Relationship between malaria, malnutrition, food insecurity and low socioeconomical conditions in children of Turbo, Colombia

Authors

  • Rosa Magdalena Uscátegui Peñuela Universidad de Antioquia
  • Eliana María Pérez Tamayo Universidad de Antioquia
  • Lady Vanessa Corrales Agudelo Universidad de Antioquia
  • Adriana Correa Botero Universidad de Antioquia
  • Alejandro Estrada Restrepo Universidad de Antioquia
  • Jaime Carmona Fonseca Universidad de Antioquia

DOI:

https://doi.org/10.17533/udea.penh.9402

Keywords:

Malnutrition, food security, poverty, household food insecurity, socio-economic factors, children

Abstract

Background: malaria, malnutrition and household food insecurity are public health problems in Colombia that should
be studied all an integrated way Objective: to study the association between malaria nutritional status, household
food insecurity and socio-economic factors. Materials and methods: cross sectional study was carried out in a place
called El Tres, Turbo-Colombia. Children 2-14 year old were divided in two groups: one group with malaria (76) and
the other one without malaria (147). Nutritional status, food accessibility and socio-economic factors were analyzed.
Results: prevalence of chronic malnutrition in children with malaria versus children with no malaria were: 39,5% and
25,2%, food insecurity was 94,7% and 92,5%, and mothers scholar level was 3± 3 y 4± 3 (p= 0,041), respectively. The
risk to have malaria is increased in chronic malnutrition (OR:1,94;IC95%1,07-3,50) and by poor housing conditions
as bad roof quality (OR:5,95;IC95%2,28-15,55), bad floor quality (OR:2,05;IC95%1,06-3,82) and not have electricity
(OR:3,85;IC95%2,10-6,90). Conclusion: food insecurity was common in studied subjects, socio-economic conditions
were low and the prevalence of chronic malnutrition was high. All these issues were strong associated with malaria. T his
is the first study carried out in Colombia that ex plores the association of malaria with child malnutrition and household
food insecurity.
|Abstract
= 678 veces | PDF (ESPAÑOL (ESPAÑA))
= 146 veces|

Downloads

Download data is not yet available.

Author Biographies

Rosa Magdalena Uscátegui Peñuela, Universidad de Antioquia

Grupo de Investigación en Alimentación y Nutrición Humana, Escuela de Nutrición y Dietética, Universidad de Antioquia, Medellín, Colombia.

Eliana María Pérez Tamayo, Universidad de Antioquia

Grupo de Investigación en Alimentación y Nutrición Humana, Escuela de Nutrición y Dietética, Universidad de Antioquia, Medellín, Colombia.

Lady Vanessa Corrales Agudelo, Universidad de Antioquia

Grupo de Investigación en Alimentación y Nutrición Humana, Escuela de Nutrición y Dietética, Universidad de Antioquia, Medellín, Colombia.

Adriana Correa Botero, Universidad de Antioquia

Grupo Salud y Comunidad, Facultad de Medicina, Universidad de Antioquia.

Alejandro Estrada Restrepo, Universidad de Antioquia

Grupo de Demografía y Salud, Facultad Nacional de Salud Pública, Universidad de Antioquia.

Jaime Carmona Fonseca, Universidad de Antioquia

Grupo Salud y Comunidad, Facultad de Medicina, Universidad de Antioquia.

References

Carmona-Fonseca J. La malaria en Colombia, Antioquia y las zonas de Urabá y Bajo Cauca: panorama para interpretar la respuesta terapéutica antimalárica. Parte 1. Iatreia. 2003;16:299-317.

Carmona-Fonseca J. La malaria en Colombia, Antioquia y las zonas de Urabá y Bajo Cauca: panorama para interpretar la respuesta terapéutica antimalárica. Parte 2. Iatreia. 2004;17:34-53.

