Статья

Mapping child growth failure across low- and middle-income countries

D. Kinyoki, A. Osgood-Zimmerman, B. Pickering, L. Schaeffer, L. Marczak, A. Lazzar-Atwood, M. Collison, N. Henry, Z. Abebe, A. Adamu, V. Adekanmbi, K. Ahmadi, O. Ajumobi, A. Al-Eyadhy, R. Al-Raddadi, F. Alahdab, M. Alijanzadeh, V. Alipour, K. Altirkawi, S. Amini, C. Andrei, C. Antonio, J. Arabloo, O. Aremu, M. Asadi-Aliabadi, S. Atique, M. Ausloos, M. Avila, A. Awasthi, B. Quintanilla, S. Azari, A. Badawi, T. Bärnighausen, Q. Bassat, K. Baye, N. Bedi, B. Bekele, M. Bell, N. Bhattacharjee, K. Bhattacharyya, S. Bhattarai, Z. Bhutta, B. Biadgo, B. Bikbov, A. Briko, G. Britton, R. Burstein, Z. Butt, J. Car, C. Castañeda-Orjuela, F. Castro, E. Cerin, M. Chipeta, D. Chu, M. Cork, E. Cromwell, L. Cuevas-Nasu, L. Dandona, R. Dandona, F. Daoud, R. Gupta, N. Weaver, D. Leo, J. Neve, K. Deribe, B. Desalegn, A. Deshpande, M. Desta, D. Diaz, M. Dinberu, D. Doku, M. Dubey, A. Durães, L. Dwyer-Lindgren, L. Earl, A. Effiong, M. Zaki, M. Tantawi, Z. El-Khatib, B. Eshrati, M. Fareed, A. Faro, S. Fereshtehnejad, I. Filip, F. Fischer, N. Foigt, M. Folayan, T. Fukumoto, T. Gebrehiwot, K. Gezae, A. Ghajar, P. Gill, P. Gona, S. Gopalani, A. Grada, Y. Guo, A. Haj-Mirzaian, A. Haj-Mirzaian, J. Hall, S. Hamidi,
2020

Childhood malnutrition is associated with high morbidity and mortality globally . Undernourished children are more likely to experience cognitive, physical, and metabolic developmental impairments that can lead to later cardiovascular disease, reduced intellectual ability and school attainment, and reduced economic productivity in adulthood . Child growth failure (CGF), expressed as stunting, wasting, and underweight in children under five years of age (0–59 months), is a specific subset of undernutrition characterized by insufficient height or weight against age-specific growth reference standards . The prevalence of stunting, wasting, or underweight in children under five is the proportion of children with a height-for-age, weight-for-height, or weight-for-age z-score, respectively, that is more than two standard deviations below the World Health Organization’s median growth reference standards for a healthy population . Subnational estimates of CGF report substantial heterogeneity within countries, but are available primarily at the first administrative level (for example, states or provinces) ; the uneven geographical distribution of CGF has motivated further calls for assessments that can match the local scale of many public health programmes . Building from our previous work mapping CGF in Africa , here we provide the first, to our knowledge, mapped high-spatial-resolution estimates of CGF indicators from 2000 to 2017 across 105 low- and middle-income countries (LMICs), where 99% of affected children live , aggregated to policy-relevant first and second (for example, districts or counties) administrative-level units and national levels. Despite remarkable declines over the study period, many LMICs remain far from the ambitious World Health Organization Global Nutrition Targets to reduce stunting by 40% and wasting to less than 5% by 2025. Large disparities in prevalence and progress exist across and within countries; our maps identify high-prevalence areas even within nations otherwise succeeding in reducing overall CGF prevalence. By highlighting where the highest-need populations reside, these geospatial estimates can support policy-makers in planning interventions that are adapted locally and in efficiently directing resources towards reducing CGF and its health implications. 1 2 3–5 6 7 8 9 1

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  • 1. Version of Record от 2020-01-09

