Related Experiment Video
Updated: Oct 6, 2025

Determining Soil-transmitted Helminth Infection Status and Physical Fitness of School-aged Children
Published on: August 22, 2012
Stunting and Underweight, but not Wasting are Associated with Delay in Child Development in Southwest Ethiopia
Abdu Oumer1, Zinash Fikre1, Tadele Girum1
1Department of Public Health, College of Medicine and Health Sciences, Wolkite University, Wolkite, Ethiopia.
Insights
Malnutrition significantly increases the risk of developmental delays in young children in Ethiopia. Stunting and underweight were key predictors, highlighting the need for improved nutrition and feeding practices to support child development.
Area of Science:
- Child development
- Public health
- Nutrition science
Background:
- Childhood stimulating care is crucial for lifelong health and well-being.
- Malnutrition affects nearly half of children under five in Ethiopia.
- The link between malnutrition and developmental delays in Ethiopia requires further understanding.
Purpose of the Study:
- To investigate the association between various forms of malnutrition and delayed child development in Southwest Ethiopia.
- To identify specific nutritional factors contributing to developmental delays in young children.
Main Methods:
- A community-based survey involving 507 mother-child pairs in Southwest Ethiopia.
- Utilized pretested tools and validated anthropometric measurements to assess nutritional status (wasting, stunting, underweight).
- Employed bivariable and multivariable logistic regression models to identify predictors of developmental delay.
Main Results:
- Nearly 30% of children (149 out of 507) exhibited developmental delays.
- Stunting (AOR=3.0), underweight (AOR=2.3), and low dietary diversity (AOR=3.1) were significant predictors of developmental delay.
- Other predictors included children of working mothers, preterm births, and early complementary feeding.
Conclusions:
- Developmental delay is a significant public health issue in the study area.
- Stunting, underweight, poor dietary diversity, and suboptimal feeding practices are strongly linked to child development delays.
- Interventions targeting nutrition and feeding practices are essential to mitigate developmental delays.
Background:
Stimulating care during childhood is the foundation for optimal health, learning, productivity, and social well-being throughout the life course. In addition, malnutrition is a major public health concern affecting up to half of children under-five years in Ethiopia. However, evidence on the causal contribution of malnutrition to delay in child development is poorly understood in Ethiopia.
Objective:
To identify the relationship between different forms of malnutrition and delay in child development among children in Southwest Ethiopia.
Methods:
A community-based survey was conducted among 507 randomly selected mother-child pairs in the Guraghe Zone, Southwest Ethiopia. A pretested tool and validated anthropometric measurements were used. Anthropometric indices (WFH, WFA, and HFA) were calculated in Anthros software. The data were summarized in mean, median, standard deviation, tables and charts. Bivariable and multivariable binary logistic regression (stepwise backward regression) models were fitted with nutritional status (wasting, stunting and underweight) and other potential factors associated with delay in child developmental. Adjusted odds ratios with 95% confidence intervals and p-values were reported.
Results:
A total of 507 mother-child (12-59 months) pairs were included in the survey (97% response rate). The mean ASQ-3 score was 150 (± 23.4), with a minimum and maximum score of 45 and 270, respectively. A total of 149 (29.4%; 95% CI: 25.4-33.4) children had developmental delays, where 17.2%, 16.8%, 13.4%, 10.8%, and 10.1% had delays in gross motor, communication, problem-solving, personal-social, and fine motor skills, respectively. Children of working mothers (AOR=2.9; 1.8, 4.8), preterm births (AOR=3.2; 1.4, 7.0), early initiation of complementary feeding (AOR=2.5; 1.37, 4.6), stunting (AOR=3.0; 1.9, 4.7), underweight (AOR= 2.3; 1.1, 4.7) and low dietary diversity score (AOR=3.1; 1.3, 7.5), were predictors of developmental delay.
Conclusion:
Child development delay is a public health concern and it is strongly associated with stunting, underweight, undiversified dietary consumption, and suboptimal infant and young child feeding practices.
More Related Videos
Related Concept Videos
Nature and Nurture
Overview of Protein Metabolism
Amino acids play various roles in the body once they are absorbed into cells. They are restructured...
Anorexia Nervosa
Symptoms and Physical Effects
Individuals with anorexia nervosa commonly exhibit extreme...
Pathophysiology of Diabetes
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility,...
Attention-Deficit/Hyperactivity Disorder
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings....
Metabolic States of the Body: Fasting and Starvation

