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Risk of childhood u...
Risk of childhood undernutrition related to small-for-gestational age and preterm birth in low- and middle-income countries
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- Christian, Parul (författare)
- Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA
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- Lee, Sun Eun (författare)
- Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA
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- Donahue Angel, Moira (författare)
- Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA
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- Adair, Linda S (författare)
- Department of Nutrition, University of North Carolina, Chapel Hill, NC, USA
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- Arifeen, Shams E (författare)
- International Centre for Diarrhoeal Disease Research, Dhaka, Bangladesh
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- Ashorn, Per (författare)
- Department of International Health, University of Tampere, School of Medicine, Finland
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- Barros, Fernando C (författare)
- Programa de Pós-graduação em Saúde e Comportamento, Universidade Católica de Pelotas, Brazil
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- Fall, Caroline Hd (författare)
- MRC Lifecourse Epidemiology Unit, Southampton General Hospital, UK
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- Fawzi, Wafaie W (författare)
- Departments of Global Health and Population, Nutrition, and Epidemiology, Harvard School of Public Health, Boston, MA, USA
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- Hao, Wei (författare)
- Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA, USA
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- Hu, Gang (författare)
- Pennington Biomedical Research Center, Baton Rouge, LA, USA
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- Humphrey, Jean H (författare)
- Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA
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- Huybregts, Lieven (författare)
- Woman and Child Health Research Center, Department of Public Health, Institute of Tropical Medicine, Antwerpen, Belgium
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- Joglekar, Charu V (författare)
- Diabetes Unit, King Edward Memorial Hospital and Research Centre, Pune, India
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- Kariuki, Simon K (författare)
- Center for Global Health Research, KEMRI, Kisumu, Kenya
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- Kolsteren, Patrick (författare)
- Woman and Child Health Research Center, Department of Public Health, Institute of Tropical Medicine, Antwerpen, Belgium
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- Krishnaveni, Ghattu V (författare)
- Epidemiology Research Unit, CSI Holdsworth Memorial Hospital, Mysore, India
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- Liu, Enqing (författare)
- Tianjin Women‘s and Children‘s Health Center, Tianjin, China
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- Martorell, Reynaldo (författare)
- Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA, USA
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- Osrin, David (författare)
- Institute for Global Health, UCL Institute of Child Health, London, UK
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- Persson, Lars-Åke, 1947- (författare)
- Uppsala universitet,Internationell mödra- och barnhälsovård (IMCH),Internationell barnhälsa och nutrition/Persson
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- Ramakrishnan, Usha (författare)
- Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA, USA
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- Richter, Linda (författare)
- Human Sciences Research Council and the Developmental Pathways for Health Research Programme, University of the Witwatersrand, Johannesburg, South Africa
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- Roberfroid, Dominique (författare)
- Woman and Child Health Research Center, Department of Public Health, Institute of Tropical Medicine, Antwerpen, Belgium
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- Sania, Ayesha (författare)
- Department of Epidemiology, Harvard School of Public Health, Boston, MA, USA
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- Ter Kuile, Feiko O (författare)
- KEMRI/CDC Research and Public Health Collaboration, Kisumu, Kenya
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- Tielsch, James (författare)
- Department of Global Health, George Washington University, School of Public Health and Health Services, Washington, DC, USA
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- Victora, Cesar G (författare)
- Programa de Pós-graduação em Epidemiologia, Universidade Federal de Pelotas, Brazil
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- Yajnik, Chittaranjan S (författare)
- Diabetes Unit, King Edward Memorial Hospital and Research Centre, Pune, India
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- Yan, Hong (författare)
- Department of Public Health, Xi’an Jiaotong University College of Medicine, Shaanxi, China
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- Zeng, Lingxia (författare)
- Department of Public Health, Xi’an Jiaotong University College of Medicine, Shaanxi, China
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- Black, Robert E (författare)
- Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA
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(creator_code:org_t)
- 2013-08-06
- 2013
- Engelska.
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Ingår i: International Journal of Epidemiology. - : Oxford University Press (OUP). - 0300-5771 .- 1464-3685. ; 42:5, s. 1340-1355
- Relaterad länk:
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https://academic.oup...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- BACKGROUND:Low- and middle-income countries continue to experience a large burden of stunting; 148 million children were estimated to be stunted, around 30-40% of all children in 2011. In many of these countries, foetal growth restriction (FGR) is common, as is subsequent growth faltering in the first 2 years. Although there is agreement that stunting involves both prenatal and postnatal growth failure, the extent to which FGR contributes to stunting and other indicators of nutritional status is uncertain.METHODS:Using extant longitudinal birth cohorts (n = 19) with data on birthweight, gestational age and child anthropometry (12-60 months), we estimated study-specific and pooled risk estimates of stunting, wasting and underweight by small-for-gestational age (SGA) and preterm birth.RESULTS:We grouped children according to four combinations of SGA and gestational age: adequate size-for-gestational age (AGA) and preterm; SGA and term; SGA and preterm; and AGA and term (the reference group). Relative to AGA and term, the OR (95% confidence interval) for stunting associated with AGA and preterm, SGA and term, and SGA and preterm was 1.93 (1.71, 2.18), 2.43 (2.22, 2.66) and 4.51 (3.42, 5.93), respectively. A similar magnitude of risk was also observed for wasting and underweight. Low birthweight was associated with 2.5-3.5-fold higher odds of wasting, stunting and underweight. The population attributable risk for overall SGA for outcomes of childhood stunting and wasting was 20% and 30%, respectively.CONCLUSIONS:This analysis estimates that childhood undernutrition may have its origins in the foetal period, suggesting a need to intervene early, ideally during pregnancy, with interventions known to reduce FGR and preterm birth.
Nyckelord
- Foetal growth restriction
- preterm birth
- stunting
- wasting
- childhood
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Christian, Parul
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Lee, Sun Eun
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Donahue Angel, M ...
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Adair, Linda S
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Arifeen, Shams E
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Ashorn, Per
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Barros, Fernando ...
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Fall, Caroline H ...
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Fawzi, Wafaie W
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Hao, Wei
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Hu, Gang
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Humphrey, Jean H
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Huybregts, Lieve ...
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Joglekar, Charu ...
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Kariuki, Simon K
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Kolsteren, Patri ...
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Krishnaveni, Gha ...
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Liu, Enqing
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Martorell, Reyna ...
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Osrin, David
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Persson, Lars-Åk ...
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Ramakrishnan, Us ...
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Richter, Linda
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Roberfroid, Domi ...
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Sania, Ayesha
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Ter Kuile, Feiko ...
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Tielsch, James
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Victora, Cesar G
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Yajnik, Chittara ...
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Yan, Hong
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Zeng, Lingxia
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Black, Robert E
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Uppsala universitet