Risk Factors for Stunting in Children under the Age of 5 in Rural Guatemalan Highlands

Background: Previously, a study conducted by UNICEF found that malnutrition affects approximately 80% of the indigenous children in Guatemala. Objective: Identify prevalence and risk factors for stunted growth in communities surrounding Lake Atitlán, Guatemala. Methods: Height-for-age measurements o...

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Autores principales: Emily A. Kragel, Alexandra Merz, Dylan M. N. Flood, Kelley E. Haven
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Lenguaje:EN
Publicado: Ubiquity Press 2020
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spelling oai:doaj.org-article:5ea4d63b4f2144ebad08295f37f2e5c82021-12-02T09:34:57ZRisk Factors for Stunting in Children under the Age of 5 in Rural Guatemalan Highlands2214-999610.5334/aogh.2433https://doaj.org/article/5ea4d63b4f2144ebad08295f37f2e5c82020-02-01T00:00:00Zhttps://annalsofglobalhealth.org/articles/2433https://doaj.org/toc/2214-9996Background: Previously, a study conducted by UNICEF found that malnutrition affects approximately 80% of the indigenous children in Guatemala. Objective: Identify prevalence and risk factors for stunted growth in communities surrounding Lake Atitlán, Guatemala. Methods: Height-for-age measurements of children under the age of five, N = 84, determined stunting prevalence and presumed burden of malnutrition in this region of the Guatemalan highlands. Mothers of a subset of this sample, N = 29, were interviewed to assess factors contributing to stunting. Analysis assessed the following risk factors: inadequate nutrition, increased infectious disease risk, high rate self-report illness, inadequate breastfeeding, and inadequate utilization of prenatal care. Findings: The majority of children under the age of five were stunted (65.6%) and likely malnourished. ANOVA analysis showed significant differences in mean height-for-age Z scores (HAZs) between groups with and without adequate nutrition (F = 7.069, p = 0.013), as well has with and without high rates of self-report illness (F = 6.894, p = 0.014). Both groups with inadequate nutrition (mean HAZs = –2.9, 95% CI = [–3.58, –2.24]) and high rates of self-report illness (mean HAZs = –2.8, 95% CI = [–3.13, –2.38]) had mean HAZs that are indicative of stunting. No other risk factors were associated with stunting. Conclusion: These pilot study results offer methods by which to obtain baseline data for assessing nutritional and public health interventions to improve stunting and malnutrition status as well as the health outcomes of children in rural, indigenous communities.Emily A. KragelAlexandra MerzDylan M. N. FloodKelley E. HavenUbiquity PressarticleInfectious and parasitic diseasesRC109-216Public aspects of medicineRA1-1270ENAnnals of Global Health, Vol 86, Iss 1 (2020)
institution DOAJ
collection DOAJ
language EN
topic Infectious and parasitic diseases
RC109-216
Public aspects of medicine
RA1-1270
spellingShingle Infectious and parasitic diseases
RC109-216
Public aspects of medicine
RA1-1270
Emily A. Kragel
Alexandra Merz
Dylan M. N. Flood
Kelley E. Haven
Risk Factors for Stunting in Children under the Age of 5 in Rural Guatemalan Highlands
description Background: Previously, a study conducted by UNICEF found that malnutrition affects approximately 80% of the indigenous children in Guatemala. Objective: Identify prevalence and risk factors for stunted growth in communities surrounding Lake Atitlán, Guatemala. Methods: Height-for-age measurements of children under the age of five, N = 84, determined stunting prevalence and presumed burden of malnutrition in this region of the Guatemalan highlands. Mothers of a subset of this sample, N = 29, were interviewed to assess factors contributing to stunting. Analysis assessed the following risk factors: inadequate nutrition, increased infectious disease risk, high rate self-report illness, inadequate breastfeeding, and inadequate utilization of prenatal care. Findings: The majority of children under the age of five were stunted (65.6%) and likely malnourished. ANOVA analysis showed significant differences in mean height-for-age Z scores (HAZs) between groups with and without adequate nutrition (F = 7.069, p = 0.013), as well has with and without high rates of self-report illness (F = 6.894, p = 0.014). Both groups with inadequate nutrition (mean HAZs = –2.9, 95% CI = [–3.58, –2.24]) and high rates of self-report illness (mean HAZs = –2.8, 95% CI = [–3.13, –2.38]) had mean HAZs that are indicative of stunting. No other risk factors were associated with stunting. Conclusion: These pilot study results offer methods by which to obtain baseline data for assessing nutritional and public health interventions to improve stunting and malnutrition status as well as the health outcomes of children in rural, indigenous communities.
format article
author Emily A. Kragel
Alexandra Merz
Dylan M. N. Flood
Kelley E. Haven
author_facet Emily A. Kragel
Alexandra Merz
Dylan M. N. Flood
Kelley E. Haven
author_sort Emily A. Kragel
title Risk Factors for Stunting in Children under the Age of 5 in Rural Guatemalan Highlands
title_short Risk Factors for Stunting in Children under the Age of 5 in Rural Guatemalan Highlands
title_full Risk Factors for Stunting in Children under the Age of 5 in Rural Guatemalan Highlands
title_fullStr Risk Factors for Stunting in Children under the Age of 5 in Rural Guatemalan Highlands
title_full_unstemmed Risk Factors for Stunting in Children under the Age of 5 in Rural Guatemalan Highlands
title_sort risk factors for stunting in children under the age of 5 in rural guatemalan highlands
publisher Ubiquity Press
publishDate 2020
url https://doaj.org/article/5ea4d63b4f2144ebad08295f37f2e5c8
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