Malaria and nutritional status among pre-school children: Results from cross-sectional surveys in western Kenya

Friedman, J. F., Kwena, A. M., Mrel, L. B., Kariuki, S. K., Terlouw, Anja ORCID: https://orcid.org/0000-0001-5327-8995, Phillips-Howard, P. A., Hawley, W. A., Nahlen, B. L., Shi, Y. P. and terKuile, Feiko ORCID: https://orcid.org/0000-0003-3663-5617 (2005) 'Malaria and nutritional status among pre-school children: Results from cross-sectional surveys in western Kenya'. American Journal of Tropical Medicine and Hygiene, Vol 73, Issue 4, pp. 698-704.

Full text not available from this repository.

Abstract

Protein-energy malnutrition (PEM) affects millions of children in the developing world. The relationship between malaria and PEM is controversial. The goal of this study was to evaluate whether undernutrition is associated with increased or decreased malaria attributable morbidity. Three cross-sectional surveys were conducted using insecticide-treated bed nets (ITNs) among children aged 0-36 months living in an area with intense malaria transmission. Data were collected on nutritional status, recent history of clinical illness, socioeconomic status, current malaria infection status, and hemoglobin. In multivariate models, stunted children had more malaria parasitemia (odds ratio [OR] 1.98, P < 0.0001), high-density parasitemia (OR 1.84; P < 0.0001), clinical malaria (OR 1.77; P < 0.06), and severe malarial anemia (OR 2.65; P < 0.0001) than nonstunted children. The association was evident in children with mild-to-moderate (-3 < height-for-age Z-score [HAZ] < -2) and severe stunting (HAZ < -3). The cross-sectional nature of the study limits the interpretation of causality, but the data provide further observational support that the presence of undernutrition, in particular chronic undernutrition, places children at higher, not lower risk of malaria-related morbidity.

Item Type:	Article
Subjects:	WC Communicable Diseases > Tropical and Parasitic Diseases > WC 755 Epidemiology WD Disorders of Systemic, Metabolic or Environmental Origin, etc > Nutrition Disorders > WD 100 General works WS Pediatrics > Child Care. Nutrition. Physical Examination > WS 120 In infancy WS Pediatrics > By Age Groups > WS 430 Infancy
Digital Object Identifer (DOI):	https://doi.org/10.4269/ajtmh.2005.73.698
Related URLs:	Publisher
Depositing User:	Ms Julia Martin
Date Deposited:	15 Aug 2011 09:44
Last Modified:	04 Dec 2024 15:03
URI:	https://archive.lstmed.ac.uk/id/eprint/1834

Statistics

View details

Actions (login required)

Edit Item