Nutritional status of soil-transmitted helminthiasis-infected and uninfected children

Main Article Content

Nelly Simarmata
Tiangsa Sembiring
Muhammad Ali

Abstract

Background Soil-transmitted helminth (STH) infections remain a public health problem in developing countries. Their prevalence is particularly high in rural areas with people of low socioeconomic level. A single or mixed STH infection rarely causes death, but can affect nutritional status, growth, cognitive development and human health, especially in children.
Objective To compare the nutritional status of STH-infected and uninfected children.
Methods This cross-sectional study was conducted in June 2010 in children from 3 primary schools in the Simpang Empat and Kabanjahe Subdistricts, Karo District, North Sumatera Province. Fecal examinations were done by the Kato-Katz method to diagnose STH infections. Participants of this study consisted of 140 infected children and 141 uninfected children. Nutritional status classification was based on the 2000 Centers for Disease Control growth charts. All categorical data were analyzed by Chi-square test.
Results Of 140 infected children, 8.6% were infected with Ascaris lumbricoides, 17.1% with Trichuris trichiura and 74.3% with mixed infections (Ascaris lumbricoides and Trichuris trichiura). We found significantly more STH infected children with mild to moderate malnutrition than the uninfected group. We also found significantly more mildly to moderately malnourished children with moderate infection intensity than mild infection intensity.
Conclusion We find significantly more STH infected children with mild to moderate malnutrition than the uninfected group. We also find significantly more mildly to moderately malnourished children with moderate infection intensity than mild infection intensity. Higher severity of infection is associated with lower nutritional status.

Article Details

How to Cite
1.
Simarmata N, Sembiring T, Ali M. Nutritional status of soil-transmitted helminthiasis-infected and uninfected children. PI [Internet]. 30Jun.2015 [cited 23Sep.2020];55(3):136-1. Available from: https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/38
Section
Articles
Received 2015-12-02
Accepted 2015-12-02
Published 2015-06-30

