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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
Exploring the relationship between chronic undernutrition and asymptomatic malaria in Ghanaian children
Malaria Journal, Volume 9, No. 1, Article 39, Year 2010
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Description
Background. A moderate association has been found between asymptomatic parasitaemia and undernutrition. However, additional investigation using the gold standard for asymptomatic parasitaemia confirmation, polymerase chain reaction (PCR), is needed to validate this association. Anthropometric measurements and blood samples from children less than five years of age in a rural Ghanaian community were used to determine if an association exists between chronic undernutrition and PCR-confirmed cases of asymptomatic malaria. Methods. This was a descriptive cross-sectional study of 214 children less than five years of age from a community near Kumasi, Ghana. Blood samples and anthropometric measurements from these children were collected during physical examinations conducted in January 2007 by partners of the Barekuma Collaborative Community Development Programme. Results. Findings from the logistic model predicting the odds of asymptomatic malaria indicate that children who experienced mild, moderate or severe stunting were not more likely to have asymptomatic malaria than children who were not stunted. Children experiencing anaemia had an increased likelihood (OR = 4.15; 95% CI: 1.92, 8.98) of asymptomatic malaria. Similarly, increased spleen size, which was measured by ultrasound, was also associated with asymptomatic malaria (OR = 2.17; 95% CI: 1.44, 3.28). Fast breathing, sex of the child, and age of the child were not significantly associated with the asymptomatic malaria. Conclusions. No significant association between chronic undernutrition and presence of asymptomatic malaria was found. Children who experience anaemia and children who have splenomegaly are more likely to present asymptomatic malaria. Programmes aimed at addressing malaria should continue to include nutritional components, especially components that address anaemia. © 2010 Crookston et al; licensee BioMed Central Ltd.
Authors & Co-Authors
Crookston, Benjamin T.
Unknown Affiliation
Alder, Stephen Craig
Unknown Affiliation
Boakye, Isaac
Unknown Affiliation
Merrill, Ray Martell
Unknown Affiliation
Amuasi, John Humphrey
Unknown Affiliation
Porucznik, Christina A.
Unknown Affiliation
Stanford, Joseph B.
Unknown Affiliation
Dickerson, Ty Triston
Unknown Affiliation
Dearden, Kirk A.
Unknown Affiliation
Hale, Devon C.
Unknown Affiliation
Sylverken, Justice
Unknown Affiliation
Snow, Bryce S.
Unknown Affiliation
Osei-Akoto, Alex Yaw
Unknown Affiliation
Ansong, Daniel Ayirebi
Unknown Affiliation
Statistics
Citations: 71
Authors: 14
Affiliations: 7
Identifiers
Doi:
10.1186/1475-2875-9-39
e-ISSN:
14752875
Research Areas
Food Security
Infectious Diseases
Maternal And Child Health
Study Design
Cross Sectional Study
Study Approach
Quantitative
Study Locations
Ghana