A Body Shape Index Versus Body Mass Index in the Assessment of Nutritional Status Among Egyptian Primary School Children Infected with Intestinal Helminthiasis
Science Journal of Public Health
Volume 5, Issue 5-1, October 2017, Pages: 13-18
Received: Jan. 21, 2017; Accepted: Jan. 25, 2017; Published: Aug. 4, 2017
Views 557      Downloads 16
Mona El-Awady, Public Health Department, Faculty of Medicine, Benha University, Benha, Egypt
Neveen Abed, Pediatrics Department, Faculty of Medicine, Benha University, Benha, Egypt
Article Tools
Follow on us
Background: School-age children are more predisposed and vulnerable to helminths infections which adversely affect their nutritional status. The A Body Shape Index (ABSI) has been developed as possible improved alternatives to BMI and WC in the assessment of nutritional status. Objectives: To detect the prevalence of helminths infections among school children and to assess nutritional status using ABSI and BMI parameters for them. Methods: A cross-sectional survey was carried out. A total of 500 primary school children (age: 6-12 years) from two randomly selected rural and urban schools were enrolled in the study. One fecal sample was collected from each participant after their exposure to interview and anthropometric measurement. The coprological diagnosis was performed by three different methods; direct simple smear, simple precipitation and Kat-Katz techniques. Results: The overall prevalence of intestinal parasites was 25.8%. Enterobius vermicularis, Hymenolepis nana then hookworm infection (39.5%, 38% then 22.5%) Infection was significantly associated with lower age, females, rural schools and among low social classes than others. There was a significant impairment of the anthropometric measures, especially weight, height and body mass index among infected children. ABSI showed higher AUC than BMI. Conclusions: School health programs should provide regular inspection, supervised school meals and health education.
ABSI, Intestinal Helminthiasis, Malnutrition
To cite this article
Mona El-Awady, Neveen Abed, A Body Shape Index Versus Body Mass Index in the Assessment of Nutritional Status Among Egyptian Primary School Children Infected with Intestinal Helminthiasis, Science Journal of Public Health. Special Issue:Malnutrition in Developing Countries. Vol. 5, No. 5-1, 2017, pp. 13-18. doi: 10.11648/j.sjph.s.2017050501.13
Copyright © 2017 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Sangaré I, Bamba S, Cissé M, Zida A, Bamogo R, Sirima C, Yaméogo BK, Sanou R, Drabo F, Dabiré RK, and Guiguemdé RT (2015). Prevalence of intestinal opportunistic parasites infections in the University hospital of Bobo-Dioulasso, Burkina Faso. J. infect Dis Poverty. 4: 32.
Harhay MO, Horton J, Olliaro PL (2010). Epidemiology and control of human gastrointestinal parasites in children. Expert Rev Anti Infect Ther. 8 (2):219–234.
Brooker S, Hotez PJ, Donald A, Bundy DAP (2010). The Global Atlas of Helminthes Infections. Mapping the Way Forward in Neglected Tropical Disease Control. Available online: http://www.plosntds.org (accesses on 29 May 2011).
Hotez PJ, Brindley PJ, Bethony JM, King CH, Pearce EJ and Jacobson J (2008). Helminth infections: the great neglected tropical diseases. J Clin Invest. 118 (4): 1311-1321.
World Development Report: Investing in Health. Available online: http://wdronline.worldbank.org/worldbank/a/c.html/world_development_report_1993/chapter_4_public_health (accessed on 13 April 2011).
Stephenson LS, Taylor and Francis (1988);. Impact of Helminth Infections on Human Nutrition; Ltd.: New York, NY, USA, 4 (7): 203-204.
Quihui-Cota L, Valencia ME, Crompton DW, Phillips S, Hagan P, Diaz-Camacho SP, Triana Tejas A (2004). Prevalence and intensity of intestinal parasitic infections in relation to nutritional status in Mexican schoolchildren. Trans R Soc Trop Med Hyg. 98 (11): 653-659.
Krakauer NY, Krakauer JC (2012). A new body shape index predicts mortality hazard independently of body mass index. PLoS One.; 7 (7): e39504. doi: 10.1371/journal.
Periago MV, Diniz RC, Pinto SA, Yakovleva A, Correa-Oliveira R, Diemert DJ and Bethony JM (2015). The Right Tool for the Job: Detection of Soil-Transmitted Helminths in Areas Co-endemic for Other Helminths. PLoS Neg Trop Dis. http://dx.doi.org/10.1371/journal.pntd.0003967.
Zaki ME, Hassan NE, El-Masry SA (2008). Head circumference reference data for Egyptian children and adolescents. Eastern Mediterranean Health Journal. 14 (1): 69-81.
