Substantial reduction in child stunting is differentially associated to geographical and socioeconomic disparities in Misiones Province, Argentina

Núñez, Paula Gabriela; Fernández, María Soledad; Turjanski, Pablo; Pérez, Adriana; Rivero, María Romina; Angelo, Carlos Daniel de; Salomón, Oscar Daniel; Cueto, Gerardo Rubén

doi:10.1111/tmi.13400

Cited by 3 publications

(6 citation statements)

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“…However, we consider that they could have contributed to the reduction of food insecurity and possibly child undernutrition, especially in the province of Misiones, which recorded the largest decrease from C1 to C2. In line with this hypothesis, Nuñez et al (2020) informed a substantial relative decrease (41.8%) in the prevalence of stunting among children under 5 years of age covered by public health programs in the province of Misiones.…”

Section: Discussionmentioning

confidence: 83%

Changes in the prevalence of undernutrition, overweight and obesity in children and adolescents from Buenos Aires, Mendoza, and Misiones provinces (Argentina) over the last two decades

Cesani

Garraza

Zonta

et al. 2022

American J Hum Biol

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The aim of this study was to determine changes in the prevalence of undernutrition, overweight and obesity in Argentine children and adolescents over the last two decades, and analyze their relationship with family socioeconomic conditions. Methods: We compared data in two cross-sectional studies (C) of schoolchildren (n: 4971) aged 4 to 13 years from three provinces: Buenos Aires, Mendoza and Misiones. C1 was carried out between 2005 and 2009 and C2 between 2010 and 2019. Anthropometric (body weight, height, triceps and subscapular skinfolds) and socioeconomic data of both studies were obtained in the same schools by the same investigators, using a similar methodology. The prevalence of nutritional status and the frequency of family socioeconomic conditions were calculated by province and C. Data were analyzed by chi square test, categorical principal component analysis and generalized linear model. Results: The prevalence of undernutrition decreased in C2 in Buenos Aires and Misiones and remained constant in Mendoza. At the same time, the prevalence of overweight and obesity increased in the three provinces, around 13% in Buenos Aires and 9% in Mendoza and Misiones. Similarly, fat mass increased in C2. Undernutrition was associated with inadequate family socioeconomic conditions only in C1.Conclusions: This 14-year follow-up study shows a decreasing trend in the prevalence of undernutrition and an increasing trend in the prevalence of overweight, obesity, and fat mass in the child and adolescent population of Argentina. Also, a marked deterioration in family socioeconomic conditions was found, but its relationship with the changes in nutritional status remains to be elucidated.

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Section: Discussionmentioning

confidence: 83%

Changes in the prevalence of undernutrition, overweight and obesity in children and adolescents from Buenos Aires, Mendoza, and Misiones provinces (Argentina) over the last two decades

Cesani

Garraza

Zonta

et al. 2022

American J Hum Biol

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“…A study in India analyzed data across 640 districts in India and found that the prevalence of stunting was higher among poorer populations in northern India compared to eastern and southern parts of India [7]. Additionally, a study in Argentina found regional disparities with higher prevalence values in the north and northeast regions [8]. A better understanding of these disparities provides a precision public health tool to target public policies to those populations with the greatest need in order to reduce health disparities [8].…”

Section: Introductionmentioning

confidence: 99%

“…Additionally, a study in Argentina found regional disparities with higher prevalence values in the north and northeast regions [8]. A better understanding of these disparities provides a precision public health tool to target public policies to those populations with the greatest need in order to reduce health disparities [8].…”

Section: Introductionmentioning

confidence: 99%

“…However, previous studies on the geographic and socioeconomic disparity in child undernutrition from LMICs are limited in at least three ways. First, the majority of studies used individual-level data (including Demographic Health Surveys and Family Health Surveys) to examine the socioeconomic disparity or inequality, including studies from Asia (including India, Bangladesh, Nepal, Cambodia, and Indonesia), Africa (including Nigeria, Chad, and Sierra Leone), and Latin America (including Brazil, Guatemala, and Argentina) [6][7][8][9][10][11][12][13][14][15][16][17][18][19]. While that evidence is invaluable, analyses using locality-level data (including districts) are also needed to inform policies.…”

