Association between nutritional status and positive childhood disability screening using the ten questions plus tool in Sarlahi, Nepal.
The study was conducted to examine the association between the indicators of malnutrition and disability of children as reported by caregivers. The Ten Questions Plus questionnaire was administered to caregivers of 1,902 children aged 1-9 years, during August 2007-March 2008, in rural Nepal. Height and weight of children were also measured. The main outcome was a positive response to one or more questions. In total, 514 (27%) children had a positive response to at least one question. Moderate stunting [odds ratio (OR)=1.47, 95% confidence interval (CI) 1.02-2.12) and severe (OR=2.39, 95% CI 1.60-3.57) stunting were independently associated with reported delay in sitting, standing, or walking. Severe stunting was also associated with report of delayed learning compared to other children of similar age (OR=2.01, 95% CI 1.27-3.20). Parental report of disability was quite prevalent in this setting, with over a quarter of the sample screening positive. Chronic malnutrition may be associated with delayed motor and mental development.
Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21205-2103, USA.
L
L
Wu
J
J
Katz
L C
LC
Mullany
E
E
Haytmanek
S K
SK
Khatry
G L
GL
Darmstadt
K P
KP
West
S C
SC
LeClerq
J M
JM
Tielsch
D017028:Caregivers / Q000523:psychology; D002648:Child; D002657:Child Development / Q000502:physiology*; D015362:Child Nutrition Disorders / Q000175:diagnosis / Q000503:physiopathology*; D002675:Child, Preschool; D004185:Disability Evaluation; D019988:Children with Disabilities; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D009390:Nepal; D009752:Nutritional Status; D010290:Parents / Q000523:psychology; D012423:Rural Health; D011795:Surveys and Questionnaires
Int J Pediatr Otorhinolaryngol. 2006 Jan;70(1):107-14
16023223
Lancet. 2009 Nov 28;374(9704):1831-9
19944864
J Trop Pediatr. 2009 Jun;55(3):177-82
19066172
Epidemiology. 1994 May;5(3):283-9
7518697
Lancet. 2009 Nov 28;374(9704):1806-7
19944852
Eur J Clin Nutr. 2006 Feb;60(2):228-35
16234835
J Clin Epidemiol. 1995 May;48(5):657-66
7537327
Br J Nutr. 2003 Dec;90(6):1097-106
14641969
Lancet. 2007 Oct 6;370(9594):1230-9
17920918
J Nutr. 2007 Dec;137(12):2756-62
18029495
J Nutr. 2005 Dec;135(12):2840-4
16317129
J Nutr. 2008 Mar;138(3):599-603
18287373
Lancet. 2006 Jan 14;367(9505):144-52
16413878
Int J Rehabil Res. 1992;15(2):115-27
1388141
Am J Epidemiol. 1998 Feb 1;147(3):281-8
9482503
Lancet. 2007 Jan 6;369(9555):60-70
17208643
J Nutr. 2009 Apr;139(4):763-72
19225131
Am J Epidemiol. 2009 Nov 1;170(9):1127-36
19778983
J Trop Pediatr. 2007 Dec;53(6):383-7
17556487
Int J Rehabil Res. 2003 Mar;26(1):33-41
12601265
J Epidemiol Community Health. 1995 Aug;49(4):431-6
7650469