Reduction of chronic malnutrition for infants in Bogotá, Colombia
Paula Andrea Castro Prieto1,2, Kenny Margarita Trujillo Ramírez3, Sergio Moreno3
1Population Health Axis, Fundación Santa Fe de Bogotá, Carrera 7b # 123-90, 110111, Bogotá, Colombia. paula.castro@fsfb.org.co.
Insights
A public health nutrition intervention improved growth trajectories in infants at risk of stunting in Bogotá. The study showed children at risk or with stunting had a higher probability of achieving adequate length-for-age post-intervention.
Area of Science:
- Public Health
- Pediatrics
- Nutrition Science
Background:
- Bogotá, Colombia, had a 13% stunting prevalence in children under 5, exceeding national rates.
- A pilot public health intervention was designed for infants under 1 year at risk of or with stunting in Bogotá.
Purpose of the Study:
- To evaluate the impact of a 10-month public health nutrition intervention on the nutritional status of infants in Bogotá.
- To determine changes in growth trajectories among children under one year old.
Main Methods:
- A pre-experimental, before-and-after study design was employed.
- The intervention targeted 1126 infants in the Kennedy, San Cristóbal, and Engativá territories of Bogotá.
Main Results:
- Initially, 43.3% of children had delayed height-for-age, and 56.7% were at risk of short stature.
- Post-intervention, 17% moved from stunting to stunting risk, while 4.5% achieved adequate length-for-age.
Conclusions:
- Infants identified as at risk or with stunting demonstrated an improved probability of reaching appropriate growth trajectories.
- The intervention positively influenced the length-for-age indicator in the studied infant population.
Background:
According to the 2015 National Survey of the Nutritional Situation in Colombia the prevalence of stunting in children under 5 years of age was 10.8%. In terms of region, Bogotá, presented the highest prevalence rate (13%), a figure that exceeded national records. With the collaboration of local and national government, and nongovernmental it was decided to develop a pilot study involving a public health intervention with residents of Bogotá under 1 year of age with nutritional classification by anthropometry compatible with stunting risk or stunting.
Methods:
Pre-experimental, before and after study that sought to determine the magnitude of the change in nutritional status through a 10 months public health nutrition intervention in children under one-year-old residing in 3 prioritized territories of Bogotá.
Results:
The intervention comprised 1126 children living in the following territories in Bogotá: Kennedy, San Cristóbal, and Engativá. A total of 43.3% children presented delay in height for age, and 56.7% presented risk of short stature. In the final measurement, data were obtained from 686 children, identifying that 17% of the children progressed from stunting to a stunting risk and that 4.5% recovered their growth trajectory, achieving an adequate length for their age.
Conclusion:
That children classified as at risk or stunting at the beginning of the intervention showed an increased probability of approaching or being in the appropriate growth trajectory according to the length-for-age indicator after the intervention.
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