Antioquia. Dirección Seccional de Salud. Eventos de interés en salud pública, Antioquia. Medellín; 2006 [citado mayo de 2008]. Disponible en: https://www.dssa.gov.co/dowload/archivoseventos_2007/EnotificacionSPVer2006-2.xls.

Uscátegui RM, Correa AM. Estado nutricional de niños palúdicos residentes en El Bagre y Turbo Antioquia, Colombia, 2004-2005. Biomedica. 2007;27:559-70.

Blair S, Álvarez G, Villa A, Carmona-Fonseca J, Ríos L. Estado nutricional y niveles de inmunoglobulinas y citoquinas en niños con malaria. An Pediatr. 2003;58:418-24.

ICBF, Profamilia, Instituto Nacional de Salud, Universidad de Antioquia, OPS. Encuesta nacional de la situación nutricional en Colombia (ENSIN). Bogotá; 2005. p. 445.

Labadarios D, Steyn NP, Maunder E, MacIntryre U, Gericke G, Swart R, et al. The National Food Consumption Survey (NFCS): South Africa, 1999. Public Health Nutr. 2005;8:533-43.

Renzaho AM. Food insecurity, malnutrition and mortality in Maewo and Ambae islands, Vanuatu. Pac Health Dialog. 2004;11:12-21.

Álvarez MC, Benjumea MV, Roldán P, Maya M, Montoya EC. Perfil alimentario y nutricional de los hogares: analisis comparativo de algunos indicadores entre las regiones de Antioquia. Medellín: Gobernación de Antioquia; 2005. p.151-210.

Guzmán V, Correa AM, Carmona-Fonseca J, Blair S. Seguridad alimentaria y nutricional en un espacio de riesgo para la malaria. Arch Latinoam Nutr. 2003;53:227-37.

Fishman SM, Caulfield LE, de Onis M, Blössner M, Hyder AA, Mullany L, et al. Childhood and maternal underweight. In: Comparative quantification of health risks: the global and regional burden of disease due to 25 selected major risk factors. Cambridge: WHO, Harvard University Press; 2004. p.41-148.

Saha KK, Frongillo EA, Alam DS, Arifeen SE, Persson LA, Rasmussen KM. Household food security is associated with infant feeding practices in rural Bangladesh. J Nutr. 2008;138:1383-90.

Isanaka S, Mora-Plazas M, Lopez-Arana S, Baylin A, Villamar E. Food insecurity is highly prevalent and predicts underweight but not overweight in adults and school children from Bogota, Colombia. J Nutr. 2007;137:2747-55.

Worrall E, Basu S, Hanson K. Is malaria a disease of poverty? A review of the literature. Trop Med Int Health. 2005;10:1047-59.

Bonilla C, Kurtomi L, Rodríguez P, Rodríguez A. Salud y desarrollo, aspectos socioeconómicos de la malaria en Colombia. Bogotá: Plaza y Janes Editores; 1991.

Kaiser LL, Melgar-Quiñónez H, Townsend MS, Nicholson Y, Fujii ML, Martin AC, et al. Food insecurity and food supplies in Latino households with young children. J Nutr Educ Behav. 2003;35:148-53.

Matheson DM, Varady J, Varady A, Killen JD. Household food security and nutritional status of Hispanic children in the fifth grade. Am J Clin Nutr. 2002;76:210-7.

Lorenzana PA, Mercado C. Measuring household food security in poor Venezuelan households. Public Health Nutr. 2002;5:851-7.

Álvarez MC, Estrada A, Montoya EC, Melgar-Quinonez H. Validación de escala de la seguridad alimentaria doméstica en Antioquia, Colombia. Salud Pública Mex. 2006;48:474-81.

Colombia. Departamento Nacional de Planeación. Estratificación socio-económica. Bogotá: 2008 [citado mayo 2009]. Disponible en: http://www.dnp.gov.co/PortalWeb/Programas/Sinergia.

WHO. Multicentre Growth Reference Study Group. Child growth standards: length/height-for-age, weight-for-age, weight-for-length, weight for- height and body mass index-for-age: methods and development. Geneva; 2007.

