Maternal depression, a hidden predictor for severe acute malnutrition in children aged 6-59 months: a case-control study at Omdurman Paediatrics Teaching Hospital, Sudan.

Journal: Sudanese journal of paediatrics

Volume: 20

Issue: 2

Year of Publication: 

Affiliated Institutions:  Faculty of Medicine, University of Khartoum, Khartoum, Sudan. Department of Paediatrics and Child Health, Faculty of Medicine, University of Khartoum, Khartoum, Sudan. Mental Health Service, Hamad Medical Corporation, Doha, Qatar.

Abstract summary 

Malnutrition remains one of the main disabling issues in child health, especially in developing countries. Maternal depression by its related disabilities has been linked with children undernutrition in the studies abroad. Unfortunately, not much is known regarding this issue in Sudan, so this study aims to examine the association between maternal depression and severe acute malnutrition (SAM) in children under 5 years of age. A matched case-control study was conducted in Omdurman Paediatrics Teaching Hospital. Children admitted with SAM were assigned as cases, whereas controls were age- and sex-matched children with normal weight and height admitted in the same hospital. Mothers of both cases and controls were assessed for depression utilising the Patient Health Questionnaire-9 tool. The prevalence of depression among mothers of malnourished children was high (41.5%) compared to the mothers of controls (19.1%). In multivariate logistic regression analyses, the adjusted odds ratio (AOR) of maternal depression were markedly higher in cases than in controls (AOR = 3.09, = 0.002), as was the odds of below 1-year breastfeeding weaning (AOR = 18.60, = 0.006) and mother illiteracy (AOR = 2.42 = 0.031). Furthermore, the analysis found a significant negative association between the occurrence of malnutrition and exclusive breastfeeding (AOR = 0.43, = 0.015). Maternal depression carries a significant burden in the mothers of children hospitalised with SAM. We strongly recommend routine screening and treatment for depression in childbearing age mothers in the available relative maternal and child health clinics.

Authors & Co-authors:  Mohammedahmed Arwa S A ASA Koko Abubaker Emadeldin Adlan AEA Arabi Ali M E AME Ibrahim Mohamed A MA

Study Outcome 

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Statistics
Citations :  Elia M. Defining, recognizing, and reporting malnutrition. Int J Low Extrem Wounds. 2017;16(4):230–37. https://doi.org/10.1177/1534734617733902.
Authors :  4
Identifiers
Doi : 10.24911/SJP.106-1590606922
SSN : 0256-4408
Study Population
Mothers
Mesh Terms
Other Terms
Children under 5 years;Maternal depression;Severe acute malnutrition;Sudan
Study Design
Case Control Trial
Study Approach
Country of Study
Sudan
Publication Country
Sudan