Pathways between caregiver body mass index, the home environment, child nutritional status, and development in children with severe acute malnutrition in Malawi.

Children with severe acute malnutrition (SAM) remain vulnerable after treatment at nutritional rehabilitation units (NRUs). The objective was to assess the concurrent pathways in a hypothesized model between caregiver body mass index (BMI), the home environment, and child nutritional status, and dev...

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Autores principales:	Allison I Daniel, Mike Bwanali, Eric O Ohuma, Celine Bourdon, Melissa Gladstone, Isabel Potani, Emmie Mbale, Wieger Voskuijl, Meta van den Heuvel, Robert H J Bandsma
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/f20380d0244640ee83b68eddace01d4f
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spelling	oai:doaj.org-article:f20380d0244640ee83b68eddace01d4f2021-12-02T20:17:40ZPathways between caregiver body mass index, the home environment, child nutritional status, and development in children with severe acute malnutrition in Malawi.1932-620310.1371/journal.pone.0255967https://doaj.org/article/f20380d0244640ee83b68eddace01d4f2021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0255967https://doaj.org/toc/1932-6203Children with severe acute malnutrition (SAM) remain vulnerable after treatment at nutritional rehabilitation units (NRUs). The objective was to assess the concurrent pathways in a hypothesized model between caregiver body mass index (BMI), the home environment, and child nutritional status, and development (gross motor, fine motor, language, and social domains) in children with SAM following discharge from inpatient treatment. Structural equation modelling (SEM) was performed with data from a cluster-randomized controlled trial at the Moyo Nutritional Rehabilitation and Research Unit in Blantyre, Malawi. This approach was undertaken to explore simultaneous relationships between caregiver BMI, the home environment (Home Observation for Measurement of the Environment Inventory scores), child nutritional status (anthropometric indicators including weight-for-age z-scores [WAZ]), and child development (Malawi Developmental Assessment Tool (MDAT) z-scores as a latent variable) in children with SAM. These data were collected at participants' homes six months after discharge from NRU treatment. This analysis included 85 children aged 6-59 months with SAM and their caregivers recruited to the trial at the NRU and followed up successfully six months after discharge. The model with WAZ as the nutritional indicator fit the data according to model fit indices (χ2 = 28.92, p = 0.42). Caregiver BMI was predictive of better home environment scores (β = 0.23, p = 0.03) and child WAZ (β = 0.30, p = 0.005). The home environment scores were positively correlated with MDAT z-scores (β = 0.32, p = 0.001). Child nutritional status based on WAZ was also correlated with MDAT z-scores (β = 0.37, p<0.001). This study demonstrates that caregiver BMI could ultimately relate to child development in children with SAM, through its links to the home environment and child nutritional status.Allison I DanielMike BwanaliEric O OhumaCeline BourdonMelissa GladstoneIsabel PotaniEmmie MbaleWieger VoskuijlMeta van den HeuvelRobert H J BandsmaPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 8, p e0255967 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Allison I Daniel Mike Bwanali Eric O Ohuma Celine Bourdon Melissa Gladstone Isabel Potani Emmie Mbale Wieger Voskuijl Meta van den Heuvel Robert H J Bandsma Pathways between caregiver body mass index, the home environment, child nutritional status, and development in children with severe acute malnutrition in Malawi.
description	Children with severe acute malnutrition (SAM) remain vulnerable after treatment at nutritional rehabilitation units (NRUs). The objective was to assess the concurrent pathways in a hypothesized model between caregiver body mass index (BMI), the home environment, and child nutritional status, and development (gross motor, fine motor, language, and social domains) in children with SAM following discharge from inpatient treatment. Structural equation modelling (SEM) was performed with data from a cluster-randomized controlled trial at the Moyo Nutritional Rehabilitation and Research Unit in Blantyre, Malawi. This approach was undertaken to explore simultaneous relationships between caregiver BMI, the home environment (Home Observation for Measurement of the Environment Inventory scores), child nutritional status (anthropometric indicators including weight-for-age z-scores [WAZ]), and child development (Malawi Developmental Assessment Tool (MDAT) z-scores as a latent variable) in children with SAM. These data were collected at participants' homes six months after discharge from NRU treatment. This analysis included 85 children aged 6-59 months with SAM and their caregivers recruited to the trial at the NRU and followed up successfully six months after discharge. The model with WAZ as the nutritional indicator fit the data according to model fit indices (χ2 = 28.92, p = 0.42). Caregiver BMI was predictive of better home environment scores (β = 0.23, p = 0.03) and child WAZ (β = 0.30, p = 0.005). The home environment scores were positively correlated with MDAT z-scores (β = 0.32, p = 0.001). Child nutritional status based on WAZ was also correlated with MDAT z-scores (β = 0.37, p<0.001). This study demonstrates that caregiver BMI could ultimately relate to child development in children with SAM, through its links to the home environment and child nutritional status.
format	article
author	Allison I Daniel Mike Bwanali Eric O Ohuma Celine Bourdon Melissa Gladstone Isabel Potani Emmie Mbale Wieger Voskuijl Meta van den Heuvel Robert H J Bandsma
author_facet	Allison I Daniel Mike Bwanali Eric O Ohuma Celine Bourdon Melissa Gladstone Isabel Potani Emmie Mbale Wieger Voskuijl Meta van den Heuvel Robert H J Bandsma
author_sort	Allison I Daniel
title	Pathways between caregiver body mass index, the home environment, child nutritional status, and development in children with severe acute malnutrition in Malawi.
title_short	Pathways between caregiver body mass index, the home environment, child nutritional status, and development in children with severe acute malnutrition in Malawi.
title_full	Pathways between caregiver body mass index, the home environment, child nutritional status, and development in children with severe acute malnutrition in Malawi.
title_fullStr	Pathways between caregiver body mass index, the home environment, child nutritional status, and development in children with severe acute malnutrition in Malawi.
title_full_unstemmed	Pathways between caregiver body mass index, the home environment, child nutritional status, and development in children with severe acute malnutrition in Malawi.
title_sort	pathways between caregiver body mass index, the home environment, child nutritional status, and development in children with severe acute malnutrition in malawi.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/f20380d0244640ee83b68eddace01d4f
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Pathways between caregiver body mass index, the home environment, child nutritional status, and development in children with severe acute malnutrition in Malawi.

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