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Subclinical Enteric Parasitic Infections and Growth Faltering in Infants in São Tomé, Africa

A Birth Cohort Study

Bibliographic Data

ID15512257
AuthorsMarisol Garzón (0000-0001-7793-6948, Universidade Nova de Lisboa), Luís Pereira‐da‐Silva (0000-0002-6480-1048, Unidade Local de Saúde de São José, corresponding author), Jorge Seixas (0000-0002-3110-6583, Universidade Nova de Lisboa), Ana Luísa Papoila (0000-0002-2918-8364, Unidade Local de Saúde de São José), Marta Alves (0000-0002-7421-8550, Unidade Local de Saúde de São José)
Year2018
Volume15
Issue4
Pages688-688
Publication date2018-04-05
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph15040688
OpenAlexW2795480121
LanguageEN
Citations received2
References cited11

The associations between enteric pathogenic parasites and growth in infants in São Tomé were explored using a refined anthropometric approach to recognize early growth faltering. A birth cohort study was conducted with follow-up to 24 months of age. Microscopic examination for protozoa and soil-transmitted helminths was performed. Anthropometric assessments included: z-scores for weight-for-length (WLZ), length-for-age (LAZ), weight (WAVZ) and length velocities (LAVZ), length-for-age difference (LAD), and wasting and stunting risk (≤−1 SD). Generalized additive mixed effects regression models were used to explore the associations between anthropometric parameters and enteric parasitic infections and cofactors. A total of 475 infants were enrolled, and 282 completed the study. The great majority of infants were asymptomatic. Giardia lamblia was detected in 35.1% of infants in at least one stool sample, helminths in 30.4%, and Cryptosporidium spp. in 14.7%. Giardia lamblia and helminth infections were significantly associated with mean decreases of 0.10 in LAZ and 0.32 in LAD, and of 0.16 in LAZ and 0.48 in LAD, respectively. Cryptosporidium spp. infection was significantly associated with a mean decrease of 0.43 in WAVZ and 0.55 in LAVZ. The underestimated association between subclinical parasitic enteric infections and mild growth faltering in infants should be addressed in public health policies

Anthropometry · Asymptomatic · Biology · Cohort · Cryptosporidium · Feces · Giardia · Giardia lamblia · Pathology · Subclinical infection · Veterinary medicine · Wasting · Breastfeeding Practices and Influences · Child Nutrition and Feeding Issues · Child Nutrition and Water Access · Medicine · Immunology · Internal Medicine · Microbiology · Pediatrics

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  • Comparison of Growth Curve Estimates of Infants in São Tomé Island, Africa, with the WHO Growth Standards

    Open Access•Marisol Garzón, Ana Luísa Papoila et al.•International Journal of…•2019

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Citations per year0.29
Citation span2019 - 2026 (8)
Highly citedNo

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