Tags

Type your tag names separated by a space and hit enter

Prevalence and severity of malnutrition in pre-school children in a rural area of western Kenya.
Am J Trop Med Hyg. 2003 Apr; 68(4 Suppl):94-9.AJ

Abstract

We determined the nutritional status of children less than five years of age in an area in rural western Kenya with intense malaria transmission, a high prevalence of severe anemia and human immunodeficiency virus, and high infant and under-five mortality (176/1,000 and 259/1,000). No information is available on the prevalence of malnutrition in this area. Three cross-sectional surveys were conducted between 1996 and 1998 to monitor the effect of insecticide-treated bed nets on child morbidity. Anthropometric indices are presented for 2,103 children collected prior to and during intervention (controls only). The prevalence of stunting (Z-scores for height-for-age [HAZ] <-2), wasting (Z-scores for weight-for-height [WHZ] <-2) and being underweight (Z-scores for weight-for-age [WAZ] <-2) was 30%, 4%, and 20%, respectively. This was severe (Z-score <-3) in 12% (stunting), 1% (wasting), and 5% (underweight) of the children. Few children less than three months of age were malnourished (<2%), but height-for-age and weight-forage deficits increased rapidly in children 3-18 months of age, and were greatest in children 18-23 months old (44% stunted and 34% underweight). While the mean HAZ and WAZ stabilized from 24 months of age onwards, they still remained substantially below the reference median with no evidence of catch-up growth. Malnutrition is likely to interact with infectious diseases, placing children 3-24 months of age at high risk of premature death in this area.

Authors+Show Affiliations

Centre for Vector Biology and Control Research, Kenya Medical Research Institute, Kisumu, Kenya.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Multicenter Study
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, Non-P.H.S.

Language

eng

PubMed ID

12749491

Citation

Kwena, Arthur M., et al. "Prevalence and Severity of Malnutrition in Pre-school Children in a Rural Area of Western Kenya." The American Journal of Tropical Medicine and Hygiene, vol. 68, no. 4 Suppl, 2003, pp. 94-9.
Kwena AM, Terlouw DJ, de Vlas SJ, et al. Prevalence and severity of malnutrition in pre-school children in a rural area of western Kenya. Am J Trop Med Hyg. 2003;68(4 Suppl):94-9.
Kwena, A. M., Terlouw, D. J., de Vlas, S. J., Phillips-Howard, P. A., Hawley, W. A., Friedman, J. F., Vulule, J. M., Nahlen, B. L., Sauerwein, R. W., & ter Kuile, F. O. (2003). Prevalence and severity of malnutrition in pre-school children in a rural area of western Kenya. The American Journal of Tropical Medicine and Hygiene, 68(4 Suppl), 94-9.
Kwena AM, et al. Prevalence and Severity of Malnutrition in Pre-school Children in a Rural Area of Western Kenya. Am J Trop Med Hyg. 2003;68(4 Suppl):94-9. PubMed PMID: 12749491.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Prevalence and severity of malnutrition in pre-school children in a rural area of western Kenya. AU - Kwena,Arthur M, AU - Terlouw,Dianne J, AU - de Vlas,Sake J, AU - Phillips-Howard,Penelope A, AU - Hawley,William A, AU - Friedman,Jennifer F, AU - Vulule,John M, AU - Nahlen,Bernard L, AU - Sauerwein,Robert W, AU - ter Kuile,Feiko O, PY - 2003/5/17/pubmed PY - 2003/7/9/medline PY - 2003/5/17/entrez SP - 94 EP - 9 JF - The American journal of tropical medicine and hygiene JO - Am. J. Trop. Med. Hyg. VL - 68 IS - 4 Suppl N2 - We determined the nutritional status of children less than five years of age in an area in rural western Kenya with intense malaria transmission, a high prevalence of severe anemia and human immunodeficiency virus, and high infant and under-five mortality (176/1,000 and 259/1,000). No information is available on the prevalence of malnutrition in this area. Three cross-sectional surveys were conducted between 1996 and 1998 to monitor the effect of insecticide-treated bed nets on child morbidity. Anthropometric indices are presented for 2,103 children collected prior to and during intervention (controls only). The prevalence of stunting (Z-scores for height-for-age [HAZ] <-2), wasting (Z-scores for weight-for-height [WHZ] <-2) and being underweight (Z-scores for weight-for-age [WAZ] <-2) was 30%, 4%, and 20%, respectively. This was severe (Z-score <-3) in 12% (stunting), 1% (wasting), and 5% (underweight) of the children. Few children less than three months of age were malnourished (<2%), but height-for-age and weight-forage deficits increased rapidly in children 3-18 months of age, and were greatest in children 18-23 months old (44% stunted and 34% underweight). While the mean HAZ and WAZ stabilized from 24 months of age onwards, they still remained substantially below the reference median with no evidence of catch-up growth. Malnutrition is likely to interact with infectious diseases, placing children 3-24 months of age at high risk of premature death in this area. SN - 0002-9637 UR - https://www.unboundmedicine.com/medline/citation/12749491/Prevalence_and_severity_of_malnutrition_in_pre_school_children_in_a_rural_area_of_western_Kenya_ L2 - http://www.ajtmh.org/cgi/pmidlookup?view=long&amp;pmid=12749491 DB - PRIME DP - Unbound Medicine ER -