Catch-up growth is a better indicator of undernutrition than thresholds for stunting
Bibliographic Data
| ID | 15090583 |
|---|---|
| Authors | Christiane Scheffler (0000-0003-1954-7578, University of Potsdam, corresponding author), B Bogin (0000-0002-1688-0087, Loughborough University), Michael Hermanussen (0000-0003-4037-1597, Christian-Albrechts-Universität zu Kiel) |
| Year | 2021 |
| Volume | 24 |
| Issue | 1 |
| Pages | 52-61 |
| Publication date | 2021-01-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Public Health Nutrition (JOURNAL) |
| Journal identifiers | ISSN: 1368-9800 • E-ISSN: 1475-2727 |
| Publisher | Cambridge University Press (CUP) (PUBLISHER) |
| DOI | 10.1017/s1368980020003067 |
| PMID | 32924910 |
| OpenAlex | W3084784823 |
| Language | EN |
| Citations received | 5 |
| References cited | 33 |
Objective: Stunting (height-for-age sd ) is one of the forms of undernutrition and is frequent among children of low- and middle-income countries. But stunting per s e is not a synonym of undernutrition. We investigated association between body height and indicators of energetic undernutrition at three critical thresholds for thinness used in public health: (1) BMI SDS Design: Cross-sectional study; breakpoint analysis. Setting: Rural and urban regions of Indonesia and Guatemala – different socio-economic status (SES). Participants: 1716 Indonesian children (6·0–13·2 years) and 3838 Guatemalan children (4·0–18·9 years) with up to 50 % stunted children. Results: When separating the regression of BMI, MUAC or SF, on height into distinguishable segments (breakpoint analysis), we failed to detect relevant associations between height, and BMI, MUAC or SF, even in the thinnest and shortest children. For BMI and SF, the breakpoint analysis either failed to reach statistical significance or distinguished at breakpoints above critical thresholds. For MUAC, the breakpoint analysis yielded negative associations between MUAC/h and height in thin individuals. Only in high SES Guatemalan children, SF and height appeared mildly associated with R 2 = 0·017. Conclusions: Currently used lower thresholds of height-for-age (stunting) do not show relevant associations with anthropometric indicators of energetic undernutrition. We recommend using the catch-up growth spurt during early re-feeding instead as immediate and sensitive indicator of past undernourishment. We discuss the primacy of education and social-economic-political-emotional circumstances as responsible factors for stunting
Anthropometry · Biology · Breakpoint · Circumference · Geography · Growth spurt · Malnutrition · Skinfold thickness · Child Nutrition and Water Access · Demography · Mathematics · Medicine · Obesity, Physical Activity, Diet · Poverty, Education, and Child Welfare · Internal Medicine · Pediatrics
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| Unique citing works | 5 |
|---|---|
| Citations per year | 1 |
| Citation span | 2021 - 2025 (5) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 5 |