Association between Nutritional Status and Positive Childhood Disability Screening Using the Ten Questions Plus Tool in Sarlahi, Nepal

Authors

  • L Wu Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore
  • J Katz Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore
  • LC Mullany Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore
  • E Haytmanek Institute of Medicine, Washington
  • SK Khatry Nepal Nutrition Intervention Project?Sarlahi, Kathmandu
  • GL Darmstadt Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore and Integrated Health Solutions Development, Global Health Programme, Bill & Melinda Gates Foundation, Seattle
  • KP West Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore
  • SC LeClerq Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore and Nepal Nutrition Intervention Project?Sarlahi, Kathmandu
  • JM Tielsch Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore

DOI:

https://doi.org/10.3329/jhpn.v28i6.6607

Keywords:

Child, Child development, Child nutrition, Cognitive development, Disability, Stunting, Nepal

Abstract

The study was conducted to examine the association between the indicators of malnutrition and disability of children as reported by caregivers. The Ten Questions Plus questionnaire was administered to caregivers of 1,902 children aged 1-9 years, during August 2007–March 2008, in rural Nepal. Height and weight of chil-dren were also measured. The main outcome was a positive response to one or more questions. In total, 514 (27%) children had a positive response to at least one question. Moderate stunting [odds ratio (OR)=1.47, 95% confidence interval (CI) 1.02-2.12) and severe (OR=2.39, 95% CI 1.60-3.57) stunting were indepen­dently associated with reported delay in sitting, standing, or walking. Severe stunting was also associated with report of delayed learning compared to other children of similar age (OR=2.01, 95% CI 1.27-3.20). Parental report of disability was quite prevalent in this setting, with over a quarter of the sample screening positive. Chronic malnutrition may be associated with delayed motor and mental development.

Key words: Child; Child development; Child nutrition; Cognitive development; Disability; Stunting; Nepal

DOI: 10.3329/jhpn.v28i6.6607

J HEALTH POPUL NUTR 2010 Dec;28(6):585-594

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How to Cite

Wu, L., Katz, J., Mullany, L., Haytmanek, E., Khatry, S., Darmstadt, G., West, K., LeClerq, S., & Tielsch, J. (2010). Association between Nutritional Status and Positive Childhood Disability Screening Using the Ten Questions Plus Tool in Sarlahi, Nepal. Journal of Health, Population and Nutrition, 28(6), 585–594. https://doi.org/10.3329/jhpn.v28i6.6607

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Original Papers