Growth Faltering and Recovery in Children aged 1–8 years in Four Low- and Middle-Income Countries: Young Lives

TitleGrowth Faltering and Recovery in Children aged 1–8 years in Four Low- and Middle-Income Countries: Young Lives
Publication TypeJournal Article
Year of Publication2014
AuthorsLundeen, Elizabeth Ann, Jere R. Behrman, Benjamin T. Crookston, Kirk A. Dearden, Patrice L. Engle, Andreas Georgiadis, Mary E. Penny, and Aryeh D. Stein
JournalPublic Health Nutrition
Volume17
Pagination2131-2137
ISBN Number1475-2727 (Electronic)1368-9800 (Linking)
Accession NumberPMID: 24477079
AbstractObjective We characterized post-infancy child growth patterns and determined the incidence of becoming stunted and of recovery from stunting. Design Data came from Young Lives, a longitudinal study of childhood poverty in four low- and middle-income countries. Setting We analysed length/height measurements for children at ages 1, 5 and 8 years. Subjects Children (n 7171) in Ethiopia, India, Peru and Vietnam. Results Mean height-for-age Z-score (HAZ) at age 1 year ranged from −1·51 (Ethiopia) to −1·08 (Vietnam). From age 1 to 5 years, mean HAZ increased by 0·27 in Ethiopia (P <·001) and decreased among the other cohorts (range: −0·19 (Peru) to −0·32 (India); all P <·001). From 5 to 8 years, mean HAZ increased in all cohorts (range: 0·19 (India) to 0·38 (Peru); all P <·001). Prevalence of stunting (HAZ<−2·0) at 1 year ranged from 21 % (Vietnam) to 46 % (Ethiopia). From age 1 to 5 years, stunting prevalence decreased by 15·1 percentage points in Ethiopia (P <·001) and increased in the other cohorts (range: 3·0 percentage points (Vietnam) to 5·3 percentage points (India); all P ≤ 0·001). From 5 to 8 years, stunting prevalence decreased in all cohorts (range: 5·0 percentage points (Vietnam) to 12·7 percentage points (Peru); all P <·001). The incidence of becoming stunted between ages 1 to 5 years ranged from 11 % (Vietnam) to 22 % (India); between ages 5 to 8 years, it ranged from 3 % (Peru) to 6 % (India and Ethiopia). The incidence of recovery from stunting between ages 1 and 5 years ranged from 27 % (Vietnam) to 53 % (Ethiopia); between ages 5 and 8 years, it ranged from 30 % (India) to 47 % (Ethiopia). Conclusions We found substantial recovery from early stunting among children in four low- and middle-income countries.
URLhttp://dx.doi.org/10.1017/S1368980013003017
PMCIDPMCID: PMC4043952