The relationship between wasting and stunting in young children: A systematic review

被引:60
作者
Thurstans, Susan [1 ,2 ]
Sessions, Natalie [2 ]
Dolan, Carmel [3 ]
Sadler, Kate [2 ]
Cichon, Bernardette [4 ]
Isanaka, Sheila [5 ,6 ]
Roberfroid, Dominique [7 ,8 ]
Stobaugh, Heather [9 ,10 ]
Webb, Patrick [10 ]
Khara, Tanya [2 ]
机构
[1] London Sch Hyg & Trop Med, Dept Populat Hlth, London, England
[2] Emergency Nutr Network, Oxford, England
[3] Nutr Dev, London, England
[4] No Wasted Lives Act Against Hunger, London, England
[5] Harvard TH Chan Sch Publ Hlth, Dept Epidemiol, Boston, MA USA
[6] Epicentre, Dept Res, Paris, France
[7] Univ Namur, Fac Med, Namur, Belgium
[8] Univ Ghent, Dept Food Technol Safety & Hlth, Ghent, Belgium
[9] Act Hunger USA, New York, NY USA
[10] Tufts Univ, Friedman Sch Nutr Sci & Policy, Boston, MA 02111 USA
关键词
child growth; infectious disease; international child health nutrition; malnutrition; stunting; wasting; SEVERE ACUTE MALNUTRITION; LINEAR GROWTH; WEIGHT; UNDERNUTRITION; SENSITIVITY; MORTALITY; HEIGHT; COHORT; BIRTH; AGE;
D O I
10.1111/mcn.13246
中图分类号
R15 [营养卫生、食品卫生]; TS201 [基础科学];
学科分类号
100403 ;
摘要
In 2014, the Emergency Nutrition Network published a report on the relationship between wasting and stunting. We aim to review evidence generated since that review to better understand the implications for improving child nutrition, health and survival. We conducted a systematic review following PRISMA guidelines, registered with PROSPERO. We identified search terms that describe wasting and stunting and the relationship between the two. We included studies related to children under five from low- and middle-income countries that assessed both ponderal growth/wasting and linear growth/stunting and the association between the two. We included 45 studies. The review found the peak incidence of both wasting and stunting is between birth and 3 months. There is a strong association between the two conditions whereby episodes of wasting contribute to stunting and, to a lesser extent, stunting leads to wasting. Children with multiple anthropometric deficits, including concurrent stunting and wasting, have the highest risk of near-term mortality when compared with children with any one deficit alone. Furthermore, evidence suggests that the use of mid-upper-arm circumference combined with weight-for-age Z score might effectively identify children at most risk of near-term mortality. Wasting and stunting, driven by common factors, frequently occur in the same child, either simultaneously or at different moments through their life course. Evidence of a process of accumulation of nutritional deficits and increased risk of mortality over a child's life demonstrates the pressing need for integrated policy, financing and programmatic approaches to the prevention and treatment of child malnutrition.
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页数:25
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