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Early development in children with moderate acute malnutrition: A cross‐sectional study in Burkina Faso

Malnutrition impairs cognitive, communication, and motor development, but it is not known how nutrition and health are associated with development in children with moderate acute malnutrition (MAM). We aimed to describe motor and language development of children with MAM and explore its nutrition an...

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Autores principales: Olsen, Mette F., Iuel‐Brockdorff, Ann‐Sophie, Yaméogo, Charles W., Cichon, Bernardette, Fabiansen, Christian, Filteau, Suzanne, Phelan, Kevin, Ouédraogo, Albertine, Wells, Jonathan C., Briend, André, Michaelsen, Kim F., Lauritzen, Lotte, Ritz, Christian, Ashorn, Per, Christensen, Vibeke B., Gladstone, Melissa, Friis, Henrik
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7083399/
https://www.ncbi.nlm.nih.gov/pubmed/31823490
http://dx.doi.org/10.1111/mcn.12928
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author Olsen, Mette F.
Iuel‐Brockdorff, Ann‐Sophie
Yaméogo, Charles W.
Cichon, Bernardette
Fabiansen, Christian
Filteau, Suzanne
Phelan, Kevin
Ouédraogo, Albertine
Wells, Jonathan C.
Briend, André
Michaelsen, Kim F.
Lauritzen, Lotte
Ritz, Christian
Ashorn, Per
Christensen, Vibeke B.
Gladstone, Melissa
Friis, Henrik
author_facet Olsen, Mette F.
Iuel‐Brockdorff, Ann‐Sophie
Yaméogo, Charles W.
Cichon, Bernardette
Fabiansen, Christian
Filteau, Suzanne
Phelan, Kevin
Ouédraogo, Albertine
Wells, Jonathan C.
Briend, André
Michaelsen, Kim F.
Lauritzen, Lotte
Ritz, Christian
Ashorn, Per
Christensen, Vibeke B.
Gladstone, Melissa
Friis, Henrik
author_sort Olsen, Mette F.
collection PubMed
description Malnutrition impairs cognitive, communication, and motor development, but it is not known how nutrition and health are associated with development in children with moderate acute malnutrition (MAM). We aimed to describe motor and language development of children with MAM and explore its nutrition and health‐related correlates. This cross‐sectional study used baseline data from a nutritional trial in children with MAM aged 6–23 months in Burkina Faso. Motor and language skills were assessed using the Malawi Development Assessment Tool (MDAT). Linear mixed models were used to explore potential correlates of MDAT including socio‐economic status, anthropometry, body composition, whole‐blood polyunsaturated fatty acids (PUFA), haemoglobin (Hb), iron status, and morbidity. We also assessed child and caregiver participation during MDAT procedures and their associations with correlates and development. MDAT data were available for 1.608 children. Mean (95% CI) MDAT z‐scores were −0.39 (−0.45, −0.34) for gross motor, 0.54 (0.48, 0.59) for fine motor, and −0.91 (−0.96, −0.86) for language skills. Children with higher mid‐upper arm circumference, weight‐for‐height, height‐for‐age, fat‐free mass, n‐3 PUFAs, Hb, and iron status had better MDAT z‐scores, whereas children with more fat mass index, anaemia, illness, and inflammation had poorer z‐scores. In addition, children living in larger households or with an unmarried mother had poorer MDAT z‐scores. Associations between morbidity and z‐scores were largely explained by children's poorer participation during MDAT assessment. The identified factors associated with child development may inform interventions needed to stimulate development during or after management of MAM.
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spelling pubmed-70833992020-05-21 Early development in children with moderate acute malnutrition: A cross‐sectional study in Burkina Faso Olsen, Mette F. Iuel‐Brockdorff, Ann‐Sophie Yaméogo, Charles W. Cichon, Bernardette Fabiansen, Christian Filteau, Suzanne Phelan, Kevin Ouédraogo, Albertine Wells, Jonathan C. Briend, André Michaelsen, Kim F. Lauritzen, Lotte Ritz, Christian Ashorn, Per Christensen, Vibeke B. Gladstone, Melissa Friis, Henrik Matern Child Nutr Original Articles Malnutrition impairs cognitive, communication, and motor development, but it is not known how nutrition and health are associated with development in children with moderate acute malnutrition (MAM). We aimed to describe motor and language development of children with MAM and explore its nutrition and health‐related correlates. This cross‐sectional study used baseline data from a nutritional trial in children with MAM aged 6–23 months in Burkina Faso. Motor and language skills were assessed using the Malawi Development Assessment Tool (MDAT). Linear mixed models were used to explore potential correlates of MDAT including socio‐economic status, anthropometry, body composition, whole‐blood polyunsaturated fatty acids (PUFA), haemoglobin (Hb), iron status, and morbidity. We also assessed child and caregiver participation during MDAT procedures and their associations with correlates and development. MDAT data were available for 1.608 children. Mean (95% CI) MDAT z‐scores were −0.39 (−0.45, −0.34) for gross motor, 0.54 (0.48, 0.59) for fine motor, and −0.91 (−0.96, −0.86) for language skills. Children with higher mid‐upper arm circumference, weight‐for‐height, height‐for‐age, fat‐free mass, n‐3 PUFAs, Hb, and iron status had better MDAT z‐scores, whereas children with more fat mass index, anaemia, illness, and inflammation had poorer z‐scores. In addition, children living in larger households or with an unmarried mother had poorer MDAT z‐scores. Associations between morbidity and z‐scores were largely explained by children's poorer participation during MDAT assessment. The identified factors associated with child development may inform interventions needed to stimulate development during or after management of MAM. John Wiley and Sons Inc. 2019-12-11 /pmc/articles/PMC7083399/ /pubmed/31823490 http://dx.doi.org/10.1111/mcn.12928 Text en © 2019 The Authors. Maternal & Child Nutrition published by John Wiley & Sons, Ltd. This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Articles
Olsen, Mette F.
Iuel‐Brockdorff, Ann‐Sophie
Yaméogo, Charles W.
Cichon, Bernardette
Fabiansen, Christian
Filteau, Suzanne
Phelan, Kevin
Ouédraogo, Albertine
Wells, Jonathan C.
Briend, André
Michaelsen, Kim F.
Lauritzen, Lotte
Ritz, Christian
Ashorn, Per
Christensen, Vibeke B.
Gladstone, Melissa
Friis, Henrik
Early development in children with moderate acute malnutrition: A cross‐sectional study in Burkina Faso
title Early development in children with moderate acute malnutrition: A cross‐sectional study in Burkina Faso
title_full Early development in children with moderate acute malnutrition: A cross‐sectional study in Burkina Faso
title_fullStr Early development in children with moderate acute malnutrition: A cross‐sectional study in Burkina Faso
title_full_unstemmed Early development in children with moderate acute malnutrition: A cross‐sectional study in Burkina Faso
title_short Early development in children with moderate acute malnutrition: A cross‐sectional study in Burkina Faso
title_sort early development in children with moderate acute malnutrition: a cross‐sectional study in burkina faso
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7083399/
https://www.ncbi.nlm.nih.gov/pubmed/31823490
http://dx.doi.org/10.1111/mcn.12928
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