*  Malnutrition prevalence - weight for age (% of children under 5) in Bangladesh
Malnutrition prevalence; weight for age (% of children under 5) in Bangladesh was last measured at 36.80 in 2011, according to the World Bank. Prevalence of child malnutrition is the percentage of children under age 5 whose weight for age is more than two standard deviations below the median for the international reference population ages 0-59 months. The data are based on the WHO's new child growth standards released in 2006.This page has the latest values, historical data, forecasts, charts, statistics, an economic calendar and news for Malnutrition prevalence - weight for age (% of children under 5) in Bangladesh.
  https://tradingeconomics.com/bangladesh/malnutrition-prevalence-weight-for-age-percent-of-children-under-5-wb-data.html
*  New WHO guidelines on treating severe acute malnutrition in children | United Nations Radio
The World Health Organization (WHO) has issued new treatment guidelines for children under-five who have severe acute malnutrition.. Close to 20 million children worldwide are suffering from the condition. Severe acute malnutrition is when children suffer severe wasting that may or may not be accompanied by swelling of the body from fluid retention.. Now, children with no evident medical complications can be effectively treated at home with specially-formulated foods that provide energy and nutrients and antibiotic medicines.. Dr Francesco Branca is the Director of WHO's Department of Nutrition for Health and Development.. "Now we have some high energy foods which can be consumed in the community. So the community management of acute malnutrition actually helped reduce dramatically mortality for severe acute malnutrition. So that is probably the main element now reflecting in this …. is a new way to treat children with new tools. But also ...
  http://www.unmultimedia.org/radio/english/2013/11/new-who-guidelines-on-treating-severe-acute-malnutrition-in-children/
*  Outpatient Treatment of Severe Acute Malnutrition | Science Translational Medicine
In developing countries, about 26 million children under age 5 suffer from severe acute malnutrition (SAM). The odds of mortality from any disease are nine times higher for children with SAM as comparing with their well-nourished peers. The management of SAM was previously restricted to hospital-based treatment, but the Outpatient Therapeutic feeding Program (OTP) and ready-to-use therapeutic foods have brought SAM management closer to the community.. Yebyo et al. conducted a retrospective cohort study in Ethiopia on 628 children who were treated for SAM in the OTP from 2008 to 2012. The authors used the demographic, anthropometric, disease, medication, and therapeutic feeding data to explore program outcomes and determinants of the children's recovery rate. Upon admission to OTP, children received a weekly Plumpy'Nut (ready-to-use therapeutic food) ration according to their body weight. They were also supposed to receive a routine treatment regimen including Vitamin A, folic acid, ...
  http://stm.sciencemag.org/content/5/191/191ec105
*  British Library EThOS: Community-based therapeutic care : treating severe acute malnutrition in sub-Saharan Africa
Severe acute malnutrition (SAM) affects approximately 13 million children under-five and is associated with over 1.5 million preventable child deaths each year. Case fatality rates in hospitals treating SAM remain at 20-30%, and coverage of those affected remains low. Training and support to improve centre-based management can reduce case fatality rates. However, an exclusive inpatient approach does not consider the many barriers to accessing treatment that exist for poor people in the developing world. Community-based therapeutic care (CTC) is a new approach for the management of SAM that uses Ready-to-Use Therapeutic Foods (RUTF) and triage to refer cases without complications to outpatient care and those with complications to inpatient treatment. This thesis aims to test the hypotheses that a CTC strategy can treat children with SAM effectively and can achieve better population treatment coverage than a centre-based approach. Five studies, using primary data, are presented. The first 3 ...
  http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.564640
*  Treating severe acute malnutrition seriously | Archives of Disease in Childhood
Severe acute malnutrition (SAM) affects approximately 13 million children under the age of 5 and is associated with 1-2 million preventable child deaths each year. In most developing countries, case fatality rates (CFRs) in hospitals treating SAM remain at 20-30% and few of those requiring care actually access treatment. Recently, community-based therapeutic care (CTC) programmes treating most cases of SAM solely as outpatients have dramatically reduced CFRs and increased the numbers receiving care. CTC uses ready-to-use therapeutic foods and aims to increase access to services, promoting early presentation and compliance, thereby increasing coverage and recovery rates. Initial data indicate that this combination of centre-based and community-based care is cost effective and should be integrated into mainstream child survival programmes.. ...
  http://adc.bmj.com/content/92/5/453
*  Effectiveness of Nutritional Supplementation in Preventing Malnutrition in Children With Infection in Karamoja, Uganda - Full...
