems, Particularly Stunting, which is a height-for-age Z score less than -2 standard deviation of World Health Organization median.Underweight is weight-for-age Z score less than -2 standard deviation of World Health Organization median. Wasting is weight -for- height Z score less than -2 standard deviation of World Health Organization median.
prevalence of under-five stunting, wasting and underweight are 21% and , 8% and 6%
respectively in Egyptian Demographic Health Survey 2014.
The main risk factors for growth restriction in children are maternal under nutrition during
pregnancy, lack of exclusive breastfeeding, inappropriate complementary feeding and
micronutrient intake and high prevalence of enteric infections. However, other environmental
exposures may also play a role in growth restriction .
High concentrations of Arsenic, lead and cadmium in placenta are associated with poor fetal
out come and low birth weight. Arsenic crosses the placenta causing suppression of
insulin-Like Growth Factor 1.
When breastfeeding is exclusive, infants are unlikely to be exposed to Arsenic by other
routes of exposure such as external foods, drinking water and foods made at home using
Arsenic contaminated water.
Rational of the study. Improvement of under-five nutritional status is a global target.
Although the exposure to arsenic has increased globally, it's impact on nutritional status
has seldom been investigated.
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