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Article: Growth stunting in early life in relation to the onset of the childhood component of growth

TitleGrowth stunting in early life in relation to the onset of the childhood component of growth
Authors
Issue Date1998
PublisherFreund Publishing House, Ltd. The Journal's web site is located at http://www.freundpublishing.com/Journal_Pediatric_Endocrinology_Metabolism/JPEMprev.htm
Citation
Journal Of Pediatric Endocrinology And Metabolism, 1998, v. 11 n. 2, p. 247-260 How to Cite?
AbstractAims: Growth stunting is prevalent in developing countries. The prevalence of stunting ranges from 10-80% or more. The critical period for growth faltering in length is between six and 18 months. The aims of this study were 1) to investigate the association between the age at onset of the childhood component and growth stunting in early life; 2) to develop a screening method for identifying any individual infant subject to stunting in early life. Materials and Methods: This community-based longitudinal study was carried out in Lahore, Pakistan. Three studied areas and one local control group were included in the study. There were 425 subjects for whom data were available for determining the age at onset of the childhood component. The onset was defined as an abrupt increase in length velocity. It was determined individually using the infancy-childhoodpuberty growth model. Results: The medians of the age at onset of childhood component were 15, 13, 10 and 9 months in the periurban, village, urban and control groups, respectively. The onset was significantly related to both length and length velocity during the critical period of stunting. Based on the distribution of individual length increment from 12 to 15 months, 2.0 and 3.0 cm were chosen as the cut-off points to identify a stunting infant. In the normal onset group, 84% of the children were identified as growing normally; in the delayed onset group, 61% were identified as stunting. Using this screening method, 97% of children have a delayed onset if their length increase is below 2 cm from 12 to 15 months; 99% of them have a normal onset if the increase is above 3 cm over the same period. Conclusions: The age at onset of the childhood component can significantly explain the variations in both length and length velocity in early life. The stunting screening method reported here is simple. It can be used in almost any situation, such as a pediatric clinic or communitybased survey.
Persistent Identifierhttp://hdl.handle.net/10722/80071
ISSN
2015 Impact Factor: 0.912
2015 SCImago Journal Rankings: 0.493
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorLiu, YXen_HK
dc.contributor.authorJalil, Fen_HK
dc.contributor.authorKarlberg, Jen_HK
dc.date.accessioned2010-09-06T08:02:03Z-
dc.date.available2010-09-06T08:02:03Z-
dc.date.issued1998en_HK
dc.identifier.citationJournal Of Pediatric Endocrinology And Metabolism, 1998, v. 11 n. 2, p. 247-260en_HK
dc.identifier.issn0334-018Xen_HK
dc.identifier.urihttp://hdl.handle.net/10722/80071-
dc.description.abstractAims: Growth stunting is prevalent in developing countries. The prevalence of stunting ranges from 10-80% or more. The critical period for growth faltering in length is between six and 18 months. The aims of this study were 1) to investigate the association between the age at onset of the childhood component and growth stunting in early life; 2) to develop a screening method for identifying any individual infant subject to stunting in early life. Materials and Methods: This community-based longitudinal study was carried out in Lahore, Pakistan. Three studied areas and one local control group were included in the study. There were 425 subjects for whom data were available for determining the age at onset of the childhood component. The onset was defined as an abrupt increase in length velocity. It was determined individually using the infancy-childhoodpuberty growth model. Results: The medians of the age at onset of childhood component were 15, 13, 10 and 9 months in the periurban, village, urban and control groups, respectively. The onset was significantly related to both length and length velocity during the critical period of stunting. Based on the distribution of individual length increment from 12 to 15 months, 2.0 and 3.0 cm were chosen as the cut-off points to identify a stunting infant. In the normal onset group, 84% of the children were identified as growing normally; in the delayed onset group, 61% were identified as stunting. Using this screening method, 97% of children have a delayed onset if their length increase is below 2 cm from 12 to 15 months; 99% of them have a normal onset if the increase is above 3 cm over the same period. Conclusions: The age at onset of the childhood component can significantly explain the variations in both length and length velocity in early life. The stunting screening method reported here is simple. It can be used in almost any situation, such as a pediatric clinic or communitybased survey.en_HK
dc.languageengen_HK
dc.publisherFreund Publishing House, Ltd. The Journal's web site is located at http://www.freundpublishing.com/Journal_Pediatric_Endocrinology_Metabolism/JPEMprev.htmen_HK
dc.relation.ispartofJournal of Pediatric Endocrinology and Metabolismen_HK
dc.titleGrowth stunting in early life in relation to the onset of the childhood component of growthen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0334-018X&volume=11&spage=247&epage=260&date=1998&atitle=Growth+Stunting+in+Early+Life+in+Relation+to+the+Onset+of+the+Childhood+Component+of+Growthen_HK
dc.identifier.emailKarlberg, J: jpekarl@hkucc.hku.hken_HK
dc.identifier.authorityKarlberg, J=rp00400en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.pmid9642640-
dc.identifier.scopuseid_2-s2.0-0031917450en_HK
dc.identifier.hkuros31161en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0031917450&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume11en_HK
dc.identifier.issue2en_HK
dc.identifier.spage247en_HK
dc.identifier.epage260en_HK
dc.identifier.isiWOS:000072974900005-
dc.publisher.placeIsraelen_HK
dc.identifier.scopusauthoridLiu, YX=14068710900en_HK
dc.identifier.scopusauthoridJalil, F=7004018034en_HK
dc.identifier.scopusauthoridKarlberg, J=7005218406en_HK

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