{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,3]],"date-time":"2026-11-03T17:06:18Z","timestamp":1793725578718,"version":"4.6.1"},"reference-count":28,"publisher":"BMJ","issue":"7","license":[{"start":{"date-parts":[[2023,7,5]],"date-time":"2023-07-05T00:00:00Z","timestamp":1688515200000},"content-version":"unspecified","delay-in-days":4,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2023,5,22]]},"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Wasting is acute malnutrition that has harmful short-term consequences for children and is determined by an inadequate diet. This study aimed to assess the prevalence and associated factors of wasting among children aged 6\u201359 months in Debre Tabor town, Ethiopia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>This study was a community-based cross-sectional.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>The study was conducted at Debre Tabor town, Ethiopia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>A total of 436 children aged 6\u201359 months participants were enrolled.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Outcome measures<\/jats:title>\n                    <jats:p>A weight-for-height z-score, which is below \u22122 SD of the WHO median standard curve, was used to measure wasting. Logistic regression analyses were done to see which independent variables have an association with the dependent variable and a p value of &lt;0.05 was considered significant at the 95% CI.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The result revealed that wasting in children aged 6\u201359 months was 6.2%. Children in the age group of 6\u201311 months were 4.3 times more likely to have wasted than those in the age group of 24\u201359 months (adjusted OR (AOR): 4.3; 95% CI: 1.5 to 12.5). Similarly, parents who have poor wealth status in their family are 3.1 times more likely to have wasted children than those who have rich wealth status in their family (AOR: 3.1 (1.01 to 9.35)). Moreover, mothers who gave birth at the age group of 20\u201325 years were 4.3 times more likely to have wasted children than those who gave birth at an age group of greater than 30 years (AOR: 4.3 (4.3 (1.56 to 12.5)).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Wasting is still an important public health problem for children in the age group of 6\u201359 months. The age of the child, the wealth status of the family, and giving birth before 20 years of age were significantly associated with wasting. Therefore, the government of Ethiopia should pay further attention to the wealth status of the family; create awareness among the mothers regarding childhood undernutrition care, and design further nutritional intervention programmes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2023-071679","type":"journal-article","created":{"date-parts":[[2023,7,5]],"date-time":"2023-07-05T16:42:19Z","timestamp":1688575339000},"page":"e071679","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":10,"title":["Wasting and its associated factors among children aged from 6 to 59 months in Debre Tabor town, Amhara region of Ethiopia, 2019: a multicentre community-based cross-sectional study"],"prefix":"10.1136","volume":"13","author":[{"given":"Bisrat Dessie","family":"Getu","sequence":"first","affiliation":[{"name":"Department of Nursing, Debre Tabor Health Sciences College, Debre Tabor, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kefyalew Amogne","family":"Azanaw","sequence":"additional","affiliation":[{"name":"Department of Nursing, Debre Tabor Health Sciences College, Debre Tabor, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Libsuye Yalgaw","family":"Zimamu","sequence":"additional","affiliation":[{"name":"Department of Nursing, Debre Tabor Health Sciences College, Debre Tabor, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gashaw Mekete","family":"Adal","sequence":"additional","affiliation":[{"name":"Department of Nursing, Debre Tabor Health Sciences College, Debre Tabor, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5511-5812","authenticated-orcid":false,"given":"Nigusie Selomon","family":"Tibebu","sequence":"additional","affiliation":[{"name":"Department of Pediatrics and Child Health Nursing, Debre Tabor University, Debre Tabor, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9535-0190","authenticated-orcid":false,"given":"Tigabu Desie","family":"Emiru","sequence":"additional","affiliation":[{"name":"Department