Метаданные

Об авторах
  • D. Kinyoki
    University of Washington, University of Washington
  • A. Osgood-Zimmerman
    University of Washington
  • B. Pickering
    University of Washington
  • L. Schaeffer
    University of Washington
  • L. Marczak
    University of Washington
  • A. Lazzar-Atwood
    University of Washington
  • M. Collison
    University of Washington
  • N. Henry
    University of Washington
  • Z. Abebe
    University of Gondar
  • A. Adamu
    Stellenbosch University, South African Medical Research Council
  • V. Adekanmbi
    Cardiff University
  • K. Ahmadi
    Lincoln Medical School
  • O. Ajumobi
    University of Nevada, Reno, Federal Ministry of Health
  • A. Al-Eyadhy
    King Saud University
  • R. Al-Raddadi
    King Abdulaziz University
  • F. Alahdab
    Mayo Clinic
  • M. Alijanzadeh
    Qazvin University of Medical Sciences
  • V. Alipour
    Iran University of Medical Sciences, IUMS Health Management and Economics Research Center
  • K. Altirkawi
    King Saud University
  • S. Amini
    Arak University of Medical Sciences
  • C. Andrei
    Universitatea de Medicina si Farmacie Carol Davila din Bucuresti
  • C. Antonio
    University of the Philippines Manila, Hong Kong Polytechnic University
  • J. Arabloo
    IUMS Health Management and Economics Research Center
  • O. Aremu
    Birmingham City University
  • M. Asadi-Aliabadi
    Preventive Medicine and Public Health Research Center
  • S. Atique
    University of Hail
  • M. Ausloos
    University of Leicester, Bucharest University of Economic Studies
  • M. Avila
    Instituto Nacional de Salud Pública. México
  • A. Awasthi
    Indian Institute of Public Health, Public Health Foundation of India
  • B. Quintanilla
    La Trobe University, National Institutes of Health (NIH)
  • S. Azari
    IUMS Health Management and Economics Research Center
  • A. Badawi
    Agence de la santé publique du Canada, University of Toronto
  • T. Bärnighausen
    Universität Heidelberg, Harvard T.H. Chan School of Public Health
  • Q. Bassat
    Instituto de Salud Global de Barcelona, Institució Catalana de Recerca i Estudis Avançats
  • K. Baye
    Addis Ababa University
  • N. Bedi
    Gandhi Medical College, Jazan University
  • B. Bekele
    University of Gondar, Mizan-Tepi University
  • M. Bell
    Yale University
  • N. Bhattacharjee
    University of Washington
  • K. Bhattacharyya
    National Institute of Biomedical Genomics, University of Calcutta
  • S. Bhattarai
    Global Institute for Interdisciplinary Studies
  • Z. Bhutta
    University of Toronto, The Aga Khan University
  • B. Biadgo
    University of Gondar
  • B. Bikbov
    Istituto di Ricerche Farmacologiche Mario Negri
  • A. Briko
    Bauman Moscow State Technical University
  • G. Britton
    Instituto De Investigaciones Cientificas Y Servicios De Alta Tecnologia, INDICASAT-AIP
  • R. Burstein
    University of Washington
  • Z. Butt
    University of Waterloo, Al-Shifa Trust Eye Hospital
  • J. Car
    Nanyang Technological University, Imperial College London
  • C. Castañeda-Orjuela
    National Institutes of Health (NIH), Universidad Nacional de Colombia
  • F. Castro
    Gorgas Memorial Institute for Health Studies
  • E. Cerin
    Australian Catholic University, The University of Hong Kong
  • M. Chipeta
    Nuffield Department of Medicine
  • D. Chu
    Hanoi National University of Education
  • M. Cork
    University of Washington
  • E. Cromwell
    University of Washington, University of Washington
  • L. Cuevas-Nasu
    Instituto Nacional de Salud Pública. México
  • L. Dandona
    Public Health Foundation of India, University of Washington
  • R. Dandona
    Public Health Foundation of India, University of Washington
  • F. Daoud
    University of Washington
  • R. Gupta
    University of South Carolina, BRAC University
  • N. Weaver
    University of Washington
  • D. Leo
    Griffith Health
  • J. Neve
    Universität Heidelberg
  • K. Deribe
    Addis Ababa University, Brighton and Sussex Medical School
  • B. Desalegn
    Hawassa University
  • A. Deshpande
    University of Washington
  • M. Desta
    Debre Markos University, Universidad Autónoma de Sinaloa
  • D. Diaz
    Universidad Autónoma de Sinaloa, Universidad Nacional Autónoma de México
  • M. Dinberu
    Debre Berhan University
  • D. Doku
    University of Cape Coast Ghana, Tampereen Yliopisto
  • M. Dubey
    World Food Programme
  • A. Durães
    Roberto Santos General Hospital, Escola Bahiana de Medicina e Saude Publica
  • L. Dwyer-Lindgren
    University of Washington, University of Washington
  • L. Earl
    University of Washington
  • A. Effiong
    The University of Newcastle, Australia
  • M. Zaki
    Mansoura University
  • M. Tantawi
    Alexandria University
  • Z. El-Khatib
    Karolinska Institutet, Universite du Quebec en Abitibi-Temiscamingue
  • B. Eshrati
    Arak University of Medical Sciences, Iranian Ministry of Health and Medical Education
  • M. Fareed
    Al-Imam Muhammad Ibn Saud Islamic University
  • A. Faro
    Universidade Federal de Sergipe
  • S. Fereshtehnejad
    Karolinska Institutet, University of Ottawa
  • I. Filip
    Kaiser Permanente, Arizona School of Health Sciences
  • F. Fischer
    Universität Bielefeld
  • N. Foigt
    National Academy of Medical Sciences of Ukraine
  • M. Folayan
    Obafemi Awolowo University
  • T. Fukumoto
    The Wistar Institute, Kobe University
  • T. Gebrehiwot
    Jimma University
  • K. Gezae
    Mekelle University
  • A. Ghajar
    Endocrinology and Metabolism Research Institute (TUMS), Massachusetts General Hospital
  • P. Gill
    University of Warwick
  • P. Gona
    University of Massachusetts Boston
  • S. Gopalani
    University of Oklahoma, Federated States of Micronesia
  • A. Grada
    Boston University
  • Y. Guo
    Monash University, Zhengzhou University
  • A. Haj-Mirzaian
    Tehran University of Medical Sciences, Shahid Beheshti University of Medical Sciences
  • A. Haj-Mirzaian
    Tehran University of Medical Sciences, Johns Hopkins University
  • J. Hall
    University of Washington
  • S. Hamidi
    Hamdan Bin Mohammed Smart University
Название журнала
  • Nature
Том
  • 577
Выпуск
  • 7789
Страницы
  • 231-234
Финансирующая организация
  • South African Medical Research Council
Номер гранта
  • undefined
Тип документа
  • journal article
Тип лицензии Creative Commons
  • CC BY
Правовой статус документа
  • Свободная лицензия
Источник
  • scopus