Section: Introductionmentioning

confidence: 99%

“…For instance, district-level studies for Indonesia (and other countries with similar settings) are crucial because of the decentralization policy, which transfers health sector planning to district heads. Second, while there are plenty of studies on socioeconomic disparity, those on geospatial patterns are lacking [7,8]. Thus, our study aims to address this evidence gap by examining the geographic and socioeconomic disparity in child undernutrition (underweight, wasting, and stunting) across 514 districts in Indonesia, using data from a nationally representative health survey.…”

Section: Introductionmentioning

confidence: 99%

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Geographic and Socioeconomic Disparity in Child Undernutrition across 514 Districts in Indonesia

et al. 2022

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Background: Globally, in 2020, 45 million children were estimated to be wasted, and 149 million children under five years of age were estimated to be stunted. Undernutrition makes children in particular much more vulnerable to disease and death. Our study aims to examine geographic and socioeconomic disparities in child undernutrition across 514 districts in Indonesia. Methods: Employing both geospatial and quantitative analyses (descriptive statistics and Ordinary Least Squares regressions), we analyzed the disparities in the prevalence of underweight, severe underweight, wasting, severe wasting, stunting, and severe stunting among districts. Child undernutrition data were from Indonesia Basic Health Survey (Riskesdas) 2018, which included a sample of 93,620 children under five years. Socioeconomic data were from the World Bank. Results: We found a relatively large geographic and socioeconomic disparity in child undernutrition in Indonesia. By region, districts in the Papua region (including Maluku and Nusa Tenggara) had a significantly higher prevalence of underweight and wasting than those in the Java region (including Bali). Districts in Papua had 44%, 121%, 38%, and 57% higher prevalence of underweight, severe underweight, wasting, and severe wasting, respectively. Similarly, the poorest districts had a significantly higher prevalence of underweight, wasting, and stunting than the wealthiest districts. The poorest districts had 30%, 83%, 16%, 21%, and 74% higher prevalence of underweight, severe underweight, wasting, stunting, and severe stunting, respectively. These results were similar among rural districts. Conclusion: There is a significant disparity in child undernutrition across districts in Indonesia. The government needs to prioritize the reduction of child undernutrition, especially in rural areas, districts outside of Java and Bali, and the poorest and least educated areas.

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Lack of Associations between Environmental Exposures and Environmental Enteric Dysfunction among 18-Month-Old Children in Rural Malawi

Liu

Fan

Ashorn

et al. 2022

IJERPH

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Environmental enteric dysfunction (EED) is common and contributes to linear growth faltering (stunting) and mortality among children in low-resource settings. A few studies on the environmental causes of EED have been conducted but the exact exposures that cause or predispose children to EED are context-specific and not clear. This study aimed to assess associations between selected environmental exposures and EED markers among 620 18-month-old children. This was a secondary analysis of data from Malawian children who participated in a randomized controlled trial (iLiNS-DYAD, registered at clinicaltrials.gov as NCT01239693) from birth to 18 months of age. Data on environmental exposures, including drinking water source, sanitation, exposure to animals, housing materials, season, residential area, and food insecurity were collected at enrolment. Biomarkers of EED included concentrations of calprotectin, regenerating 1B protein (REG1B), and alpha-1-antitrypsin from stool samples to assess intestinal inflammation, repair, and permeability, respectively. We performed bivariate and multivariable analyses to assess associations between environmental exposures and EED biomarkers. Adjusting for possible confounders, we did not find associations between the selected environmental exposures and the three biomarkers. These results do not provide support for our hypothesis that the studied adverse environmental exposures are associated with increased concentrations of children’s EED markers in rural Malawi.

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Substantial reduction in child stunting is differentially associated to geographical and socioeconomic disparities in Misiones Province, Argentina

Cited by 3 publications

References 31 publications

Changes in the prevalence of undernutrition, overweight and obesity in children and adolescents from Buenos Aires, Mendoza, and Misiones provinces (Argentina) over the last two decades

Changes in the prevalence of undernutrition, overweight and obesity in children and adolescents from Buenos Aires, Mendoza, and Misiones provinces (Argentina) over the last two decades

Geographic and Socioeconomic Disparity in Child Undernutrition across 514 Districts in Indonesia

Lack of Associations between Environmental Exposures and Environmental Enteric Dysfunction among 18-Month-Old Children in Rural Malawi

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