Risk Factors For Underweight Children Under Five Years Old: Evidence From A Case-Control Study In Putrajaya, Malaysia
Introduction Undernutrition remains to be the underlying cause to the mortality and morbidity of children globally despite being preventable Underweight, also known as low weight for age, is one of the indicators of malnutrition. Approximately, 10.9 million children under five died in developing countries each year and 60% of the deaths directly or indirectly due to malnutrition. This study aimed to determine the risk factors for underweight among children under five years old in Putrajaya. Methodology A case-control study with a one-to-one ratio between underweight and normal weight children. total of 364 children with underweight and 364 children with normal weight were successfully recruited in this study. The sample was recruited from all government health clinics and preschools in Putrajaya. Data collection was performed by four approaches, face to face interview, anthropometric measurements, finger prick for assessment of hemoglobin level and self-administered 3-days food diary. WHO Anthro software was used to determine the nutritional status of children in this study. Descriptive statistical analysis and logistic regression were performed to determine risk factors that contributed to underweight. Results [Refer to Poster]. Discussion and Conclusion Low birth-weight is the strongest risk factor of underweight. Children with short stature parent three times more likely to become underweight compared to the children with parents height more than 160cm. This indicated that there was a significant association between the care of babysitters and underweight children. Low household income and monthly expenditure for childcare less than RM1000 was associated with underweight children. Anaemia was one of the significant factors related to underweight among children in Putrajaya. This study suggests early pregnancy intervention among mothers to improve foetus nutrition and health status during pregnancy.