References

1. Hotez PJ, Bundy DAP, Beegle K, Brooker S, Drake L, de Silva N, et al. Helminth infections: soil-transmitted helminth infections and schistosomiasis. In: Jamison DT, Breman JG, Meashman AR, Alleyne G, Claeson M, Evans DB, editors. Disease control priorities in developing countries. Washington DC: World Bank; 2006. p.467-82.
2. Departemen Kesehatan Republik Indonesia. Profil Kesehatan Indonesia 2008. Jakarta: Departemen Kesehatan RI; 2009. p.53-4.
3. Dinas Kesehatan Propinsi Sumatera Utara: Laporan hasil kegiatan program seksi P2ML sub dinas P2P & PL. Medan: Dinas Kesehatan Propinsi Sumatera Utara. [Cited 2010 May]. Available from: www.depkes.go.id.
4. Crompton DW, Nesheim MC. Nutritional impact of intestinal helminthiasis during the human life cycle. Annu Rev Nutr. 2002;22:35-59.
5. Crompton DW. The public health importance of hookworm disease. Parasitology. 2000;121:S39-50.
6. Hotez PJ, de Silva N, Brooker S, Bethony J. Soil transmitted helminth infections: the nature, causes and burden of the condition. Disease Control Priorities Project. Maryland: Fogarty International Center; 2003. p. 1-30.
7. Jardim-Botelho A, Brooker S, Geiger SM, Fleming F, Souza Lopez AC, Diemert DJ, et al. Age patterns in undernutrition and helminth infection in a rural area of Brazil: associations with ascariasis and hookworm. Trop Med Int Health. 2008;4:458-67.
8. Menteri Kesehatan Republik Indonesia: Keputusan Menteri Kesehatan tentang pedoman pengendalian cacing. [Cited 2010 May]. Available from www.depkes.go.id.
9. Centers for Disease Control and Prevention, National Center for Health Statistics. CDC growth charts: United States. 2002. Available from www.cdc.gov/growthcharts/
10. Maqbool A, Olsen I, Stallings VA. Clinical assessment of nutritional status. In: Duggan C, editor. Nutrition in pediatrics. 4th ed. Canada: BC Decker Inc; 2008. p. 5-13.
11. Montresor A, Crompton DWT, Hall A, Bundy DAP, Savioli L. Guidelines for the evaluation of soil transmitted helminthiasis and schistosomiasis at community level. Geneva: WHO; 1998. p.3-49.
12. de Silva NR, Brooker S, Hotez PJ, Montresor A, Engels D, Savioli L. Soil transmitted helminth infections: updating the global picture. Trends Parasitol. 2003;19:547-51.
13. Egwunyenga OA, Ataikru DP. Soil-transmitted helminthiasis among school age children in Ethiope East Local Government Area, Delta State, Nigeria. Afr J Biotechnol. 2005;4:938-41.
14. Mascie-Taylor CG, Karim E. The burden of chronic disease. Science. 2003;302:1921-2.
15. Margono SS. Important human helminthiasis in Indonesia. In: Crompton DWT, Montresor A, Nesheim MC, Savioli L, editors. Controlling disease due to helminth infection. Geneva: WHO; 2003. p. 3-14.
16. Hotez PJ, Brindley PJ, Bethony JM, King CH, Pearce EJ, Jacobson J. Helminth infections: the great neglected tropical diseases. J Clin Invest. 2008;118:1311-21.
17. Brooker S, Clements AC, Bundy DA. Global epidemiology, ecology and control of soil-transmitted helminth infections. Adv Parasitol. 2006;62:221-61.
18. Bethony J, Brooker S, Albonico M, Geiger SM, Loukas A, Diemert D, et al. Soil-transmitted helminth infections: ascariasis, trichuriasis, and hookworm. Lancet. 2006;367:1521-32.
19. Elmi, Sembiring T, Dewiyani BS, Hamid ED, Pasaribu S, Lubis CP. Status gizi dan infestasi cacing usus pada anak sekolah dasar. Bagian Ilmu Kesehatan Anak FK USU. [Cited 2010 May]. Available from www.repository.usu.ac.id.
20. Montresor A, Crompton DWT, Gyorkos TW, Savioli L. Helminth control in school age children. A guide for managers of control programmes. Geneva: WHO; 2002. p. 1-11.
21. Stoltzfus RJ, Chwaya HM. Helminth infections, growth, and anaemia: lessons from Zanzibar. Geneva: WHO; 2003. p.33-6.
22. Pullan R, Brooker S. The health impact of polyparasitism in humans: are we underestimating the burden of parasitic disease? Parasitology. 2008;135:783-94.
23. Schaible UE, Kaufmann SH. Malnutrition and infection: complex mechanisms and global impacts. PloS Med. 2007;4:e115.
24. Casapia M, Joseph SA, Nunez C, Rahme E, Gyorko TW. Parasite risk factors for stunting in grade 5 students in a community of extreme poverty in Peru. Int J Parasitol. 2006;36:741-7.
25. Tanner S, Leonard WR, McDade TW, Reyes-Garcia V, Godoy R, Huanca T. Influence of helminth infections on childhood nutritional status in lowland Bolivia. Am J Hum Biol. 2009; 21:651-6.
26. Mardiana, Djarismawati. Prevalensi cacing usus pada murid sekolah dasar wajib belajar pelayanan gerakan terpadu pengentasan kemiskinan daerah kumuh di wilayah DKI Jakarta. J Ekologi Kesehat. 2008;7:769-74.
27. Tarafder MR, Carabin H, Joseph L, Balolong E, Olveda R, McGarvey ST. Estimating the sensitivity and specificity of Kato-Katz stool examination technique for detection of hookworms, Ascaris lumbricoides and Trichuris trichiura infections in humans in the absence of a ‘gold standard’. Int J Parasitol. 2010;40:399-404.
28. Ezeamama AE, Friedman JF, Olveda RM, Acosta LP, Kurtis JD, Mor V, et al. Functional significance of low-intensity polyparasite helminth infections in anemia. J Infect Dis. 2005;192:2160-70.
29. Shang Y, Tang LH, Zhou SS, Chen YD, Yang YC, Lin SX. Stunting and soil-transmitted-helminth infections among school-age pupils in rural areas of southern China. Parasit Vectors. 2010;3:97