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  • Predicting Undernutrition a...
    Schwinger, Catherine, MA; Fadnes, Lars T., PhD; Shrestha, Sanjaya K., MD; Shrestha, Prakash Sundar, MD; Chandyo, Ram Krishna, PhD; Shrestha, Binob, BPH; Ulak, Manjeswori, MD; Bodhidatta, Ladaporn, MD; Mason, Carl, PhD; Strand, Tor A., PhD

    The Journal of pediatrics, 03/2017, Letnik: 182
    Journal Article

    Objective To estimate the abilities of weight and length velocities vs attained growth measures to predict stunting, wasting, and underweight at age 2 years. Study design We analyzed data from a community-based cohort study (The Etiology, Risk Factors, and Interactions of Enteric Infections and Malnutrition and the Consequences for Child Health and Development study MAL-ED study) in Bhaktapur, Nepal. A total of 240 randomly selected children were enrolled at birth and followed up monthly up to age 24 months. Linear and logistic regression models were used to predict malnutrition at 2 years of age with growth velocity z scores at 0-3, 0-6, 3-6, 6-9, 6-12, and 9-12 months (using the World Health Organization Growth Standards) or attained growth at 0, 3, 6, and 12 months as predictors. Results At age 2 years, 4% of the children were wasted, 13% underweight, and 21% stunted. Children who were malnourished at age 2 years had lower mean growth z scores already at birth and throughout the study period. Anthropometric indicators in infancy were significant predictors for growth at the age of 2 years during most periods and at most ages in infancy. Weight-for-age z score, length-for-age z score, and weight-for-length z score at age 12 months had excellent areas under the curve (91-95) to predict the value of the same indicator at age 24 months. Maximum area under the curve values for weight and length velocity were somewhat lower (70-84). Conclusions Growth measured at one time point in infancy was better correlated with undernutrition at age 2 years than growth velocity.