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DC Field | Value | Language |
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dc.contributor.author | Mansukoski, Liina | - |
dc.contributor.author | Qamar, Huma | - |
dc.contributor.author | Perumal, Nandita | - |
dc.contributor.author | Aimone, Ashley Mariko | - |
dc.contributor.author | Bassani, Diego G. | - |
dc.date.accessioned | 2022-07-18T12:53:38Z | - |
dc.date.available | 2022-07-18T12:53:38Z | - |
dc.date.issued | 2022 | - |
dc.identifier.uri | https://doi.org/10.1080/03014460.2022.2091794 | - |
dc.identifier.uri | http://ir.mu.ac.ke:8080/jspui/handle/123456789/6532 | - |
dc.description.abstract | Background Indicators of child height, such as mean height-for-age Z-scores (HAZ), height-for-age difference (HAD) and stunting prevalence, do not account for differences in population-average bone developmental stage. Aim Propose a measure of child height that conveys the dependency of linear growth on stage rather than chronological age. Subjects and Methods Using Demographic and Health Surveys (2000-2018; 64 countries), we generated: 1) predicted HAZ at specific ages (HAZ regressed on age); 2) height-age (age at which mean height matches the WHO Growth Standards median); 3) Growth delay (GD), the difference between chronological age and height-age; 4) HAD; and 5) stunting prevalence. Metrics were compared based on secular trends within countries and age-related trajectories within surveys. Results In the most recent surveys (Nā=ā64), GDs ranged from 1.9 to 19.1 months at 60 months chronological age. Cross-sectionally, HAZ, HAD and GD were perfectly correlated, and showed similar secular trends. However, age-related trajectories differed across metrics. Accumulating GD with age demonstrated growth faltering as slower than expected growth for children of the same height-age. Resumption of growth at the median for height-age was rarely observed. Conclusion GD is a population-level measure of child health that reflects the role of delayed skeletal development in linear growth faltering. | en_US |
dc.language.iso | en | en_US |
dc.publisher | Taylor and Francis | en_US |
dc.subject | Stunting | en_US |
dc.subject | Growth faltering | en_US |
dc.title | Growth delay: an alternative measure of population health based on child height distributions | en_US |
dc.type | Article | en_US |
Appears in Collections: | School of Public Health |
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