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Determinants of child wasting in Bhutan. Insights from nationally representative data

OBJECTIVE: To characterize the epidemiology of wasting and identify the main predictors of wasting, severe wasting and poor weight-for-height in children. DESIGN: We analysed a nationally representative sample of 2028 children (Multiple Indicator Survey, 2010). SETTING: Royal Kingdom of Bhutan. SUBJ...

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Autores principales: Aguayo, Víctor M, Badgaiyan, Nina, Dzed, Laigden
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cambridge University Press 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5244438/
https://www.ncbi.nlm.nih.gov/pubmed/27571643
http://dx.doi.org/10.1017/S1368980016002111
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author Aguayo, Víctor M
Badgaiyan, Nina
Dzed, Laigden
author_facet Aguayo, Víctor M
Badgaiyan, Nina
Dzed, Laigden
author_sort Aguayo, Víctor M
collection PubMed
description OBJECTIVE: To characterize the epidemiology of wasting and identify the main predictors of wasting, severe wasting and poor weight-for-height in children. DESIGN: We analysed a nationally representative sample of 2028 children (Multiple Indicator Survey, 2010). SETTING: Royal Kingdom of Bhutan. SUBJECTS: Children aged 0–23 months. RESULTS: Wasting prevalence was significantly higher among infants aged 0–11 months than among children aged 12–23 months (12·0 v. 6·7 %; P=0·004) and among boys than girls (11·0 v. 7·5 %; P=0·04). Children from the Western region had 63 % higher odds of being wasted than children from the Central/Eastern regions (adjusted OR (AOR)=1·63; 95 % CI 1·14, 2·34). Poor feeding practices were among the most significant predictors of wasting and severe wasting. Children who were given prelacteal feeds in the first days of life had 2·5 times higher odds of being severely wasted than those who were not (AOR=2·49; 95 % CI 1·19, 5·19); inadequate complementary feeding in children aged 0–23 months was associated with 58 % higher odds of being wasted (AOR=1·58; 95 % CI 1·02, 2·47) and 2·3 times higher odds of being severely wasted (AOR=2·28; 95 % CI 1·13, 4·58). The association of poor infant feeding practices with wasting and severe wasting was particularly significant in infants (0–11 months). CONCLUSIONS: Programmes for the detection and treatment of severely wasted children need to prioritize very young children (0–11 months), particularly in the Western region. Programmes for the prevention of wasting need to prioritize the improvement of complementary foods and feeding practices in children aged 6–23 months.
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spelling pubmed-52444382017-02-01 Determinants of child wasting in Bhutan. Insights from nationally representative data Aguayo, Víctor M Badgaiyan, Nina Dzed, Laigden Public Health Nutr Research Papers OBJECTIVE: To characterize the epidemiology of wasting and identify the main predictors of wasting, severe wasting and poor weight-for-height in children. DESIGN: We analysed a nationally representative sample of 2028 children (Multiple Indicator Survey, 2010). SETTING: Royal Kingdom of Bhutan. SUBJECTS: Children aged 0–23 months. RESULTS: Wasting prevalence was significantly higher among infants aged 0–11 months than among children aged 12–23 months (12·0 v. 6·7 %; P=0·004) and among boys than girls (11·0 v. 7·5 %; P=0·04). Children from the Western region had 63 % higher odds of being wasted than children from the Central/Eastern regions (adjusted OR (AOR)=1·63; 95 % CI 1·14, 2·34). Poor feeding practices were among the most significant predictors of wasting and severe wasting. Children who were given prelacteal feeds in the first days of life had 2·5 times higher odds of being severely wasted than those who were not (AOR=2·49; 95 % CI 1·19, 5·19); inadequate complementary feeding in children aged 0–23 months was associated with 58 % higher odds of being wasted (AOR=1·58; 95 % CI 1·02, 2·47) and 2·3 times higher odds of being severely wasted (AOR=2·28; 95 % CI 1·13, 4·58). The association of poor infant feeding practices with wasting and severe wasting was particularly significant in infants (0–11 months). CONCLUSIONS: Programmes for the detection and treatment of severely wasted children need to prioritize very young children (0–11 months), particularly in the Western region. Programmes for the prevention of wasting need to prioritize the improvement of complementary foods and feeding practices in children aged 6–23 months. Cambridge University Press 2016-08-30 2017-02 /pmc/articles/PMC5244438/ /pubmed/27571643 http://dx.doi.org/10.1017/S1368980016002111 Text en © The Authors 2016 https://creativecommons.org/licenses/by/4.0/This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Papers
Aguayo, Víctor M
Badgaiyan, Nina
Dzed, Laigden
Determinants of child wasting in Bhutan. Insights from nationally representative data
title Determinants of child wasting in Bhutan. Insights from nationally representative data
title_full Determinants of child wasting in Bhutan. Insights from nationally representative data
title_fullStr Determinants of child wasting in Bhutan. Insights from nationally representative data
title_full_unstemmed Determinants of child wasting in Bhutan. Insights from nationally representative data
title_short Determinants of child wasting in Bhutan. Insights from nationally representative data
title_sort determinants of child wasting in bhutan. insights from nationally representative data
topic Research Papers
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5244438/
https://www.ncbi.nlm.nih.gov/pubmed/27571643
http://dx.doi.org/10.1017/S1368980016002111
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