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Prevalence and determinants of stunting and overweight in 3-year-old black South African children residing in the Central Region of Limpopo Province, South Africa

  • Ramoteme L Mamabolo (a1) (a2), Marianne Alberts (a1), Nelia P Steyn (a2), Henriette A Delemarre-van de Waal (a3) and Naomi S Levitt (a4)...
Abstract
AbstractObjectives

To determine the prevalence of stunting, wasting and overweight and their determinants in 3-year-old children in the Central Region of Limpopo Province, South Africa.

Design

Prospective cohort study.

Setting

Rural villages in the Central Region of the Limpopo Province, South Africa.

Subjects

One hundred and sixty-two children who were followed from birth were included in the study. Anthropometric measurements and sociodemographic characteristics of the children were recorded.

Results

Height-for-age Z-scores were low, with a high prevalence of stunting (48%). The children also exhibited a high prevalence of overweight (22%) and obesity (24%). Thirty-one (19%) children were both stunted and overweight. Gaining more weight within the first year of life increased the risk of being overweight at 3 years by 2.39 times (95% confidence interval (CI) 1.96–4.18) while having a greater length at 1 year was protective against stunting (odds ratio (OR) 0.41; 95% CI 0.17–0.97). Having a mother as a student increased the risk for stunting at 3 years by 18.21 times (95% CI 9.46–34.74) while having a working mother increased the risk for overweight by 17.87 times (95% CI 8.24–38.78). All these factors also appeared as risks or as being protective in children who were both overweight and stunted, as did living in a household having nine or more persons (OR 5.72; 95% CI 2.7–12.10).

Conclusion

The results of this study highlight the importance of evaluating anthropometric status in terms of both stunting and overweight. Furthermore, it is important to realise the importance of normal length and weight being attained at 1 year of age, since these in turn predict nutritional status at 3 years of age.

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Corresponding author
*Corresponding author: Email Lesley.mamabolo@mrc.ac.za
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5MA Saleemi , RN Ashraf , L Mellander , S Zaman . Determinants of stunting at 6, 12, 24 and 60 months and postnatal linear growth in Pakistani children. Acta Paediatrica 2001; 90: 1304–8.

6V Vella , A Tomkins , A Borghesi , GB Migliori , VY Oryem . Determinants of stunting and recovery from stunting in Northwest Uganda. International Journal of Epidemiology 1994; 23: 782–6.

9FA Ukwuani , CM Suchindran . Implications of women's work for child nutritional status in sub-Saharan Africa: a case study of Nigeria. Social Science & Medicine 2003; 56: 2109–21.

10S Hernandez-Diaz , KE Peterson , S Dixit , B Hernandez , S Parra , S Barquera , Association of maternal short stature with stunting in Mexican children: common genes vs common environment. European Journal of Clinical Nutrition 1999; 53: 938–45.

14KD Monyeki , FJ van Lenthe , NP Steyn . Obesity; does it occur in African children in a rural community in South Africa?. International Journal of Epidemiology 1999; 28: 287–92.

15RL Mamabolo , M Alberts , GX Mbenyane , NP Steyn , NG Nthangeni , de Waal HA Delemarre-van , Feeding practices and growth of infants from birth to 12 months in the central region of the Limpopo Province of South Africa. Nutrition 2004; 20: 327–33.

16NP Steyn , D Labadarios , E Maunder , J Nel , C Lombard . Directors of the National Food Consumption Survey. Secondary anthropometric data analysis of the National Food Consumption Survey in South Africa: the double burden. Nutrition 2005; 21: 413.

22JA Yanovski , SZ Yanovski . Treatment of pediatric and adolescent obesity. Journal of the American Medical Association 2003; 289: 1851–3.

25TJ Cole , MC Bellizzi , KM Flegal , WH Dietz . Establishing a standard definition for child overweight and obesity worldwide: international survey. British Medical Journal 2000; 320: 16.

26KK Ong , ML Ahmed , PM Emmett , MA Preece , DB Dunger . The ALSPAC Study Team. Association between postnatal catch-up growth and obesity in childhood: prospective cohort study. British Medical Journal 2000; 320: 967–71.

30WPT James , A Ferro-Luzzi , S Sette , CGN Mascie-Taylor . The potential use of maternal size in priority setting when combating childhood malnutrition. European Journal of Clinical Nutrition 1999; 53: 112–9.

31DLM Lei , SP Chaves , AT Paes , MM Escuder , AB Ribeiro , RD Freire Risk of linear growth retardation during the first two years of life: a new approach. European Journal of Clinical Nutrition 1999; 53: 456–60.

32SM Shah , BJ Selwyn , S Luby , A Merchant , R Bano . Prevalence and correlates of stunting among children in rural Pakistan. Pediatrics International 2003; 45: 4953.

33CP Sanchez-Castillo , JL Lara , AR Villa , J Aguirre , M Escobar , H Gutierrez , Unusually high prevalence rates of obesity in four Mexican rural communities. European Journal of Clinical Nutrition 2001; 55: 833–40.

34R Martorell , LK Khan , ML Hughes , LM Grummer-Strawn . Overweight and obesity in preschool children from developing countries. International Journal of Obesity and Related Metabolic Disorders 2001; 24: 959–67.

35E Zere , D McIntyre . Inequities in under-five child malnutrition in South Africa. International Journal for Equity in Health 2003; 2 7.

36AE Baughcum , SW Powers , SB Johnson , LA Chamberlin , CM Deeks , A Jain , Maternal feeding practices and beliefs and their relationships to overweight in early childhood. Journal of Developmental and Behavioral Pediatrics 2001; 22: 391408.

37AE Baughcum , LA Chamberlin , CM Deeks , SW Powers , RC Whitaker . Maternal perceptions of overweight preschool children. Pediatrics 2000; 106: 1380–5.

39MS Faith , KL Keller , P Matz , SL Johnson , R Lewis , MA Jorge , Project Grow-2-Gether: a study of the genetic and environmental influences on child eating and obesity. Twin Research 2002; 5: 472–5.

40PL Engel . Influences of mother's and father's income on child's nutritional status in Guatemala. Social Science & Medicine 1993; 37: 1303–12.

47MK Serdula , D Ivery , RJ Coates , DS Freedman , DF Williamson , T Byers . Do obese children become obese adults? A review of the literature. Preventive Medicine 1993; 22: 167–77.

48RC Whitaker , JA Wright , MS Pepe , KD Siedel , WH Dietz . Predicting obesity in young adulthood from childhood and parental obesity. New England Journal of Medicine 1997; 337: 869–73.

53CM Law , AW Shiell , CA Newsome , HE Syddall , EA Shinebourne , PM Fayers , Fetal, infant, and chzildhood growth and adult blood pressure: a longitudinal study from birth to 22 years of age. Circulation 2002; 105: 1088–92.

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Public Health Nutrition
  • ISSN: 1368-9800
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