Epidemiological behavior and prevalence of malnutrition in children under 5 years of age in Colombia during the years 2016 to 2019.

Comportamiento epidemiológico de la desnutrición en menores de 5 años, Colombia 2016-2019

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Jhully Constanza Herrera-Tarapues
Alejandra Mendoza-Ortiz
Benigno Mendoza-Ortiz
Abstract

Objective: Analyze the epidemiological behavior and prevalence of acute malnutrition in children under 5 years of age in Colombia during the years 2016 to 2019. Materials and methods: Retrospective quantitative - descriptive study; The population and analysis sample of this study is made up of 53,434 reports consolidated in the Integrated Information System of social protection SISPRO of children under 5 years of age with acute malnutrition in Colombia available these from the years 2016 to 2019. Results: In 2016 there is a mortality rate due to malnutrition of 0.08 cases per 10,000 inhabitants in contrast to 2019 where this rate increased to 0.42; In 2016 there is a morbidity rate for acute malnutrition of 22.4 cases per 10,000 inhabitants in contrast to 2019 where this rate increased to 40.5. The years of life lost due to premature mortality ranged from 1,162 in 2016 to 6,411 in 2019 and the years lived with disability ranged from 588 to 2016 to 2,257 to 2019; disability-adjusted life years ranged from 2,402 in 2016 to 8,668 in 2019. Conclusions: It is necessary to strengthen the interventions from social policies focused on the social determinants in health aimed at child health and comprehensive nutrition, including aspects such as maternal and child dietary intake, improve the economic situation of the home, improve the educational level of the mother and balance the distribution of resources between different regions.

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Author Biographies (SEE)

Monica Paola Quemba-Mesa, Universidad de Boyacá. Tunja, Colombia.

Enfermera, Especialista en Epidemiología Clínica. Magíster en Enfermería y Candidata a Doctora en Bioética. Docente Universidad de Boyacá. Tunja, Boyacá – Colombia. Correo: mpquemba@uniboyaca.edu.co. Orcid: 0000-0001-5646-6123, Tunja – Colombia.

Jhully Constanza Herrera-Tarapues, Subred Integrada de Servicios de Salud Norte E.S.E. Bogotá, Colombia

Médico y cirujano general, Subred Integrada de Servicios de Salud Norte E.S.E, jhulycohe@hotmail.com, Orcid: 0000-0003-1152-6203, Bogotá – Colombia

Alejandra Mendoza-Ortiz, Subred Integrada de Servicios de Salud Norte E.S.E. Bogotá, Colombia

Médico y Cirujano General, candidata a Magister en Epidemiología, Subred Integrada de Servicios de Salud Norte E.S.E, alejamendoza98@hotmail.com, Orcid: 0000-0001-5162-0777, Bogotá – Colombia

Benigno Mendoza-Ortiz, Subred Integrada de Servicios de Salud Norte E.S.E. Bogotá, Colombia

Médico y Cirujano General, Subred Integrada de Servicios de Salud Norte E.S.E, benignomo@hotmail.com, Orcid: 0000-0002-3483-7023, Bogotá – Colombia

References

Ministerio de Salud y Protección Social y Fondo de las Naciones Unidas para la Infancia (UNICEF). Lineamiento para el manejo integrado de la desnutrición aguda moderada y severa en niños y niñas de 0 a 59 meses de edad. [Internet]. [Consultado el 28 de septiembre de 2021]. Disponible en: https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/VS/PP/lineamiento-desnutricion-aguda-minsalud-unicef-final.pdf

Organización Mundial de la Salud (OMS). Malnutrición [Internet]. 09 junio de 2021 [consultado el 02 de septiembre de 2021]. Disponible en: https://www.who.int/es/news-room/fact-sheets/detail/malnutrition

Organización de las Naciones Unidas para la Alimentación (FAO). El estado de la seguridad alimentaria y la nutrición en el mundo. Fomentando la resiliencia climática en aras de la seguridad alimentaria y la nutrición. FAO, Roma. [internet] 2018. [Consultado el 02 de septiembre de 2021]. Disponible en: http://www.fao.org/3/i9553es/i9553es.pdf

Ministerio de Salud, Instituto Nacional de Salud. Desnutrición aguda moderada y severa en menores de cinco años. Protocolo de vigilancia en salud pública versión 3 [Internet]. 29 dic de 2020 [consultado el 02 de septiembre de 2021]. Disponible en: https://www.ins.gov.co/buscador-eventos/Lineamientos/Pro_Desnutricion%20en%20menores%20de%205%20a%C3%B1os.pdf

