Factors associated with concurrent wasting and stunting among children 6-59 months in Karamoja, Uganda

Research output: Contribution to journalJournal articlepeer-review

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Factors associated with concurrent wasting and stunting among children 6-59 months in Karamoja, Uganda. / Odei Obeng-Amoako, Gloria Adobea; Karamagi, Charles Amnon Sunday; Nangendo, Joanita; Okiring, Jaffer; Kiirya, Yerusa; Aryeetey, Richmond; Mupere, Ezekial; Myatt, Mark; Briend, André; Kalyango, Joan Nakayaga; Wamani, Henry.

In: Maternal and Child Nutrition, Vol. 17, No. 1, e13074, 2021.

Research output: Contribution to journalJournal articlepeer-review

Harvard

Odei Obeng-Amoako, GA, Karamagi, CAS, Nangendo, J, Okiring, J, Kiirya, Y, Aryeetey, R, Mupere, E, Myatt, M, Briend, A, Kalyango, JN & Wamani, H 2021, 'Factors associated with concurrent wasting and stunting among children 6-59 months in Karamoja, Uganda', Maternal and Child Nutrition, vol. 17, no. 1, e13074. https://doi.org/10.1111/mcn.13074

APA

Odei Obeng-Amoako, G. A., Karamagi, C. A. S., Nangendo, J., Okiring, J., Kiirya, Y., Aryeetey, R., Mupere, E., Myatt, M., Briend, A., Kalyango, J. N., & Wamani, H. (2021). Factors associated with concurrent wasting and stunting among children 6-59 months in Karamoja, Uganda. Maternal and Child Nutrition, 17(1), [e13074]. https://doi.org/10.1111/mcn.13074

Vancouver

Odei Obeng-Amoako GA, Karamagi CAS, Nangendo J, Okiring J, Kiirya Y, Aryeetey R et al. Factors associated with concurrent wasting and stunting among children 6-59 months in Karamoja, Uganda. Maternal and Child Nutrition. 2021;17(1). e13074. https://doi.org/10.1111/mcn.13074

Author

Odei Obeng-Amoako, Gloria Adobea ; Karamagi, Charles Amnon Sunday ; Nangendo, Joanita ; Okiring, Jaffer ; Kiirya, Yerusa ; Aryeetey, Richmond ; Mupere, Ezekial ; Myatt, Mark ; Briend, André ; Kalyango, Joan Nakayaga ; Wamani, Henry. / Factors associated with concurrent wasting and stunting among children 6-59 months in Karamoja, Uganda. In: Maternal and Child Nutrition. 2021 ; Vol. 17, No. 1.

Bibtex

@article{6fc19962e7ba478b86482c4adfb553e0,
title = "Factors associated with concurrent wasting and stunting among children 6-59 months in Karamoja, Uganda",
abstract = "Children with concurrent wasting and stunting (WaSt) and children with severe wasting have a similar risk of death. Existing evidence shows that wasting and stunting share similar causal pathways, but evidence on correlates of WaSt remains limited. Research on correlates of WaSt is needed to inform prevention strategies. We investigated the factors associated with WaSt in children 6-59 months in Karamoja Region, Uganda. We examined data for 33,054 children aged 6-59 months using June 2015 to July 2018 Food Security and Nutrition Assessment in Karamoja. We defined WaSt as being concurrently wasted (weight-for-height z-scores <-2.0) and stunted (height-for-age z-score <-2.0). We conducted multivariate mixed-effect logistic regression to assess factors associated with WaSt. Statistical significance was set at p < 0.05. In multivariate analysis, being male (adjusted odds ratio [aOR] = 1.79; 95% confidence interval [CI] [1.60-2.00]), aged 12-23 months (aOR = 2.25; 95% CI [1.85-2.74]), 36-47 months (aOR = 0.65; 95% CI [0.50-0.84]) and 48-59 months (aOR = 0.71; 95% CI [0.54-0.93]) were associated with WaSt. In addition, acute respiratory infection (aOR = 1.30; 95% CI [1.15-1.48]), diarrhoea (aOR = 1.25; 95% CI [1.06-1.48]) and malaria/fever (aOR = 0.83; 95% CI [0.73-0.96]) episodes were associated with WaSt. WaSt was significantly associated with maternal underweight (body mass index <18.5 kg/m2 ), short stature (height <160 cm), low mid-upper arm circumference (MUAC <23 cm) and having ≥4 live-births. WaSt was prevalent in households without livestock (aOR = 1.30; 95% CI [1.13-1.59]). Preventing the occurrence of WaSt through pragmatic and joint approaches are recommended. Future prospective studies on risk factors of WaSt to inform effective prevention strategies are recommended.",
keywords = "Faculty of Science, Concurrent wasting and stunting, Factors associated with WaSt, Stunting, Uganda, Wasting",
author = "{Odei Obeng-Amoako}, {Gloria Adobea} and Karamagi, {Charles Amnon Sunday} and Joanita Nangendo and Jaffer Okiring and Yerusa Kiirya and Richmond Aryeetey and Ezekial Mupere and Mark Myatt and Andr{\'e} Briend and Kalyango, {Joan Nakayaga} and Henry Wamani",
note = "{\textcopyright} 2020 The Authors. Maternal & Child Nutrition published by John Wiley & Sons Ltd.",
year = "2021",
doi = "10.1111/mcn.13074",
language = "English",
volume = "17",
journal = "Maternal and Child Nutrition",
issn = "1740-8695",
publisher = "Wiley-Blackwell",
number = "1",

