Associations of single versus multiple anthropometric failure with mortality in children under 5 years: A prospective cohort study

Background/objectives: Stunting, underweight, and wasting are used to monitor nutritional status in children, but they do not identify children with concurrent anthropometric failures (AF). Our study estimates the association between AF and mortality in children with single versus multiple failures,...

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Autores principales:	Jewel Gausman, Rockli Kim, S.V. Subramanian
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2021
Materias:	Anthropometric failure Stunting Underweight Wasting Child health Nutrition Public aspects of medicine RA1-1270 Social sciences (General) H1-99
Acceso en línea:	https://doaj.org/article/dae821d65afb4d8987299fbe8b5c4589
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spelling	oai:doaj.org-article:dae821d65afb4d8987299fbe8b5c45892021-11-24T04:32:24ZAssociations of single versus multiple anthropometric failure with mortality in children under 5 years: A prospective cohort study2352-827310.1016/j.ssmph.2021.100965https://doaj.org/article/dae821d65afb4d8987299fbe8b5c45892021-12-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2352827321002408https://doaj.org/toc/2352-8273Background/objectives: Stunting, underweight, and wasting are used to monitor nutritional status in children, but they do not identify children with concurrent anthropometric failures (AF). Our study estimates the association between AF and mortality in children with single versus multiple failures, then calculates the percentage of child deaths attributable to AF. Subjects/methods: Using data from a prospective, longitudinal study of 3605 children from age 1 to age 5 years in Ethiopia and India, we estimate the association between AF and mortality using conventional definitions (stunting, underweight, and wasting) and the mutually exclusive categories of stunted only underweight only, wasted only, stunted and underweight (SU), underweight and wasted, and stunted, underweight, and wasted (SUW), adjusting for socioeconomic status and other demographic variables. Last, we calculate the population attributable fraction. Results: Children who were SU and SUW had 3.20 (95% CI: 1.69, 6.06; p < 0.001) and 5.52 (95% CI: 2.25, 13.56; p < 0.001) times the odds of death in fully adjusted models by Round 2 compared to children with no failure, while no increased mortality risk was found among children with other categories of failure. We estimate that 42.69% of child deaths can be attributed to children who are SUW (17.02%) or SU (25.67%), accounting for nearly 80% of child deaths from AF. Conclusions: This study provides new insight to programs and policy to better identify children most at risk of malnutrition-related mortality.Jewel GausmanRockli KimS.V. SubramanianElsevierarticleAnthropometric failureStuntingUnderweightWastingChild healthNutritionPublic aspects of medicineRA1-1270Social sciences (General)H1-99ENSSM: Population Health, Vol 16, Iss , Pp 100965- (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Anthropometric failure Stunting Underweight Wasting Child health Nutrition Public aspects of medicine RA1-1270 Social sciences (General) H1-99
spellingShingle	Anthropometric failure Stunting Underweight Wasting Child health Nutrition Public aspects of medicine RA1-1270 Social sciences (General) H1-99 Jewel Gausman Rockli Kim S.V. Subramanian Associations of single versus multiple anthropometric failure with mortality in children under 5 years: A prospective cohort study
description	Background/objectives: Stunting, underweight, and wasting are used to monitor nutritional status in children, but they do not identify children with concurrent anthropometric failures (AF). Our study estimates the association between AF and mortality in children with single versus multiple failures, then calculates the percentage of child deaths attributable to AF. Subjects/methods: Using data from a prospective, longitudinal study of 3605 children from age 1 to age 5 years in Ethiopia and India, we estimate the association between AF and mortality using conventional definitions (stunting, underweight, and wasting) and the mutually exclusive categories of stunted only underweight only, wasted only, stunted and underweight (SU), underweight and wasted, and stunted, underweight, and wasted (SUW), adjusting for socioeconomic status and other demographic variables. Last, we calculate the population attributable fraction. Results: Children who were SU and SUW had 3.20 (95% CI: 1.69, 6.06; p < 0.001) and 5.52 (95% CI: 2.25, 13.56; p < 0.001) times the odds of death in fully adjusted models by Round 2 compared to children with no failure, while no increased mortality risk was found among children with other categories of failure. We estimate that 42.69% of child deaths can be attributed to children who are SUW (17.02%) or SU (25.67%), accounting for nearly 80% of child deaths from AF. Conclusions: This study provides new insight to programs and policy to better identify children most at risk of malnutrition-related mortality.
format	article
author	Jewel Gausman Rockli Kim S.V. Subramanian
author_facet	Jewel Gausman Rockli Kim S.V. Subramanian
author_sort	Jewel Gausman
title	Associations of single versus multiple anthropometric failure with mortality in children under 5 years: A prospective cohort study
title_short	Associations of single versus multiple anthropometric failure with mortality in children under 5 years: A prospective cohort study
title_full	Associations of single versus multiple anthropometric failure with mortality in children under 5 years: A prospective cohort study
title_fullStr	Associations of single versus multiple anthropometric failure with mortality in children under 5 years: A prospective cohort study
title_full_unstemmed	Associations of single versus multiple anthropometric failure with mortality in children under 5 years: A prospective cohort study
title_sort	associations of single versus multiple anthropometric failure with mortality in children under 5 years: a prospective cohort study
publisher	Elsevier
publishDate	2021
url	https://doaj.org/article/dae821d65afb4d8987299fbe8b5c4589
work_keys_str_mv	AT jewelgausman associationsofsingleversusmultipleanthropometricfailurewithmortalityinchildrenunder5yearsaprospectivecohortstudy AT rocklikim associationsofsingleversusmultipleanthropometricfailurewithmortalityinchildrenunder5yearsaprospectivecohortstudy AT svsubramanian associationsofsingleversusmultipleanthropometricfailurewithmortalityinchildrenunder5yearsaprospectivecohortstudy
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Associations of single versus multiple anthropometric failure with mortality in children under 5 years: A prospective cohort study

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