Skip to main content

A study of some aspects of marginal malnutrition amongst Egyptian infants and young children

  • Chapter
Child Health in the Tropics
  • 49 Accesses

Abstract

138 subjects aged 3 months to 4 years were chosen and classified into 3 groups: The first group comprised 45 normal controls, the second group consisted of 49 marginally malnourished patients and the third group included 44 patients who represented the 3 main varieties of PEM.

Final appraisal of nutritional status was based on clinical, anthropometric and laboratory data. A rather characteristic clinical picture for marginal malnutrition was presented. The anthropometric measurements that proved both practical and valuable were the mid-arm, mid-thigh circumferences and the weight/span ratio.

Estimation of serum total proteins, albumin, blood Hb, serum transferrin, ascorbic acid, creatinine and hydroxyproline was carried out and revealed: significant decrement in albumin, transferrin, Hb, hydroxyproline and hydroxyl-proline/creatinine ratio in MM and much more decrement in PEM patients. No significant difference was noted in vit C and creatinine levels in the whole material of study. Treatment of MM patients for 3 months revealed marked improvement. A scoring formula was deduced to assess individual nutritional status with a high degree of accuracy.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 16.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Abbreviations

PEM:

protein energy malnutrition

MM:

marginal malnutrition

Wt:

weight

Ht:

height

MAC:

mid-arm circumference

MTC:

mid-thigh circumference

L:

length

KWO:

kwashiorkor

Hb:

hemoglobin

References

  1. Abbassy AS, Hussein M, Hammed SA, Kassem AS, Aref M, Morsy MR, Araby JI: Growth and development of the Egyptian child from birth to 5 years. Dar El Maaref, Cairo, 1972.

    Google Scholar 

  2. Abdel-Aal A, El-Hawary MFS, El-Basousy MM, Khashaba AA, Hafez MI: GEPA 20 (3): 291, 1972.

    Google Scholar 

  3. Abdul Kader M, Rahman MA: Br J Nutr 28: 191, 1972.

    Article  Google Scholar 

  4. Adams EB, Scragg JN, Naidoo BT, Liljestrand SK, Cockram VI: Br Med J 3: 451, 1967.

    Article  PubMed  CAS  Google Scholar 

  5. Allen DM, Dean RFA: Trans Roy Soc Trop Med Hyg 59: 326, 1965.

    Article  PubMed  CAS  Google Scholar 

  6. Arnold RJ: Trop Pediat 15: 243, 1969.

    Google Scholar 

  7. Awwaad S, Awny AY, Abdel Wahab EM, Abdel Fattah S: GEPA XIV (3.4):160, 1966.

    Google Scholar 

  8. Barker SB, Summerson WH: J Biol Chem 138: 535, 1941.

    CAS  Google Scholar 

  9. Bengoa JM: In: Oslon RE (ed) Protein calorie malnut. Academic Press, New York, p 433, 1975.

    Google Scholar 

  10. Burgess HJL, Burgess AP: J Trop Pediat 15: 189, 1969.

    Google Scholar 

  11. Cantarow A, Trumper T: Clinical biochemistry, 7th edn. Albert L. Latner, WB Saunders, Philadelphia, London, Toronto, 1975.

    Google Scholar 

  12. Doumas B, Bigg H: Standard methods of clinical chemistry, Vol 7. Academic Press, New York, p 175, 1972.

    Google Scholar 

  13. Dugdale AE: Am J Clin Nutr 24: 174, 1971.

    PubMed  CAS  Google Scholar 

  14. Edoxien JC: Nature 220: 917, 1968.

    Article  Google Scholar 

  15. El-Behairy F, Mostafa S, El-Mougi M, Osman NH, Saoudi F: GEPA 26 (3 and 4): 183, 1978.

    Google Scholar 

  16. El-Lozy M: Lancet 2: 175, 1974.

    Article  PubMed  CAS  Google Scholar 

  17. Foy H, Kondi A, Mac Dougall L: Br Med J 1: 97, 1961.

    Article  Google Scholar 

  18. Fredrick L, Trowbridge MD: Am J Clin Nutr 32: 758, 1979.

    Google Scholar 

  19. Gabr M, El-Hawary MFS, El-Dali MJ: Trop Med Hyp 74: 216, 1971.

    CAS  Google Scholar 

  20. Haitovsky Y: Am Statis 23: 20, 1969.

    Article  Google Scholar 

  21. Hare RS: Proc Soc Exp Biol Med 2: 95, 1950.

    Google Scholar 

  22. Hanson JDL, Buchaman N, Pettiefor IM: In: Mc Laren DS, Burman D (eds) Textbook of pediatric nutrition. Churchill, Livingstone, Edinburg, London, New York, 1976.

