Prevalence and correlates of stunting among a high-risk population of Kenyan children recently hospitalized for acute illnesses
Stunting (length/height-for-age z-score < –2) is associated with significant morbidity and mortality among children under 5 years of age in sub-Saharan Africa. Children who are stunted and recently hospitalized for acute illness may be at particularly elevated risk for post-discharge mortality. In t...
| Autores principales: | , , , , , , , , , , , |
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| Formato: | Journal Article |
| Lenguaje: | Inglés |
| Publicado: |
American Society of Tropical Medicine and Hygiene
2024
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| Materias: | |
| Acceso en línea: | https://hdl.handle.net/10568/139844 |
| _version_ | 1855528783153463296 |
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| author | Atlas, Hannah E. Brander, Rebecca L. Tickell, Kirkby D. Bunyige, Lucy Oongo, Susan McGrath, Christine J. John-Stewart, Grace C. Richardson, Barbra A. Singa, Benson O. Denno, Donna M. Walson, Judd L. Pavlinac, Patricia B. |
| author_browse | Atlas, Hannah E. Brander, Rebecca L. Bunyige, Lucy Denno, Donna M. John-Stewart, Grace C. McGrath, Christine J. Oongo, Susan Pavlinac, Patricia B. Richardson, Barbra A. Singa, Benson O. Tickell, Kirkby D. Walson, Judd L. |
| author_facet | Atlas, Hannah E. Brander, Rebecca L. Tickell, Kirkby D. Bunyige, Lucy Oongo, Susan McGrath, Christine J. John-Stewart, Grace C. Richardson, Barbra A. Singa, Benson O. Denno, Donna M. Walson, Judd L. Pavlinac, Patricia B. |
| author_sort | Atlas, Hannah E. |
| collection | Repository of Agricultural Research Outputs (CGSpace) |
| description | Stunting (length/height-for-age z-score < –2) is associated with significant morbidity and mortality among children under 5 years of age in sub-Saharan Africa. Children who are stunted and recently hospitalized for acute illness may be at particularly elevated risk for post-discharge mortality. In this cross-sectional analysis, we measured the prevalence of stunting at hospital discharge and identified host, caregiver, and environmental correlates of stunting among children aged 1–59 months in Western Kenya enrolled in the Toto Bora Trial. Child age- and site-adjusted prevalence ratios were estimated using Poisson regression. Of the 1,394 children included in this analysis, 23% were stunted at hospital discharge. Older children (12–23 months and 24–59 months versus 0–5 months) had a higher prevalence of stunting (adjusted prevalence ratio [aPR]: 1.58; 95% CI: 1.04–2.36 and aPR: 1.59; 95% CI: 1.08–2.34, respectively). HIV-exposed, uninfected children (aPR: 1.94; 95% CI: 1.39–2.70), children with HIV infection (aPR: 2.73; 95% CI: 1.45–5.15), and those who were never exclusively breastfed in early life (aPR 2.51; 95% CI: 1.35–4.67) were more likely to be stunted. Caregiver education (primary school or less) and unimproved sanitation (pit latrine without slab floor or open defecation) were associated with increased risk of stunting (aPR: 1.94; 95% CI: 1.54–2.44; aPR: 1.99; 95% CI: 1.20–3.31; aPR: 3.57; 95% CI: 1.77–7.21, respectively). Hospital discharge represents an important opportunity for both identifying and delivering targeted interventions for nutrition-associated poor outcomes among a high-risk population of children. |
| format | Journal Article |
| id | CGSpace139844 |
| institution | CGIAR Consortium |
| language | Inglés |
| publishDate | 2024 |
| publishDateRange | 2024 |
| publishDateSort | 2024 |
| publisher | American Society of Tropical Medicine and Hygiene |
| publisherStr | American Society of Tropical Medicine and Hygiene |
| record_format | dspace |
