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Stunting is associated with wasting in children from the semiarid region of Alagoas, Brazil

Abstract Stunting is one of the most widespread forms of undernutrition found in Brazilian children. Some studies have revealed an association between this condition and overweight, whereas others report an association with wasting. The objective of this work was to test the hypothesis that stunted...

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Published in:Nutrition research (New York, N.Y.) N.Y.), 2008-06, Vol.28 (6), p.364-367
Main Authors: Ferreira, Haroldo S, Florêncio, Telma M.M.T, Vieira, Evla F, Assunção, Monica L
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description Abstract Stunting is one of the most widespread forms of undernutrition found in Brazilian children. Some studies have revealed an association between this condition and overweight, whereas others report an association with wasting. The objective of this work was to test the hypothesis that stunted children who live in the semiarid region of Alagoas (Brazil), one of the poorest areas of the country, tend to exhibit wasting and not overweight. The study followed a transversal design that involved a probability sample (n = 480 children
doi_str_mv 10.1016/j.nutres.2008.03.006
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Some studies have revealed an association between this condition and overweight, whereas others report an association with wasting. The objective of this work was to test the hypothesis that stunted children who live in the semiarid region of Alagoas (Brazil), one of the poorest areas of the country, tend to exhibit wasting and not overweight. The study followed a transversal design that involved a probability sample (n = 480 children &lt;5 years of age). Anthropometric indexes were compared with the National Center for Health Statistics reference curves. A height-for-age deficit ( Z &lt; −2) was found in 9.6% of the children, whereas weight-for-height (WH) deficit was observed in only 0.6% of them. To test the hypothesis presented, the children were categorized according to quartiles (Q) of height-for-age. Shorter children (first Q; n = 121) were compared with the tallest ones (fourth Q; n = 121), taking into account variables of interest. The median WH value for the shorter children group ( Z = −0.03) was significantly ( P &lt; 0.001) lower than that for children included in the group of taller children ( Z = 0.62). The prevalence of risk of wasting (WH Z &lt; −1) in the first Q was higher than that observed in the fourth Q (odds ratio, 3.03, 95% confidence interval, 1.2-8.3). 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Some studies have revealed an association between this condition and overweight, whereas others report an association with wasting. The objective of this work was to test the hypothesis that stunted children who live in the semiarid region of Alagoas (Brazil), one of the poorest areas of the country, tend to exhibit wasting and not overweight. The study followed a transversal design that involved a probability sample (n = 480 children &lt;5 years of age). Anthropometric indexes were compared with the National Center for Health Statistics reference curves. A height-for-age deficit ( Z &lt; −2) was found in 9.6% of the children, whereas weight-for-height (WH) deficit was observed in only 0.6% of them. To test the hypothesis presented, the children were categorized according to quartiles (Q) of height-for-age. Shorter children (first Q; n = 121) were compared with the tallest ones (fourth Q; n = 121), taking into account variables of interest. 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Feeding behavior</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Gastroenterology and Hepatology</topic><topic>growth retardation</topic><topic>health status</topic><topic>Humans</topic><topic>Infant</topic><topic>kwashiorkor</topic><topic>Malnutrition - complications</topic><topic>North-eastern Brazil</topic><topic>Nutritional status</topic><topic>overweight</topic><topic>Overweight - complications</topic><topic>Overweight - epidemiology</topic><topic>Preschool children</topic><topic>semiarid zones</topic><topic>Socioeconomic Factors</topic><topic>Stunting</topic><topic>toddlers</topic><topic>Vertebrates: anatomy and physiology, studies on body, several organs or systems</topic><topic>Wasting</topic><topic>wasting syndrome</topic><topic>Wasting Syndrome - complications</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ferreira, Haroldo S</creatorcontrib><creatorcontrib>Florêncio, Telma M.M.T</creatorcontrib><creatorcontrib>Vieira, Evla F</creatorcontrib><creatorcontrib>Assunção, Monica L</creatorcontrib><collection>AGRIS</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Nutrition research (New York, N.Y.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ferreira, Haroldo S</au><au>Florêncio, Telma M.M.T</au><au>Vieira, Evla F</au><au>Assunção, Monica L</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Stunting is associated with wasting in children from the semiarid region of Alagoas, Brazil</atitle><jtitle>Nutrition research (New York, N.Y.)</jtitle><addtitle>Nutr Res</addtitle><date>2008-06-01</date><risdate>2008</risdate><volume>28</volume><issue>6</issue><spage>364</spage><epage>367</epage><pages>364-367</pages><issn>0271-5317</issn><eissn>1879-0739</eissn><coden>NTRSDC</coden><abstract>Abstract Stunting is one of the most widespread forms of undernutrition found in Brazilian children. Some studies have revealed an association between this condition and overweight, whereas others report an association with wasting. The objective of this work was to test the hypothesis that stunted children who live in the semiarid region of Alagoas (Brazil), one of the poorest areas of the country, tend to exhibit wasting and not overweight. The study followed a transversal design that involved a probability sample (n = 480 children &lt;5 years of age). Anthropometric indexes were compared with the National Center for Health Statistics reference curves. A height-for-age deficit ( Z &lt; −2) was found in 9.6% of the children, whereas weight-for-height (WH) deficit was observed in only 0.6% of them. To test the hypothesis presented, the children were categorized according to quartiles (Q) of height-for-age. Shorter children (first Q; n = 121) were compared with the tallest ones (fourth Q; n = 121), taking into account variables of interest. The median WH value for the shorter children group ( Z = −0.03) was significantly ( P &lt; 0.001) lower than that for children included in the group of taller children ( Z = 0.62). The prevalence of risk of wasting (WH Z &lt; −1) in the first Q was higher than that observed in the fourth Q (odds ratio, 3.03, 95% confidence interval, 1.2-8.3). Within the group of children studied, stunting was associated with WH deficit.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>19083433</pmid><doi>10.1016/j.nutres.2008.03.006</doi><tpages>4</tpages></addata></record>
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subjects Anthropometry
Biological and medical sciences
body mass index
Body Size - physiology
Brazil - epidemiology
Chi-Square Distribution
child nutrition
Child Nutrition Disorders - complications
Child Nutrition Disorders - epidemiology
Child, Preschool
diet-related diseases
Failure to Thrive - complications
Feeding. Feeding behavior
Fundamental and applied biological sciences. Psychology
Gastroenterology and Hepatology
growth retardation
health status
Humans
Infant
kwashiorkor
Malnutrition - complications
North-eastern Brazil
Nutritional status
overweight
Overweight - complications
Overweight - epidemiology
Preschool children
semiarid zones
Socioeconomic Factors
Stunting
toddlers
Vertebrates: anatomy and physiology, studies on body, several organs or systems
Wasting
wasting syndrome
Wasting Syndrome - complications
title Stunting is associated with wasting in children from the semiarid region of Alagoas, Brazil
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