Asuka Miyazaki1, Mitsuaki Matsui1, Rathavy Tung2, Bunsreng Taing3, Laura V White1, Azusa Iwamoto4, Sharon E Cox1,5,6. 1. School of Tropical Medicine and Global Health, Sakamoto 1-12-4, Nagasaki University, Nagasaki 852-8523, Japan. 2. National Maternal and Child Health Centre, Ministry of Health, France street, Phnom Penh, Cambodia. 3. Kampong Cham Provincial Health Department, Ministry of Health, Preah Kosamak Nearyroth, Kampong Cham, Cambodia. 4. Bureau of International Health Cooperation, National Centre for Global Health and Medicine, Toyama 1-12-1, Shinjuku-ku, Tokyo 162-8655, Japan. 5. Institute of Tropical Medicine, Nagasaki University, Sakamoto 1-12-4, Nagasaki 852-8523, Japan. 6. London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, UK.
Abstract
BACKGROUND: Inappropriate feeding and hygiene practices and poor environment are associated with malnutrition. We aimed to investigate the contributions of feeding, hygiene practices and recent illness to the nutritional status of rural Cambodian infants and any sex-specific differences. METHODS: In a cross-sectional study, nested within an ongoing birth cohort, trained fieldworkers conducted anthropometry and collected information from the main caregiver during home visits. Multivariable linear regression was used to investigate associations with nutritional status as length-for-age z-scores (LAZ) and weight-for-length z-scores (WLZ). RESULTS: A total of 156 children, 87 (55.8%) male, ages 0-11 months were enrolled. The prevalence of acute malnutrition (WLZ <-2) in males and females was 2.3% (2/87) and 5.8% (4/69), respectively, and 23.0% (20/87) of males and 14.5% (10/69) of females were stunted (LAZ <-2). WLZ but not LAZ decreased with age. WLZ was independently negatively associated with increasing age (β-coefficient -0.14 [95% confidence interval {CI} -0.20 to -0.08], p<0.001), and regular use of feeding bottles (β-coefficient -0.46 [95% CI -0.83 to -0.10], p=0.014), and positively with handwashing with soap (β-coefficient 0.40 [95% CI 0.05 to 0.75), p=0.027). CONCLUSIONS: The prevalence of acute malnutrition was low, but stunting was prevalent without evidence of a sex difference. Non-linear growth faltering was associated with increasing age and hygiene/feeding practices.
BACKGROUND: Inappropriate feeding and hygiene practices and poor environment are associated with malnutrition. We aimed to investigate the contributions of feeding, hygiene practices and recent illness to the nutritional status of rural Cambodian infants and any sex-specific differences. METHODS: In a cross-sectional study, nested within an ongoing birth cohort, trained fieldworkers conducted anthropometry and collected information from the main caregiver during home visits. Multivariable linear regression was used to investigate associations with nutritional status as length-for-age z-scores (LAZ) and weight-for-length z-scores (WLZ). RESULTS: A total of 156 children, 87 (55.8%) male, ages 0-11 months were enrolled. The prevalence of acute malnutrition (WLZ <-2) in males and females was 2.3% (2/87) and 5.8% (4/69), respectively, and 23.0% (20/87) of males and 14.5% (10/69) of females were stunted (LAZ <-2). WLZ but not LAZ decreased with age. WLZ was independently negatively associated with increasing age (β-coefficient -0.14 [95% confidence interval {CI} -0.20 to -0.08], p<0.001), and regular use of feeding bottles (β-coefficient -0.46 [95% CI -0.83 to -0.10], p=0.014), and positively with handwashing with soap (β-coefficient 0.40 [95% CI 0.05 to 0.75), p=0.027). CONCLUSIONS: The prevalence of acute malnutrition was low, but stunting was prevalent without evidence of a sex difference. Non-linear growth faltering was associated with increasing age and hygiene/feeding practices.
Authors: Robert E Black; Lindsay H Allen; Zulfiqar A Bhutta; Laura E Caulfield; Mercedes de Onis; Majid Ezzati; Colin Mathers; Juan Rivera Journal: Lancet Date: 2008-01-19 Impact factor: 79.321
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Authors: Cesar G Victora; Linda Adair; Caroline Fall; Pedro C Hallal; Reynaldo Martorell; Linda Richter; Harshpal Singh Sachdev Journal: Lancet Date: 2008-01-26 Impact factor: 79.321