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Factors associated with concurrent wasting and stunting among children 6-59 months in Karamoja, Uganda.
Odei Obeng-Amoako, Gloria Adobea; Karamagi, Charles Amnon Sunday; Nangendo, Joanita; Okiring, Jaffer; Kiirya, Yerusa; Aryeetey, Richmond; Mupere, Ezekial; Myatt, Mark; Briend, André; Kalyango, Joan Nakayaga; Wamani, Henry.
Afiliación
  • Odei Obeng-Amoako GA; Clinical Epidemiology Unit, School of Medicine, College of Health Sciences, Makerere University, Kampala, Uganda.
  • Karamagi CAS; Clinical Epidemiology Unit, School of Medicine, College of Health Sciences, Makerere University, Kampala, Uganda.
  • Nangendo J; Department of Paediatrics and Child Health, College of Health Sciences, Makerere University, Kampala, Uganda.
  • Okiring J; Clinical Epidemiology Unit, School of Medicine, College of Health Sciences, Makerere University, Kampala, Uganda.
  • Kiirya Y; Clinical Epidemiology Unit, School of Medicine, College of Health Sciences, Makerere University, Kampala, Uganda.
  • Aryeetey R; Clinical Epidemiology Unit, School of Medicine, College of Health Sciences, Makerere University, Kampala, Uganda.
  • Mupere E; School of Public Health, University of Ghana, Accra, Ghana.
  • Myatt M; School of Public Health, University of Ghana, Accra, Ghana.
  • Briend A; Brixton Health, Llawryglyn, Powys, Wales, UK.
  • Kalyango JN; School of Medicine, Centre for Child Health Research, University of Tampere, Tampere, Finland.
  • Wamani H; Department of Nutrition, Exercise and Sports, University of Copenhagen, Copenhagen, Denmark.
Matern Child Nutr ; 17(1): e13074, 2021 01.
Article en En | MEDLINE | ID: mdl-32830434
Children with concurrent wasting and stunting (WaSt) and children with severe wasting have a similar risk of death. Existing evidence shows that wasting and stunting share similar causal pathways, but evidence on correlates of WaSt remains limited. Research on correlates of WaSt is needed to inform prevention strategies. We investigated the factors associated with WaSt in children 6-59 months in Karamoja Region, Uganda. We examined data for 33,054 children aged 6-59 months using June 2015 to July 2018 Food Security and Nutrition Assessment in Karamoja. We defined WaSt as being concurrently wasted (weight-for-height z-scores <-2.0) and stunted (height-for-age z-score <-2.0). We conducted multivariate mixed-effect logistic regression to assess factors associated with WaSt. Statistical significance was set at p < 0.05. In multivariate analysis, being male (adjusted odds ratio [aOR] = 1.79; 95% confidence interval [CI] [1.60-2.00]), aged 12-23 months (aOR = 2.25; 95% CI [1.85-2.74]), 36-47 months (aOR = 0.65; 95% CI [0.50-0.84]) and 48-59 months (aOR = 0.71; 95% CI [0.54-0.93]) were associated with WaSt. In addition, acute respiratory infection (aOR = 1.30; 95% CI [1.15-1.48]), diarrhoea (aOR = 1.25; 95% CI [1.06-1.48]) and malaria/fever (aOR = 0.83; 95% CI [0.73-0.96]) episodes were associated with WaSt. WaSt was significantly associated with maternal underweight (body mass index <18.5 kg/m2 ), short stature (height <160 cm), low mid-upper arm circumference (MUAC <23 cm) and having ≥4 live-births. WaSt was prevalent in households without livestock (aOR = 1.30; 95% CI [1.13-1.59]). Preventing the occurrence of WaSt through pragmatic and joint approaches are recommended. Future prospective studies on risk factors of WaSt to inform effective prevention strategies are recommended.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Síndrome Debilitante Tipo de estudio: Etiology_studies / Observational_studies / Prevalence_studies / Risk_factors_studies Límite: Child / Humans / Infant / Male País/Región como asunto: Africa Idioma: En Revista: Matern Child Nutr Asunto de la revista: CIENCIAS DA NUTRICAO / PERINATOLOGIA Año: 2021 Tipo del documento: Article País de afiliación: Uganda Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Síndrome Debilitante Tipo de estudio: Etiology_studies / Observational_studies / Prevalence_studies / Risk_factors_studies Límite: Child / Humans / Infant / Male País/Región como asunto: Africa Idioma: En Revista: Matern Child Nutr Asunto de la revista: CIENCIAS DA NUTRICAO / PERINATOLOGIA Año: 2021 Tipo del documento: Article País de afiliación: Uganda Pais de publicación: Reino Unido