See the published version of this preprint at Italian Journal of Pediatrics.
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kerollos s. mahrous
Menoufia University Faculty of Medicine
Corresponding Author
ORCiD: https://orcid.org/0000-0001-5973-0030
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Background: Under nutrition and overweight typically occur during nutritional transition periods in developing countries including Egypt. Short stature and anemia are public health concern due to its strong link with malnutrition which is a preventable risk factor.
Objectives: to estimate the prevalence of overweight, obesity, underweight and short stature and its concurrence with anemia, also to determine the etiological profile of short stature among primary school children in Egypt.
Methods: A cross-sectional study was carried out on 33150 Egyptian children aged 6-11 years old from January 2018 to January 2020, allocated in 59 primary schools from diverse geographical districts in Egypt. Complete anthropometric measurements were conducted and applied according to WHO growth charts. Hemoglobin level was measured. Systematic approach to detect the etiology of short stature was applied randomly to a sample of 380 stunted children.
Results: The prevalence of underweight was 8.2 %, while obesity and overweight represented 21.8% (9.6% and 12.2% respectively). Overall short stature constituted 17%. The main etiologies of short stature were familial (40.8%) and constitutional (24.2%). Anemia was diagnosed in 26% of children; while concurrent anemia and stunting was reported in 9.9%. Regarding anemia and anemia with stunting were more common among girls (30.0 % (OR=1.50, CI95%: 1.43-1.58) and 11.4% (OR=1.39, CI95%:1.29-1.49) respectively), who were living in rural areas (33.4% (OR=1.96, CI 95%:1.87-2.06) &12.7% (OR= 1.72, CI 95%:1.60-1.85)) and those who had low socioeconomic status )34.6% (OR= 2.54, CI 95%:2.29-2.82) & 17.2% (OR= 3.32, CI 95%:2.85-3.88() respectively. Anemia with stunting was significantly higher among children aged ≥9 years old representing 12% (OR= 1.40, CI 95%:1.30-1.51).
Conclusion: Prevalence of short stature, obesity and anemia was high among primary school children in Egypt with a strong concurrence between anemia and stunting. Intensive parental health education and in-depth nutritional assessment are required.
Keywords
Anemia, Egyptian children, Malnutrition, Obesity, Prevalence, Short stature.
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CURRENT STATUS: Published
View the published article at Italian Journal of Pediatrics.
Version 3
Posted 05 Jun, 2020
No community comments so far
Editorial decision: Accept
On 20 Jun, 2020
Review #2 received
Received 08 Jun, 2020
Reviewer #2 agreed
On 03 Jun, 2020
Reviewers invited
Invitations sent on 01 Jun, 2020
Reviewer #1 agreed
On 01 Jun, 2020
Review #1 received
Received 01 Jun, 2020
Editor assigned
On 31 May, 2020
Submission checks complete
On 30 May, 2020
Editor invited
On 30 May, 2020
No comments provided
Editorial decision: Major revision
On 24 May, 2020
Review #2 received
Received 18 May, 2020
Reviewers invited
Invitations sent on 18 May, 2020
Reviewer #1 agreed
On 18 May, 2020
Reviewer #2 agreed
On 18 May, 2020
Review #1 received
Received 18 May, 2020
Editor assigned
On 17 May, 2020
Submission checks complete
On 16 May, 2020
Editor invited
On 16 May, 2020
No comments provided
Editorial decision: Major revision
On 05 May, 2020
Review #2 received
Received 04 May, 2020
Review #1 received
Received 28 Apr, 2020
Reviewer #2 agreed
On 25 Apr, 2020
Reviewers invited
Invitations sent on 23 Apr, 2020
Reviewer #1 agreed
On 23 Apr, 2020
Editor assigned
On 20 Apr, 2020
Editor invited
On 19 Apr, 2020
Submission checks complete
On 18 Apr, 2020
First submitted
On 17 Apr, 2020
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Pediatrics
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A new preprint design is coming!
We have improved readability, clarity, accessibility, and opportunities for engagement.
