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Published on: January 29, 2018
Severe acute malnutrition morphological patterns in children under five
Laura Medialdea1,2, Barry Bogin3,4, Mbeugue Thiam5
1Technical Department, Action Against Hunger (AAH) Foundation, Madrid, Spain. lmedialdea@accioncontraelhambre.org.
Insights
This study introduces 2D geometric morphometrics for infant nutritional assessment, offering a novel way to analyze body shape beyond traditional anthropometry. This method effectively identifies malnutrition in children by detecting significant body shape changes.
Area of Science:
- Biomedical Engineering
- Nutritional Science
- Anthropology
Background:
- Current infant and child nutritional assessments primarily use anthropometry, which presents implementation challenges in resource-limited settings.
- Anthropometric methods are restricted to linear measurements, failing to capture crucial body shape information indicative of health status.
- There is a need for advanced techniques to accurately assess nutritional status and understand its impact on child development.
Purpose of the Study:
- To propose and evaluate 2D geometric morphometric techniques for assessing nutritional status in infants and children.
- To identify morphometric variations associated with optimal nutrition versus severe acute malnutrition.
- To establish reliable nutritional morphological patterns in children aged 6-59 months.
Main Methods:
- Applied 2D geometric morphometric techniques to a sample of Senegalese children aged 6-59 months.
- Compared body shape and size variations between children with optimal nutritional condition and those with severe acute malnutrition.
- Utilized landmark-based data to analyze morphometric differences, considering age, sex, and allometric effects.
Main Results:
- Significant differences in body shape and size were observed based on nutritional status, age, and sex.
- Allometric effects were identified as crucial factors in establishing nutritional morphological patterns.
- Discriminant functions showed the highest classification rates for malnutrition when applied to the left arm.
Conclusions:
- 2D geometric morphometrics offers a promising approach for assessing acute malnutrition in children.
- A landmark-based body shape template can aid in evaluating nutritional status and understanding growth patterns.
- This technique provides deeper insights into the morphological changes induced by nutritional status during early childhood.
Abstract:
Current methods for infant and child nutritional assessment rely on anthropometric measurements, whose implementation faces technical challenges in low- and middle-income countries. Anthropometry is also limited to linear measurements, ignoring important body shape information related to health. This work proposes the use of 2D geometric morphometric techniques applied to a sample of Senegalese participants aged 6-59 months with an optimal nutritional condition or with severe acute malnutrition to address morphometric variations due to nutritional status. Significant differences in shape and size body changes were described according to nutritional status, resulting age, sex and allometric effect crucial factors to establish nutritional morphological patterns. The constructed discriminant functions exhibited the best classification rates in the left arm. A landmark-based template registering body shape could be useful to both assess acute malnutrition and better understand the morphological patterns that nutritional status promotes in children during their first 5 years of growth and development.
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