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Updated: Apr 28, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
[Risk factors of stunting in preschool children: a case-control study]
Insights
Low family income, large households, young maternal age, and incomplete immunizations are key risk factors for stunting in preschoolers. These findings highlight the impact of socioeconomic conditions and healthcare access on child development.
Area of Science:
- Pediatrics
- Public Health
- Nutritional Science
Context:
- Childhood stunting remains a significant global health issue, particularly affecting preschool-aged children.
- Identifying specific risk factors is crucial for developing targeted interventions in public daycare settings.
Purpose:
- To determine the primary risk factors associated with mild and moderate stunting in preschool children attending public daycare centers.
- To analyze the association between socioeconomic status, household conditions, maternal characteristics, and child health indicators with stunting.
Summary:
- A case-control study involving 67 pairs of preschool children identified key risk factors for stunting.
- Significant predictors included low family income (< 1/2 Minimum Wage), inadequate housing, large household size (≥ 6 members), young maternal age (< 20 years), low maternal stature, incomplete immunization, and low birth weight.
- The findings highlight the interplay of adverse socioeconomic conditions and healthcare-related child variables in determining stunting.
Impact:
- Provides evidence for policymakers and healthcare providers to implement focused strategies addressing socioeconomic determinants of child growth.
- Informs public health initiatives aimed at reducing the prevalence of stunting in vulnerable preschool populations.
- Contributes to a better understanding of the multifactorial nature of stunting, emphasizing the need for holistic interventions.
Abstract:
This article seeks to establish risk factors for mild and moderate stunting among preschool children attending public daycare centers. It involves a case-control study with 67 pairs of children. Cases defined as children with height/age between -1 and -2 Z-scores were paired with controls between -1 Z-score and the median, while cases with height/age < -2 Z-scores were paired with controls with height/age > median to +1 Z-score. The sex and age of the child was used for pairing purposes. The final model of hierarchical multivariate analysis indicated a greater chance of stunting in the following groups of preschoolers: family income < 1/2 Minimum Wage, squatted/courtesy house, number of individuals in the household ≥ 6, maternal age at child's birth < 20 years, low maternal stature, incomplete immunization program, low birth weight. Stunting is determined by adverse socioeconomic conditions and the characteristics of children reflecting health care (maternal height and child variables).
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