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The Role of Low Lactose Feeding for Preventing Childhood Malnutrition and Long-Term Gut Damage Caused by Recurrent Diarrhoeal Disease

Received: 29 February 2024     Accepted: 18 March 2024     Published: 11 April 2024
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Abstract

Even though it has decreased over the past three decades, diarrheal sickness continues to be a major global cause of death for children. There is a strong correlation between childhood rotavirus, diarrhea, climate factors, and malnutrition. On the other hand, a significant nutritional shift (lower levels of undernutrition) among children mal five has been documented in the last ten years, especially in developing nations like Bangladesh, where rotavirus infection has also been on the rise. Given the pathophysiology of rotavirus, there may be a link between the changing diet, the environment, and other artificial factors in urban areas such as Dhaka, Bangladesh, and the rise in rotavirus infections. Under-five malnutrition is still a major problem in Bangladesh, despite significant socioeconomic progress and ten years of initiatives to reduce it. Many research have been conducted in an attempt to identify the primary risk factors for malnutrition; however, none of these have looked into the importance of low birth weight (LBW) 36%. Bangladesh has seen a notable decline in the incidence of pediatric diarrhea deaths in recent decades. Over the past few decades, Bangladesh, a heavily populated country with limited resources, has managed to achieve a notable reduction in the death rate of pediatric diarrhea. Some of the obstacles that still need to be overcome in order to further lower the burden of disease and mortality brought on by diarrhea are enhancing hand hygiene practices, expanding zinc coverage for diarrhea treatment, and maintaining nutritional improvement. To increase intervention coverage and hasten the end of diarrheal mortality among children in Bangladesh, ongoing collaboration with non-governmental organizations and the private sector is necessary, as is the adoption of pluralistic health system platforms for the delivery of preventative and curative services.

Published in European Journal of Preventive Medicine (Volume 12, Issue 2)
DOI 10.11648/j.ejpm.20241202.11
Page(s) 24-34
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Low Lactose, Diarrhea, Malnutrition, Policies and Programs, Management, Acute Diarrhea, Bangladesh

