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Parasite and maternal risk factors for malnutrition in preschool-age children in Belen, Peru using the new WHO Child Growth Standards.
Br J Nutr. 2007 Dec; 98(6):1259-66.BJ

Abstract

Child malnutrition, including wasting, underweight and stunting, is associated with infections, poor nutrient intake, and environmental and socio-demographic factors. Preschool-age children are especially vulnerable due to their high growth requirements. To target interventions for preschool-age children in a community of extreme poverty in Peru, we conducted a household survey between October 2005 and January 2006 to determine the prevalence of malnutrition and its risk factors. Of 252 children < 5 years old, the prevalence of wasting, underweight and stunting was 26.6, 28.6 and 32.1 %, respectively, based on the new WHO Child Growth Standards. Risk factors for wasting were: (1) moderate-high intensity Trichuris infection (OR 2.50; 95 % CI 1.06, 5.93); (2) hookworm infection (OR 6.67; 95 % CI 1.08, 41.05); (3) age (OR6-month 1.27; 95 % CI 1.11, 1.46); (4) maternal education (secondary incomplete) (OR 5.77; 95 % CI 2.38, 13.99); and (5) decreasing maternal BMI (OR1 kg/m2 1.12; 95 % CI 1.02, 1.23). Risk factors for underweight were: (1) moderate-high intensity Trichuris infection (OR 4.74; 95 % CI 1.99, 11.32); (2) age (OR6-month 1.22; 95 % CI 1.07, 1.38); (3) maternal education (secondary incomplete) (OR 2.92; 95 % CI 1.40, 6.12); and (4) decreasing maternal BMI (OR1 kg/m2 1.11; 95 % CI 1.02, 1.21). Risk factors for stunting were: (1) age (OR6-month 1.14; 95 % CI 1.02, 1.27) and (2) decreasing maternal height (OR1 cm 1.12; 95 % CI 1.06, 1.20). Overall, risk factors for malnutrition included both child and maternal determinants. Based on these data, locally appropriate and cost-effective dietary, de-worming and educational programmes should be targeted to mothers and preschool-age children.

Authors+Show Affiliations

Asociación Civil Selva Amazónica, Urbanización Jardin 27, Iquitos, Peru.No 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

17651519

Citation

Casapía, Martin, et al. "Parasite and Maternal Risk Factors for Malnutrition in Preschool-age Children in Belen, Peru Using the New WHO Child Growth Standards." The British Journal of Nutrition, vol. 98, no. 6, 2007, pp. 1259-66.
Casapía M, Joseph SA, Núñez C, et al. Parasite and maternal risk factors for malnutrition in preschool-age children in Belen, Peru using the new WHO Child Growth Standards. Br J Nutr. 2007;98(6):1259-66.
Casapía, M., Joseph, S. A., Núñez, C., Rahme, E., & Gyorkos, T. W. (2007). Parasite and maternal risk factors for malnutrition in preschool-age children in Belen, Peru using the new WHO Child Growth Standards. The British Journal of Nutrition, 98(6), 1259-66.
Casapía M, et al. Parasite and Maternal Risk Factors for Malnutrition in Preschool-age Children in Belen, Peru Using the New WHO Child Growth Standards. Br J Nutr. 2007;98(6):1259-66. PubMed PMID: 17651519.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Parasite and maternal risk factors for malnutrition in preschool-age children in Belen, Peru using the new WHO Child Growth Standards. AU - Casapía,Martin, AU - Joseph,Serene A, AU - Núñez,Carmen, AU - Rahme,Elham, AU - Gyorkos,Theresa W, Y1 - 2007/07/26/ PY - 2007/7/27/pubmed PY - 2008/3/14/medline PY - 2007/7/27/entrez SP - 1259 EP - 66 JF - The British journal of nutrition JO - Br. J. Nutr. VL - 98 IS - 6 N2 - Child malnutrition, including wasting, underweight and stunting, is associated with infections, poor nutrient intake, and environmental and socio-demographic factors. Preschool-age children are especially vulnerable due to their high growth requirements. To target interventions for preschool-age children in a community of extreme poverty in Peru, we conducted a household survey between October 2005 and January 2006 to determine the prevalence of malnutrition and its risk factors. Of 252 children < 5 years old, the prevalence of wasting, underweight and stunting was 26.6, 28.6 and 32.1 %, respectively, based on the new WHO Child Growth Standards. Risk factors for wasting were: (1) moderate-high intensity Trichuris infection (OR 2.50; 95 % CI 1.06, 5.93); (2) hookworm infection (OR 6.67; 95 % CI 1.08, 41.05); (3) age (OR6-month 1.27; 95 % CI 1.11, 1.46); (4) maternal education (secondary incomplete) (OR 5.77; 95 % CI 2.38, 13.99); and (5) decreasing maternal BMI (OR1 kg/m2 1.12; 95 % CI 1.02, 1.23). Risk factors for underweight were: (1) moderate-high intensity Trichuris infection (OR 4.74; 95 % CI 1.99, 11.32); (2) age (OR6-month 1.22; 95 % CI 1.07, 1.38); (3) maternal education (secondary incomplete) (OR 2.92; 95 % CI 1.40, 6.12); and (4) decreasing maternal BMI (OR1 kg/m2 1.11; 95 % CI 1.02, 1.21). Risk factors for stunting were: (1) age (OR6-month 1.14; 95 % CI 1.02, 1.27) and (2) decreasing maternal height (OR1 cm 1.12; 95 % CI 1.06, 1.20). Overall, risk factors for malnutrition included both child and maternal determinants. Based on these data, locally appropriate and cost-effective dietary, de-worming and educational programmes should be targeted to mothers and preschool-age children. SN - 0007-1145 UR - https://www.unboundmedicine.com/medline/citation/17651519/Parasite_and_maternal_risk_factors_for_malnutrition_in_preschool_age_children_in_Belen_Peru_using_the_new_WHO_Child_Growth_Standards_ L2 - https://www.cambridge.org/core/product/identifier/S0007114507795272/type/journal_article DB - PRIME DP - Unbound Medicine ER -