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Determinants of stunting in school-aged children of tehran, iran
Fatemeh Esfarjani1, Roshanak Roustaee, Fatemeh Mohammadi
1Department of Food and Nutrition Policy and Planning Research, National Nutrition and Food Technology Research Institute, Faculty of Nutrition Sciences and Food Technology, Shaheed Beheshti University of Medical Sciences, Tehran, Iran ; Pediatrics Department, Child Growth and Development Research Center, Isfahan University of Medical Sciences,Isfahan, Iran.
Insights
Childhood stunting in Iran is linked to birth weight, maternal age, and paternal height. Understanding these factors is crucial for developing effective public health interventions to improve child growth and development.
Area of Science:
- Pediatric Nutrition
- Public Health
- Growth Monitoring
Background:
- Limited data exists on the factors associated with stunting in Iranian children.
- Stunting is a significant public health concern with long-term implications for child development.
Purpose of the Study:
- To investigate the determinants of stunting in first-grade primary school children in Tehran.
- To identify key factors influencing stunting prevalence in a specific Iranian pediatric population.
Main Methods:
- A case-control study involving 3147 children from Tehran, Iran.
- Stunting defined as height-for-age below the 5th percentile using CDC 2000 growth charts.
- Data collected via questionnaires administered by trained nutritionists, with anthropometric measurements.
Main Results:
- Stunting prevalence was 3.7% (4.4% in girls, 2.8% in boys).
- Lower birth weight (<3000g) was associated with increased odds of stunting (OR: 0.25).
- Higher maternal age (>35 years) and shorter paternal height (<160 cm) were significantly associated with stunting.
Conclusions:
- Birth weight, maternal age, and paternal height are identified as major contributors to stunting in this cohort.
- Findings can inform policy decisions for targeted interventions to reduce childhood stunting in Iran.
Background:
Limited data are available indicating associates of stunting among Iranian children. This study was conducted to investigate determinants of stunting in first grade primary school children of Tehran in 2007.
Method:
In this case-control study, 3147 school children were selected by multistage cluster random sampling method from 5 districts of Tehran. Anthropometric measurements were done and stunting was defined as height for age less than the 5(th) percentile of CDC2000 cut-off points. Eighty six stunted children were identified and considered as case group. After matching for age, sex and residence area, 308 non-stunted children were randomly selected as control group. Required data were collected by trained nutritionists using questionnaires.
Results:
Stunting was prevalent among 3.7% of the study population (girls 4.4% vs. boys 2.8%, P < 0.05). Mean age of the studied children was 82.3 month. Children with a birth weight of >3000 g were less likely to be stunted (OR: 0.25: 95% CI: 0.11-0.54) compared with those with a birth weight of <3000 g. Being born to older mothers (>35 years) was associated with greater odds of being stunted (3.01; 1.19-7.60) compared with being born to younger mothers (<35 years). Those with fathers' height of >160 cm were less likely to be stunted (0.04; 0.005-0.37) than those whose fathers' height was less than 160 cm.
Conclusions:
We found that birth weight, maternal age and fathers' height are the major contributing factors to stunting in this group of Iranian children. Taking into account the determinants of stunting might help policy makers designing appropriate interventions.
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