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

dc.contributor.authorAdobea Odei Obeng-Amoako, Gloria
dc.contributor.authorKaramagi, Charles Amnon Sunday
dc.contributor.authorNangendo, Joanita
dc.contributor.authorOkiring, Jaffer
dc.contributor.authorKiirya, Yerusa
dc.contributor.authorAryeetey, Richmond
dc.contributor.authorMupere, Ezekial
dc.contributor.authorMyatt, Mark
dc.contributor.authorBriend, André
dc.contributor.authorNakayaga Kalyango, Joan
dc.contributor.authorWamani, Henry
dc.date.accessioned2022-02-02T20:27:26Z
dc.date.available2022-02-02T20:27:26Z
dc.date.issued2021
dc.description.abstractChildren 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 (heightfor- 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.en_US
dc.identifier.citationOdei Obeng-Amoako GA, Karamagi CAS, Nangendo J, et al. Factors associated with concurrent wasting and stunting among children 6–59 months in Karamoja, Uganda. Matern Child Nutr. 2021;17:e13074. https://doi.org/10.1111/mcn.13074en_US
dc.identifier.urihttps://doi.org/10.1111/mcn.13074
dc.identifier.urihttps://nru.uncst.go.ug/xmlui/handle/123456789/1799
dc.language.isoenen_US
dc.publisherMaternal and Child Nutritionen_US
dc.subjectConcurrent wasting and stuntingen_US
dc.subjectFactors associated with WaSten_US
dc.subjectStuntingen_US
dc.subjectUgandaen_US
dc.subjectWastingen_US
dc.titleFactors associated with concurrent wasting and stunting among children 6–59 months in Karamoja, Ugandaen_US
dc.typeArticleen_US
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