Relationship between trachoma and chronic and acute malnutrition in children in rural Ethiopia
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Updated: Jul 13, 2026

Determining Soil-transmitted Helminth Infection Status and Physical Fitness of School-aged Children
Published on: August 22, 2012
Andrew G Smith1, Aimee T Broman, Wondu Alemayehu
1Department of Pediatrics, School of Medicine, University of Utah, Salt Lake City, UT, USA.
Insights
Children with chronic malnutrition, indicated by stunting, are significantly more likely to develop clinical trachoma, the world's leading infectious cause of blindness. This highlights the role of host factors like malnutrition in disease presentation.
Area of Science:
- Ophthalmology
- Infectious Diseases
- Global Health
- Nutritional Science
Background:
- Trachoma is the leading infectious cause of blindness globally.
- High rates of childhood malnutrition are observed in trachoma-endemic regions.
- The interplay between malnutrition and trachoma requires further investigation.
Purpose of the Study:
- To investigate the association between acute and chronic malnutrition and clinical trachoma.
- To explore if malnutrition influences the clinical presentation of trachoma.
Main Methods:
- The study examined the relationship between malnutrition (acute and chronic) and clinical trachoma in children.
- Statistical analyses were performed to control for confounding factors such as age, gender, and household infection status.
Main Results:
- Children with chronic malnutrition, specifically stunting, showed a significantly higher likelihood of having clinical trachoma.
- Stunted children were 1.96 times more likely to present with clinical trachoma compared to non-stunted children (95% CI: 1.12-3.43).
- Acute malnutrition was not found to be significantly associated with clinical trachoma.
Conclusions:
- Chronic malnutrition, particularly stunting, is a significant risk factor for developing clinical trachoma.
- Host factors, including nutritional status, may influence the manifestation and severity of trachoma.
- Further research into host-pathogen interactions in trachoma is warranted.
Abstract:
Trachoma is the leading infectious cause of blindness in the world. Areas where it is most prevalent also have some of the highest rates of childhood malnutrition. We examined the relationship between both acute and chronic malnutrition and clinical trachoma. We also explored whether malnutrition alters the clinical manifestations of the disease. Children with chronic malnutrition, but not acute malnutrition, were more likely to have clinical trachoma. Stunted children are 1.96 times more likely to have clinical trachoma than nonstunted children (95% CI: 1.12-3.43), even after controlling for age, gender and infection status of other household members. Host factors including malnutrition may play a role in determining disease manifestations.
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