Growth Evaluation of a Group of Children Enrolled in Public Schools in Rabat, Morocco: the Role of Socioeconomic Factors

Overview

Journal Int J Gen Med

Publisher Dove Medical Press

Specialty General Medicine

Date 2013 Oct 9

PMID 24101878

Authors

Imane Cherkaoui Dekkaki

Said Ettair

Toufik Meskini

Nabil Khalloufi

Nezha Mouane

Amina Barkat

Affiliations

Soon will be listed here.

Abstract

Objectives: The aim of this study was to assess the prevalence of underweight, stunting, and the socioeconomic risk factors among children enrolled in primary public schools in Rabat, Morocco.

Methods: Twenty-three schools were randomly selected. A cross-sectional study was conducted between April and June 2010. The survey was conducted on the basis of two questionnaires for both parents and children. The references used were from the World Health Organization, 2007.

Results: Our study focused on a sample of 1569 children whose average age was 9.7 ± 0.95 years. The prevalence of underweight among girls and boys was 43.1%, while that of stunting was 18.2%. The majority of the children in our population come from a low socioeconomic level. While 59% of fathers are laborers, 85% of mothers are unemployed.

Conclusion: In our study, we demonstrated that child malnutrition is strongly linked to a low socioeconomic level. These observations suggest that besides income, schooling and food quality may also be important factors that can affect growth. Educational programs, whether held in schools or informally, such as literacy or parenting classes, are valuable complements to other nutrition sustaining activities.

References

de Onis M, Monteiro C, Akre J, Glugston G . The worldwide magnitude of protein-energy malnutrition: an overview from the WHO Global Database on Child Growth. Bull World Health Organ. 1993; 71(6):703-12. PMC: 2393544. View

Droomers M, Gross R, Schultink W, Sastroamidjojo S . High socioeconomic class preschool children from Jakarta, Indonesia are taller and heavier than NCHS reference population. Eur J Clin Nutr. 1995; 49(10):740-4. View

Lunn P . The impact of infection and nutrition on gut function and growth in childhood. Proc Nutr Soc. 2000; 59(1):147-54. DOI: 10.1017/s0029665100000173. View

Black R, Brown K, Becker S . Effects of diarrhea associated with specific enteropathogens on the growth of children in rural Bangladesh. Pediatrics. 1984; 73(6):799-805. View

Ukwuani F, Suchindran C . Implications of women's work for child nutritional status in sub-Saharan Africa: a case study of Nigeria. Soc Sci Med. 2003; 56(10):2109-21. DOI: 10.1016/s0277-9536(02)00205-8. View

Shah S, Selwyn B, Luby S, Merchant A, Bano R . Prevalence and correlates of stunting among children in rural Pakistan. Pediatr Int. 2003; 45(1):49-53. DOI: 10.1046/j.1442-200x.2003.01652.x. View

de Onis M, Onyango A, Borghi E, Siyam A, Nishida C, Siekmann J . Development of a WHO growth reference for school-aged children and adolescents. Bull World Health Organ. 2007; 85(9):660-7. PMC: 2636412. DOI: 10.2471/blt.07.043497. View

Guo G, Shi A, Li Y, Anme T, Ushijima H . Prevalence and correlates of malnutrition among children in rural minority areas of China. Pediatr Int. 1999; 41(5):549-56. DOI: 10.1046/j.1442-200x.1999.01103.x. View

Lartey A, Manu A, Brown K, Peerson J, Dewey K . Predictors of growth from 1 to 18 months among breast-fed Ghanaian infants. Eur J Clin Nutr. 2000; 54(1):41-9. DOI: 10.1038/sj.ejcn.1600891. View

10.

Espo M, Kulmala T, Maleta K, Cullinan T, Salin M, Ashorn P . Determinants of linear growth and predictors of severe stunting during infancy in rural Malawi. Acta Paediatr. 2003; 91(12):1364-70. DOI: 10.1111/j.1651-2227.2002.tb02835.x. View

11.

Marmot M, Friel S, Bell R, Houweling T, Taylor S . Closing the gap in a generation: health equity through action on the social determinants of health. Lancet. 2008; 372(9650):1661-9. DOI: 10.1016/S0140-6736(08)61690-6. View

12.

Mbemba F, Mabiala-Babela J, Massamba A, Senga P . [A nutrition survey among schoolchildren in Brazzaville, Congo]. Arch Pediatr. 2006; 13(7):1022-8. DOI: 10.1016/j.arcped.2006.03.143. View

13.

de Souza A, Peterson K, Cufino E, Gardner J, Craveiro M, Ascherio A . Relationship between health services, socioeconomic variables and inadequate weight gain among Brazilian children. Bull World Health Organ. 1999; 77(11):895-905. PMC: 2557755. View

14.

Semba R, de Pee S, Sun K, Sari M, Akhter N, Bloem M . Effect of parental formal education on risk of child stunting in Indonesia and Bangladesh: a cross-sectional study. Lancet. 2008; 371(9609):322-8. DOI: 10.1016/S0140-6736(08)60169-5. View

15.

Bobak M, Kriz B, Leon D, Danova J, Marmot M . Socioeconomic factors and height of preschool children in the Czech Republic. Am J Public Health. 1994; 84(7):1167-70. PMC: 1614745. DOI: 10.2105/ajph.84.7.1167. View

16.

Quinn V, Simler K, Milner J . The growth of Malawian preschool children from different socioeconomic groups. Eur J Clin Nutr. 1995; 49(1):66-72. View

17.

Immink M, Payongayong E . Risk analysis of poor health and growth failure of children in the central highlands of Guatemala. Soc Sci Med. 1999; 48(8):997-1009. DOI: 10.1016/s0277-9536(98)00383-9. View

18.

Darnton-Hill I, Nishida C, James W . A life course approach to diet, nutrition and the prevention of chronic diseases. Public Health Nutr. 2004; 7(1A):101-21. DOI: 10.1079/phn2003584. View

19.

Mei Z, Yip R, Trowbridge F . Improving trend of growth of Asian refugee children in the USA: Evidence to support the importance of environmental factors on growth. Asia Pac J Clin Nutr. 2014; 7(2):111-6. View

20.

Bhandari N, Bahl R, Taneja S, de Onis M, Bhan M . Growth performance of affluent Indian children is similar to that in developed countries. Bull World Health Organ. 2002; 80(3):189-95. PMC: 2567755. View