Nutrition Assessment of Palestinian Children Less than Three Years Old with Rickets in Gaza Strip

Abu Zuaiter, Rula (2011) Nutrition Assessment of Palestinian Children Less than Three Years Old with Rickets in Gaza Strip. Masters thesis, Al Azhar University Gaza.

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Abstract

Nutritional rickets is a disorder of growing children due to defective mineralization of newly formed bone matrix because of vitamin D deficiency. Vitamin D is made available to the body by photosynthesis in the skin (endogenous vitamin D from ultra violet ray exposure) and from dietary intake (exogenous vitamin D from dietary or specific supplementation). Vitamin D deficiency remains the major cause of rickets among young infants in most countries, because breast milk is low in vitamin D and its metabolites and social and religious customs climatic conditions often prevent adequate ultraviolet light exposure, Without vitamin D supplementation for the baby, prolonged exclusive breastfeeding, lack of sunlight exposure inappropriate dietary intake and poor housing would contribute to the development of rickets. The present study was undertaken to understand the nutritional status and its role in increasing rickets in Palestinian children under three years old in the Gaza Strip to determine to identify the nutritional determinants contributing to the development of nutritional rickets in children less than three years old, identify the role of the socioeconomic factors in development of nutritional rickets and to raise recommendations for policy makers to regulate a public health policy to increase surveillance and limiting the growth of the disease. A case-control study was conducted from July 2009 to October 2010, 200 children aged from 6 to 36 months participated in the study, 100 were rachitic children (the case group), and the other 100 were healthy children (the controls group) using several parameters, anthropometric measurements, such as height, weight, head circumference, body mass index BMI, height for age (Stunting), height for weight (wasting) and laboratory analysis, like serum albumin, serum calcium, serum phosphate and serum alkaline phosphatase. To assess their dietary intake, food frequency questionnaires FFQ were taken for the children from their mothers or care-giver. The present study showed that 53% of the rachitic children were poor, 59% were males, And 41% were females, the mean height for rachitic children was 79.85cm less than the mean height of controls which was 82.7cm, the mean weight for cases group was 10.82kg lower than that of controls 11.66kg, with higher mean for head circumference for the cases group 47.53cm than of controls 45.9cm, most of diseased children had normal serum viii calcium level, serum albumin, hypophosphatemia, and high levels of alkaline phosphatase. Prolonged exclusive breastfeeding and lack of sun exposure were having strong evidence on the development of the disease, cases group were not taking sufficient amounts of food contains high amount of calcium and vitamin D and they were malnourished, also taking of calcium and vitamin D supplementation during pregnancy and breastfeeding had an important effect on mothers and their infants.

Item Type: Thesis (Masters)
Subjects: Q Science > Q Science (General)
Depositing User: أ. طارق زياد عبد حنونة
Date Deposited: 18 Aug 2020 08:52
Last Modified: 18 Aug 2020 08:52
URI: http://scholar.alaqsa.edu.ps/id/eprint/2062

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