Chika Ndiokwelu

University of Nigeria-Teaching Hospital, Enuga, Enugu State, Nigeria

Are you Chika Ndiokwelu?

Claim your profile

Publications (4)6.64 Total impact

  • [Show abstract] [Hide abstract]
    ABSTRACT: Inadequate breastfeeding practices contribute to malnutrition in young children. This study examined changes in breastfeeding practices and the nutritional status of children (0-35 months, n = 37154) using data from the nationally-representative Nigerian Demographic and Health Surveys for 1990-2008. The study estimated the relative changes in the proportion of children meeting recommended breastfeeding practices and the anthropometric indices of the children during the study period, by region, place of residence, maternal education and maternal occupation. In each study year, over 97% of the children were ever breastfed. The proportion of infants breastfed within 1 hour and 1 day of birth increased from 34% to 45.8%, and from 63.8% to 82.3%, respectively. Overall, breastfeeding for ≥ 12 months changed from 88.9% to 95.2%, an increase of 7%; however, an increase of 14% was observed in the northern region (from 86.1% to 97.8%) while a decline of 7% was observed in the southern region (from 97.1% to 89.9%). Over the study period, the prevalence of all the assessed indicators of malnutrition (stunting, wasting and underweight) increased in the northern region while the southern region experienced a decline in all except severe wasting. In both urban and rural areas, stunting and wasting increased, while underweight declined. Children of non-formally educated and unemployed mothers were more malnourished in all the study years. Improvement in some breastfeeding practices did not result in improvement in the nutritional status of Nigerian children during 1990-2008, particularly in northern Nigeria and among socially disadvantaged mothers. Improving maternal education and employment, and integrating messages on techniques and benefits of optimal infant feeding with other maternal and child healthcare services could be beneficial.
    Paediatrics and international child health 07/2015; DOI:10.1179/2046905515Y.0000000048 · 0.98 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: Understanding the overall dietary patterns of a population is a key step in initiating appropriate nutritional interventions and policies. Studies characterising the dietary patterns of Nigerian mothers and children are lacking. Complete dietary data for 13 566 mothers and their 13 506 children were analysed from the 2008 Nigerian Demographic and Health Surveys (NDHS), a nationally representative sample, to identify the overall maternal and child dietary patterns and to study the potential determinants of such dietary patterns. The 2008 NDHS included questions that inquired about the food items mothers and their children had consumed during the 24 h preceding the day of the interview. Factor analysis with the principal component procedure was used to construct the dietary patterns, and multiple multilevel logistic regression was used to investigate the determinants of the dietary patterns. Four ('mixed', 'traditional', 'staple foods and milk products' and 'beverages') and five ('mixed', 'selective', 'beverages and candies', 'gruels, grains and semi-solids' and 'infant formula and cereals') distinct dietary patterns were obtained for the mothers and children, respectively. The key determinants of both maternal and child dietary patterns were month of interview, religion, region of residence, maternal education, maternal occupation, wealth index and maternal body mass index. Marital status additionally predicted maternal patterns, while sex of the child, number of siblings, child's age, maternal age and place of residence additionally determined the child's patterns. This study has identified four and five different dietary patterns to characterise the dietary habits of Nigerian mothers and their children, respectively, and has shown the important socio-economic/demographic factors influencing the dietary patterns, which can guide appropriate nutritional interventions among Nigerian mothers and children.
    Maternal and Child Nutrition 11/2012; 11(3). DOI:10.1111/mcn.12011 · 3.06 Impact Factor
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: To determine the prevalence, risk factors, co-morbidities and case fatality rates of Protein Energy Malnutrition (PEM) admissions at the paediatric ward of the University of Nigeria Teaching Hospital Enugu, South-east Nigeria over a 10 year period. A retrospective study using case Notes, admission and mortality registers retrieved from the Hospital’s Medical Records Department. All children aged 0 to 59 months admitted into the hospital on account of PEM between 1996 and 2005. A total of 212 children with PEM were admitted during the period under review comprising of 127 (59.9%) males and 85(40.1%) females. The most common age groups with PEM were 6 to 12 months (55.7%) and 13 to 24 months (36.8%). Marasmus (34.9%) was the most common form of PEM noted in this review. Diarrhea and malaria were the most common associated co-morbidities. Majority (64.9%) of the patients were from the lower socio-economic class. The overall case fatality rate was 40.1% which was slightly higher among males (50.9%). Mortality in those with marasmic-kwashiokor and in the unclassified group was 53.3% and 54.5% respectively. Most of the admissions and case fatality were noted in those aged 6 to 24 months which coincides with the weaning period. Marasmic-kwashiokor is associated with higher case fatality rate than other forms of PEM. We suggest strengthening of the infant feeding practices by promoting exclusive breastfeeding for the first six months of life, followed by appropriate weaning with continued breast feeding. Under-five children should be screened for PEM at the community level for early diagnosis and prompt management as a way of reducing the high mortality associated with admitted severe cases.
    Nutrition Journal 06/2012; 11(1):43. DOI:10.1186/1475-2891-11-43 · 2.60 Impact Factor
  • Source
    Etisiobi Ndiokwelu · Chika Ndiokwelu ·
    [Show abstract] [Hide abstract]
    ABSTRACT: SUMMARY There is a close relationship between diet, nutrition and dental health. Oral tissues like all tissues in the body are diet and nutrition-dependent. Knowledge of food sources, their properties, functions, requirements, optimal levels and consequences of deficiencies must form the basis for dietary counseling Enough is now known about the interdependence of nutrition, diet and dental diseases that dietary counseling has become a very important and integral part of dental care in developed countries. This is not surprising because oral tissues like all tissues in the body are diet and nutrition - dependent. In this paper, the scientific basis for dietary counseling in oral health and the role of sucrose in the etiology of some oral and metabolic disease has been reviewed. The importance of diet counseling and the critical elements of counseling have been outlined. It is recommended, that dietary counseling in dental diseases should be comprehensive for the whole human health and not just for any particular dental disease. Given the time consuming nature of diet counseling it is suggested, that dental practitioners make effort to regularly refer patients/clients presenting with diet- related oral diseases to nutritionist-dietitians who have been professionally trained in the science and art of diet/nutrition counseling. In the absence of such professionals, patients/clients should as a matter of routine be referred to dental nurses and dental hygienists for nutritional counseling.
    07/2010; 3(1-2). DOI:10.4314/ajoh.v3i1-2.57023