Factors associated with catch-up growth in early infancy in rural Pakistan: A longitudinal analysis of the women's work and nutrition study.
Breast Feeding
/ statistics & numerical data
Child Development
/ physiology
Cluster Analysis
Family Characteristics
Female
Follow-Up Studies
Growth Disorders
/ epidemiology
Humans
Infant
Infant, Newborn
Longitudinal Studies
Male
Nutrition Surveys
/ methods
Nutritional Status
Pakistan
/ epidemiology
Rural Population
/ statistics & numerical data
Socioeconomic Factors
Women, Working
/ statistics & numerical data
Pakistan
catch-up growth
infant
length-for-age
predictors
rural
Journal
Maternal & child nutrition
ISSN: 1740-8709
Titre abrégé: Matern Child Nutr
Pays: England
ID NLM: 101201025
Informations de publication
Date de publication:
04 2019
04 2019
Historique:
received:
06
04
2018
revised:
05
10
2018
accepted:
15
10
2018
pubmed:
23
10
2018
medline:
7
1
2020
entrez:
23
10
2018
Statut:
ppublish
Résumé
The adverse health impacts of early infant stunting can be partially ameliorated by early catch-up growth. Few studies have examined predictors of and barriers to catch-up growth to identify intervention points for improving linear growth during infancy. This study aimed to estimate the prevalence of, and factors associated with, catch-up growth among infants in Pakistan. A longitudinal study of mother-infant dyads (n = 1,161) was conducted in rural Sindh province, with enrolment between December 2015 and February 2016 (infants aged 0.5-3 months), and follow-up (n = 1035) between November 2016 and January 2017 (infants aged 9-15 months). The outcome was catch-up growth (change in conditional length-for-age z-scores >0.67 between baseline and endline). Associated factors were examined using multivariable logistic regression analyses. The prevalence of stunting was 45.3% at baseline and 60.7% at follow-up. 22.8% of infants exhibited catch-up growth over this period. Factors positively associated with catch-up growth included maternal height (odds ratio (OR) = 1.08 [1.05-1.11]), household wealth (OR = 3.61 [1.90-6.84]), maternal (OR = 2.43 [1.30-4.56]) or paternal (OR = 1.46 [1.05-2.03]) education, and households with two or more adult females (OR = 1.91 [1.26-2.88]). Factors negatively associated with catch-up growth were two (OR = 0.64 [0.45-0.89]) or three or more (OR = 0.44 [0.29-0.66]) preschool children in the household and the infant being currently breastfed (OR = 0.59 [0.41-0.88]). Catch-up growth was exhibited among approximately a quarter of infants despite living in challenging environments associated with extremely high rates of early infant stunting. Several modifiable factors were identified that might represent suitable programme intervention points to off-set early infant stunting in rural Pakistan.
Identifiants
pubmed: 30345717
doi: 10.1111/mcn.12733
pmc: PMC6587826
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
e12733Subventions
Organisme : U.K. aid
Pays : International
Informations de copyright
© 2018 The Authors. Maternal and Child Nutrition Published by John Wiley & Sons, Ltd.
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