Low Economic Class Might Predispose Children under Five Years of Age to Stunting in Ethiopia: Updates of Systematic Review and Meta-Analysis

المؤلفون المشاركون

Kassaw, Mesfin Wudu
Bitew, Aschalew Afework
Gebremariam, Alemayehu Digssie
Fentahun, Netsanet
Açık, Murat
Ayele, Tadesse Awoke

المصدر

Journal of Nutrition and Metabolism

العدد

المجلد 2020، العدد 2020 (31 ديسمبر/كانون الأول 2020)، ص ص. 1-24، 24ص.

الناشر

Hindawi Publishing Corporation

تاريخ النشر

2020-12-12

دولة النشر

مصر

عدد الصفحات

24

التخصصات الرئيسية

التغذية والحميات

الملخص EN

Background.

Malnutrition is major public health problem worldwide, particularly in developing countries including Ethiopia.

In 2016, out of 667 million children under five years of age, 159 million were stunted worldwide.

The prevalence of stunting has been decreasing greatly from 58% in 2000 to 44% in 2011 and 38% in 2016 in Ethiopia.

However, the prevalence of stunting is still high and considered as public health problem for the country.

The aim of this systematic review and meta-analysis is to assess the prevalence of stunting and its associations with wealth index among children under five years of age in Ethiopia.

Methodology.

The databases searched were MEDLINE, Scopus, HINARI, and grey literature studies.

The studies’ qualities were assessed by two reviewers independently, and any controversy was handled by other reviewers using the Joanna Briggs Institute (JBI) critical appraisal checklist.

The JBI checklist was used in assessing the risk of bias and method of measurement for both outcome and independent variables.

Especially, the study design, study participants, definition of stunting, statistical methods used to identify the associations, results/data presentations, and odds ratios (ORs) with confidence intervals (CIs) were assessed.

In the statistical analysis, the funnel plot, Egger’s test, and Begg’s test were used to assess publication bias.

The I2 statistic, forest plot, and Cochran’s Q-test were used to deal with heterogeneity.

Results.

In this review, 35 studies were included to assess the pooled prevalence of stunting.

Similarly, 16 studies were used to assess the estimated effect sizes of wealth index on stunting.

In this meta-analysis, the pooled prevalence of stunting was 41.5% among children under five years of age, despite its considerable heterogeneity (I2 = 97.6%, p<0.001, Q = 1461.93).

However, no publication bias was detected (Egger’s test p=0.26 and Begg’s test p=0.87).

Children from households with a medium or low/poor wealth index had higher odds of stunting (AOR: 1.33, 95% CI 1.07, 1.65 or AOR: 1.92, 95% CI 1.46, 2.54, respectively) compared to children from households with a high/rich wealth index.

Both of the estimated effect sizes of low and medium wealth indexes had substantial heterogeneity (I2 = 63.8%, p<0.001, Q = 44.21 and I2 = 78.3%, p<0.001, Q = 73.73) respectively).

In estimating the effect, there was no publication bias (small-studies effect) (Egger and Begg’s test, p>0.05).

Conclusions.

The pooled prevalence of stunting was great.

In the subgroup analysis, the Amhara region had the highest prevalence of stunting, followed by the Oromia and Tigray regions, respectively.

Low economic status was associated with stunting in Ethiopia.

This relationship was found to be statistically more accurate in Oromia and Amhara regions.

The government should emphasize community-based nutrition programs by scaling up more in these regions, just like the Seqota Declaration.

نمط استشهاد جمعية علماء النفس الأمريكية (APA)

Kassaw, Mesfin Wudu& Bitew, Aschalew Afework& Gebremariam, Alemayehu Digssie& Fentahun, Netsanet& Açık, Murat& Ayele, Tadesse Awoke. 2020. Low Economic Class Might Predispose Children under Five Years of Age to Stunting in Ethiopia: Updates of Systematic Review and Meta-Analysis. Journal of Nutrition and Metabolism،Vol. 2020, no. 2020, pp.1-24.
https://search.emarefa.net/detail/BIM-1188660

نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)

Kassaw, Mesfin Wudu…[et al.]. Low Economic Class Might Predispose Children under Five Years of Age to Stunting in Ethiopia: Updates of Systematic Review and Meta-Analysis. Journal of Nutrition and Metabolism No. 2020 (2020), pp.1-24.
https://search.emarefa.net/detail/BIM-1188660

نمط استشهاد الجمعية الطبية الأمريكية (AMA)

Kassaw, Mesfin Wudu& Bitew, Aschalew Afework& Gebremariam, Alemayehu Digssie& Fentahun, Netsanet& Açık, Murat& Ayele, Tadesse Awoke. Low Economic Class Might Predispose Children under Five Years of Age to Stunting in Ethiopia: Updates of Systematic Review and Meta-Analysis. Journal of Nutrition and Metabolism. 2020. Vol. 2020, no. 2020, pp.1-24.
https://search.emarefa.net/detail/BIM-1188660

نوع البيانات

مقالات

لغة النص

الإنجليزية

الملاحظات

Includes bibliographical references

رقم السجل

BIM-1188660