Literature DB >> 15456205

Factors associated with unconstrained growth among affluent Ghanaian children.

W B Owusu1, A Lartey, M de Onis, A W Onyango, E A Frongillo.   

Abstract

AIM: To identify socio-economic factors associated with unconstrained growth among children living in well-off neighbourhoods of Accra, Ghana.
METHODS: A cross-sectional study involving the assessment of the anthropometric status of preschool children. Children (n = 309) between the ages of 12 and 23 mo who live in affluent communities in Accra, Ghana were recruited for the study. Weight, length and mid-upper arm circumference were taken. Information was collected on household demographics and socio-economic status, including parental education and household income. Associations between these variables and attained growth were analysed to establish cut-offs for screening children with unconstrained growth.
RESULTS: The mean weight-for-age (WA), length-for-age (LA) and weight-for-length (WL) Z-scores of the sub-sample selected on the basis of high socio-economic criteria were -0.18, -0.40 and 0.16, respectively. Among these well-off children, 0% were underweight, 3.0% were stunted and 0% were wasted (Z-scores <-2). Factors associated with better anthropometric status were paternal education and household income. Two screening criteria combining the two variables were selected: polytechnic education and income > 1,000,000 cedis (435 US dollars) or university education and income > 200,000 cedis.
CONCLUSIONS: The children experiencing unconstrained growth belonged to a sub-population of affluent households characterized by high paternal education and household income. This subpopulation was targeted for screening for the WHO Multicentre Growth Reference Study in Ghana.

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Year:  2004        PMID: 15456205     DOI: 10.1111/j.1651-2227.2004.tb02726.x

Source DB:  PubMed          Journal:  Acta Paediatr        ISSN: 0803-5253            Impact factor:   2.299


  10 in total

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