Concurrently wasted and stunted children 6-59 months in Karamoja, Uganda: prevalence and case detection

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dc.contributor.authorAdobea Odei Obeng-Amoako, Gloria
dc.contributor.authorMyatt, Mark
dc.contributor.authorConkle, Joel
dc.contributor.authorKaijuka Muwaga, Brenda
dc.contributor.authorAryeetey, Richmond
dc.contributor.authorOkwi, Andrew Livex
dc.contributor.authorOkullo, Isaac
dc.contributor.authorMupere, Ezekiel
dc.contributor.authorWamani, Henry
dc.contributor.authorBriend, André
dc.contributor.authorKaramagi, Charles Amnon Sunday
dc.contributor.authorNakayaga Kalyango, Joan
dc.date.accessioned2022-02-02T16:07:49Z
dc.date.available2022-02-02T16:07:49Z
dc.date.issued2020
dc.description.abstractWe assessed prevalence of concurrently wasted and stunted (WaSt) and explored the overlaps between wasted, stunted, underweight and low mid-upper arm circumference (MUAC) among children aged 6–59 months in Karamoja, Uganda. We also determined optimal weight-for-age (WAZ) and MUAC thresholds for detecting WaSt. We conducted secondary data analysis with 2015–2018 Food Security and Nutrition Assessment (FSNA) cross-sectional survey datasets from Karamoja. Wasting, stunting and underweight were defined as <−2.0 z-scores using WHO growth standards. Low MUAC was defined as <12.5 cm. We defined WaSt as concurrent wasting and stunting. Prevalence of WaSt was 4.96% (95% CI [4.64, 5.29]). WaSt was more prevalent in lean than harvest season (5.21% vs. 4.53%; p = .018). About half (53.92%) of WaSt children had low MUAC, and all were underweight. Younger children aged <36 months had more WaSt, particularly males. Males with WaSt had higher median MUAC than females (12.50 vs. 12.10 cm; p < .001). A WAZ <−2.60 threshold detected WaSt with excellent sensitivity (99.02%) and high specificity (90.71%). MUAC threshold <13.20 cm had good sensitivity (81.58%) and moderate specificity (76.15%) to detect WaSt. WaSt prevalence of 5% is a public health concern, given its high mortality risk. All children with WaSt were underweight and half had low MUAC. WAZ and MUAC could be useful tools for detecting WaSt. Prevalence monitoring and prospective studies on WAZ and MUAC cut-offs for WaSt detection are recommended. Future consideration to integrate WAZ into therapeutic feeding programmes is recommended to detect and treat WaSt children.en_US
dc.identifier.citationOdei Obeng-Amoako GA, Myatt M, Conkle J, et al. Concurrently wasted and stunted children 6-59 months in Karamoja, Uganda: prevalence and case detection. Matern Child Nutr. 2020;e13000. https://doi.org/10.1111/ mcn.13000en_US
dc.identifier.urihttps://doi.org/10.1111/ mcn.13000
dc.identifier.urihttps://nru.uncst.go.ug/xmlui/handle/123456789/1771
dc.language.isoenen_US
dc.publisherMaternal and Child Nutritionen_US
dc.subjectCase detectionen_US
dc.subjectConcurrent wasting and stuntingen_US
dc.subjectMUACen_US
dc.subjectStuntingen_US
dc.subjectUgandaen_US
dc.subjectWastingen_US
dc.subjectWaSten_US
dc.titleConcurrently wasted and stunted children 6-59 months in Karamoja, Uganda: prevalence and case detectionen_US
dc.typeArticleen_US
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