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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Wasting is associated with stunting in early childhood
Journal of Nutrition, Volume 142, No. 7, Year 2012
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Description
The longitudinal relationship between stunting and wasting in children is poorly characterized. Instances of wasting or poor weight gain may precede linear growth retardation. We analyzed longitudinal anthropometric data for 1599 children from 8 cohort studies to determine the effect of wasting [weight-for-length Z-score (WLZ) <-2] and variability in WLZ in the first 17 mo on length-for-age Z-score (LAZ) at 18-24 mo of age. In addition, we considered the effects of change in WLZ during the previous 6-mo period on length at 18 and 24 mo. Wasting at 6-11 or 12-17 mo was associated with decreased LAZ; however, children who experienced wasting only at 0-5 mo did not suffer any long-term growth deficits compared with children with no wasting during any period. Children with greater WLZ variability (≥0.5 SD) in the first 17 mo of life were shorter [LAZ = -0.51 SD (95% CI: -0.67, 20.36 SD)] at 18-24 mo of age than children with WLZ variability <0.5. Change in WLZ in the previous 6-mo period was directly associated with greater attained length at 18 mo [0.33 cm (95% CI: 0.11, 0.54 cm)] and 24 mo [0.72 cm (95% CI: 0.52, 0.92 cm)]. Children with wasting, highly variable WLZ, or negative changes in WLZ are at a higher risk for linear growth retardation, although instances of wasting may not be the primary cause of stunting in developing countries. © 2012 American Society for Nutrition.
Available Materials
https://efashare.b-cdn.net/share/pmc/articles/PMC3374667/bin/supp_142_7_1291__index.html
https://efashare.b-cdn.net/share/pmc/articles/PMC3374667/bin/supp_jn.111.154922_nut154922-SFig1-SFig3.pdf
Authors & Co-Authors
Richard, Stephanie A.
United States, Baltimore
Johns Hopkins Bloomberg School of Public Health
United States, Bethesda
National Institutes of Health Nih
Black, Robert E.
United States, Baltimore
Johns Hopkins Bloomberg School of Public Health
Gilman, Robert Hugh
United States, Baltimore
Johns Hopkins Bloomberg School of Public Health
Guerrant, Richard Littleton
United States, Charlottesville
University of Virginia School of Medicine
Kang, Gagandeep
India, Vellore
Christian Medical College, Vellore
Lanata, Claudio Franco
Peru, Lima
Instituto de Investigacion Nutricional
Mølbak, Kåre
Denmark, Copenhagen
Statens Serum Institut
Rasmussen, Zeba A.
United States, Bethesda
National Institutes of Health Nih
Sack, Richard Bradley
United States, Baltimore
Johns Hopkins Bloomberg School of Public Health
Valentiner-Branth, Palle
Denmark, Copenhagen
Statens Serum Institut
Checkley, William N.
United States, Baltimore
Johns Hopkins Bloomberg School of Public Health
Moore, Sean
United States, Cincinnati
University of Cincinnati
Moreira Lima, Aldo Ângelo
Brazil, Fortaleza
Universidade Federal do Ceará
Pinkerton, Relana C.
United States, Charlottesville
University of Virginia
Aaby, Peter
Denmark, Copenhagen
Statens Serum Institut
Guinea-bissau, Bissau
Bandim Health Project
Cabrera, Lilia Z.
Peru, Lima
Asociacion Benefica Prisma Lima
Bern, Caryn
United States, Atlanta
Centers for Disease Control and Prevention
Sterling, Charles R.
United States, Tucson
The University of Arizona
Epstein, Leonardo D.
Chile, Santiago
Universidad Adolfo Ibáñez
Moulton, Lawrence H.
United States, Baltimore
Johns Hopkins Bloomberg School of Public Health
Perch, Michael
Denmark, Copenhagen
Statens Serum Institut
Fischer, Thea K.
Denmark, Copenhagen
Statens Serum Institut
Sommerfelt, Halvor
Norway, Bergen
Universitetet I Bergen
Steinsland, Hans
Norway, Bergen
Universitetet I Bergen
Verástegui, Héctor A.
Peru, Lima
Instituto de Investigacion Nutricional
Statistics
Citations: 121
Authors: 25
Affiliations: 15
Identifiers
Doi:
10.3945/jn.111.154922
ISSN:
00223166
Research Areas
Food Security
Maternal And Child Health
Study Design
Cohort Study