Osorio AM, Romero GA, Bonilla H, Aguado LF. Socioeconomic context of the community and chronic child malnutrition in Colombia. Revista de Saúde Pública [online]. 2018; [Accedido 28 Setiembre 2021]: 52(73). Disponible en: https://doi.org/10.11606/S1518-8787.2018052000394 DOI: https://doi.org/10.11606/S1518-8787.2018052000394

Bernal J, Agudelo-Martínez A, Roldan-Jaramillo P. Representación geográfica de la malnutrición en niños y adolescentes de Medellín, Colombia. Rev Esp Nutr Hum Diet [Internet]. 2020 Jun [citado 2021 Sep 28]; 24(2):111-119. Disponible en: https://dx.doi.org/10.14306/renhyd.24.2.945 DOI: https://doi.org/10.14306/renhyd.24.2.945

Álvarez MC, López A, Estrada A. Estado nutricional de niños de Antioquia, Colombia, según dos sistemas de referencia. Rev Panam Salud Publica/Pan Am J Public Health [Internet]. 2009 [citado 2021 Sep 28]; 25(3); 196-203. Disponible en: https://scielosp.org/article/rpsp/2009.v25n3/196-203/ DOI: https://doi.org/10.1590/S1020-49892009000300002

Vargas M, Hernández E. Los determinantes sociales de la desnutrición infantil en Colombia vistos desde la medicina familiar [The social determinants of child malnutrition in Colombia from a family medicine perspective]. Medwave. 2020;20(2):e7839. https://doi.org/10.5867/medwave.2020.02.7839 DOI: https://doi.org/10.5867/medwave.2020.02.7839

Organización Mundial de la Salud (OMS). Health statistics and information systems. WHO [internet] 2017 [acceso septiembre 05 de 2019]. Disponible en: https://apps.who.int/iris/handle/10665/143368

Departamento Administrativo Nacional de Estadísticas (DANE). Proyecciones de población calculadas con base en los resultados del Censo Nacional de Población y Vivienda - CNPV- 2018. 2021 [acceso septiembre 05 de 2019]. Disponible en: https://www.dane.gov.co/index.php/estadisticas-por-tema/demografia-y-poblacion/proyecciones-de-poblacion

Ministerio de Salud de Colombia de la República de Colombia. Resolución 8430 de 1993 Por la cual se establecen las normas científicas, técnicas y administrativas para la investigación en salud. [acceso septiembre 05 de 2021]. Disponible: https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/DE/DIJ/RESOLUCION-8430-DE-1993.PDF

Asociación Médica Mundial. Declaración de Helsinki. [acceso septiembre 05 de 2021]. Disponible en: https://www.wma.net/es/policies-post/declaracion-de-helsinki-de-la-amm-principios-eticos-para-las-investigaciones-medicas-en-seres-humanos/

Haagsma JA, Polinder S, Stein CE, Havelaar AH. Systematic review of foodborne burden of disease studies: quality assessment of data and methodology. Int J Food Microbiol. 2013 Aug 16;166(1):34-47. https://doi.org/10.1016/j.ijfoodmicro.2013.05.029 DOI: https://doi.org/10.1016/j.ijfoodmicro.2013.05.029

Gobierno de Colombia. De Cero a Siempre. [acceso septiembre 05 de 2021]. Disponible en: http://www.deceroasiempre.gov.co/QuienesSomos/Paginas/QuienesSomos.aspx

Wasihun AG, Dejene TA, Teferi M, Marugán J, Negash L, Yemane D, et al. Risk factors for diarrhoea and malnutrition among children under the age of 5 years in the Tigray Region of Northern Ethiopia. PLoS One. 2018 Nov 26;13(11):e0207743. https://doi.org/10.1371/journal.pone.0207743 DOI: https://doi.org/10.1371/journal.pone.0207743

Pravana NK, Piryani S, Chaurasiya SP, Kawan R, Thapa RK, Shrestha S. Determinants of severe acute malnutrition among children under 5 years of age in Nepal: a community-based case-control study. BMJ Open. 2017 Aug 28;7(8):e017084. https://doi.org/10.1136/bmjopen-2017-017084 DOI: https://doi.org/10.1136/bmjopen-2017-017084

Pratim Roy M. Malnutrition in children and its determinants: a study from east India. Trop Doct. 2019 Apr;49(2):113-117. https://doi.org/10.1177/0049475518824825 DOI: https://doi.org/10.1177/0049475518824825

Ali A. Current Status of Malnutrition and Stunting in Pakistani Children: What Needs to Be Done? J Am Coll Nutr. 2021 Feb;40(2):180-192. https://doi.org/10.1080/07315724.2020.1750504 DOI: https://doi.org/10.1080/07315724.2020.1750504

Das JK, Lassi ZS, Hoodbhoy Z, Salam RA. Nutrition for the Next Generation: Older Children and Adolescents. Ann Nutr Metab. 2018;72 Suppl 3:56-64. https://doi.org/10.1159/000487385 DOI: https://doi.org/10.1159/000487385