of Pediatrics and Child Health Nursing, Debre Tabor University, Debre Tabor, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1127-3592","authenticated-orcid":false,"given":"Kendalem Asmare","family":"Atalell","sequence":"additional","affiliation":[{"name":"Department of Pediatrics and Child Health Nursing, School of Nursing, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2023,7,5]]},"reference":[{"key":"2025121509154240000_13.7.e071679.1","unstructured":"World Health Organization . Meeting report: WHO technical consultation: nutrition-related health products and the World Health Organization model list of essential medicines\u2013practical considerations and feasibility: Geneva, Switzerland, 20\u201321 September 2018. 2019."},{"key":"2025121509154240000_13.7.e071679.2","doi-asserted-by":"crossref","unstructured":"Baye K , Hirvonen K . Accelerating progress in improving diets and nutrition in Ethiopia. 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Children concurrently wasted and stunted: A Meta\u2010Analysis of prevalence data of children 6\u201359 months from 84 countries. Matern Child Nutr 2018;14. doi:10.1111\/mcn.12516 Available: https:\/\/onlinelibrary.wiley.com\/toc\/17408709\/14\/2","DOI":"10.1111\/mcn.12516"},{"key":"2025121509154240000_13.7.e071679.7","doi-asserted-by":"crossref","DOI":"10.1186\/s40795-017-0154-2","article-title":"The effect of maternal and child factors on Stunting, wasting and Underweight among preschool children in northern Ghana","volume":"3","author":"Ali","year":"2017","journal-title":"BMC Nutr"},{"key":"2025121509154240000_13.7.e071679.8","doi-asserted-by":"crossref","DOI":"10.1186\/s13104-018-3880-x","article-title":"Magnitude of wasting and Underweight among children 6\u201359 months of age in Sodo Zuria district, South Ethiopia: a community based cross-sectional study","volume":"11","author":"Tufa","year":"2018","journal-title":"BMC Res Notes"},{"key":"2025121509154240000_13.7.e071679.9","unstructured":"Odei Obeng\u2010Amoako GA , Karamagi CAS , Nangendo J , et al . Prevalence and determinants of Stunting and wasting among public primary school children in Gondar town, Northwest. Ethiopia Maternal & Child Nutrition 2020:e13074."},{"key":"2025121509154240000_13.7.e071679.10","doi-asserted-by":"crossref","DOI":"10.1186\/s12887-017-0848-2","article-title":"Stunting, wasting and associated factors among children aged 6\u201324 months in Dabat health and demographic surveillance system site: A community based cross-sectional study in Ethiopia","volume":"17","author":"Derso","year":"2017","journal-title":"BMC Pediatr"},{"key":"2025121509154240000_13.7.e071679.11","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s40795-016-0079-1","article-title":"Magnitude and factors associated with malnutrition in children 6\u201359 months of age in Shinille Woreda, Ethiopian Somali regional state: a cross-sectional study","volume":"2","author":"Ma\u2019alin","year":"2016","journal-title":"BMC Nutr"},{"key":"2025121509154240000_13.7.e071679.12","doi-asserted-by":"crossref","DOI":"10.1155\/2017\/6373595","article-title":"Household food insecurity and its association with nutritional status of children 6\u201359 months of age in East Badawacho district, South Ethiopia","volume":"2017","author":"Betebo","year":"2017","journal-title":"J Environ Public Health"},{"key":"2025121509154240000_13.7.e071679.13","doi-asserted-by":"crossref","DOI":"10.1186\/s12939-017-0608-9","article-title":"Prevalence of malnutrition and associated factors in children aged 6\u201359 months among rural dwellers of Damot gale district, South Ethiopia: community based cross sectional study","volume":"16","author":"Abera","year":"2017","journal-title":"Int J Equity Health"},{"key":"2025121509154240000_13.7.e071679.14","doi-asserted-by":"crossref","DOI":"10.1155\/2019\/9187609","article-title":"Prevalence of malnutrition and associated factors among under-five children in pastoral communities of afar regional state, northeast Ethiopia: a community-based cross-sectional study","volume":"2019","author":"Gebre","year":"2019","journal-title":"J Nutr Metab"},{"key":"2025121509154240000_13.7.e071679.15","article-title":"Prevalence of acute malnutrition and its associated factors among children aged 6-59 months in mai-Aini Eritrean refugees, camp, northern Ethiopia","volume":"5","author":"Kelati","year":"2014","journal-title":"J Nutr Food