Mitigating the Impact of Intergenerational Risk Factors on Stunting
Insights From Seven of the Most Food Insecure Districts in South Africa
Datos Bibliográficos
| ID | 15536268 |
|---|---|
| Autores | Kate Rich (0000-0002-1936-4723, University of the Witwatersrand, autor de correspondencia), Lambert Engelbrecht (0000-0001-6549-7183), Liezel Engelbrecht (The DG Murray Trust Cape Town South Africa), Gabrielle Wills (0000-0001-8040-474X, Stellenbosch University), Edzani Mphaphuli (The DG Murray Trust Cape Town South Africa) |
| Año | 2024 |
| Volumen | 21 |
| Número | 2 |
| Páginas | e13765-e13765 |
| Fecha de publicación | 2024-11-24 |
| Peer Reviewed | Sí |
| Open Access | Sí |
| Tipo | ARTICLE |
| Revista | Maternal and Child Nutrition (JOURNAL) |
| Identificadores de la revista | ISSN: 1740-8695 • E-ISSN: 1740-8709 |
| Editorial | Wiley (PUBLISHER • GB) |
| DOI | 10.1111/mcn.13765 |
| PMID | 39582144 |
| OpenAlex | W4404666461 |
| Idioma | EN |
| Citas recibidas | 4 |
| Referencias citadas | 62 |
A large body of research investigates the determinants of stunting in young children, but few studies have considered which factors are the most important predictors of stunting. We examined the relative importance of predictors of height-for-age z-scores (HAZ) and stunting among children under 5 years of age in seven of the most food-insecure districts in South Africa using data from the Grow Great Community Stunting Survey of 2022. We used dominance analysis and variable importance measures from conditional random forest models to assess the relative importance of predictors. We found that intergenerational and socioeconomic factors-specifically maternal height (HAZ: Coef. 0.02, 95% CI 0.01-0.03; stunting: OR 0.96, 95% CI 0.94-0.98), birth weight (HAZ: Coef. 0.3, 95% CI 0.16-0.43; stunting: OR 0.5, 95% CI 0.35-0.72) and asset-based measures of socioeconomic status (HAZ: Coef. 0.17, 95% CI 0.10-0.24; stunting: OR 0.77, 95% CI 0.67-0.89)-were the most important predictors of HAZ and stunting in these districts. We explored whether any other factors moderated (weakened) the relationship between these intergenerational factors and child height using conditional inference trees and moderation analysis. We found that being on track for vitamin A and deworming, adequate sanitation, a diverse diet and good maternal mental health moderated the effect of birth weight or mother's height. Though impacts are likely to be small relative to the impact of intergenerational risk factors, these moderating factors may provide promising avenues for helping to mitigate the intergenerational transmission of stunting risk in South Africa
Environmental health · Population · Socioeconomic status · Child Nutrition and Water Access · Demography · Energy and Environment Impacts · Food Security and Health in Diverse Populations · Medicine
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| Obras citantes distintas | 4 |
|---|---|
| Citas por año | 4 |
| Intervalo de citas | 2025 - 2026 (2) |
| Velocidad de citación | current |
| Altamente citado | No |
| Tipos de cita | Neutras: 4 |