}

RIS

TY - JOUR

T1 - Factors associated with concurrent wasting and stunting among children 6-59 months in Karamoja, Uganda

AU - Odei Obeng-Amoako, Gloria Adobea

AU - Karamagi, Charles Amnon Sunday

AU - Nangendo, Joanita

AU - Okiring, Jaffer

AU - Kiirya, Yerusa

AU - Aryeetey, Richmond

AU - Mupere, Ezekial

AU - Myatt, Mark

AU - Briend, André

AU - Kalyango, Joan Nakayaga

AU - Wamani, Henry

N1 - © 2020 The Authors. Maternal & Child Nutrition published by John Wiley & Sons Ltd.

PY - 2021

Y1 - 2021

N2 - Children with concurrent wasting and stunting (WaSt) and children with severe wasting have a similar risk of death. Existing evidence shows that wasting and stunting share similar causal pathways, but evidence on correlates of WaSt remains limited. Research on correlates of WaSt is needed to inform prevention strategies. We investigated the factors associated with WaSt in children 6-59 months in Karamoja Region, Uganda. We examined data for 33,054 children aged 6-59 months using June 2015 to July 2018 Food Security and Nutrition Assessment in Karamoja. We defined WaSt as being concurrently wasted (weight-for-height z-scores <-2.0) and stunted (height-for-age z-score <-2.0). We conducted multivariate mixed-effect logistic regression to assess factors associated with WaSt. Statistical significance was set at p < 0.05. In multivariate analysis, being male (adjusted odds ratio [aOR] = 1.79; 95% confidence interval [CI] [1.60-2.00]), aged 12-23 months (aOR = 2.25; 95% CI [1.85-2.74]), 36-47 months (aOR = 0.65; 95% CI [0.50-0.84]) and 48-59 months (aOR = 0.71; 95% CI [0.54-0.93]) were associated with WaSt. In addition, acute respiratory infection (aOR = 1.30; 95% CI [1.15-1.48]), diarrhoea (aOR = 1.25; 95% CI [1.06-1.48]) and malaria/fever (aOR = 0.83; 95% CI [0.73-0.96]) episodes were associated with WaSt. WaSt was significantly associated with maternal underweight (body mass index <18.5 kg/m2 ), short stature (height <160 cm), low mid-upper arm circumference (MUAC <23 cm) and having ≥4 live-births. WaSt was prevalent in households without livestock (aOR = 1.30; 95% CI [1.13-1.59]). Preventing the occurrence of WaSt through pragmatic and joint approaches are recommended. Future prospective studies on risk factors of WaSt to inform effective prevention strategies are recommended.

AB - Children with concurrent wasting and stunting (WaSt) and children with severe wasting have a similar risk of death. Existing evidence shows that wasting and stunting share similar causal pathways, but evidence on correlates of WaSt remains limited. Research on correlates of WaSt is needed to inform prevention strategies. We investigated the factors associated with WaSt in children 6-59 months in Karamoja Region, Uganda. We examined data for 33,054 children aged 6-59 months using June 2015 to July 2018 Food Security and Nutrition Assessment in Karamoja. We defined WaSt as being concurrently wasted (weight-for-height z-scores <-2.0) and stunted (height-for-age z-score <-2.0). We conducted multivariate mixed-effect logistic regression to assess factors associated with WaSt. Statistical significance was set at p < 0.05. In multivariate analysis, being male (adjusted odds ratio [aOR] = 1.79; 95% confidence interval [CI] [1.60-2.00]), aged 12-23 months (aOR = 2.25; 95% CI [1.85-2.74]), 36-47 months (aOR = 0.65; 95% CI [0.50-0.84]) and 48-59 months (aOR = 0.71; 95% CI [0.54-0.93]) were associated with WaSt. In addition, acute respiratory infection (aOR = 1.30; 95% CI [1.15-1.48]), diarrhoea (aOR = 1.25; 95% CI [1.06-1.48]) and malaria/fever (aOR = 0.83; 95% CI [0.73-0.96]) episodes were associated with WaSt. WaSt was significantly associated with maternal underweight (body mass index <18.5 kg/m2 ), short stature (height <160 cm), low mid-upper arm circumference (MUAC <23 cm) and having ≥4 live-births. WaSt was prevalent in households without livestock (aOR = 1.30; 95% CI [1.13-1.59]). Preventing the occurrence of WaSt through pragmatic and joint approaches are recommended. Future prospective studies on risk factors of WaSt to inform effective prevention strategies are recommended.

KW - Faculty of Science

KW - Concurrent wasting and stunting

KW - Factors associated with WaSt

KW - Stunting

KW - Uganda

KW - Wasting

U2 - 10.1111/mcn.13074

DO - 10.1111/mcn.13074

M3 - Journal article

C2 - 32830434

VL - 17

JO - Maternal and Child Nutrition

JF - Maternal and Child Nutrition

SN - 1740-8695

IS - 1

M1 - e13074

ER -

ID: 247382888