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Nutritional status of young children in Mumbai slums: a follow-up anthropometric study

BACKGROUND: Chronic childhood malnutrition remains common in India. As part of an initiative to improve maternal and child health in urban slums, we collected anthropometric data from a sample of children followed up from birth. We described the proportions of underweight, stunting, and wasting in y...

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Autores principales: Das, Sushmita, Bapat, Ujwala, More, Neena Shah, Alcock, Glyn, Fernandez, Armida, Osrin, David
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3546020/
https://www.ncbi.nlm.nih.gov/pubmed/23173787
http://dx.doi.org/10.1186/1475-2891-11-100
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author Das, Sushmita
Bapat, Ujwala
More, Neena Shah
Alcock, Glyn
Fernandez, Armida
Osrin, David
author_facet Das, Sushmita
Bapat, Ujwala
More, Neena Shah
Alcock, Glyn
Fernandez, Armida
Osrin, David
author_sort Das, Sushmita
collection PubMed
description BACKGROUND: Chronic childhood malnutrition remains common in India. As part of an initiative to improve maternal and child health in urban slums, we collected anthropometric data from a sample of children followed up from birth. We described the proportions of underweight, stunting, and wasting in young children, and examined their relationships with age. METHODS: We used two linked datasets: one based on institutional birth weight records for 17 318 infants, collected prospectively, and one based on follow-up of a subsample of 1941 children under five, collected in early 2010. RESULTS: Mean birth weight was 2736 g (SD 530 g), with a low birth weight (<2500 g) proportion of 22%. 21% of infants had low weight for age standard deviation (z) scores at birth (<−2 SD). At follow-up, 35% of young children had low weight for age, 17% low weight for height, and 47% low height for age. Downward change in weight for age was greater in children who had been born with higher z scores. DISCUSSION: Our data support the idea that much of growth faltering was explained by faltering in height for age, rather than by wasting. Stunting appeared to be established early and the subsequent decline in height for age was limited. Our findings suggest a focus on a younger age-group than the children over the age of three who are prioritized by existing support systems. FUNDING: The trial during which the birth weight data were collected was funded by the ICICI Foundation for Inclusive Growth (Centre for Child Health and Nutrition), and The Wellcome Trust (081052/Z/06/Z). Subsequent collection, analysis and development of the manuscript was funded by a Wellcome Trust Strategic Award: Population Science of Maternal and Child Survival (085417ma/Z/08/Z). D Osrin is funded by The Wellcome Trust (091561/Z/10/Z).
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spelling pubmed-35460202013-01-17 Nutritional status of young children in Mumbai slums: a follow-up anthropometric study Das, Sushmita Bapat, Ujwala More, Neena Shah Alcock, Glyn Fernandez, Armida Osrin, David Nutr J Research BACKGROUND: Chronic childhood malnutrition remains common in India. As part of an initiative to improve maternal and child health in urban slums, we collected anthropometric data from a sample of children followed up from birth. We described the proportions of underweight, stunting, and wasting in young children, and examined their relationships with age. METHODS: We used two linked datasets: one based on institutional birth weight records for 17 318 infants, collected prospectively, and one based on follow-up of a subsample of 1941 children under five, collected in early 2010. RESULTS: Mean birth weight was 2736 g (SD 530 g), with a low birth weight (<2500 g) proportion of 22%. 21% of infants had low weight for age standard deviation (z) scores at birth (<−2 SD). At follow-up, 35% of young children had low weight for age, 17% low weight for height, and 47% low height for age. Downward change in weight for age was greater in children who had been born with higher z scores. DISCUSSION: Our data support the idea that much of growth faltering was explained by faltering in height for age, rather than by wasting. Stunting appeared to be established early and the subsequent decline in height for age was limited. Our findings suggest a focus on a younger age-group than the children over the age of three who are prioritized by existing support systems. FUNDING: The trial during which the birth weight data were collected was funded by the ICICI Foundation for Inclusive Growth (Centre for Child Health and Nutrition), and The Wellcome Trust (081052/Z/06/Z). Subsequent collection, analysis and development of the manuscript was funded by a Wellcome Trust Strategic Award: Population Science of Maternal and Child Survival (085417ma/Z/08/Z). D Osrin is funded by The Wellcome Trust (091561/Z/10/Z). BioMed Central 2012-11-23 /pmc/articles/PMC3546020/ /pubmed/23173787 http://dx.doi.org/10.1186/1475-2891-11-100 Text en Copyright ©2012 Das et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research
Das, Sushmita
Bapat, Ujwala
More, Neena Shah
Alcock, Glyn
Fernandez, Armida
Osrin, David
Nutritional status of young children in Mumbai slums: a follow-up anthropometric study
title Nutritional status of young children in Mumbai slums: a follow-up anthropometric study
title_full Nutritional status of young children in Mumbai slums: a follow-up anthropometric study
title_fullStr Nutritional status of young children in Mumbai slums: a follow-up anthropometric study
title_full_unstemmed Nutritional status of young children in Mumbai slums: a follow-up anthropometric study
title_short Nutritional status of young children in Mumbai slums: a follow-up anthropometric study
title_sort nutritional status of young children in mumbai slums: a follow-up anthropometric study
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3546020/
https://www.ncbi.nlm.nih.gov/pubmed/23173787
http://dx.doi.org/10.1186/1475-2891-11-100
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