The incidence of a negative nutritional outcome will be defined in two different ways according to the baseline nutritional status.. i) for children with no malnourishment at time of entry into study, 'negative nutritional outcome' is defined as progression to moderate or severe malnourishment ii) for children with moderate malnourishment at time of entry into study, 'negative nutritional outcome' is defined as loss of ³10% of baseline weight or progression to severe malnourishment, whichever is reached first ...
  https://clinicaltrials.gov/ct2/show/NCT01497236?recr=Open&intr=micronutrients&rank=15
*  Effectiveness of Nutritional Supplementation in Preventing Malnutrition in Children With Infection in Karamoja, Uganda - Full...
The incidence of a negative nutritional outcome will be defined in two different ways according to the baseline nutritional status.. i) for children with no malnourishment at time of entry into study, 'negative nutritional outcome' is defined as progression to moderate or severe malnourishment ii) for children with moderate malnourishment at time of entry into study, 'negative nutritional outcome' is defined as loss of ³10% of baseline weight or progression to severe malnourishment, whichever is reached first ...
  https://clinicaltrials.gov/ct2/show/NCT01497236?term=%22nutrition+disorders+%22+%5BCONDITION%5D+AND+child+%5BAGE-GROUP%5D&recr=Open&rank=10
*  UNICEF WCARO - Media Centre - 850,000 children treated in Sahel for severe acute malnutrition in 2012: UNICEF
DAKAR/GENEVA, 11 December 2012 - A UNICEF progress report says that more than 850,000 children are expected to have received life-saving treatment for severe acute malnutrition across nine countries in the Sahel region during the course of 2012.
  https://www.unicef.org/wcaro/english/4501_7154.html
*  India blocks Unicef from using Plumpy'nut to treat malnutrition | The Times & The Sunday Times
India has stopped the UN children's agency from using an imported high-energy peanut paste to treat children in two of its poorest states despite malnutrition rates there being worse than in subSaharan Africa.. Since August last year, Unicef has spent 115 million rupees (about £1.4 million) importing a French formula called Plumpy'nut to treat children with severe acute malnutrition in Bihar and Madhya Pradesh. Despite the economic boom in India, malnutrition affects 47 per cent of children aged 5 and under nationwide, and more than 50 per cent in these two states, according to UN figures.. World Health Organisation officials said that Plumpy'nut, which is made from ground peanuts, had been successful in treating malnutrition in Africa, mainly because it does not need refrigeration or…. ...
  https://www.thetimes.co.uk/article/india-blocks-unicef-from-using-plumpynut-to-treat-malnutrition-rhdj3crxst2
*  New malnutrition treatment centre opened in Palghar - Maharashtra | Fight Hunger Foundation
With the new OTC, we will now be able to reach out to an additional 4000 children and their mothers for tackling malnutrition and counselling the community on maternal and child health, nutrition, sanitation and hygiene practises etc.. With the community being at the forefront of the fight against malnutrition, it was only fitting that the centre be inaugurated by a local resident. Gracing the occasion were Dr. Nandapurkar - Civil Surgeon Maharashtra State, Dr. Shrikant Kulkarni - Taluka Health Officer Mokhada, Mr. Yadunath Bhoye - Tribal Development Inspector and local gram panchayat members.. Post the inauguration, we launched our CMAM () program and screened children for signs of malnutrition. Our team is now fully geared to provide treatment and also to prevent the occurrence of acute malnutrition in Washala block.. Fight hunger Foundation's OTC's at Mokhada and Moranda have been serving 183 children suffering from Severe Acute ...
  http://fighthungerfoundation.org/blog/new-malnutrition-treatment-centre-opened-palghar-maharashtra
*  Saúde Pública - Management of severe malnutrition: a manual for physicians and other senior health workers Management of severe...
