Linear growth faltering and the role of weight attainment: Prospective analysis of young children recovering from severe wasting in Niger.

Auteurs: Isanaka S Hitchings MDT Berthé F Briend A Grais RF
Référence de l'article: Maternal & child nutrition 2019 Mar 23; (); e12817. doi: 10.1111/mcn.12817. Epub 2019 03 23
Niger child malnutrition linear growth stunting wasting weight gain
eng

Abstract

Efforts to reduce the impact of stunting have been largely independent of interventions to reduce the impact of wasting, despite the observation that the conditions can coexist in the same child and increase risk of death. To optimize the management of malnourished children-who can be wasted, stunted, or both-the relationship between stunting and wasting should be elaborated. We aimed to describe the relationship between concurrent weight and height gain during and after rehabilitation from severe wasting. We conducted a secondary analysis of a randomized trial for the outpatient treatment of severe wasting, including 1,542 children who recovered and were followed for 12 weeks. We described the overlap of stunting and severe wasting and the change in stunting over time. We showed the relationship between concurrent weight and height gain using adjusted generalized estimating equations and calculated the mean rate of change in weight-for-height z score (WHZ) and height-for-age z score (HAZ) during and after rehabilitation. At baseline, 79% (n = 1,223/1,542) and 49% (n = 757/1,542) of children were stunted and severely stunted, respectively. Prevalence increased over time among children

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