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A multilevel analysis of factors associated with wasting in children one to two years old in Hamadan city

The study aimed to identify risk factors for childhood wasting in 1–2 year-olds in Hamadan city, focusing on this age group due to infection and malnutrition risks. Unlike previous cross-sectional studies on children under 5 years old, this longitudinal study tracked weight-to-height changes over ti...

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Bibliographic Details
Published in:Scientific reports 2024-11, Vol.14 (1), p.28553-9, Article 28553
Main Authors: Manoochehri, Sara, Manoochehri, Zohreh, Asadi, Fatemeh Torkaman, Soltanian, Ali Reza
Format: Article
Language:English
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Summary:The study aimed to identify risk factors for childhood wasting in 1–2 year-olds in Hamadan city, focusing on this age group due to infection and malnutrition risks. Unlike previous cross-sectional studies on children under 5 years old, this longitudinal study tracked weight-to-height changes over time. Data were analyzed from 455 mother-child pairs, aged 1–2 years, collected from health centers and recorded in the Integrated Electronic Health System (SIB). The weight-for-height index, an ordinal response with three categories (wasting, normal, and overweight), was measured several times. A two-level longitudinal ordinal model was used to identify factors associated with wasting. The analysis of data from 230 girls and 225 boys identified several factors associated with wasting: lower birth weight (Adjusted Odds Ratio (AOR) = 0.77), age 12–15 months (AOR = 1.15), lack of health insurance (AOR = 3.09), mother-child residence (AOR = 3.80), maternal height (AOR = 0.92), and age at pregnancy 
ISSN:2045-2322
2045-2322
DOI:10.1038/s41598-024-75535-6