Nutritional status of Helicobacter pylori-infected children in Guatemala as compared with uninfected peers
J M Quiñonez1, F Chew, O Torres
1Division of Pediatric Infectious Diseases, Louisiana State University School of Medicine, New Orleans, USA.
Insights
Helicobacter pylori infection did not significantly impact the nutritional status of children in Guatemala. Sociodemographic factors, not the infection, were linked to minor differences in height-for-age.
Area of Science:
- Pediatric Nutrition
- Infectious Diseases
- Public Health in Developing Countries
Background:
- Helicobacter pylori infection is prevalent globally, particularly in developing nations.
- Nutritional status in children is crucial for growth and development.
- Understanding the interplay between H. pylori and child nutrition is vital for public health interventions.
Purpose of the Study:
- To investigate the association between Helicobacter pylori infection and the nutritional status of children in Guatemala.
- To determine if H. pylori infection affects weight-for-height and height-for-age in school-aged children.
- To identify potential confounding factors, such as sociodemographic variables, influencing nutritional outcomes.
Main Methods:
- Cross-sectional study design involving 211 school-aged girls (5-10 years) in Guatemala City.
- Collection of sociodemographic data and anthropometric measurements (weight-for-height, height-for-age).
- Detection of H. pylori-specific serum IgG antibodies to assess infection status.
Main Results:
- A high prevalence of H. pylori infection (51%) was observed in the study population.
- No significant difference in weight-for-height was found between infected and uninfected children.
- Height-for-age showed a significant decrease with age, lower income, and H. pylori infection; however, this association became non-significant when controlling for age and income.
Conclusions:
- Helicobacter pylori infection did not demonstrate a significant independent effect on the nutritional status of the studied Guatemalan children.
- Observed differences in height-for-age were primarily attributed to sociodemographic factors like age and income.
- Findings suggest that addressing socioeconomic determinants is crucial for improving child nutrition in this population.
Abstract:
The effect of Helicobacter pylori infection on the nutritional status of children in a developing country was studied using a cross-sectional design. Children attending an all-girl public school in inner Guatemala City, Guatemala were evaluated to acquire sociodemographic information and anthropometric nutritional parameters (weight-for-height [WFH] and height-for-age [HFA]), and detect H. pylori-specific serum IgG antibodies. Of 211 children 5-10 years of age, 107 (51%) were infected. The WFH values were not different between infected and uninfected subjects, and were not affected by the sociodemographic variables. The HFA values decreased significantly with age (P = 0.008), lower income (P = 0.04), and H. pylori infection (P = 0.05). When controlled for age and income level, the effect of infection on HFA became nonsignificant (P = 0.30). Helicobacter pylori appeared to have no effect on the nutritional status of the studied children; the differences detected were small and likely due to sociodemographic factors.
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