WHO Anthro (version 3, April 2009) and macros. Geneva; 2009 [citado mayo 2009]. Disponible en: http://www.who.int/childgrowth/software/en/.

WHO AnthroPlus software. Geneva; 2007 [citado mayo 2009]. Disponible en: http://www.who.int/growthref/tools/en/.

Restrepo MT. Estado nutricional y crecimiento físico. Medellín: Universidad de Antioquia; 2000.

Stettler N, Schutz Y, Whitehead R, Jequier E. Effect of malaria and fever on energy metabolism in Gambian children. Pediatr Res. 1992;31:102-6.

Berclaz PY, Benedek C, Jequier E, Schutz Y. Changes in protein turnover and resting energy expenditure after treatment of malaria in Gambian children. Pediatr Res. 1996;39:401-9.

Melgar-Quinonez HR, Zubieta AC, MkNelly B, Nteziyaremye A, Gerardo MF, Dunford C. Household food insecurity and food expenditure in Bolivia, Burkina Faso, and the Philippines. J Nutr. 2006;136:1431S-7S.

Lorenzana PA, Mercado C. Measuring household food security in poor Venezuelan households. Public Health Nutr. 2002;5:851-7.

Melgar-Quinonez H, Zubieta AC, Valdez E, Whitelaw B, Kaiser L. Validación de un instrumento para vigilar la inseguridad alimentaria en la Sierra de Manantlán, Jalisco. Salud Pública Mex. 2005;47:413-22.

Pérez-Escamilla R, Dessalines M, Finnigan M, Pachon H, Hromi-Fiedler A, Gupta N. Household food insecurity is associated with childhood malaria in rural Haiti. J Nutr. 2009;139:2132-8.

Gunawardena DM, Wickremasinghe AR, Muthuwatta L, Weerasingha S, Rajakaruna J, Senanayaka T, et al. Malaria risk factors in an endemic region of Sri Lanka, and the impact and cost implications of risk factor-based interventions. Am J Trop Med Hyg. 1998;58:533-42.

Ghebreyesus TA, Haile M, Witten KH, Getachew A, Yohannes M, Lindsay SW, et al. Household risk factors for malaria among children in the Ethiopian highlands. Trans R Soc Trop Med Hyg. 2000;94:17-21.

Konradsen F, Amerasinghe P, van der Hoek W, Amerasinghe F, Perera D, Piyaratne M. Strong association between house characteristics and malaria vectors in Sri Lanka. Am J Trop Med Hyg. 2003;68:177-81.

Kirby MJ, Green C, Milligan PM, Sismanidis C, Jasseh M, Conway DJ, et al. Risk factors for house-entry by malaria vectors in a rural town and satellite villages in the Gambia. Malar J. 2008;7:2-9.

Antioquia. Gobernación. Plan de desarrollo: Antioquia para todos, manos a la obra: 2008-2011. Medellín; 2009 [citado mayo de 2009]. Disponible en http://www.antioquia.gov.co/plandesarrollo/.

Safeukui-Noubissi I, Ranque S, Poudiougou B, Keita M, Traore A, Traore D, et al. Risk factors for severe malaria in Bamako, Mali: a matched case-control study. Microbes Infect. 2004;6:572-8.

Downloads

Published

2011-04-06

How to Cite

Uscátegui Peñuela, R. M., Pérez Tamayo, E. M., Corrales Agudelo, L. V., Correa Botero, A., Estrada Restrepo, A., & Carmona Fonseca, J. (2011). Relationship between malaria, malnutrition, food insecurity and low socioeconomical conditions in children of Turbo, Colombia. Perspectivas En Nutrición Humana, 11(2), 153–164. https://doi.org/10.17533/udea.penh.9402

Issue

Vol. 11 No. 2 (2009)

Section

Research

License

Derechos de autor 2024 Universidad de Antioquia

Crossref
Scopus
Google Scholar
Europe PMC