References
[1] Liu L, Oza S, Hogan D, Chu Y, Perin J, Zhu J, et al. Global, regional, and national causes of under-5 mortality in 2000-15: an updated systematic analysis with implications for the Sustainable Development Goals. Lancet. 2016; 388: 3027-35. Medline: 27839855
[2] Ahmed NU, Zeitlin MF, Beiser AS, Super CM, Gershoff SN, Ahmed MA. Assessment of the impact of a hygiene intervention on environmental sanitation, childhood diarrhoea, and the growth of children in rural Bangladesh. Food Nutr Bull. 1994; 15: 1-14.
[3] Baqui AH, Black RE, El Arifeen S, Yunus M, Chakraborty J, Ahmed S, et al. Effect of zinc supplementation started during diarrhoea on morbidity and mortality in Bangladeshi children: community randomized trial. BMJ. 2002; 325: 1059. Medline: 12424162
[4] Chowdhury MK, Gupta V, Bairagi R, Bhattacharya B. Does malnutrition predispose to diarrhoea during childhood? Evidence from a longitudinal study in Matlab, Bangladesh. Eur J Clin Nutr.
[5] Pecenka C, Parashar U, Tate JE, Khan JA, Groman D, Chacko S, et al. Impact and cost-effectiveness of rotavirus vaccination in Bangladesh.
[6] Paul RC, Faruque A, Alam M, Iqbal A, Zaman K, Islam N, et al. Incidence of severe diarrhoea due to Vibrio cholerae in the catchment area of six surveillance hospitals in Bangladesh. Epidemiol Infect. 2016; 144: 927-39.
[7] Rahman A, Chowdhury S. Determinants of chronic malnutrition among preschool children in Bangladesh. J Biosoc Sci. 2007; 39(2): 161-73. (9 IN A15; 10 IN 805).
[8] Black RE, Allen LH, Bhutta ZA, Caulfield LE, De Onis M, Ezzati M, et al. Maternal and child undernutrition: global and regional exposures and health consequences. Lancet. 2008; 371: 243-60.
[9] Demissie S, Worku A. Magnitude and factors associated with malnutrition in children 6-59 months of age in pastoral community of Dollo Ado District, Somali region, Ethiopia. Sci J Public Health. 2013.
[10] Nizame FA, Unicomb L, Sanghvi T, Roy S, Nuruzzaman M, Ghosh PK, et al. Handwashing before food preparation and child feeding: a missed opportunity for hygiene promotion. Am J Trop Med Hyg. 2013; 89: 1179-85.
[11] Masibo PK, Makoka D. Trends and determinants of undernutrition among young Kenyan children: Kenya demographic and health survey; 1993, 1998, 2003 and 2008–2009. Public Health Nutr. 2012.
[12] Alaimo K, Olson CM, Frongillo EA. Food insufficiency and American school-aged children’s cognitive, academic, and psychosocial development. Pediatrics. 2001; 108(1): 44-53.
[13] Winfrey W, McKinnon R, Stover J. Methods used in the lives saved tool (LiST). BMC Public Health. 2011; 11: S32. Medline: 21501451
[14] National Institute of Population Research and Training (NIPORT), Mitra and Associates (MA), ORC Macro (ORCM). Bangladesh Demographic and Health Survey 1999-2000. Dhaka, Bangladesh and Calverton, Maryland [USA]: National Institute of Population Research and Training, Mitra and Associates, and ORC Macro; 2001.
[15] Mitra SN, Al-Sabir A, Cross AR, Jamil K. Bangladesh Demographic and Health Survey, 1996-1997. Dhaka and Calverton, Maryland: National Institute of Population Research and Training (NIPORT), Mitra and Associates, and Macro International Inc.; 1997.
[16] Das SK, Faruque ASG, Chisti MJ, Malek MA, Salam MA, Sack DA. Changing trend of persistent diarrhoea in young children over two decades: observations from a large diarrhoeal disease hospital in Bangladesh. Acta Paediatr. 2012; 101: e452- 7. Medline: 22734659
[17] Das SK, Rahman A, Chisti M, Ahmed S, Malek M, Salam M, et al. Changing patient population in Dhaka Hospital and Matlab Hospital of icddr, b. Trop Med Int Health. 2014; 19: 240-3.
[18] WHO. Implementing the new recommendations on the clinical management of diarrhoea. Geneva: World Health Organization; 2006.
[19] Kundu DK, van Vliet BJ, Gupta A. The consolidation of deep tube well technology in safe drinking water provision: the case of arsenic mitigation in rural Bangladesh. Asian J TechnolInnov. 2016; 24: 254-73.
[20] Chowdhury A, Cash R. A Simple Solution: Teaching Millions to Treat Diarrhoea at Home. University Press Limited, Dhaka; 1996.
[21] Alom J, Quddus MA, Islam MA. Nutritional status of under-five children in Bangladesh: a multilevel analysis. J Biosoc Sci. 2012; 44(5): 525-35.
[22] Mosley WH, Gray R. Childhood precursors of adult morbidity and mortality in developing countries: implications for health programs. Epidemiol Transit. 1993; 1: 69-100.
