Risk of childhood undernutrition related to small-for-gestational age and preterm birth in low- and middle-income countries

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Risk of childhood undernutrition related to small-for-gestational age and preterm birth in low- and middle-income countries

Christian, Parul (författare): Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA

Lee, Sun Eun (författare): Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA

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

Arifeen, Shams E (författare): International Centre for Diarrhoeal Disease Research, Dhaka, Bangladesh

Ashorn, Per (författare): Department of International Health, University of Tampere, School of Medicine, Finland

Barros, Fernando C (författare): Programa de Pós-graduação em Saúde e Comportamento, Universidade Católica de Pelotas, Brazil

Fall, Caroline Hd (författare): MRC Lifecourse Epidemiology Unit, Southampton General Hospital, UK

Fawzi, Wafaie W (författare): Departments of Global Health and Population, Nutrition, and Epidemiology, Harvard School of Public Health, Boston, MA, USA

Hao, Wei (författare): Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA, USA

Hu, Gang (författare): Pennington Biomedical Research Center, Baton Rouge, LA, USA

Humphrey, Jean H (författare): Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA

Huybregts, Lieven (författare): Woman and Child Health Research Center, Department of Public Health, Institute of Tropical Medicine, Antwerpen, Belgium

Joglekar, Charu V (författare): Diabetes Unit, King Edward Memorial Hospital and Research Centre, Pune, India

Kariuki, Simon K (författare): Center for Global Health Research, KEMRI, Kisumu, Kenya

Kolsteren, Patrick (författare): Woman and Child Health Research Center, Department of Public Health, Institute of Tropical Medicine, Antwerpen, Belgium

Krishnaveni, Ghattu V (författare): Epidemiology Research Unit, CSI Holdsworth Memorial Hospital, Mysore, India

Liu, Enqing (författare): Tianjin Women‘s and Children‘s Health Center, Tianjin, China

Martorell, Reynaldo (författare): Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA, USA

Osrin, David (författare): Institute for Global Health, UCL Institute of Child Health, London, UK

Persson, Lars-Åke, 1947- (författare): Uppsala universitet,Internationell mödra- och barnhälsovård (IMCH),Internationell barnhälsa och nutrition/Persson

Ramakrishnan, Usha (författare): Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA, USA

Richter, Linda (författare): Human Sciences Research Council and the Developmental Pathways for Health Research Programme, University of the Witwatersrand, Johannesburg, South Africa

Roberfroid, Dominique (författare): Woman and Child Health Research Center, Department of Public Health, Institute of Tropical Medicine, Antwerpen, Belgium

Sania, Ayesha (författare): Department of Epidemiology, Harvard School of Public Health, Boston, MA, USA

Ter Kuile, Feiko O (författare): KEMRI/CDC Research and Public Health Collaboration, Kisumu, Kenya

Tielsch, James (författare): Department of Global Health, George Washington University, School of Public Health and Health Services, Washington, DC, USA

Victora, Cesar G (författare): Programa de Pós-graduação em Epidemiologia, Universidade Federal de Pelotas, Brazil

Yajnik, Chittaranjan S (författare): Diabetes Unit, King Edward Memorial Hospital and Research Centre, Pune, India

Yan, Hong (författare): Department of Public Health, Xi’an Jiaotong University College of Medicine, Shaanxi, China

Zeng, Lingxia (författare): Department of Public Health, Xi’an Jiaotong University College of Medicine, Shaanxi, China

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.
Ingår i: International Journal of Epidemiology. - : Oxford University Press (OUP). - 0300-5771 .- 1464-3685. ; 42:5, s. 1340-1355

Relaterad länk:: https://academic.oup...; visa fler...; https://urn.kb.se/re...; https://doi.org/10.1...; visa färre...

Tidskriftsartikel (refereegranskat)

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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.

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Risk of childhood undernutrition related to small-for-gestational age and preterm birth in low- and middle-income countries

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