See the published version of this preprint at Italian Journal of Pediatrics.
This is a preprint, a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research
kerollos s. mahrous
Menoufia University Faculty of Medicine
Corresponding Author
ORCiD: https://orcid.org/0000-0001-5973-0030
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Published
View the published article at Italian Journal of Pediatrics.
Version 3
Posted 05 Jun, 2020
No community comments so far
Editorial decision: Accept
On 20 Jun, 2020
Review #2 received
Received 08 Jun, 2020
Reviewer #2 agreed
On 03 Jun, 2020
Reviewers invited
Invitations sent on 01 Jun, 2020
Reviewer #1 agreed
On 01 Jun, 2020
Review #1 received
Received 01 Jun, 2020
Editor assigned
On 31 May, 2020
Submission checks complete
On 30 May, 2020
Editor invited
On 30 May, 2020
No comments provided
Editorial decision: Major revision
On 24 May, 2020
Review #2 received
Received 18 May, 2020
Reviewers invited
Invitations sent on 18 May, 2020
Reviewer #1 agreed
On 18 May, 2020
Reviewer #2 agreed
On 18 May, 2020
Review #1 received
Received 18 May, 2020
Editor assigned
On 17 May, 2020
Submission checks complete
On 16 May, 2020
Editor invited
On 16 May, 2020
No comments provided
Editorial decision: Major revision
On 05 May, 2020
Review #2 received
Received 04 May, 2020
Review #1 received
Received 28 Apr, 2020
Reviewer #2 agreed
On 25 Apr, 2020
Reviewers invited
Invitations sent on 23 Apr, 2020
Reviewer #1 agreed
On 23 Apr, 2020
Editor assigned
On 20 Apr, 2020
Editor invited
On 19 Apr, 2020
Submission checks complete
On 18 Apr, 2020
First submitted
On 17 Apr, 2020
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Pediatrics
License:
This work is licensed under a CC BY 4.0 License. Read Full License
View the published article at Italian Journal of Pediatrics.
Background: Under nutrition and overweight typically occur during nutritional transition periods in developing countries including Egypt. Short stature and anemia are public health concern due to its strong link with malnutrition which is a preventable risk factor.
Objectives: to estimate the prevalence of overweight, obesity, underweight and short stature and its concurrence with anemia, also to determine the etiological profile of short stature among primary school children in Egypt.
Methods: A cross-sectional study was carried out on 33150 Egyptian children aged 6-11 years old from January 2018 to January 2020, allocated in 59 primary schools from diverse geographical districts in Egypt. Complete anthropometric measurements were conducted and applied according to WHO growth charts. Hemoglobin level was measured. Systematic approach to detect the etiology of short stature was applied randomly to a sample of 380 stunted children.
Results: The prevalence of underweight was 8.2 %, while obesity and overweight represented 21.8% (9.6% and 12.2% respectively). Overall short stature constituted 17%. The main etiologies of short stature were familial (40.8%) and constitutional (24.2%). Anemia was diagnosed in 26% of children; while concurrent anemia and stunting was reported in 9.9%. Regarding anemia and anemia with stunting were more common among girls (30.0 % (OR=1.50, CI95%: 1.43-1.58) and 11.4% (OR=1.39, CI95%:1.29-1.49) respectively), who were living in rural areas (33.4% (OR=1.96, CI 95%:1.87-2.06) &12.7% (OR= 1.72, CI 95%:1.60-1.85)) and those who had low socioeconomic status )34.6% (OR= 2.54, CI 95%:2.29-2.82) & 17.2% (OR= 3.32, CI 95%:2.85-3.88() respectively. Anemia with stunting was significantly higher among children aged ≥9 years old representing 12% (OR= 1.40, CI 95%:1.30-1.51).
Conclusion: Prevalence of short stature, obesity and anemia was high among primary school children in Egypt with a strong concurrence between anemia and stunting. Intensive parental health education and in-depth nutritional assessment are required.
Figure 1
Figure 2
Figure 3
Figure 4
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