[23] Das S, Gulshan J. Different forms of malnutrition among under-five children in Bangladesh: a cross-sectional study on prevalence and determinants. BMC Nutrition. 2017 Jan 3; 3(1): 1.
[24] Ahsan KZ, El Arifeen S, Al-Mamun MA, Khan SH, Chakraborty N. Effects of individual, household and community characteristics on child nutritional status in the slums of urban Bangladesh. Archives Public Health 2017; 75(1): 9.
[25] Alasfoor D, Traissac P, Gartner A, Delpeuch F. Determinants of persistent underweight among children, aged 6-35 months, after huge economic development and improvements in health services in Oman. J Health Popul Nutr. 2007: 359-69.
[26] Bangladesh Multiple Indicator Cluster Survey 2012-2013. ProgotirPathey: Final Report. Dhaka: Bangladesh Bureau of Statistics (BBS) and UNICEF Bangladesh; 2014.
[27] Winicki J, Jemison K. Food insecurity and hunger in the kindergarten classroom: its effect on learning and growth. Contemp Econ Policy. 2003.
[28] Henry FJ, Briend A, Fauveau V, Huttly SA, Yunus M, Chakraborty J. Gender and age differentials in risk factors for childhood malnutrition in Bangladesh. Ann Epidemiol. 1993; 3(4): 382-6. (19 IN A15).
[29] Chisti MJ, Hossain MI, Malek MA, Faruque AS, Ahmed T, Salam MA. Characteristics of severely malnourished under-five children hospitalized with diarrhoea, and their policy implications. Acta Paediatr. 2007; 96(5): 693-6. (22 IN A15).
[30] Handa S. Maternal education and child height. Econ Dev Cult Chang. 1999; 47(2): 421-39. (28).
[31] Tekce B, Shorter FC. Determinants of child mortality: a study of squatter settlements in Jordan. PopulDev Rev. 1984; 10(Suppl 1): 257-80. (11 in A8).
[32] Bicego GT, Boerma JT. Maternal education and child survival: a comparative study of survey data from 17 countries. SocSci Med. 1993; 36(9): 1207-27. (A8).
[33] Caldwell JC, Reddy PH, Caldwell P. The social component of mortality decline: an investigation in South India employing alternative methodologies. Popul Stud 1983; 37(2): 185-205. (13 IN A8).
[34] WHO approved a low osmolality ORS (OR Saline-N) for children’s diarrhoea therapy in 2003, because of its greater effectiveness.
[35] Sarker MHR, Das SK, Ahmed S, Ferdous F, Das J, Farzana FD, et al. Changing characteristics of rotavirus diarrhea in children younger than five years in urban Bangladesh. PLoS One. 2014; 9: e105978.
[36] El Arifeen S, Christou A, Reichenbach L, Osman FA, Azad K, Islam KS, et al. Community-based approaches and partnerships: innovations in health-service delivery in Bangladesh. Lancet. 2013; 382: 2012-26.
[37] National Institute of Population Research and Training (NIPORT) MaA, and ICF International, Bangladesh Demographic and Health Survey 2014 Dhaka, Bangladesh, and Rockville, Maryland, USA: NIPORT, Mitra and Associates, and ICF International. 2016.
[38] Sørup S, Benn CS, Poulsen A, Krause TG, Aaby P, Ravn H. Live vaccine against measles, mumps, and rubella and the risk of hospital admissions for nontargeted infections. JAMA. 2014; 311: 826-35.
[39] Ahmed F. Vitamin A deficiency in Bangladesh: a review and recommendations for improvement. Public Health Nutr. 1999; 2: 1-14.
[40] Zohura F, Bhuyian SI, Monira S, Begum F, Biswas SK, Parvin T, et al. Observed handwashing with soap practices among cholera patients and accompanying household members in a hospital setting (CHoBI7 Trial). Am J Trop Med Hyg. 2016; 95: 1314-8.
[41] Hossain MI, Yasmin R, Kabir I. Nutritional and immunization status, weaning practices and socio-economic conditions of under-five children in three villages of Bangladesh. Indian J Public Health. 1999; 43(1): 37-41. (21 IN A15).
[42] Ibrahim MK, Zambruni MMelby CL, Melby PC 2017. Impact of Childhood Malnutrition on Host Defense and Infection. Clin Microbiol Rev 30:
[43] Billah SM, Raihana S, Ali NB, Iqbal A, Rahman MM, Khan ANS, Karim F, Karim MA, Hassan A, Jackson B, Walker N, Hossain MA, Sarker S, Black RE, El Arifeen S. Bangladesh: a success case in combating childhood diarrhoea. J Glob Health. 2019 Dec; 9(2): 020803.
[44] Prof Zulfiqar A Bhutta, PhD, Jai K Das, MBA, Neff Walker, MPH, Arjumand Rizvi, MSc, Prof Harry Campbell, MD, Prof Igor Rudan, PhD et al: Childhood Pneumonia And Diarrhoea| Volume 381, Issue 9875, P1417-1429, April 20, 2013.
Cite This Article
  • APA Style

