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Taller but thinner

Trends in child anthropometry in Senegal, 1990–2015

Bibliographic Data

ID15092764
AuthorsMichel Garenne (0000-0001-6073-7803, University of the Witwatersrand, corresponding author)
Year2020
Volume23
Issue13
Pages2365-2372
Publication date2020-09-01
Open AccessYes
TypeARTICLE
VenuePublic Health Nutrition (JOURNAL)
Journal identifiersISSN: 1368-9800 • E-ISSN: 1475-2727
PublisherCambridge University Press (CUP) (PUBLISHER)
DOI10.1017/s1368980019003598
PMID31896380
OpenAlexW2997154413
LanguageEN
References cited35

Objective: To investigate trends in child anthropometry in Senegal between 1990 and 2015 and relate them with potential causes. Several hypotheses were tested: changes in health status, income, diet and socio-economic status. Design: Statistical analysis of trends in anthropometric data: height, weight, BMI and associated Z -scores calculated with the CDC-2000 standard (Centers for Disease Control and Prevention): height-for-age (HAZ), weight-for-age (WAZ) and weight-for-height (WHZ). Trends were fitted with linear regression models and were related with changes in health and socio-economic status. Setting: Nine nationally representative samples of Senegalese children aged 12–59 months, taken between 1986 and 2017 by Demographic and Health Surveys (DHS). Participants: Children aged 12–59 months. Results: Over the 25 years of investigation, the average height of children increased by +1·88 cm, their average weight by +0·10 kg, but their BMI decreased by −0·53 kg/m 2 . Corresponding changes expressed in Z -scores were +0·454 in HAZ, +0·109 in WAZ and −0·302 in WHZ. This pattern of decreasing stunting while increasing wasting was correlated with decreasing child mortality, despite small changes in income per capita and in adult heights or BMI. Largest improvements in HAZ were among the lower socio-economic strata, while largest declines in WHZ were among higher socio-economic strata. Conclusions: Decline in stunting appeared associated primarily with the control of infectious diseases, also responsible for the mortality decline. Increase in wasting was surprising. It appears associated with small changes in income per capita, and therefore in diet, in a context of increasing height

Anthropometry · Body mass index · Wasting · Weight for Age · Birth, Development, and Health · Child Nutrition and Water Access · Demography · Medicine · Obesity, Physical Activity, Diet

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