The effect of childhood stunting and wasting on adolescent cardiovascular diseases risk and educational achievement in rural Uganda: a retrospective cohort study

Autor:	Lars Smedman, Anatoli Kamali, Gershim Asiki, Robert U. Newton, Lena Marions
Rok vydání:	2019
Předmět:	Male Rural Population Health Status Cohort Studies 0302 clinical medicine Risk Factors Medicine Uganda 030212 general & internal medicine Early childhood Wasting Growth Disorders 2. Zero hunger education.field_of_study lcsh:Public aspects of medicine 030503 health policy & services Health Policy blood pressure 3. Good health Cardiovascular Diseases Child Preschool Cohort Educational Status Female Original Article medicine.symptom 0305 other medical science Cohort study Child hood undernutrition Adolescent schooling Population Child Nutrition Disorders 03 medical and health sciences Humans education Poverty Retrospective Studies business.industry Public Health Environmental and Occupational Health lcsh:RA1-1270 Retrospective cohort study medicine.disease Malnutrition Blood pressure adolescence business Demography
Zdroj:	Global Health Action Global Health Action, Vol 12, Iss 1 (2019)
ISSN:	1654-9880
Popis:	Background: Little is known about the long-term effects of early childhood undernutrition on adolescent cardiovascular disease risk and educational performance in low-income countries. We examined this in a rural Ugandan population. Objective: To investigate if stunting or wasting among children aged 2–5 years is associated with cardiovascular disease risk or educational achievement during adolescence. Methods: We conducted analyses using data from a cohort of children followed from early childhood to adolescence. Weight and height were measured in 1999–2000 when the children were 2–5 years of age and repeated in 2004/2005 and 2011. We compared cardiovascular disease risk parameters (mean blood pressure, lipids, HbA1c) and schooling years achieved in 2011 among 1054 adolescents categorised into four groups: those who experienced stunting or wasting throughout follow-up; those who recovered from stunting or wasting; those who were normal but later became stunted or wasted; and those who never experienced stunting or wasting from childhood up to adolescence. We controlled for possible confounding using multiple generalised linear regression models along with Generalised Estimating Equations to account for clustering of children within households. Results: Wasting was negatively associated with systolic blood pressure (−7.90 95%CI [−14.52,-1.28], p = 0.02) and diastolic blood pressure (−3.92, 95%CI [−7.42, −0.38], p = 0.03). Stunting had borderline negative association with systolic blood pressure (−2.90, 95%CI [−6.41, 0.61] p = 0.10). Recovery from wasting was positively associated with diastolic blood pressure (1.93, 95%CI [0.11, 3.74] p = 0.04). Stunting or wasting was associated with fewer schooling years. Conclusion: Recovery from wasting rather than just an episode in early childhood is associated with a rise in blood pressure while educational achievement is compromised regardless of whether recovery from undernutrition happens. These findings are relevant to children exposed to undernutrition in low-income settings.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::a00415c4ad19cebe22613a8d2b642be9 https://pubmed.ncbi.nlm.nih.gov/31232215 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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