ISBN 92 4 154511 9 Malnutrition is still one of the most common causes of morbidity and mortality among children worldwide. Successfully managing the severe malnutrition of children requires a recognition not only of medical problems but also of social ones that can increase the likelihood of relapse when children return home. This new manual from the World Health Organization presents practical guidelines to treat severely malnourished children under five years of age. The primary focus is on caring for children in a hospital or health center, but the text also briefly covers disaster situations, refugee camps, and malnutrition in adolescents and adults. The guide is intended for health personnel working at the central and regional level of a country, including physicians, nurses, midwives, and aides and other auxiliaries. The manual divides malnutrition care into three phases: initial treatment, when the problems are identified and feeding ...
  https://scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49891999000700020&lng=en&nrm=iso&tlng=en
*  Navotas pioneers malnutrition therapy center - The Manila Times Online
The CMAM-OTC will provide treatment and rehabilitation to severe acute malnutrition (SAM) patients using Ready-to-Use Therapeutic Food (RUTF) and will regularly monitor their progress. The Department of Health will supply the RUTF. CMAM is a methodology for treating acute malnutrition in young children using a case-finding and triage approach to help in the timely detection of SAM in the community and treatment. Mayor John Rey Tiangco expressed gratitude to Save the Children for partnering with them. The CMAM pilot project was launched in March 2016 at Barangay North Bay Boulevard having the highest prevalence of wasting or acute malnutrition in children between six and 59 months old based on the city's annual Operation Timbang Plus.. ...
  http://www.manilatimes.net/navotas-pioneers-malnutrition-therapy-center/351385/
*  Why Are 3.5 Million Children Dying Every Year from Severe Acute Malnutrition?
due to their geographical location and topography, as well as famines such as the one that is currently sweeping most of Southern and Central Malawi. But, once you dig deeper, you will realize the issue is much more than environmental inhibitors.. Children under five are victims of the most hunger related deaths, more so than any other demographic. In many nations, such as Malawi, Africa, there is a cultural hierarchy-one that unfortunately promotes children eating last. The youngest child is the last to eat at every meal, and these children rarely eat once they are finished breastfeeding. Hunger and malnutrition therefore kill more people every year than AIDS, malaria and tuberculosis combined. Malnutrition weakens the children's resistance and increases the risk of dying from pneumonia, diarrhea, malaria, measles or AIDS. Many malnourished children die because they are vulnerable to repeated bouts of disease and infection. Most of the damage caused by ...
  http://beckleylocalnews.com/why-are-3-5-million-children-dying-every-year-from-severe-acute-malnutrition/
*  Prevalence of Malnutrition in Oncology (PreMiO) - Full Text View - ClinicalTrials.gov
It is estimated that up to 30% of cancer patients die because of the effects of malnutrition, caused by a discrepancy between nutritional needs and intake (or utilization) of energy and essential nutrients. Malnutrition and its severe complication, cancer cachexia, are negative prognostic factors in neoplastic patients, inducing Decreased response and tolerance to antineoplastic treatments, decline in the functional status, reduced quality of life and reduced survival. Prevalence data on malnutrition in italian oncology patients are lacking and the available literature data on weight loss and malnutrition in oncology refer to patients in different phases of disease and therapy. Most importantly , strategies for prevention of malnutrition and cachexia in oncology are still largely disregarded and scarcely implemented.. The main objective of this project is to assess the prevalence of malnutrition in patients ...