| spelling | CGSpace1398442024-10-25T07:58:45Z Prevalence and correlates of stunting among a high-risk population of Kenyan children recently hospitalized for acute illnesses Atlas, Hannah E. Brander, Rebecca L. Tickell, Kirkby D. Bunyige, Lucy Oongo, Susan McGrath, Christine J. John-Stewart, Grace C. Richardson, Barbra A. Singa, Benson O. Denno, Donna M. Walson, Judd L. Pavlinac, Patricia B. children hospitals morbidity mortallity stunting Stunting (length/height-for-age z-score < –2) is associated with significant morbidity and mortality among children under 5 years of age in sub-Saharan Africa. Children who are stunted and recently hospitalized for acute illness may be at particularly elevated risk for post-discharge mortality. In this cross-sectional analysis, we measured the prevalence of stunting at hospital discharge and identified host, caregiver, and environmental correlates of stunting among children aged 1–59 months in Western Kenya enrolled in the Toto Bora Trial. Child age- and site-adjusted prevalence ratios were estimated using Poisson regression. Of the 1,394 children included in this analysis, 23% were stunted at hospital discharge. Older children (12–23 months and 24–59 months versus 0–5 months) had a higher prevalence of stunting (adjusted prevalence ratio [aPR]: 1.58; 95% CI: 1.04–2.36 and aPR: 1.59; 95% CI: 1.08–2.34, respectively). HIV-exposed, uninfected children (aPR: 1.94; 95% CI: 1.39–2.70), children with HIV infection (aPR: 2.73; 95% CI: 1.45–5.15), and those who were never exclusively breastfed in early life (aPR 2.51; 95% CI: 1.35–4.67) were more likely to be stunted. Caregiver education (primary school or less) and unimproved sanitation (pit latrine without slab floor or open defecation) were associated with increased risk of stunting (aPR: 1.94; 95% CI: 1.54–2.44; aPR: 1.99; 95% CI: 1.20–3.31; aPR: 3.57; 95% CI: 1.77–7.21, respectively). Hospital discharge represents an important opportunity for both identifying and delivering targeted interventions for nutrition-associated poor outcomes among a high-risk population of children. 2024-02-07 2024-03-06T20:33:03Z 2024-03-06T20:33:03Z Journal Article https://hdl.handle.net/10568/139844 en Limited Access American Society of Tropical Medicine and Hygiene Atlas, Hannah E.; Brander, Rebecca L.; Tickell, Kirkby D.; Bunyige, Lucy; Oongo, Susan; McGrath, Christine J.; et al. 2023. Prevalence and correlates of stunting among a high-risk population of Kenyan children recently hospitalized for acute illnesses. American Journal of Tropical Medicine and Hygiene 110(2): 356-363. https://doi.org/10.4269/ajtmh.23-0050 |
| spellingShingle | children hospitals morbidity mortallity stunting Atlas, Hannah E. Brander, Rebecca L. Tickell, Kirkby D. Bunyige, Lucy Oongo, Susan McGrath, Christine J. John-Stewart, Grace C. Richardson, Barbra A. Singa, Benson O. Denno, Donna M. Walson, Judd L. Pavlinac, Patricia B. Prevalence and correlates of stunting among a high-risk population of Kenyan children recently hospitalized for acute illnesses |
| title | Prevalence and correlates of stunting among a high-risk population of Kenyan children recently hospitalized for acute illnesses |
| title_full | Prevalence and correlates of stunting among a high-risk population of Kenyan children recently hospitalized for acute illnesses |
| title_fullStr | Prevalence and correlates of stunting among a high-risk population of Kenyan children recently hospitalized for acute illnesses |
| title_full_unstemmed | Prevalence and correlates of stunting among a high-risk population of Kenyan children recently hospitalized for acute illnesses |
| title_short | Prevalence and correlates of stunting among a high-risk population of Kenyan children recently hospitalized for acute illnesses |
| title_sort | prevalence and correlates of stunting among a high risk population of kenyan children recently hospitalized for acute illnesses |
| topic | children hospitals morbidity mortallity stunting |
| url | https://hdl.handle.net/10568/139844 |
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