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Prevalence and determinants of stunting and overweight in 3-year-old black South African children residing in the Central Region of Limpopo Province, South Africa.
Public Health Nutr. 2005 Aug; 8(5):501-8.PH

Abstract

OBJECTIVES

To determine the prevalence of stunting, wasting and overweight and their determinants in 3-year-old children in the Central Region of Limpopo Province, South Africa.

DESIGN

Prospective cohort study.

SETTING

Rural villages in the Central Region of the Limpopo Province, South Africa.

SUBJECTS

One hundred and sixty-two children who were followed from birth were included in the study. Anthropometric measurements and sociodemographic characteristics of the children were recorded.

RESULTS

Height-for-age Z-scores were low, with a high prevalence of stunting (48%). The children also exhibited a high prevalence of overweight (22%) and obesity (24%). Thirty-one (19%) children were both stunted and overweight. Gaining more weight within the first year of life increased the risk of being overweight at 3 years by 2.39 times (95% confidence interval (CI) 1.96-4.18) while having a greater length at 1 year was protective against stunting (odds ratio (OR) 0.41; 95% CI 0.17-0.97). Having a mother as a student increased the risk for stunting at 3 years by 18.21 times (95% CI 9.46-34.74) while having a working mother increased the risk for overweight by 17.87 times (95% CI 8.24-38.78). All these factors also appeared as risks or as being protective in children who were both overweight and stunted, as did living in a household having nine or more persons (OR 5.72; 95% CI 2.7-12.10).

CONCLUSION

The results of this study highlight the importance of evaluating anthropometric status in terms of both stunting and overweight. Furthermore, it is important to realise the importance of normal length and weight being attained at 1 year of age, since these in turn predict nutritional status at 3 years of age.

Authors+Show Affiliations

Medical Sciences Programme, University of Limpopo, Sovenga, South Africa. Lesley.mamabolo@mrc.ac.zaNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

16153331

Citation

Mamabolo, Ramoteme L., et al. "Prevalence and Determinants of Stunting and Overweight in 3-year-old Black South African Children Residing in the Central Region of Limpopo Province, South Africa." Public Health Nutrition, vol. 8, no. 5, 2005, pp. 501-8.
Mamabolo RL, Alberts M, Steyn NP, et al. Prevalence and determinants of stunting and overweight in 3-year-old black South African children residing in the Central Region of Limpopo Province, South Africa. Public Health Nutr. 2005;8(5):501-8.
Mamabolo, R. L., Alberts, M., Steyn, N. P., Delemarre-van de Waal, H. A., & Levitt, N. S. (2005). Prevalence and determinants of stunting and overweight in 3-year-old black South African children residing in the Central Region of Limpopo Province, South Africa. Public Health Nutrition, 8(5), 501-8.
Mamabolo RL, et al. Prevalence and Determinants of Stunting and Overweight in 3-year-old Black South African Children Residing in the Central Region of Limpopo Province, South Africa. Public Health Nutr. 2005;8(5):501-8. PubMed PMID: 16153331.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Prevalence and determinants of stunting and overweight in 3-year-old black South African children residing in the Central Region of Limpopo Province, South Africa. AU - Mamabolo,Ramoteme L, AU - Alberts,Marianne, AU - Steyn,Nelia P, AU - Delemarre-van de Waal,Henriette A, AU - Levitt,Naomi S, PY - 2005/9/13/pubmed PY - 2006/1/28/medline PY - 2005/9/13/entrez SP - 501 EP - 8 JF - Public health nutrition JO - Public Health Nutr VL - 8 IS - 5 N2 - OBJECTIVES: To determine the prevalence of stunting, wasting and overweight and their determinants in 3-year-old children in the Central Region of Limpopo Province, South Africa. DESIGN: Prospective cohort study. SETTING: Rural villages in the Central Region of the Limpopo Province, South Africa. SUBJECTS: One hundred and sixty-two children who were followed from birth were included in the study. Anthropometric measurements and sociodemographic characteristics of the children were recorded. RESULTS: Height-for-age Z-scores were low, with a high prevalence of stunting (48%). The children also exhibited a high prevalence of overweight (22%) and obesity (24%). Thirty-one (19%) children were both stunted and overweight. Gaining more weight within the first year of life increased the risk of being overweight at 3 years by 2.39 times (95% confidence interval (CI) 1.96-4.18) while having a greater length at 1 year was protective against stunting (odds ratio (OR) 0.41; 95% CI 0.17-0.97). Having a mother as a student increased the risk for stunting at 3 years by 18.21 times (95% CI 9.46-34.74) while having a working mother increased the risk for overweight by 17.87 times (95% CI 8.24-38.78). All these factors also appeared as risks or as being protective in children who were both overweight and stunted, as did living in a household having nine or more persons (OR 5.72; 95% CI 2.7-12.10). CONCLUSION: The results of this study highlight the importance of evaluating anthropometric status in terms of both stunting and overweight. Furthermore, it is important to realise the importance of normal length and weight being attained at 1 year of age, since these in turn predict nutritional status at 3 years of age. SN - 1368-9800 UR - https://www.unboundmedicine.com/medline/citation/16153331/Prevalence_and_determinants_of_stunting_and_overweight_in_3_year_old_black_South_African_children_residing_in_the_Central_Region_of_Limpopo_Province_South_Africa_ L2 - https://www.cambridge.org/core/product/identifier/S1368980005000698/type/journal_article DB - PRIME DP - Unbound Medicine ER -