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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
immunology and microbiology
Malaria and nutritional status among pre-school children: Results from cross-sectional surveys in western Kenya
American Journal of Tropical Medicine and Hygiene, Volume 73, No. 4, Year 2005
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Description
Protein-energy malnutrition (PEM) affects millions of children in the developing world. The relationship between malaria and PEM is controversial. The goal of this study was to evaluate whether undernutrition is associated with increased or decreased malaria attributable morbidity. Three cross-sectional surveys were conducted using insecticide-treated bed nets (ITNs) among children aged 0-36 months living in an area with intense malaria transmission. Data were collected on nutritional status, recent history of clinical illness, socioeconomic status, current malaria infection status, and hemoglobin. In multivariate models, stunted children had more malaria parasitemia (odds ratio [OR] 1.98, P < 0.0001), high-density parasitemia (OR 1.84; P < 0.0001), clinical malaria (OR 1.77; P < 0.06), and severe malarial anemia (OR 2.65; P < 0.0001) than nonstunted children. The association was evident in children with mild-to-moderate (-3 < height-for-age Z-score [HAZ] < -2) and severe stunting (HAZ < -3). The cross-sectional nature of the study limits the interpretation of causality, but the data provide further observational support that the presence of undernutrition, in particular chronic undernutrition, places children at higher, not lower risk of malaria-related morbidity. Copyright © 2005 by The American Society of Tropical Medicine and Hygiene.
Authors & Co-Authors
Friedman, Jennifer F.
United States, Providence
Brown University
Kwena, Arthur M.
Kenya, Eldoret
Moi University
Mirel, Lisa B.
United States, Hyattsville
National Center for Health Statistics
Kariuki, Simon K.
Kenya, Nairobi
Kenya Medical Research Institute
Terlouw, Dianne Janette
United Kingdom, Liverpool
Liverpool School of Tropical Medicine
Phillips-Howard, Penelope A.
United States, Atlanta
Centers for Disease Control and Prevention
Hawley, William A.
United States, Atlanta
Centers for Disease Control and Prevention
Nahlen, Bernard L.
Switzerland, Geneva
Organisation Mondiale de la Santé
Shi, Yaping
United States, Atlanta
Centers for Disease Control and Prevention
ter Kuile, Feiko O.
United Kingdom, Liverpool
Liverpool School of Tropical Medicine
Statistics
Citations: 134
Authors: 10
Affiliations: 7
Identifiers
Doi:
10.4269/ajtmh.2005.73.698
ISSN:
00029637
Research Areas
Food Security
Health System And Policy
Infectious Diseases
Maternal And Child Health
Study Design
Cross Sectional Study
Case-Control Study
Study Locations
Kenya