Pattern of growth faltering and recovery in under-5 children in India using WHO growth standards — A study on first and third national family health survey

Mamidi, Raja Sriswan; Shidhaye, Pallavi; Radhakrishna, K. V.; Babu, J. J.; Reddy, P.

doi:10.1007/s13312-011-0139-1

Cited by 27 publications

(28 citation statements)

References 12 publications

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“…These results, which are consistent with a recent analysis of child growth patterns worldwide [4], confirm the importance of the first two years of life as a critical window within which linear growth is most sensitive to environmentally modifiable factors. The WHO Child Growth Standards, with their robust methodology, provide an improved description of physiological growth, showing that intrauterine growth retardation is a greater problem than previously believed [3,4]. These findings highlight the need for prenatal and early life interventions (in the -9 to +24 months window of opportunity) to avert the growth failure that occurs during this sensitive period.…”

Section: E D I T O R I a L E D I T O R I A L E D I T O R I A L E D I mentioning

confidence: 93%

“…The Indian study published in this issue of Indian Pediatrics [3] examines the timing of growth faltering in under-5 children in India using the WHO Child Growth Standards. Based on national representative data, the authors conclude that about half (44% to 55% depending on the survey year) of growth faltering was already present at birth and that much of the growth faltering in early life in India can be attributed to faltering in height-for-age (i.e.…”

Section: E D I T O R I a L E D I T O R I A L E D I T O R I A L E D I mentioning

confidence: 99%

“…Since growth faltering patterns are clearly different for height-for-age and weight-for-age Z-scores, the new analyses [3,4] also highlight the importance of monitoring length/height in addition to weight throughout infancy and childhood. Despite its limited use, growth velocity has considerable potential for early identification of abnormal growth and treatment responses.…”

Section: E D I T O R I a L E D I T O R I A L E D I T O R I A L E D I mentioning

confidence: 99%

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Timing of growth faltering: A critical window for healthy growth

Onís

2011

Indian Pediatr

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Section: E D I T O R I a L E D I T O R I A L E D I T O R I A L E D I mentioning

confidence: 93%

Section: E D I T O R I a L E D I T O R I A L E D I T O R I A L E D I mentioning

confidence: 99%

Section: E D I T O R I a L E D I T O R I A L E D I T O R I A L E D I mentioning

confidence: 99%

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Timing of growth faltering: A critical window for healthy growth

Onís

2011

Indian Pediatr

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“…A study using the WHO-GS in India determined that 44–55% of growth deficits under 5 years of age existed at birth [17, 30] Child growth and nutritional status are linked to fetal life with maternal undernutrition accounting for 20% of childhood stunting [31]. Additionally, there is a strong relationship between fetal growth restriction and the risk of developing stunting at 12–60 months [31].…”

Section: Linear Growth From Preconception To Beyond the First 1000 Dmentioning

confidence: 99%

World Perspective on the Epidemiology of Stunting between 1990 and 2015

2017

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Background: Stunting is the most prevalent form of child undernutrition with current worldwide estimates at 156 million. The majority of these children reside in low- and middle-income countries. When stunting prevails to adulthood, optimal growth potential and economic productivity are minimized. Results: In 2015 there were 98.5 million fewer stunted children under 5 years of age than in 1990. In East Asia and Pacific and South Asia, the stunting prevalence decreased by 24.8 and 25%, respectively. Minimal declines were observed in Latin America and the Caribbean at 12.6%, in the Middle East and North Africa at 12.9%, and in sub-Saharan Africa at 13.4%. But because large populations of children under 5 years of age are distributed disproportionately, decreases in prevalence do not translate to fewer numbers of stunted children globally. In sub-Saharan Africa, the number of stunted children increased by 12.4 million between 1990 and 2015. Conclusions: Adult height is dependent on nutrition-specific or nutrition-sensitive factors. Nutrition-specific factors can be targeted according to their impact at critical points of development and therefore offer multiple windows of opportunity for interventions. To date, many interventions focus on the first 1,000 days, but opportunities may extend into later childhood and adolescence.

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“…Studies suggest that early onset of growth faltering, even at birth, is common in Indian and other low-income countries. 75,76 Thus, an important part of the total growth faltering in India has already occurred before birth. 77,78 Undernutrition, fetal growth restriction, stunting, wasting, and deficiency of vitamin A, zinc and iron along with sub-optimal breastfeeding have been identified as important causes of under-5 mortality.…”

Section: Neglect Of Child Nutritionmentioning

confidence: 99%

Child maltreatment in India

Singhi

Saini

Malhi

2013

Paediatrics and International Child Health

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Child maltreatment is a global problem but is more difficult to assess and manage in developing countries such as India where one-fifth of the world's total child population resides. Certain forms of maltreatment such as feticide, infanticide, abandonment, child labour, street-begging, corporal punishment and battered babies are particularly prevalent in India. Most physicians still need to be sensitized in order to suspect child abuse on the basis of unexplained trauma, multiple fractures, parental conflict and other corroborative evidence. This article summarizes the various aspects of this major problem in resource-poor settings in the hope that it will assist in the planning of services addressing child physical and sexual abuse and neglect in India and in other developing countries. A culture of non-violence towards children needs to be built into communities in order to provide an environment conducive to the overall development of the child. Rehabilitation of abused children and their families requires a multi-disciplinary service including paediatricians, child psychologists and social workers, and the training of police forces in how to tackle the problem.

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Pattern of growth faltering and recovery in under-5 children in India using WHO growth standards — A study on first and third national family health survey

Cited by 27 publications

References 12 publications

Timing of growth faltering: A critical window for healthy growth

Timing of growth faltering: A critical window for healthy growth

World Perspective on the Epidemiology of Stunting between 1990 and 2015

Child maltreatment in India

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