Worldwide Timing of Growth Faltering: Revisiting Implications for Interventions

@article{Victora2010WorldwideTO,
  title={Worldwide Timing of Growth Faltering: Revisiting Implications for Interventions},
  author={Cesar Gomes Victora and Mercedes de On{\'i}s and Pedro Rodrigues Curi Hallal and Monika Bl{\"o}ssner and Roger Shrimpton},
  journal={Pediatrics},
  year={2010},
  volume={125},
  pages={e473 - e480}
}
OBJECTIVE: Our goal was to describe worldwide growth-faltering patterns by using the new World Health Organization (WHO) standards. METHODS: We analyzed information available from the WHO Global Database on Child Growth and Malnutrition, comprising data from national anthropometric surveys from 54 countries. Anthropometric data comprise weight-for-age, length/height-for-age, and weight-for-length/height z scores. The WHO regions were used to aggregate countries: Europe and Central Asia; Latin… 

Figures and Tables from this paper

Critical windows for nutritional interventions against stunting123

It is argued that adolescence represents an additional window of opportunity during which substantial life cycle and intergenerational effects can be accrued and the growing impression that interventions outside of this period cannot be effective is countered.

The timing of growth faltering has important implications for observational analyses of the underlying determinants of nutrition outcomes

Test the prediction that associations between child anthropometric outcomes and various socioeconomic conditions are systematically different for older and younger children by using age-disaggregated regressions to examine how the associations between dependent and independent variables vary across different child age ranges.

Critical windows for nutrition interventions against stunting

It is argued that adolescence represents an additional window of opportunity during which substantial life cycle and intergenerational effects can be accrued, even in the absence of any interventions.

Height-for-age z scores increase despite increasing height deficits among children in 5 developing countries.

From age 2 y to adulthood, mean HAZs increased, even though height deficits relative to the reference median also increased, which may result in different interpretations of the potential for and the impact of catch-up growth in height.

Optimal child growth and the double burden of malnutrition: research and programmatic implications.

The data from LMIC cohorts suggest that higher birth weight and fast linear growth—particularly in the first 2 y— had important positive effects on human capital and few adverse trade-offs in terms of NCD markers.

Influences on catch-up growth using relative versus absolute metrics: evidence from the MAL-ED cohort study

The MAL-ED cohort study was performed in eight low-income settings with the goal of evaluating relationships between the child’s environment and experience and their growth and development and the same environmental factors were associated with growth from 24 to 60 months regardless of metric used.

Determinants of linear growth faltering among children with moderate-to-severe diarrhea in the Global Enteric Multicenter Study

Younger age, acute malnutrition, MSD severity, and sociodemographic factors were associated with short-term linear growth deterioration following MSD and may be useful to predict children at risk for growth deterioration who would benefit from interventions.

Infant nutrition and growth: trends and inequalities in four population-based birth cohorts in Pelotas, Brazil, 1982–2015

The results confirm the rapid nutrition transition in Brazil, with marked reduction in levels and inequalities in undernutrition in parallel with a rapid increase in overweight, which became the main nutritional problem for children.

Growth faltering and recovery in children aged 1–8 years in four low- and middle-income countries: Young Lives

Post-infancy child growth patterns are characterized and substantial recovery from early stunting among children in four low- and middle-income countries is found.
...

References

SHOWING 1-10 OF 16 REFERENCES

Worldwide timing of growth faltering: implications for nutritional interventions.

Findings highlight the need for prenatal and early life interventions to prevent growth failure and growth faltering in weight for length/height is restricted to the first 15 months of life, followed by rapid improvement.

WHO Child Growth Standards based on length/height, weight and age

  • M. Onis
  • Medicine
    Acta paediatrica (Oslo, Norway : 1992). Supplement
  • 2006
The Box‐Cox power exponential (BCPE) method, with curve smoothing by cubic splines, was used to construct the curves and the concordance between smoothed percentile curves and empirical percentiles was excellent and free of bias.

What works? Interventions for maternal and child undernutrition and survival

Socioeconomic and demographic factors are associated with worldwide patterns of stunting and wasting of children.

There was substantial variability among nations and among provinces within nations in the prevalence of stunting and wasting, and which national factors are associated with stunted children and the relationship of Stunting with wasting was examined.

WHO global database on child growth and malnutrition

The Programme of Nutrition presents this vast compilation of data on worldwide patterns and trends in child growth and malnutrition in the hope that it will alert decision-makers to how much remains to be done to ensure children's healthy growth and development.