Malnutrition and Poverty in Guatemala

Marini, Alessandra; Gragnolati, Michele

doi:10.1596/1813-9450-2967

Cited by 37 publications

(45 citation statements)

References 26 publications

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“…Within this reasoning however, there is an assumption that the mains water will be safe to drink. While many studies recognise the importance of increasing the availability of water to reduce rates of malnutrition (10) , it is equally important to ensure the quality of the water supply. The Guatemalan Ministry of Health has recently reported that 98 % of the country's water sources are contaminated in some way (18) .…”

Section: Discussionmentioning

confidence: 99%

“…While there is much evidence describing the impact and effective treatment of malnutrition using these volunteer-run clinics in pre-school children (9,10) , little y Correspondence address: 56 Farnham Road, Guildford, Surrey, GU2 4PE, UK. evidence exists to suggest whether these strategies are also effective in schoolchildren in Guatemala.…”

mentioning

confidence: 99%

“…This category includes access to a clean supply of water and the ability to safely dispose of sewage in a sanitary manner. The improvement of both of these factors in particular is universally seen as a critical step in fighting chronic malnutrition (10) . The objectives of the present study were to use previously documented data gathered from the three consecutive years to examine:…”

mentioning

confidence: 99%

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Could intervention by clinics such as Primeros Pasos affect the prevalence of childhood malnutrition in the developing world?

Seccombe

Hughes²

2009

Public Health Nutr.

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Objective: Guatemala is a country severely affected by malnutrition, particularly in its child population. The present study aimed to assess the impact of recognised aetiological factors on the prevalence of malnutrition and to establish the efficacy of a Guatemalan malnutrition clinic by examining the changes in the prevalence of malnutrition in the ten surrounding communities served by the clinic. Design: Records of children (n 7681) aged 5-16 years seen by the clinic between 2004 and 2006 were examined. Anthropometric data for each child were taken from these records and used as an indicator for their nutritional status to estimate the change in rates of malnutrition during this period. Results: An overall reduction was seen in all forms of malnutrition over the 3-year period, although over 50 % of the study population remained malnourished in 2006. A consistent reduction was also seen in rates of moderate and severe malnutrition, but not in rates of mild malnutrition.Conclusions: The results demonstrate that clinics such as Primeros Pasos can have a beneficial effect on schoolchildren, particularly those who are severely malnourished. A need has been highlighted for more research in this area, particularly how clinics such as Primeros Pasos can be best used in the fight against malnutrition.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Could intervention by clinics such as Primeros Pasos affect the prevalence of childhood malnutrition in the developing world?

Seccombe

Hughes²

2009

Public Health Nutr.

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“…1996, Bose andAcosta-Belén 1995). Community development must differentiate between the needs and interests of the community as a whole and the needs and interests of women and children in particular (Marini and Gragnolati 2003).…”

Section: Women and Community Developmentmentioning

confidence: 99%

“…A peopleoriented approach to development that is gender sensitive not only avoids perpetuating existing problems but works against the effects of discrimination (Sweetman 2002). As well as affecting the economic output of a community, empowering women enhances child health, food production and lowers population growth rates resulting in a better quality of life for women and, therefore, their families (Marini andGragnolati 2003, Sharma 2001). …”

Section: Empowering Women Leads To Community Developmentmentioning

confidence: 99%

Mujeres autorizadas: Women's empowerment programs as a form of community development in Guatemala.

Reade¹

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Inequalities in adiposity trends between 1979 and 1999 in Guatemalan children

Johnson,

Mansukoski,

Galvez‐Sobral

et al. 2023

American J Hum Biol

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BackgroundGuatemala suffered from civil war and high levels of inequality and childhood stunting in the second half of the 20th century, but little is known about inequalities in secular trends in adiposity.ObjectivesTo investigate differences in childhood body mass index (BMI) and skinfold thickness trajectories from 1979 to 1999 between three groups of children: High socioeconomic position (SEP) Ladino, Low SEP Ladino, and Low SEP Indigenous Maya.MethodsThe sample comprised 19 346 children aged 7–17 years with 54 638 observations. The outcomes were height, BMI, triceps skinfold thickness (TST), and subscapular skinfold thickness (SST) Z‐scores according to the Centers for Disease Control and Prevention (CDC) references. Sex‐specific multilevel models were used to estimate and compare mean trajectories from 1979 to 1999 between the three groups.ResultsMean Z‐scores were always highest for High SEP Ladino children and lowest for Low SEP Maya children. Despite their very short stature, the Low SEP groups had SST trajectories that were above the 50th centile. The BMI trajectories were relatively flat and within one major centile band of the CDC median, with differences between the three groups that were small (0.2–0.3 Z‐scores) and did not attenuate over time. Conversely, the TST Z‐score trajectories demonstrated larger positive secular trends (e.g., from −1.25 in 1979 to −0.06 in 1999 for Low SEP Maya boys), with differences between the three groups that were large (0.5–1.2 Z‐scores) and did attenuate over time (in boys). Secular trends and between‐group difference in the SST Z‐score trajectories were less pronounced, but again we found stronger evidence in boys that the estimated inequalities attenuated over time.ConclusionsSecular trends and inequalities in skinfolds differ from those for BMI in Guatemalan children. Differences between groups in skinfolds attenuated over time, at least in boys, but whether this is good news is questionable given the very short stature yet relatively large subscapular skinfolds of the Low SEP groups.

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Malnutrition and Poverty in Guatemala

Cited by 37 publications

References 26 publications

Could intervention by clinics such as Primeros Pasos affect the prevalence of childhood malnutrition in the developing world?

Could intervention by clinics such as Primeros Pasos affect the prevalence of childhood malnutrition in the developing world?

Mujeres autorizadas: Women's empowerment programs as a form of community development in Guatemala.

Inequalities in adiposity trends between 1979 and 1999 in Guatemalan children

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