Home Ahead of print Instructions Contacts
About us Current issue Submit article Advertise  
Editorial board Archives Subscribe Login   


 
 Table of Contents  
LETTER TO EDITOR
Year : 2017  |  Volume : 23  |  Issue : 3  |  Page : 216

Malnutrition among children having otitis media: A Hospital-based cross-sectional study in Lucknow District


Department of Paediatrics, Al-Kindy College of Medicine, University of Baghdad, Baghdad, Iraq

Date of Web Publication31-Aug-2017

Correspondence Address:
Mahmood Dhahir Al-Mendalawi
Department of Paediatrics, Al-Kindy College of Medicine, University of Baghdad, P. O. Box: 55302, Baghdad Post Office, Baghdad
Iraq
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/indianjotol.INDIANJOTOL_104_16

Rights and Permissions

How to cite this article:
Al-Mendalawi MD. Malnutrition among children having otitis media: A Hospital-based cross-sectional study in Lucknow District. Indian J Otol 2017;23:216

How to cite this URL:
Al-Mendalawi MD. Malnutrition among children having otitis media: A Hospital-based cross-sectional study in Lucknow District. Indian J Otol [serial online] 2017 [cited 2020 Feb 25];23:216. Available from: http://www.indianjotol.org/text.asp?2017/23/3/216/213858

Sir,

I read with interest the study by Saxena et al. on malnutrition among children having otitis media (OM).[1] Based on the World Health Organization (WHO) growth charts, the authors found malnutrition in 59.9% in their studied cohort. The incidence of underweight, wasting, and stunting among the study population was 34.31%, 17.65%, and 58.82%, respectively.[1] I presume that these results ought to be cautiously taken. This is based on the presence of an important methodological limitation. In the clinical setting, there are many growth charts available used to evaluate anthropometric indices in children, namely, Center for Disease Control data charts, WHO charts, and national charts. Comparison of the use of other charts to the use of the country-specific growth charts suggested that the latter might describe the growth of children more faithfully.[2] To my knowledge, the Indian Academy of Pediatrics (IAP)-2007 growth charts were constructed to evaluate the growth of Indian children. I wonder why the authors did not refer to IAP-2007 charts to study the growth of the studied cohort rather than the WHO charts. I presume that, if the authors would have employed IAP 2007 charts, the results of the study might have been altered. Recently, the Growth Chart Committee of IAP has revised the growth charts for Indian children in January 2015 as India is in nutrition transition and previous IAP-2007 charts were based on data which are over two decades old. Currently, the IAP recommends the use of these new charts to replace the IAP-2007 charts in the clinical field.[3] Despite the already mentioned methodological limitation, some sorts of malnutrition and growth faltering [4] are expected to be seen in children with OM, particularly those with advanced OM stages and those who have associated comorbidities. Therefore, close monitoring of anthropometric indices and nutritional status as well as a careful nutritional rehabilitation remains the fundamental hallmark in the management protocol of patients with OM.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Saxena S, Bhargava A, Srivastava S, Srivastava MR. Malnutrition among children having otitis media: A hospital-based cross-sectional study in Lucknow district. Indian J Otol 2016;22:188-92.  Back to cited text no. 1
  [Full text]  
2.
Ziegler EE, Nelson SE. The WHO growth standards: Strengths and limitations. Curr Opin Clin Nutr Metab Care 2012;15:298-302.  Back to cited text no. 2
[PUBMED]    
3.
Khadilkar VV, Khadilkar AV. Revised Indian Academy of Pediatrics 2015 growth charts for height, weight and body mass index for 5-18-year-old Indian children. Indian J Endocrinol Metab 2015;19:470-6.  Back to cited text no. 3
[PUBMED]    
4.
Hallbauer UM, Atkins MD, Tiedt NJ, Butler IR, Pieters M, Elliott E, et al. Co-morbidities in children presenting with chronic suppurative otitis media – A South African study. J Trop Pediatr 2014;60:198-202.  Back to cited text no. 4
[PUBMED]    




 

Top
 
 
  Search
 
    Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
    Access Statistics
    Email Alert *
    Add to My List *
* Registration required (free)  

 
  In this article
References

 Article Access Statistics
    Viewed1226    
    Printed11    
    Emailed0    
    PDF Downloaded60    
    Comments [Add]    

Recommend this journal