    Islam, N., Raha, B. K., Chharra, S., Prodhan, S., Haque, A., et al. (2024). The Role of Low Lactose Feeding for Preventing Childhood Malnutrition and Long-Term Gut Damage Caused by Recurrent Diarrhoeal Disease. European Journal of Preventive Medicine, 12(2), 24-34. https://doi.org/10.11648/j.ejpm.20241202.11

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    ACS Style

    Islam, N.; Raha, B. K.; Chharra, S.; Prodhan, S.; Haque, A., et al. The Role of Low Lactose Feeding for Preventing Childhood Malnutrition and Long-Term Gut Damage Caused by Recurrent Diarrhoeal Disease. Eur. J. Prev. Med. 2024, 12(2), 24-34. doi: 10.11648/j.ejpm.20241202.11

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    AMA Style

    Islam N, Raha BK, Chharra S, Prodhan S, Haque A, et al. The Role of Low Lactose Feeding for Preventing Childhood Malnutrition and Long-Term Gut Damage Caused by Recurrent Diarrhoeal Disease. Eur J Prev Med. 2024;12(2):24-34. doi: 10.11648/j.ejpm.20241202.11

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  • @article{10.11648/j.ejpm.20241202.11,
      author = {Nurul Islam and Biplob Kumar Raha and Samia Chharra and Shamsuzzaman Prodhan and Ariful Haque and Nazmul Hassan},
      title = {The Role of Low Lactose Feeding for Preventing Childhood Malnutrition and Long-Term Gut Damage Caused by Recurrent Diarrhoeal Disease
    },
      journal = {European Journal of Preventive Medicine},
      volume = {12},
      number = {2},
      pages = {24-34},
      doi = {10.11648/j.ejpm.20241202.11},
      url = {https://doi.org/10.11648/j.ejpm.20241202.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ejpm.20241202.11},
      abstract = {Even though it has decreased over the past three decades, diarrheal sickness continues to be a major global cause of death for children. There is a strong correlation between childhood rotavirus, diarrhea, climate factors, and malnutrition. On the other hand, a significant nutritional shift (lower levels of undernutrition) among children mal five has been documented in the last ten years, especially in developing nations like Bangladesh, where rotavirus infection has also been on the rise. Given the pathophysiology of rotavirus, there may be a link between the changing diet, the environment, and other artificial factors in urban areas such as Dhaka, Bangladesh, and the rise in rotavirus infections. Under-five malnutrition is still a major problem in Bangladesh, despite significant socioeconomic progress and ten years of initiatives to reduce it. Many research have been conducted in an attempt to identify the primary risk factors for malnutrition; however, none of these have looked into the importance of low birth weight (LBW) 36%. Bangladesh has seen a notable decline in the incidence of pediatric diarrhea deaths in recent decades. Over the past few decades, Bangladesh, a heavily populated country with limited resources, has managed to achieve a notable reduction in the death rate of pediatric diarrhea. Some of the obstacles that still need to be overcome in order to further lower the burden of disease and mortality brought on by diarrhea are enhancing hand hygiene practices, expanding zinc coverage for diarrhea treatment, and maintaining nutritional improvement. To increase intervention coverage and hasten the end of diarrheal mortality among children in Bangladesh, ongoing collaboration with non-governmental organizations and the private sector is necessary, as is the adoption of pluralistic health system platforms for the delivery of preventative and curative services.
    },
     year = {2024}
    }
    

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    AB  - Even though it has decreased over the past three decades, diarrheal sickness continues to be a major global cause of death for children. There is a strong correlation between childhood rotavirus, diarrhea, climate factors, and malnutrition. On the other hand, a significant nutritional shift (lower levels of undernutrition) among children mal five has been documented in the last ten years, especially in developing nations like Bangladesh, where rotavirus infection has also been on the rise. Given the pathophysiology of rotavirus, there may be a link between the changing diet, the environment, and other artificial factors in urban areas such as Dhaka, Bangladesh, and the rise in rotavirus infections. Under-five malnutrition is still a major problem in Bangladesh, despite significant socioeconomic progress and ten years of initiatives to reduce it. Many research have been conducted in an attempt to identify the primary risk factors for malnutrition; however, none of these have looked into the importance of low birth weight (LBW) 36%. Bangladesh has seen a notable decline in the incidence of pediatric diarrhea deaths in recent decades. Over the past few decades, Bangladesh, a heavily populated country with limited resources, has managed to achieve a notable reduction in the death rate of pediatric diarrhea. Some of the obstacles that still need to be overcome in order to further lower the burden of disease and mortality brought on by diarrhea are enhancing hand hygiene practices, expanding zinc coverage for diarrhea treatment, and maintaining nutritional improvement. To increase intervention coverage and hasten the end of diarrheal mortality among children in Bangladesh, ongoing collaboration with non-governmental organizations and the private sector is necessary, as is the adoption of pluralistic health system platforms for the delivery of preventative and curative services.
    
    VL  - 12
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Author Information
  • Department of Pediatrics, M Abdur Rahim Medical College and Hospital Dinajpur, Rangpur, Bangladesh

  • Department of Pediatrics, Combined Military Hospital, Dhaka, Bangladesh

  • Department of Pediatrics, TMMS Medical College and Hospital, Rajshahi, Bangladesh

  • Department of Pediatrics, Rangpur Medical College and Hospital, Rangpur, Bangladesh

  • Department of Pediatrics Gastro-Enterology and Nutrition, Rangpur Medical College and Hospital, Rangpur, Bangladesh

  • Department of Pediatrics, Department of Pediatric Gastro-enterology and Nutrition, Shahid Ziaur Rahman Medical College and Hospital, Rajshahi, Bangladesh

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