  https://clinicaltrials.gov/ct2/show/NCT01622036?recr=Open&cond=%22Malnutrition%22&rank=3
*  Malnutrition in Older Adults - Alliance for Aging Research
Malnutrition can happen to anyone, but older adults are particularly at risk. Malnutrition does not just happen to seniors who suffer from hunger, or who do not have access to healthy food. Older adults are more likely to have chronic conditions that put them at risk for malnutrition. Cancer, diabetes, Alzheimer's disease, and other conditions can impact appetite, make eating difficult, change metabolism, and require dietary restrictions. Alarmingly, the increased health care costs to the U.S. for disease-associated malnutrition in older adults in more than $51 billion each year. Older adults are also hospitalized more frequently and are more likely to be in long-term care facilities, both of which put them at heightened risk of malnutrition. As many as 65 percent of hospitalized older adults could face malnutrition.. ...
  http://www.agingresearch.org/malnutrition
*  Malnutrition in community-dwelling adults with dementia (Nutrialz Trial) | SpringerLink
5.2% of participants were classified as being malnourished, 42.6% as being at risk of malnutrition and 52.2% as well nourished. Malnutrition by type of dementia was more frequent in Lewy bodies dementia (18.2%) than in the other types. Worse nutritional status is significantly related to more advanced age and worse cognitive, functional and behavioural profile, as well as increased burden for caregivers. Presence of behavioural symptoms is significantly related to worse nutritional level for all NPI-Q symptoms but depression, exaltation, lack of inhibition and irritability. The items more strongly related to malnutrition are appetite/feeding and hallucinations. Dependence in any basic or instrumental ADL is significantly related to higher risk of malnutrition. Dependence on feeding is a strongly related risk factor, while food preparation is only a moderate one. A logistic regression model to predict at risk/malnutrition ...
  https://link.springer.com/article/10.1007%2Fs12603-012-0401-9
*  Opinion Pieces Address Issue Of Malnutrition At G8 Summit | The Henry J. Kaiser Family Foundation
Stuart Gillespie and Marie Ruel, The Guardian's "Global Development Professionals Network" blog: "The G8 countries are being asked to make firm financial and strategic commitments to fight malnutrition on a scale never before imagined. Can they do it?" Gillespie, a senior research fellow at the International Food Policy Research Institute (IFPRI) and CEO of the Transform Nutrition research program consortium, and Ruel, division director of the IFPRI's poverty, health, and nutrition division, write. "If not, we can point to a lack of political will, but not lack of information and viable solutions," they state. "Nutrition researchers, economists, and other champions in the fight against undernutrition have worked hard over the past five years to come up with tools and strategies that, when used together, can improve the lives of millions around the world," they continue, adding, "For real impact, policymakers must tackle malnutrition on all fronts and at all levels. This ...
  https://www.kff.org/news-summary/opinion-pieces-address-issue-of-malnutrition-at-g8-summit/
*  Malnutrition in Peru - Wikipedia
Malnutrition is a condition that affects bodily capacities of an individual, including growth, pregnancy, lactation, resistance to illness, and cognitive and physical development. Malnutrition is commonly used in reference to undernourishment, or a condition in which an individual's diet does not include sufficient calories and proteins to sustain physiological needs, but it also includes overnourishment, or the consumption of excess calories. Other terms exist to describe the specific effects of malnutrition on the body. Stunting refers to low height for age with reference to a population of healthy children. It is an indicator of chronic malnutrition, and high stunting levels are associated with poor socioeconomic conditions and a greater risk of exposure to adverse conditions such as illness. Wasting refers to low weight for height with reference to a population of healthy children. In most cases, it reflects a recent and acute weight ...
  https://en.wikipedia.org/wiki/Malnutrition_in_Peru
*  IMPAACT P1092: Steady State PK in Malnourished HIV Infected Children - Full Text View - ClinicalTrials.gov
HIV-infected children from sub-Saharan Africa often present with severe malnutrition. In severe malnutrition, metabolic and/or gut structural derangement may lead to inadequate antiretroviral (ARV) absorption and/or erratic drug levels. The greater surface area to weight ratio in severely malnourished children could also place them at higher risk of under dosing compared to children with mild to moderate malnutrition. However, limited data are available on the pharmacokinetics of ARVs in severely malnourished children. This study will address this critical gap in knowledge by evaluating the PK of zidovudine (ZDV), lamivudine (3TC), and lopinavir/ritonavir (LPV/r) in severely malnourished children, compared to children with normal nutrition to mild malnutrition ...
  https://clinicaltrials.gov/ct2/show/study/NCT01818258?view=results
*  Holding multilateral organizations accountable: The failure of WHO in regards to childhood malnutrition - Health and Human...
