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Mortality Attributable to Nutritional Deficiencies Among Iranian Children Under the Age of Five at National and Sub-National Level: 1995-2015 Pubmed



Soleimanzadehkhayat M1, 2 ; Yoosefi M1, 3 ; Zamaninour N4 ; Shahbal N1 ; Gohari K5 ; Sheidaei A6 ; Naderimagham S1, 7 ; Khajavi A1, 8 ; Modirian M1 ; Mahmoudi N1 ; Mahmoudi Z7 ; Dilmaghanimarand A1 ; Rezaee K1 ; Chegini M1, 9 Show All Authors
Authors
  1. Soleimanzadehkhayat M1, 2
  2. Yoosefi M1, 3
  3. Zamaninour N4
  4. Shahbal N1
  5. Gohari K5
  6. Sheidaei A6
  7. Naderimagham S1, 7
  8. Khajavi A1, 8
  9. Modirian M1
  10. Mahmoudi N1
  11. Mahmoudi Z7
  12. Dilmaghanimarand A1
  13. Rezaee K1
  14. Chegini M1, 9
  15. Khosravi A10
Show Affiliations
Authors Affiliations
  1. 1. Non-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Department of Biostatistics, Faculty of Paramedical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  4. 4. Minimally Invasive Surgery Research Center, Iran University of Medical Sciences, Tehran, Iran
  5. 5. Department of Biostatistics, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran
  6. 6. Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
  7. 7. Endocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
  8. 8. Student Research Committee, Faculty of Paramedical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  9. 9. Arak University of Medical Sciences, Arak, Iran
  10. 10. Deputy for Public Health, Ministry of Health and Medical Education, Tehran, Iran

Source: Archives of Iranian Medicine Published:2020


Abstract

Background: Under-five mortality is considered an indicator of population well-being and health equality in societies. Under-five mortality caused by nutritional deficiencies is a public health concern in developing countries. In this study, we aimed to report the trend and mortality rate of nutritional deficiencies from 1995 to 2015 in children aged under five years. Methods: In this study, we used the death registration system (DRS) data to estimate age- and sex-specific nutritional deficiency mortality rates at national and sub-national levels in Iran from 1995 to 2015. The Iranian DRS used the 10th revision of International Classification of Diseases (ICD-10) but we report our results based on Global Burden of Diseases (GBD) study codes. We used the average annual percent change (AAPC) to quantify trend in under-five mortality rate attributable to nutritional deficiencies from 1995 to 2015. Results: At national level, mortality rates in both sexes were 8.53 (95% uncertainty interval [UI]: 7.69-9.47), 1.04 (0.86-1.36), and 0.37 (95% UI: 0.28-0.57) per 100,000 in 1995, 2005, and 2015, respectively. AAPC was estimated between 1995 and 2015. At sub-national level, the highest and lowest mortality rates across provinces ranged from 17.7 per 100 000 in 1995 to 1.1 per 100 000 in 2015. In the latest years, protein-energy malnutrition (PEM) was the most frequent cause of mortality among other nutritional deficiencies. Conclusion: The results show a substantial reduction in terms of mortality caused by nutritional deficiencies at national, as well as provincial, level among children under-five years of age. © 2020 The Author(s).
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