Sci"},{"key":"2025121509154240000_13.7.e071679.16","doi-asserted-by":"crossref","DOI":"10.4172\/2161-0509.1000147","article-title":"Prevalence and factors associated with Stunting, Underweight and wasting: A community based cross sectional study among children age 6-59 months at Lalibela town, northern Ethiopia","volume":"4","author":"Yalew","year":"2014","journal-title":"J Nutr Disorders Ther"},{"key":"2025121509154240000_13.7.e071679.17","doi-asserted-by":"crossref","first-page":"81","DOI":"10.2147\/PHMT.S172317","article-title":"Undernutrition and associated factors among children aged 6\u201359 months living in slum areas of Gondar city, Northwest Ethiopia: a cross-sectional study","volume":"9","author":"Gelu","year":"2018","journal-title":"Pediatric Health Med Ther"},{"key":"2025121509154240000_13.7.e071679.18","doi-asserted-by":"crossref","DOI":"10.1186\/s12887-018-1386-2","article-title":"Food security is not the only solution to prevent under-nutrition among 6\u201359 months old children in Western Amhara region, Ethiopia","volume":"19","author":"Demilew","year":"2019","journal-title":"BMC Pediatr"},{"key":"2025121509154240000_13.7.e071679.19","doi-asserted-by":"crossref","DOI":"10.1186\/s12889-016-3180-0","article-title":"Undernutrition and associated factors among children aged 6-59 months in East Belesa district, Northwest Ethiopia: a community based cross-sectional study","volume":"16","author":"Fentahun","year":"2016","journal-title":"BMC Public Health"},{"key":"2025121509154240000_13.7.e071679.20","unstructured":"EEMD . Health Survey 2019. Key Indicators Rockville. Maryland, USA: EPHI and ICF, 2019."},{"key":"2025121509154240000_13.7.e071679.21","doi-asserted-by":"crossref","DOI":"10.1186\/s13104-018-3880-x","article-title":"Magnitude of wasting and Underweight among children 6-59 months of age in Sodo Zuria district, South Ethiopia: a community based cross-sectional study","volume":"11","author":"Tufa","year":"2018","journal-title":"BMC Res Notes"},{"key":"2025121509154240000_13.7.e071679.22","doi-asserted-by":"crossref","first-page":"1","DOI":"10.4172\/2161-0509-3-T1-001","article-title":"Prevalence of malnutrition and associated factors among children aged 6-59 months at Hidabu Abote district, North Shewa, Oromia regional state","volume":"01","author":"Mengistu","year":"2013","journal-title":"J Nutr Disorders Ther"},{"key":"2025121509154240000_13.7.e071679.23","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0195361","article-title":"Prevalence of Stunting and its associated factors among children 6-59 months of age in Libo-Kemekem district, Northwest Ethiopia; A community based cross sectional study","volume":"13","author":"Geberselassie","year":"2018","journal-title":"PLoS One"},{"key":"2025121509154240000_13.7.e071679.24","doi-asserted-by":"crossref","unstructured":"Ahmad S . Prevalence and associated factors of Undernutrition among 6-59 months children in Tehsil Battagram, Pakistan (3\/30\/2020). SSRN Journal 2020. doi:10.2139\/ssrn.3566131","DOI":"10.2139\/ssrn.3566131"},{"key":"2025121509154240000_13.7.e071679.25","doi-asserted-by":"crossref","DOI":"10.1186\/s12889-015-1370-9","article-title":"Prevalence of Undernutrition and associated factors among children aged between six to fifty nine months in Bule Hora district, South Ethiopia","volume":"15","author":"Asfaw","year":"2015","journal-title":"BMC Public Health"},{"key":"2025121509154240000_13.7.e071679.26","doi-asserted-by":"crossref","first-page":"155","DOI":"10.4314\/ejhs.v27i2.8","article-title":"Nutritional status and effect of maternal employment among children aged 6\u201359 months in Wolayta Sodo town, Southern Ethiopia: a cross-sectional study","volume":"27","author":"Eshete","year":"2017","journal-title":"Ethiop J Health Sci"},{"key":"2025121509154240000_13.7.e071679.27","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0230480","article-title":"Concurrently wasted and stunted 6-59 months children admitted to the outpatient therapeutic feeding programme in Karamoja, Uganda: prevalence, characteristics, treatment outcomes and response","volume":"15","author":"Odei Obeng-Amoako","year":"2020","journal-title":"PLoS One"},{"key":"2025121509154240000_13.7.e071679.28","doi-asserted-by":"crossref","unstructured":"Blankenship JL , Cashin J , Nguyen TT , et al . Childhood Stunting and wasting in Myanmar: key drivers and implications for policies and programmes. 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