Cut Novianti Rachmi1, Kingsley Emwinyore Agho2, Mu Li3, Louise Alison Baur4,3. 1. Discipline of Child and Adolescent Health, The Children's Hospital at Westmead (University of Sydney Clinical School), Sydney, Australia. Crac8243@uni.sydney.edu.au. 2. School of Science and Health, Western Sydney University, Sydney, Australia. 3. Sydney School of Public Health, The University of Sydney, Sydney, Australia. 4. Discipline of Child and Adolescent Health, The Children's Hospital at Westmead (University of Sydney Clinical School), Sydney, Australia.
Abstract
OBJECTIVES: To determine whether stunted young children are at greater risk of (1) overweight/obesity or thinness, and (2) high blood pressure (HBP) in adolescence. METHODS: A secondary data analysis using the Indonesian Family Life Survey waves 1 (1993) to 4 (2007). We generated a 14-year follow-up cohort (1993-2007) and two 7-year cohorts (1993-2000 and 2000-2007) of children aged 2.0-4.9 years. Stunting (HAZ < -2), thinness (BMIZ < -2), and overweight/obesity (BMIZ > +1) were determined based upon the WHO Child Growth Standards. HBP (>90th percentile) was interpreted using the 4th Report on the Diagnosis of HBP in Children and Adolescents. RESULTS: 765, 1083, and 1589 children were included in the 14-year cohort, and the two 7-year cohort analyses, respectively. In the 7-year cohorts, early life stunting was inversely associated with overweight/obesity (prevalence ratio 0.32 and 0.38, respectively; P < 0.05), but no significant association was found with the 14-year cohort. There was no significant association between childhood stunting and thinness at adolescence or in the odds/likelihood of having high systolic or diastolic blood pressure. CONCLUSIONS: We found no association between early life stunting and overweight/obesity, thinness and HBP in adolescence.
OBJECTIVES: To determine whether stunted young children are at greater risk of (1) overweight/obesity or thinness, and (2) high blood pressure (HBP) in adolescence. METHODS: A secondary data analysis using the Indonesian Family Life Survey waves 1 (1993) to 4 (2007). We generated a 14-year follow-up cohort (1993-2007) and two 7-year cohorts (1993-2000 and 2000-2007) of children aged 2.0-4.9 years. Stunting (HAZ < -2), thinness (BMIZ < -2), and overweight/obesity (BMIZ > +1) were determined based upon the WHO Child Growth Standards. HBP (>90th percentile) was interpreted using the 4th Report on the Diagnosis of HBP in Children and Adolescents. RESULTS: 765, 1083, and 1589 children were included in the 14-year cohort, and the two 7-year cohort analyses, respectively. In the 7-year cohorts, early life stunting was inversely associated with overweight/obesity (prevalence ratio 0.32 and 0.38, respectively; P < 0.05), but no significant association was found with the 14-year cohort. There was no significant association between childhood stunting and thinness at adolescence or in the odds/likelihood of having high systolic or diastolic blood pressure. CONCLUSIONS: We found no association between early life stunting and overweight/obesity, thinness and HBP in adolescence.
Authors: Ana Paula Grotti Clemente; Carla Danusa Santos; Ana Amelia Benedito Silva; Vinicius Jose Martins; Anna Carolina Marchesano; Mariana Belluca Fernandes; Maria Paula Albuquerque; Ana Lydia Sawaya Journal: Arq Bras Cardiol Date: 2011-12-08 Impact factor: 2.000