Agnès Binagwaho, Niloo Ratnayake, Mary C. Smith Fawzi. [PDF version]. At a time when accountability is a key message for countries, constituencies, and organizations, it is important that major multilateral agencies such as the World Health Organization (WHO) are also held accountable for actions taken or not taken. This article first reviews the methods of monitoring growth and development among children under five years of age by the WHO. It then addresses the fact that the WHO delayed disseminating new Child Growth Standards. In addition, the need for more technical support by the WHO for managing chronic malnutrition in young children is needed. This delay has cost the lives of malnourished children around the world.. Malnutrition can account for up to 50% of deaths among children under the age of five since it is a significant underlying factor of child mortality. In developing countries, approximately 25% of children in this age range are moderately or severely ...
  https://www.hhrjournal.org/2009/04/holding-multilateral-organizations-accountable-the-failure-of-who-in-regards-to-childhood-malnutrition/
*  National Guideline for Integrated Management of Acute Malnutrition - PDF
MINISTRY OF PUBLIC HEALTH & SANITATION National Guideline for Integrated Management of Acute Malnutrition Version 1: June 2009 Foreword Malnutrition remains an important threat in developing countries.
  http://docplayer.net/3172177-National-guideline-for-integrated-management-of-acute-malnutrition.html
*  Do children with uncomplicated severe acute malnutrition need antibiotics? A systematic review and meta-analysis
OVID-MEDLINE, EMBASE, COCHRANE, GLOBAL-HEALTH, CINAHL, POPLINE, AFRICA-WIDE-NiPAD, and LILACS were searched for AB efficacy, bacterial resistance, and infection rates in SAM. Following PRISMA guidelines, a systematic review and meta-analysis were performed. Three randomised controlled trials (RCT), five Cochrane reviews, and 37 observational studies were identified. One cohort-study showed no increase in nutritional-cure and mortality in uncomplicated SAM where no AB were used. (p>0.05). However, an unpublished RCT in this setting did show mortality benefits. Another RCT did not show superiority of ceftriaxone over amoxicilllin for these same outcomes, but adressed SAM children with and without complications (p = 0.27). Another RCT showed no difference between amoxicillin and cotrimoxazole efficacies for pneumonia in underweight, but not SAM. Our meta-analysis of 12 pooled susceptibility-studies for all types of bacterial isolates, including 2767 stricly SAM children, favoured amoxicillin over ...
  http://tampub.uta.fi/handle/10024/68016
*  Severe acute malnutrition in infants |6 months, a review of field practices | ENN
From the INFANT AND YOUNG CHILD FEEDING IN EMERGENCIES GIFA/ENN PROJECT (2003-2004). Researchers: Mary Corbett (Evaluation of Module 1) and Marie McGrath (Collation of case studies). Helped to develop materials for Module 2 section on SAM in infants.. ...
  http://www.ennonline.net/samundersixmonthsreview
*  Info Change India - Malnutrition
By Sridhar Srikantiah. All children in India display a slower growth rate, but we look only at those that have 'fallen' below the cut-off and call the rest 'normal'. Surely poverty and hunger cannot be the only cause of this near-universal malnutrition? Is malnutrition caused by not feeding our children enough dal, milk, eggs, meat and vegetables, in addition to cereals, in the first two years? Does that explain why cereal-based ICDS food supplements are ineffective in reducing malnutrition? Read more... ...
  http://infochangeindia.org/agenda-issues/malnutrition