Anthropometric deficits and the associated risk of death by age and sex in children aged 6-59 months: A meta-analysis.

Thurstans S Wrottesley SV Fenn B Khara T Bahwere P Berkley JA Black RE Boyd E Garenne M Isanaka S Lelijveld N McDonald CM Mertens A Mwangome M O'Brien KS Stobaugh H Taneja S West KP Guerrero S Kerac M Briend A Myatt M
Maternal & child nutrition 2022 Sep 27; . doi: 10.1111/mcn.13431. Epub 2022 09 27
age mortality sex stunting underweight wasting

Abstract

Risk of death from undernutrition is thought to be higher in younger than in older children, but evidence is mixed. Research also demonstrates sex differences whereby boys have a higher prevalence of undernutrition than girls. This analysis described mortality risk associated with anthropometric deficits (wasting, underweight and stunting) in children 6-59 months by age and sex. We categorised children into younger (6-23 months) and older (24-59 months) age groups. Age and sex variations in near-term (within 6 months) mortality risk, associated with individual anthropometric deficits were assessed in a secondary analysis of multi-country cohort data. A random effects meta-analysis was performed. Data from seven low-or-middle-income-countries collected between 1977 and 2013 were analysed. One thousand twenty deaths were recorded for children with anthropometric deficits. Pooled meta-analysis estimates showed no differences by age in absolute mortality risk for wasting (RR 1.08, p = 0.826 for MUAC 

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