Desnutrición crónica en niños menores de cinco años de la comunidad indígena awá, Barbacoas (Nariño, Colombia), 2019

• Erazo Arteaga, Diana Carolina ^[1] ; García, Jorge Iván ^[2] ; Chavarriaga Maya, Lina Marcela ^[2] ; Quirós-Gómez, Oscar Ivan ^[2]
  1. [1] Unidad Indígena del Pueblo Awá (Nariño, Colombia)
  2. [2] Universidad CES (Colombia)
• Localización: Ciencias de la salud, ISSN-e 2145-4507, ISSN 1692-7273, Vol. 20, Nº. 1, 2022
• Idioma: español
• Títulos paralelos:
  • Desnutrição crônica em crianças menores de cinco anos da comunidade indígena Awá, Barbacoas (Nariño, Colombia), 2019
  • Chronic Malnutrition in Children under 5 Years Old in the Awá Indigenous Community, Barbacoas (Nariño – Colombia) in 2019
• Enlaces
  • Texto completo (pdf)
• Resumen
  • español

    Introduction: Chronic malnutrition in children under 5 years old is defined as stunting due to recurrentnutritional deficiencies associated with poverty, maternal health, and nutrition. This study aimed to identify the prevalence of chronic malnutrition and associated factors in children under 5 years old from the indigenous Awá community, at Barbacoas, Nariño in 2019. Materials and methods: A cross-sectional study was conducted, which included 527  children under 5 years old from the Awá community who attended a health institution for growth and development program. Chronic malnutrition was evaluated as an outcome, whereas sociodemographic, nutritional and other health characteristics as associated factors. Chi-square, Fisher’s exact, and Mann–Whitney’s U test were used to determine statistical association. Additionally, the relationship was adjusted through a multiple logistic regression model. Results: Chronic malnutrition was found in 17.6% of children. The statistical association was found in children of the adolescent mother, incomplete vaccination schedule, and age and birth weight. Conclusion: In children under 5 years old in the Awá community, the frequency of chronic malnutrition is above the average for the general population in Colombia. Prioritizing the active search for chronic malnutrition in children whose mothers are adolescents and those with low birth weight and incomplete vaccination is important.

  • English

    Introduction: Chronic malnutrition in children under 5 years old is defined as stunting due to recurrentnutritional deficiencies associated with poverty, maternal health, and nutrition. This study aimed to identify the prevalence of chronic malnutrition and associated factors in children under 5 years old from the indigenous Awá community, at Barbacoas, Nariño in 2019. Materials and methods: A cross-sectional study was conducted, which included 527 children under 5 years old from the Awá community who attended a health institution for growth and development program. Chronic malnutrition was evaluated as an outcome, whereas sociodemographic, nutritional and other health characteristics as associated factors. Chi-square, Fisher’s exact, and Mann–Whitney’s U test were used to determine statistical association. Additionally, the relationship was adjusted through a multiple logistic regression model. Results: Chronic malnutrition was found in 17.6% of children. The statistical association was found in children of the adolescent mother, incomplete vaccination schedule, and age and birth weight. Conclusion: In children under 5 years old in the Awá community, the frequency of chronic malnutrition is above the average for the general population in Colombia. Prioritizing the active search for chronic malnutrition in children whose mothers are adolescents and those with low birth weight and incomplete vaccination is important.

  • português

    Introdução: a desnutrição crônica em crianças menores de cinco anos é definida como retardo de crescimento como resultado de deficiências nutricionais recorrentes associadas à pobreza, saúde materna e nutrição. O objetivo é identificar a prevalência de desnutrição crônica e fatores associados em crianças menores de 5 anos da comunidade indígena Awá, atendidas na Unidade IPS do Povo Indígena Awá (UNIPA) de Barbacoas, Nariño durante 2019. Materiais e métodos: estudo transversal de abordagem analítica. Foram incluídas 527 crianças menores de 5 anos da comunidade Awá que participaram do programa de crescimento e desenvolvimento da IPS UNIPA. A desnutrição crônica foi avaliada como desfecho e as características sociodemográficas, nutricionais e outras características de saúde como fatores associados. Um valor de p inferior a 5% foi considerado quando o qui-quadrado, o teste exato de Fisher e o U de Mann Whitney foram usados para determinar a associação estatística, além disso, a relação foi ajustada por meio de um modelo de regressão logística múltipla. Resultados: 17,6% das crianças apresentavam desnutrição crônica. Associação estatística foi encontrada com os fatores ser filho de mãe adolescente (valor p: 0,006), esquema vacinal incompleto (valor p: 0,012), idade (valor p: 0,017) e peso ao nascer (valor p: 0,017). Conclusão: em crianças menores de 5 anos da comunidade Awá, a frequência de desnutrição crônica está acima da média geral para esta população na Colômbia. É importante priorizar a busca ativa da desnutrição crônica em crianças cujas mães são adolescentes, com baixo peso ao nascer e com esquema de vacinação incompleto.