University of Nigeria Virtual Library Serial No Author 1 NGWU, E. K Author 2 UZENDU, P. N. Author 3 Title Nutritional Status of Patients Attending Sickle- Cell Disease (SCD) Clinic at a Nigerian University Teaching Hospital Keywords Sickle Cell Disease, Stunting, Underweight, Wasting, Hemoglobin Description Nutritional Status of Patients Attending Sickle- Cell Disease (SCD) Clinic at a Nigerian University Teaching Hospital Category Agriculture Publisher Nigerian Journal of Nutritional Sciences Publication Date 2007 Signature
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University of Nigeria · University of Nigeria Virtual Library Serial No Author 1 NGWU, E. K Author 2 UZENDU, P. N. Author 3 Title Nutritional Status of Patients Attending Sickle-Cell
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University of Nigeria Virtual Library
Serial No
Author 1
NGWU, E. K
Author 2
UZENDU, P. N.
Author 3
Title
Nutritional Status of Patients Attending Sickle-
Cell Disease (SCD) Clinic at a Nigerian University Teaching Hospital
Cell Disease (SCD) Clinic at a Nigerian University Teaching Hospital
Category
Agriculture
Publisher
Nigerian Journal of Nutritional Sciences
Publication Date
2007
Signature
NURITIONAL STATUS OF
The nutritional status of 200
Nigeria Teaching and 42% females. Their ages ranged between 2 years an with a mean age of 10.32*4.36 years for males and 10.07*3.34 years for females. There was no significant (p>O.OS) difference in the educational levels of males and females. A total of 38.5% of the children were pale. Malaria was the most common cause of crisis. Nutritional status indicators showed that 39.66% of the males and 13.09% of the females were stunted. Asmmany as 25.86% of the males and 11.9% of the females were .under weight. Wasting was prevalent in 20.69% of the males and 20.24% of the females. Wider varieties of foods .
were consumed by the children promoting dietary diversification. Intake of energy and protein were above 100% of FAO/WHO requirement f q over 90% of the children. The most limiting nutrients were riboflavin and folate. Intakes of other nutrients such as calcium, iron, vitamin A and thiamin were hlgh (over 70% FAO/WHO) requirement).
positively influenced the 1 outcome o f SCD. Such clinics 'act as I
centers for education on the cll$gp3ar fay , d ,
both patients and their< families. "s:.h-s2~<.? . , , I
paleness and painful crisis experienced
by the children in th
observed signs and
associated with sickle cell a
resulting from excessive hemolysi
vaso-occlusion experienced by patients
(14). I n this study, malaria was the most
common cause of crisis. The distribution
of indigenous sickle cell disorder
coincides with the distribution of
plasmodium falciparum malaria (2).
Malaria is a common precipitating factor
for painful crisis and a major contributor
to morbidity and death (2, 3, 6, 15).
About 28% of the children were
stunted, 20°/o underweight and 21°/o
wasted. These are lower than reported
elsewhere (16). Growth in children with
SCD is important and should be part of
patients management, IncrcasOd calorie 1
. .
s a great energy cost in
fore raises nutrient
. The .high levels of
umed -in this study may.
arily meet requirements under
ase .condition. Standardized
re urgently needed to evaluate
y requirements in SCD.
REFERENCES
1. El-Hazmi, M.A.F. (1986). Infections in sickle cell disease. Annals of Saudi Medicine. 6(1), 33 - 40.
2. Akinyanju, 0. (2001). Issues in the management and control of sickle cell disorder. Archives of Ibadan Medicine. 69: 37 - 41.
3. Okpala, I; Daniel, Y; Haynes, R; Odoemena, D. and Goldman, J. (2002). Relationship between . the manifestations o f SCD and expression o f adhesion molecules on WBCrs. Europ. J. Hematol. 69: 133- 144..
4. Ekvall, S.W. (1993). Paediatric nutrition in chronic diseases and developmental disorder. New York
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physical activity and g
observed excess and
energy and other nut
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