Cross-sectional growth assessment of children in four refugee camps in Northern Greece. (September 2018)

• Record Type: Journal Article
• Authors: Walpole, S.C.; Abbara, A.; Gunst, M.; Harkensee, C.
• Is Part Of: Public health. Volume 162(2018)
• Page Start: 147
• Page End: 152
• Publication Date: 2018-09
• Subjects: Nutrition -- Diet -- Growth -- Global health; Public health -- Periodicals; Public health -- Periodicals; Electronic journals; 362.1
• DOI: 10.1016/j.puhe.2018.05.004
• Languages: English
• ISSNs: 0033-3506

Abstract

Abstract: Background: Previous research has identified a high prevalence of growth abnormality among Syrian refugees in refugee camps in Jordan and Lebanon. There are few published data describing the growth status of children who are refugees in Europe. Methods: Refugees with up to 5 completed years of age in four refugee camps in Northern Greece were invited to participate in growth screening for clinical purposes. Mid-upper arm circumference (MUAC), weight for age (WFA), weight for height (WFH) and height for age (HFA) were measured. The World Health Organization (WHO) normal ranges and 'WHO Anthro' were used to calculate the prevalence of high WFH and low WFA, WFH, HFA, or MUAC. Results: In total 177 (27% of children under 5 years in the four camps) were included. The male-to-female ratio was 1:1.04. Weight and height data were recorded for 114 children, and MUAC was recorded for 106 children. Two children (1.9%; 95% confidence interval [CI] 1.0–3.7%) had a MUAC more than 2 standard deviations (2SD) below the WHO mean value. Ninety-five percent were in the normal range for WFA. Four (3.7%; 95% CI 1.4–9.4%) were underweight (>2SD below the WHO median). Seventeen (16%; 95% CI 9.5–24.9%) had a high WFH, and 4 (3.7%; 95% CI 1.4–9.6%) were 2SD below the WHO median. Nineteen children (17.4%) had a low HFA, including 3 children under 1 year of age (13% of those under 1 year). Discussion: Results demonstrated low prevalence of underweight for height, but high prevalence of stunting, suggesting chronic malnutrition. We recommend empirical micronutrient supplementation for children younger than 5 years and pregnant and breast-feeding women. Further research on the nutritional status of child refugees in camps in Greece is warranted to understand the cause of stunting and scope of any micronutrient deficiencies. Highlights: Few published data describe the nutritional status of child refugees in Europe. We analysed anthropometric measurements of children in four refugee camps in Greece. There was a low prevalence of severe acute malnutrition but a high prevalence of stunting. We recommend empirical micronutrient supplementation for children and pregnant women.