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Deprecated: Implicit conversion from float 300.79999999999995 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Public+Health+Nutr 2021 ; 24 (11): 3233-3241 Nephropedia Template TP
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Impact of COVID-19 on child malnutrition, obesity in women and household food insecurity in underserved urban settlements in Sri Lanka: a prospective follow-up study #MMPMID33902778
Public Health Nutr 2021[Aug]; 24 (11): 3233-3241 PMID33902778show ga
OBJECTIVES: To determine changes and factors associated with child malnutrition, obesity in women and household food insecurity before and after the first wave of COVID-19 pandemic. DESIGN: A prospective follow-up study. SETTING: In 2019, the baseline Urban Health and Nutrition Study 2019 (UHNS-2019) was conducted in 603 households, which were selected randomly from 30 clusters to represent underserved urban settlements in Colombo. In the present study, 35 % of households from the UHNS-2019 cohort were randomly selected for repeat interviews, 1 year after the baseline study and 6 months after COVID-19 pandemic in Sri Lanka. Height/length and weight of children and women were re-measured, household food insecurity was reassessed, and associated factors were gathered through interviewer-administered questionnaires. Differences in measurements at baseline and follow-up studies were compared. PARTICIPANTS: A total of 207 households, comprising 127 women and 109 children were included. RESULTS: The current prevalence of children with wasting and overweight was higher in the follow-up study than at baseline UHNS-2019 (18.3 % v. 13.7 %; P = 0.26 and 8.3 % v. 3.7 %; P = 0.12, respectively). There was a decrease in prevalence of child stunting (14.7 % v. 11.9 %; P = 0.37). A change was not observed in overall obesity in women, which was about 30.7 %. Repeated lockdown was associated with a significant reduction in food security from 57 % in UHNS-2019 to 30 % in the current study (P < 0.001). CONCLUSIONS: There was an increase in wasting and overweight among children while women had a persistent high prevalence of obesity. This population needs suitable interventions to improve nutrition status of children and women to minimise susceptibility to COVID-19.