کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
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5719749 | 1607422 | 2016 | 10 صفحه PDF | دانلود رایگان |
ObjectivesTo identify postnatal predictors of malnutrition among 7- to 10-year-old children and to assess the long-term effects of antenatal micronutrient supplementation on malnutrition.Study designA follow-up study was conducted to assess the nutritional status of 7- to 10-year-olds (1747 children) whose mothers participated in a cluster-randomized double-blind controlled trial from 2002 to 2006.ResultsThe rate of malnourished 7- to 10-year-olds was 11.1%. A mixed-effects logistic regression model adjusted for the cluster-sampling design indicated that mothers with low prepregnant midupper arm circumference had boys with an increased risk of thinness (aORââ2.05, 95% CIââ1.11, 3.79) and girls who were more likely to be underweight (aORâ2.01, 95% CIâ1.05, 3.85). Antenatal micronutrient supplementation was not significantly associated with malnutrition. Low birth weight was significantly associated with increased odds of malnutrition among boys (aORâ4.34, 95% CIâ1.82, 10.39) and girls (aORââ7.50, 95% CIâ3.48, 16.13). Being small for gestational age significantly increased the odds of malnutrition among boys (aORâ1.75, 95% CIâ1.01, 3.04) and girls (aORâ4.20, 95% CIââ2.39, 7.39). In addition, household wealth, parental height, being picky eater, and illness frequency also predicted malnutrition.ConclusionsBoth maternal prenatal nutrition and adverse birth outcomes are strong predictors of malnutrition among early school-aged children. Currently, available evidence is insufficient to support long-term effects of antenatal micronutrient supplementation on children's nutrition.Trial registrationwww.isrctn.com: ISRCTN08850194.
Journal: The Journal of Pediatrics - Volume 178, November 2016, Pages 40-46.e3