PREVALENCE OF WASTING AND ASSOCIATED FACTORS AMONG CHILDREN AGED 6–59 MONTHS WITH PNEUMONIA AT HAI PHONG CHILDREN’S HOSPITAL, 2025–2026
Main Article Content
Abstract
Background: Wasting is common among children with pneumonia and may worsen disease progression.
Objectives: To describe the prevalence of wasting and identify associated factors among children aged 6–59 months with pneumonia.
Methods: A cross-sectional study was conducted among 590 children aged 6–59 months with pneumonia at Hai Phong Children’s Hospital from March 1, 2025 to February 28, 2026. Wasting was defined according to WHO criteria as a weight-for-height Z-score < −2 SD. Multivariable logistic regression was used to identify factors independently associated with wasting.
Results: The prevalence of wasting was 10.3%. Factors independently associated with wasting included CRP ≥10 mg/L, anemia, history of COVID-19, early weaning, and maternal education level ≤ high school.
Conclusions: Wasting remains common among children aged 6–59 months with pneumonia. Early nutritional assessment and intervention should be integrated into the management of children with pneumonia.
Article Details
Keywords
Wasting; Pneumonia; Children aged 6–59 months; Malnutrition.
References
2. Black RE, Allen LH, Bhutta ZA, Caulfield LE, de Onis M, Ezzati M, et al. Maternal and child undernutrition: global and regional exposures and health consequences. The Lancet. 2008;371:243–60. doi:10.1016/S0140-6736(07)61690-0
3. Bộ Y tế. Hướng dẫn xử trí lồng ghép các bệnh thường gặp ở trẻ em (IMCI). Hà Nội: Bộ Y tế; 2022.
4. Viện Dinh dưỡng. Bảng đánh giá tình trạng dinh dưỡng trẻ em theo WHO 2006. Hà Nội: Viện Dinh dưỡng; 2013.
5. Rahman MS, Rahman MA, Maniruzzaman M, Howlader MH. Prevalence of undernutrition in Bangladeshi children. J Biosoc Sci. 2020;52:596–609. doi:10.1017/S0021932019000683
6. Đoàn Ngọc Thanh. Thực trạng suy dinh dưỡng trẻ dưới 5 tuổi tại Quảng Ninh. [Hải Phòng]: Trường Đại học Y Dược Hải Phòng; 2023.
7. Wan Q, Zhang Q, Wan R. Status of malnutrition and its influencing factors in children under 5 years old in Yunnan Province from 2016 to 2017. Wei Sheng Yan Jiu. 2022;51:51–5. doi:10.19813/j.cnki.weishengyanjiu.2022.01.009
8. Dires S, Belay MM. The Magnitude of Wasting and Associated Factors among Children Aged 2-5 Years in Southern Ethiopia: A Cross-Sectional Study. BioMed Res Int. 2021;2021:6645996–6645996. doi:10.1155/2021/6645996
9. Wang J, Wang H, Chang S, Zhao L, Fu P, Yu W, et al. The Influence of Malnutrition and Micronutrient Status on Anemic Risk in Children under 3 Years Old in Poor Areas in China. PLoS One. 2015;10:e0140840–e0140840. doi:10.1371/journal.pone.0140840
10. Sunday FX, Ilinde DN, Rudatinya PI, Kwizera P, Kanimba P, Rutayisire R, et al. Factors affecting nutritional status among children aged below five years in Rwanda’s Western and Southern Provinces. BMC Public Health. 2024;24:2053. doi:10.1186/s12889-024-19451-4