WHO/MGR. Methods and Development. Geneva: WHO (2006). Multicenter growth reference Study group. The WHO child growth standards, Length/Height-for-Age, Weight-for-Age, Weight-for-Length, Weight-for-Height, Body Mass Index-for-Age.
Amuta EU, Olusi TA, Houmsou RS (2009). Relationship of intestinal parasitic infections and malnutrition among school children in Makurdi, Benue State - Nigeria. The Internet Journal of Epidemiology. 7 (1): 10.
WHO Child Growth Standards and the Identification of Severe Acute Malnutrition in Infants and Children; WHO and UNICEF: Geneva, Switzerland, 2009.
Walker AR, Walker BF (1997). Moderate to mild malnutrition in African children of 10-12 years: roles of dietary and non-dietary factors. Int J Food Sci Nutr.; 48 (2): 95-101.
Ibrahium FAA (2011). Prevalence and predisposing factors regarding intestinal parasitic infections among rural primary school pupils at Minia Governorate, Egypt. Journal of Public Health in Africa. 2 (2): e29.
El-Gammal N, Sayed El-Ahl S, Osman FH, Salem HS (1995). Comparative study of parasitic infections among school children in two rural areas in upper Egypt (Demo village) and lower Egypt (Malames village). The Egypt J Comm Med. 3: 25–30.
El-Shobaki FA, El-Hawary ZM, Salem NA (1990). Competing anemia am-ong school children using a highly available on preparation. Egyp J Comm Med. 7 (2): 81–94.
Patel PK, Khandekar R (2006). Intestinal parasitic infections among school children of the Dhahira Region of Oman. Saudi Med J. 27 (5): 627–632.
Bdir S, Adwan. G (2010). Prevalence of intestinal parasitic infections in Jenin Governorate, Palestine: a 10-year retrospective study. Asian Pac J Trop Med. 3 (9): 745-747.
Ashok R, Suguneswari G, Satish K, Kesavaram V (2013). Prevalence of Intestinal Parasitic Infection in School Going Children in Amalapuram, Andhra Pradesh, India Shiraz E-Med J. 14 (4): e16652.
Grang J, Zumla A (2003). Manson’s tropical diseases. Farthing MJG, Cavalloons A, Kelly P, editor. London: Elsevier Sciences. Protozoa and helminth infections; pp. 1205–1527.
Amare B, Ali J, Moges B, Yismaw G, Belyhun Y, Gebretsadik S, Woldeyohannes D, Tafess K, Abate E, Endris M, Tegabu D, Mulu A, Ota F, Fantahun B and Kassu A (2013). Nutritional status, intestinal parasite infection and allergy among school children in northwest Ethiopia. BMC Pediatr. 13: 7 DOI: 10.1186/1471-2431.
Lawanga F, Kirunda BE, Orach CG (2012). Intestinal Helminth Infections and Nutritional Status of Children Attending Primary Schools in Wakiso District, Central Uganda. Int J Environ Res Public Health. 9 (8): 2910–2921.
Anosike JC, Nwoke BE, Onwuliri CO, Obiukwu CE, Duru AF, Nwachukwu MI, Ukaga CN, Uwaezuoke JC, Uduji OS, Amajuoyi OU, Nkem BI (2004). Prevalence of parasitic diseases among nomadic Fulanis of south-eastern Nigeria. Ann Agric Environ Med. 11 (2): 221-225.
Mekonnen A, Jones N and Tefera B (2005). Young lives project working paper on Tackling child malnutrition in Ethiopia No 19. London: Save the children UK.
Martorell R (1999). The nature of child malnutrition and its long-term implications. Food and Nutrition Bulletin. 20 (3): 288-292.
Degarege A, Erko B (2013). Association between intestinal helminth infections and underweight among school children in Tikur Wuha Elementary School, Northwestern Ethiopia. J Infect Public Health. 6 (2): 125–133.
Egwunyenga OA, Ataikiru DP (2005). Soil-transmitted helminthiasis among school age children in Ethiope East Local Government Area, Delta State, Nigeria. African Journal of Biotechnology. 4 (9): 938-941.
Asfaw TS, Goitom L (2000). Malnutrition and enteric parasitoses among under-five children in Aynalem village, Tigray. Ethiop J Health Dev. 14 (1): 67–75.
Krakauer NY, Krakauer JC (2014). Dynamic association of mortality hazard with body shape. PLoS One.; 9: Article ID e88793.
Science Publishing Group
NEW YORK, NY 10018
Tel: (001)347-688-8931