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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Risk of childhood undernutrition related to small-for-gestational age and preterm birth in low- and middle-income countries
International Journal of Epidemiology, Volume 42, No. 5, Article dyt109, Year 2013
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Description
Background Low- a nd middle-income countriescontinue to experience a large burden of stunting; 148 million children were estimated to be stunted, around 30-40% of all children in 2011. In many of these countries, foetal growth restriction (FGR) is common, as is subsequent growth faltering in the first 2 years. Although there is agreement that stunting involves both prenatal and postnatal growth failure, the extent to which FGR contributes to stunting and other indicators of nutritional status is uncertain. Methods Using extant longitudinal birth cohorts (n=19) with data on birthweight, gestational age and child anthropometry (12-60 months), we estimated study-specific and pooled risk estimates of stunting, wasting and underweight by small-for-gestational age (SGA) and preterm birth. Results We grouped children according to four combinations of SGA and gestational age: adequate size-for-gestational age (AGA) and preterm; SGA and term; SGA and preterm; and AGA and term (the reference group). Relative to AGA and term, the OR (95% confidence interval) for stunting associated with AGA and preterm, SGA and term, and SGA and preterm was 1.93 (1.71, 2.18), 2.43 (2.22, 2.66) and 4.51 (3.42, 5.93), respectively. A similar magnitude of risk was also observed for wasting and underweight. Low birthweight was associated with 2.5-3.5-fold higher odds of wasting, stunting and underweight. The population attributable risk for overall SGA for outcomes of childhood stunting and wasting was 20% and 30%, respectively. Conclusions This analysis estimates that childhood undernutrition may have its origins in the foetal period, suggesting a need to intervene early, ideally during pregnancy, with interventions known to reduce FGR and preterm birth. © The Author 2013; all rights reserved.
Available Materials
https://efashare.b-cdn.net/share/pmc/articles/PMC3816349/bin/supp_42_5_1340__index.html
https://efashare.b-cdn.net/share/pmc/articles/PMC3816349/bin/supp_dyt109_ije-2013-04-0445-File002.docx
Authors & Co-Authors
Christian, Parul S.
United States, Baltimore
Johns Hopkins Bloomberg School of Public Health
Lee, Sun Eun
United States, Baltimore
Johns Hopkins Bloomberg School of Public Health
Angel, Moira Donahue
United States, Baltimore
Johns Hopkins Bloomberg School of Public Health
Adair, Linda S.
United States, Chapel Hill
The University of North Carolina at Chapel Hill
Arifeen, Shams E.
Bangladesh, Dhaka
International Centre for Diarrhoeal Disease Research Bangladesh
Ashorn, Per A.
Finland, Tampere
Tampere University
Barros, Fernando C.
Brazil, Pelotas
Universidade Catolica de Pelotas
Fall, Caroline H.D.
United Kingdom, Southampton
Southampton General Hospital
Fawzi, Wafaie W.
United States, Boston
Harvard T.h. Chan School of Public Health
Hao, Wei
United States, Atlanta
Rollins School of Public Health
Hu, Gang
United States, Baton Rouge
Pennington Biomedical Research Center
Humphrey, Jean H.
United States, Baltimore
Johns Hopkins Bloomberg School of Public Health
Huybregts, Lieven Fernand
Belgium, Antwerpen
Prins Leopold Instituut Voor Tropische Geneeskunde
Belgium, Ghent
Universiteit Gent
Joglekar, Charu V.
India, Pune
Kem Hospital
Kariuki, Simon K.
Kenya, Nairobi
Kenya Medical Research Institute
Kenya, Liverpool
Kemri/cdc Research and Public Health Collaboration
Kolsteren, Patrick Wilfried V.J.
Belgium, Antwerpen
Prins Leopold Instituut Voor Tropische Geneeskunde
Belgium, Ghent
Universiteit Gent
Krishnaveni, Ghattu V.
India, Mysore
Csi Holdsworth Memorial Hospital
Liu, Enquing Qing
China, Tianjin
Tianjin Women's and Children's Health Center
Martorell, Reynaldo
United States, Atlanta
Rollins School of Public Health
Osrin, David
United Kingdom, London
Ucl Great Ormond Street Institute of Child Health
Persson, Lars Åke Å.
Sweden, Uppsala
Uppsala Universitet
Ramakrishnan, Usha
United States, Atlanta
Rollins School of Public Health
Richter, Linda M.
South Africa, Johannesburg
University of the Witwatersrand
Roberfroid, Dominique Albert
Belgium, Antwerpen
Prins Leopold Instituut Voor Tropische Geneeskunde
Sania, Ayesha
United States, Boston
Harvard T.h. Chan School of Public Health
ter Kuile, Feiko O.
Kenya, Liverpool
Kemri/cdc Research and Public Health Collaboration
United Kingdom, Liverpool
Liverpool School of Tropical Medicine
United States, Atlanta
Centers for Disease Control and Prevention
Tielsch, James M.
United States, Washington, D.c.
The George Washington University
Victora, Cesar Gomes
Brazil, Pelotas
Universidade Federal de Pelotas
Yajnik, Chittaranjan Sakerlal
India, Pune
Kem Hospital
Yan, Hong
China, Xi'an
School of Basic Medical Sciences
Zeng, Lingxia
China, Xi'an
School of Basic Medical Sciences
Black, Robert E.
United States, Baltimore
Johns Hopkins Bloomberg School of Public Health
Statistics
Citations: 448
Authors: 32
Affiliations: 24
Identifiers
Doi:
10.1093/ije/dyt109
ISSN:
03005771
e-ISSN:
14643685
Research Areas
Food Security
Maternal And Child Health
Sexual And Reproductive Health
Study Design
Cross Sectional Study
Cohort Study