    Google Scholar 

  23. Herbert V: Megaloblastic anemia. Grune and Stratton, New York, 1959.

    Google Scholar 

  24. Jelliffe DB: Assessment of nutrition status of the community. WHO Monograph Series, No., 53, Geneva, 1966.

    Google Scholar 

  25. Kanawati AA, Haddad N, Mc Laren DS: J Trop Ped 15: 233, 1970.

    Google Scholar 

  26. King EJ, Wooton IDP: Microanalysis, Medical Biochemistry, 3rd edn. Churchill, London, 1956.

    Google Scholar 

  27. Kondi A, Mac Dougall L, Foy H, Mehra S, Mabaya V: Arch Dis Child 38: 267, 1963.

    Article  PubMed  CAS  Google Scholar 

  28. Macini G, Carbonara AO, Heremans JF: Immunochemistry 2: 235, 1965.

    Article  Google Scholar 

  29. Owen JA, Igg RJ: Biochem J 62: 765, 1956.

    Google Scholar 

  30. Parekh A, Jung DH: Biochem Med 4: 446, 1970.

    Article  PubMed  CAS  Google Scholar 

  31. Picon D, Alleyne GAO, Seakins A: Clin Sci 29: 517, 1965.

    Google Scholar 

  32. Prasonna HA, Desai BLM, Rao MN: Br J Nutr 26: 71, 1970.

    Article  Google Scholar 

  33. Prockop DJ, Keiser HR, Sjoerdsma A: Lancet 2: 527, 1962.

    Article  PubMed  CAS  Google Scholar 

  34. Ralston MJ: Clin Pathol 8: 160, 1955.

    Article  CAS  Google Scholar 

  35. Rao KV, Singh D: Am J Clin Nutr 23: 83, 1970.

    PubMed  CAS  Google Scholar 

  36. Rutishauser IHE, Whitehead RG: Br J Nutr 231:1969.

    Google Scholar 

  37. Said A, El-Hawayry MFS, Sakr R, Abdel Khalek MK, El-Shobaki FA, Noseir MB: GEPA 23 (2): 139, 1975.

    CAS  Google Scholar 

  38. Sakr R, Abdel-Khalek MK, Samuel S, El-Barbary M, El-Bishlawy A, El-Shobaki F, Abdin M: GEPA 26 (3 and 4): 167, 1978.

    Google Scholar 

  39. Shukry AS, Barakat MR, El-Gammal RA, Kamel LM: GEPA 20: 151, 1972.

    Google Scholar 

  40. Shukry AS, Barakat MR, Kamel LM: GEPA 21: 17, 1973.

    Google Scholar 

  41. Snedecor GW, Cochran WG: Iowa State University Press, Ames, Chap 13, 1972.

    Google Scholar 

  42. Velez H, Ghitis J, Pradilla A, Pud vitale JJ: Amer J Clin Nutr 12: 54, 1962.

    Google Scholar 

  43. Viteri FE, Alverodo J: Pediatrics 46: 696, 1970.

    PubMed  CAS  Google Scholar 

  44. Waterlow JC: Lancet 2: 87, 1973.

    Article  PubMed  CAS  Google Scholar 

  45. Wellcome Trust Working Patry: Lancet 2: 302, 1970.

    Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1985 Martinus Nijhoff Publishers, Dordrecht

About this chapter

Cite this chapter

Sakr, R., Samuel, S., Fleita, D., Abdelwahab, A. (1985). A study of some aspects of marginal malnutrition amongst Egyptian infants and young children. In: Eeckels, R.E., Ransome-Kuti, O., Kroonenberg, C.C. (eds) Child Health in the Tropics. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-5012-2_16

Download citation

  • DOI: https://doi.org/10.1007/978-94-009-5012-2_16

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-010-8719-3

  • Online ISBN: 978-94-009-5012-2

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics