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Published on: January 29, 2018
[Determinants of weight and linear growth deficits in children under two years of age]
Valterlinda Alves de Oliveira1, Ana Marlúcia Oliveira Assis, Sandra Maria Conceição Pinheiro
1Escola de Nutrição, Universidade Federal da Bahia, Rua Araújo Pino 32, Canela, 40110-150 Salvador, BA, Brasil. valterlinda@terra.com.br
Insights
Poor living conditions and limited healthcare access contribute to child malnutrition in Brazil. Interventions improving these areas are crucial for children's health and nutrition equity.
Area of Science:
- Pediatrics
- Public Health
- Nutrition Science
Context:
- Protein-energy malnutrition (PEM) is a significant global health issue affecting child development.
- Northeastern Brazil faces persistent challenges in child nutrition and health outcomes.
- Understanding the multifactorial determinants of PEM is critical for effective interventions.
Purpose:
- To identify key determinants of protein-energy malnutrition (PEM) leading to weight and linear growth deficits in children under two years old.
- To analyze the association between socioeconomic factors, healthcare access, and child anthropometric measures.
- To explore basic, underlying, and immediate factors contributing to malnutrition.
Summary:
- A cross-sectional study of 1,041 children in Bahia, Brazil, identified significant determinants of growth deficits.
- Linear growth retardation was linked to limited household appliances, lack of prenatal care, low birth weight, and prior hospitalization.
- Weight deficits were associated with low per capita income, lack of prenatal care, and low birth weight.
Impact:
- Findings highlight the interplay of poor living conditions, inadequate healthcare access, and disease burden on child malnutrition.
- Interventions focusing on improving living standards and healthcare access are essential for promoting child health equity.
- The study provides evidence for targeted public health strategies to combat childhood malnutrition in vulnerable populations.
Objective:
To identify determinants of protein-energy malnutrition resulting in weight and linear growth deficits in children.
Methods:
A cross-sectional study was carried out among 1,041 children (under two years of age) from 10 municipalities in Bahia, Northeastern Brazil, during 1999-2000. Both logistic regression and a hierarchical approach were used to identify factors associated with the anthropometric measures.
Results:
The basic determinant found in the final model for linear growth retardation was having up to two household appliances (OR=2.9; 95% CI: 1.74-4.90); as an underlying determinant, not attending prenatal visits (OR=2.7; 95% CI: 1.47-4.97); and, among immediate determinants were low birth weight (OR=3.6; 95% CI: 1.72-7.70) and reported hospitalization within 12 months before the interview (OR=2.4; 95% CI: 1.42-4.10). Determinants of weight deficit at the basic, underlying and immediate levels were: per capita monthly income of less than one-fourth of the minimum wage (OR=3.4; 95% CI: 1.41-8.16), not attending prenatal visits (OR=2.1; 95% CI: 1.03-4.35) and low birth weight (OR=4.8; 95% CI: 2.00-11.48) respectively.
Conclusions:
Children's weight and linear deficits were accounted for the overlapping of poor material living conditions, limited access to health care and disease burden. Interventions aimed at improving living conditions and better access to health care programs are strategies towards equity in children's health and nutrition.
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