Browsing by Author "Mahidol University. ASEAN Institute for Health Development,"

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    Comparison of Prevalence of Nutritional Status of Thai Children in the First 2 Years of Life Using National and International Growth Charts
    (2016) Seo Ah Hong; Aroonsri Mongkolchati; Jiraporn Chompikul; Ladda Mo-Suwan; Chanpen Choprapawon; Mahidol University. ASEAN Institute for Health Development,
    Objective: Identify the difference of the nutritional status of Thai children from birth to 24 months of age using the national and international growth charts. Material and Method: The analytic sample was of 4,224 children from the Prospective Cohort Study of Thai Children (PCTC). Age-specific prevalence of malnutrition was estimated using the NCHS, WHO, and Thai growth charts. Results: Rapid growth faltering was found in both genders during the first two years, regardless of the reference, but the Thai charts reflected better Thai children. When using the Thai and NCHS charts, a steep fluctuation was observed in infancy, although the prevalence of wasting, underweight, and overweight between the references became narrower at 24 months. Meanwhile, the WHO standards identified a higher number of stunted children and showed a linear increasing trend of overweight with age, compared to the Thai reference. Conclusion: Although the Thai growth charts better reflect the Thai children, in consideration of a double burden of stunting and overweight in Thailand, the WHO standards can be used to identify Thai children at risk of stunting and overweight in the first two years of life.
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    Determining of Complementary Food Practice and Stunted Thai Children Aged 24 Months
    (2012) Joshi, Shrijana; Aroonsri Mongkolchati; Jiraporn Chompikul; Ladda Mo-suwan; Uraiporn Chittchang; Chanpen Choprapawon; Mahidol University. ASEAN Institute for Health Development,; Mahidol University. Institute of Nutrition; Prince of Songkla University. Faculty of Medicine. Department of Pediatrics,
    This descriptive study was conducted to determine the prevalence of child stunting at 24 months by using the Thai and New WHO growth standard and to examine the association between time of introduction of complementary food and child stunting at 24 months. The data of 4,245 children aged 24 months were selected from a cohort study of Thai children. After excluding 60 twin infants and 18 with abnormalities, 4,167 children remained for data analysis. Chi-square tests and multiple logistic regression were undertaken to identify variables that influenced child stunting at 24 months. For the 2001 Thai reference, the study showed 13.95% stunting prevalence whereas 2006 WHO reference showed 16.48%. After adjusting for confounding factors, the study showed that prolonged breast feeding was significantly associated with child stunting from both the WHO (OR=2.70, 95% CI=1.77-4.10) and Thai references (OR=2.31, 95% CI=1.48-3.60). By using WHO reference, this study found that children who were introduced pork before four months (OR=4.72, 95% CI=1.11-20.19) had the highest risk to be stunting at 24 months. And, by using Thai reference, it was found that children who were introduced whole eggs before four months (OR=2.76, 95% CI=0.56-3.54) had the highest risk to be stunting at 24 months. In conclusion, this study found that early introduction of complementary foods is a risk of child stunting. Implementing various health education programs to mothers and caretakers focusing on the improvement of feeding practices and by timely introduction of complementary food, optimum growth in children can be achieved.