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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 |
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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 <5 years of age). Anthropometric indexes were compared with the National Center for Health Statistics reference curves. A height-for-age deficit ( Z < −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 < 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 < −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.</description><identifier>ISSN: 0271-5317</identifier><identifier>EISSN: 1879-0739</identifier><identifier>DOI: 10.1016/j.nutres.2008.03.006</identifier><identifier>PMID: 19083433</identifier><identifier>CODEN: NTRSDC</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>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</subject><ispartof>Nutrition research (New York, N.Y.), 2008-06, Vol.28 (6), p.364-367</ispartof><rights>Elsevier Inc.</rights><rights>2008 Elsevier Inc.</rights><rights>2008 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c469t-2432e4dc17fdef18944a36dfba2dfac9419b51839d87440f6b3365be71a223873</citedby><cites>FETCH-LOGICAL-c469t-2432e4dc17fdef18944a36dfba2dfac9419b51839d87440f6b3365be71a223873</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=20443776$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19083433$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ferreira, Haroldo S</creatorcontrib><creatorcontrib>Florêncio, Telma M.M.T</creatorcontrib><creatorcontrib>Vieira, Evla F</creatorcontrib><creatorcontrib>Assunção, Monica L</creatorcontrib><title>Stunting is associated with wasting in children from the semiarid region of Alagoas, Brazil</title><title>Nutrition research (New York, N.Y.)</title><addtitle>Nutr Res</addtitle><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 <5 years of age). Anthropometric indexes were compared with the National Center for Health Statistics reference curves. A height-for-age deficit ( Z < −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 < 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 < −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.</description><subject>Anthropometry</subject><subject>Biological and medical sciences</subject><subject>body mass index</subject><subject>Body Size - physiology</subject><subject>Brazil - epidemiology</subject><subject>Chi-Square Distribution</subject><subject>child nutrition</subject><subject>Child Nutrition Disorders - complications</subject><subject>Child Nutrition Disorders - epidemiology</subject><subject>Child, Preschool</subject><subject>diet-related diseases</subject><subject>Failure to Thrive - complications</subject><subject>Feeding. Feeding behavior</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Gastroenterology and Hepatology</subject><subject>growth retardation</subject><subject>health status</subject><subject>Humans</subject><subject>Infant</subject><subject>kwashiorkor</subject><subject>Malnutrition - complications</subject><subject>North-eastern Brazil</subject><subject>Nutritional status</subject><subject>overweight</subject><subject>Overweight - complications</subject><subject>Overweight - epidemiology</subject><subject>Preschool children</subject><subject>semiarid zones</subject><subject>Socioeconomic Factors</subject><subject>Stunting</subject><subject>toddlers</subject><subject>Vertebrates: anatomy and physiology, studies on body, several organs or systems</subject><subject>Wasting</subject><subject>wasting syndrome</subject><subject>Wasting Syndrome - complications</subject><issn>0271-5317</issn><issn>1879-0739</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><recordid>eNqFks1uEzEUhS0EomngDRB4Q1ckXP9kPN4glYo_qRKL0BULy7GvE4eJ3dozVOXpmWgikNiw8sLfObr-fAl5wWDJgDVv98s09AXrkgO0SxBLgOYRmbFW6QUooR-TGXDFFivB1Bk5r3UPwBQT4ik5YxpaIYWYke_rfkh9TFsaK7W1Zhdtj57ex35H722drhJ1u9j5gomGkg-03yGteIi2RE8LbmNONAd62dlttvUNfV_sr9g9I0-C7So-P51zcvPxw7erz4vrr5--XF1eL5xsdL_gUnCU3jEVPAbWaimtaHzYWO6DdVoyvVmxVmjfKikhNBshmtUGFbOci1aJObmYem9Lvhuw9uYQq8OuswnzUE2jW61XDEZQTqArudaCwdyWeLDlwTAwR6lmbyap5ijVgDCj1DH28tQ_bA7o_4ZOFkfg9Qmw1dkuFJtcrH84DlIKpY5FryYu2GzstozMzZoDEwAaeDO-cU7eTQSOvn5GLKa6iMmhjwVdb3yO_5v13wLXxRTHqX7gA9Z9Hkoa_8IwU7kBsz6uyHFDoIUxvmLiN4cBtTo</recordid><startdate>20080601</startdate><enddate>20080601</enddate><creator>Ferreira, Haroldo S</creator><creator>Florêncio, Telma M.M.T</creator><creator>Vieira, Evla F</creator><creator>Assunção, Monica L</creator><general>Elsevier Inc</general><general>Tarrytown, N.Y.: Elsevier Science Inc</general><general>Elsevier Science</general><scope>FBQ</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20080601</creationdate><title>Stunting is associated with wasting in children from the semiarid region of Alagoas, Brazil</title><author>Ferreira, Haroldo S ; Florêncio, Telma M.M.T ; Vieira, Evla F ; Assunção, Monica L</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c469t-2432e4dc17fdef18944a36dfba2dfac9419b51839d87440f6b3365be71a223873</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Anthropometry</topic><topic>Biological and medical sciences</topic><topic>body mass index</topic><topic>Body Size - physiology</topic><topic>Brazil - epidemiology</topic><topic>Chi-Square Distribution</topic><topic>child nutrition</topic><topic>Child Nutrition Disorders - complications</topic><topic>Child Nutrition Disorders - epidemiology</topic><topic>Child, Preschool</topic><topic>diet-related diseases</topic><topic>Failure to Thrive - complications</topic><topic>Feeding. 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 <5 years of age). Anthropometric indexes were compared with the National Center for Health Statistics reference curves. A height-for-age deficit ( Z < −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 < 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 < −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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