Brcanski J, Jović-Vraneš A, Marinković J, Favre D. Social determinants of malnutrition among Serbian children aged <5 years: ethnic and regional disparities. Int J Public Health. 2014 Oct;59(5):697-706. https://doi.org/10.1007/s00038-014-0591-5 DOI: https://doi.org/10.1007/s00038-014-0591-5

ISSOP Migration Working Group. ISSOP position statement on migrant child health. Child Care Health Dev. 2018; 44(1):161-170. https://doi.org/10.1111/cch.12485 DOI: https://doi.org/10.1111/cch.12485

Kuehne A, van Boetzelaer E, Alfani P, et al. Health of migrants, refugees and asylum seekers in detention in Tripoli, Libya, 2018-2019: Retrospective analysis of routine medical programme data. PLoS One. 2021;16(6):e0252460. https://doi.org/10.1371/journal.pone.0252460 DOI: https://doi.org/10.1371/journal.pone.0252460

Lindvall K, Kinsman J, Abraha A, Dalmar A, Abdullahi MF, Godefay H, et al. Health Status and Health Care Needs of Drought-Related Migrants in the Horn of Africa-A Qualitative Investigation. Int J Environ Res Public Health. 2020 Aug 14;17(16):5917. https://doi.org/10.3390/ijerph17165917 DOI: https://doi.org/10.3390/ijerph17165917

Sap S, Wandji-Nzebia Y, Dohvoma-Andin V, Hagbe PY, Mbono R, Fotang-Tangmoh I, et al. A hidden face of migration: Diabetic ketoacidosis in a severely malnourished refugee. Clin Case Rep. 2019 Nov 6;7(12):2425-2428. https://doi.org/10.1002/ccr3.2508 DOI: https://doi.org/10.1002/ccr3.2508

Shankar P, Chung R, Frank DA. Association of Food Insecurity with Children's Behavioral, Emotional, and Academic Outcomes: A Systematic Review. J Dev Behav Pediatr. 2017 Feb/Mar;38(2):135-150. https://doi.org/10.1097/DBP.0000000000000383 DOI: https://doi.org/10.1097/DBP.0000000000000383

Man SL, Guo Y. Research on the social determinants of malnutrition among children under the age of 5 in China. Journal of Peking University (Health Sciences). 2016 Jun 18;48(3):418-23

Zaragoza-Cortes J, Trejo-Osti LE, Ocampo-Torres M, Maldonado-Vargas L, Ortiz-Gress AA. Poor breastfeeding, complementary feeding and dietary diversity in children and their relationship with stunting in rural communities. Nutr Hosp. 2018 Feb 27;35(2):271-278. https://doi.org/10.20960/nh.1352. PMID: 29756958 DOI: https://doi.org/10.20960/nh.1352

Schoonees A, Lombard MJ, Musekiwa A, Nel E, Volmink J. Ready-to-use therapeutic food (RUTF) for home-based nutritional rehabilitation of severe acute malnutrition in children from six months to five years of age. Cochrane Database Syst Rev. 2019 May 15;5(5):CD009000. https://doi.org/10.1002/14651858.CD009000 DOI: https://doi.org/10.1002/14651858.CD009000.pub3

Zhang N, Bécares L, Chandola T. Patterns and Determinants of Double-Burden of Malnutrition among Rural Children: Evidence from China. PLoS One. 2016 Jul 8;11(7):e0158119. https://doi.org/10.1371/journal.pone.0158119 DOI: https://doi.org/10.1371/journal.pone.0158119

Khan S, Zaheer S, Safdar NF. Determinants of stunting, underweight and wasting among children < 5 years of age: evidence from 2012-2013 Pakistan demographic and health survey. BMC Public Health. 2019 Apr 1;19(1):358. https://doi.org/10.1186/s12889-019-6688-2 DOI: https://doi.org/10.1186/s12889-019-6688-2

Beiersmann C, Bermejo Lorenzo J, Bountogo M, Tiendrébeogo J, Gabrysch S, Yé M, Jahn A, Müller O. Malnutrition determinants in young children from Burkina Faso. J Trop Pediatr. 2013 Oct;59(5):372-9. https://doi.org/10.1093/tropej/fmt037 DOI: https://doi.org/10.1093/tropej/fmt037

Albert J, Bogard J, Siota F, McCarter J, Diatalau S, Maelaua J, et al. Malnutrition in rural Solomon Islands: An analysis of the problem and its drivers. Matern Child Nutr. 2020 Apr;16(2):e12921. https://doi.org/10.1111/mcn.12921 DOI: https://doi.org/10.1111/mcn.12921

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