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Arch Iran Med. 2020;23(2): 75-83.
PMID: 32061069
Scopus ID: 85079359808
  Abstract View: 377
  PDF Download: 298

Original Article

Mortality Attributable to Nutritional Deficiencies among Iranian Children under the Age of Five at National and Subnational Level: 1995–2015

Mojdeh Soleimanzadehkhayat 1,2, Moein Yoosefi 1,3, Negar Zamaninour 4, Nazila Shahbal 1, Kimiya Gohari 5, Ali Sheidaei 6, Shohreh Naderimagham 1,7, Alireza Khajavi 8,1, Mitra Modirian 1, Negar Mahmoudi 1, Zohreh Mahmoudi 7, Arezou Dilmaghani-Marand 1, Kamyar Rezaee 1, Maryam Chegini 9,1, Ardeshir khosravi 10*

1 Non-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
2 School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran
3 Department of Biostatistics, Faculty of Paramedical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran
4 Minimally Invasive Surgery Research Center, Iran University of Medical Sciences, Tehran, Iran
5 Department of Biostatistics, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran
6 Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
7 Endocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
8 Student Research Committee, Faculty of Paramedical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran
9 Arak University of Medical Sciences, Arak, Iran
10 Deputy for Public Health, Ministry of Health and Medical Education, Tehran, Iran
*Corresponding Author: Ardeshir Khosravi, PhD; Deputy of Health, Iranian Ministry of Health and Medical Education, Tehran, Iran. Tel: +982181454211, Fax:+982181454357, Email: ardeshir1344@yahoo.com

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 100000 in 1995 to 1.1 per 100000 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.

Keywords: Child mortality, Malnutrition, Micronutrient deficiencies, Nutritional deficiency, Under-five
Cite this article as: Soleimanzadehkhayat M, Yoosefi M, Zamaninour N, Shahbal N, Gohari K, Sheidaei A, et al. Mortality attributable to nutritional deficiencies among Iranian children under the age of five at national and sub-national level: 1995–2015. Arch Iran Med. 2020;23(2):75–83.
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Submitted: 08 Oct 2018
Accepted: 21 Oct 2019
ePublished: 01 Feb 2020
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