Academic Journal
Development of Acute Malnutrition Despite Nutritional Supplementation in Malawi
| العنوان: | Development of Acute Malnutrition Despite Nutritional Supplementation in Malawi |
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| المؤلفون: | Kaimila, Yankho, Pitman, Ryan T., Divala, Oscar, Hendrixson, D. Taylor, Stephenson, Kevin B., Agapova, Sophia, Trehan, Indi, Maleta, Ken, Manary, Mark J. |
| المصدر: | Journal of Pediatric Gastroenterology and Nutrition ; volume 68, issue 5, page 734-737 ; ISSN 0277-2116 1536-4801 |
| بيانات النشر: | Wiley |
| سنة النشر: | 2019 |
| المجموعة: | Wiley Online Library (Open Access Articles via Crossref) |
| الوصف: | Malnutrition in children is most often attributed to inadequate nutrient intake. Utilizing data from 2 prospective, randomized controlled trials of complimentary feeding with supplemental legumes (n = 693, ages 6–24 months) in 2 Malawian villages, Masenjere, and Limera, we document a high rate 70/693 (10.1%) of acute malnutrition (AM). Risks for AM in this setting, as determined by Cox regression analysis, include study village (hazard ratio [HR] 3.0), prior malnutrition (HR 4.12), stunting (HR 2.87), and a marker of food insecurity (HR 1.89). Comparison of Masenjere to Limera demonstrate adequate and similar nutritional intake yet an increased rate of AM in Masenjere, 56 of 400 (14.0%) versus 14 of 293 (4.8%), and stunting, 140 of 400 (35%) versus 80 of 293 (27%), environmental enteric dysfunction 246 of 400 (71%) versus 181/293 (67%), and infectious symptoms (cough and diarrhea). Masenjere did have cleaner water and less food insecurity 200 of 399 (50.5%) versus 204 of 293 (69.6%). These findings suggest adequate complementary nutrient intake does not protect young children against AM. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| DOI: | 10.1097/mpg.0000000000002241 |
| DOI: | 10.1097/MPG.0000000000002241 |
| الاتاحة: | http://dx.doi.org/10.1097/mpg.0000000000002241 https://onlinelibrary.wiley.com/doi/pdf/10.1097/MPG.0000000000002241 |
| Rights: | http://onlinelibrary.wiley.com/termsAndConditions#vor |
| رقم الانضمام: | edsbas.79E7A86C |
| قاعدة البيانات: | BASE |
| DOI: | 10.1097/mpg.0000000000002241 |
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