Please use this identifier to cite or link to this item: https://www.arca.fiocruz.br/handle/icict/7557
Title: Childhood stunting in Northeast Brazil: the role of Schistosoma mansoni infection and inadequate dietary intake
Authors: Oliveira, Ana Marlucia de
Prado, Matildes da Silva
Barreto, Maurício Lima
Reis, Mitermayer Galvão dos
Pinheiro, S. M. Conceição
Parraga, Isabel Martin
Blanton, Ronald Edward
Affilliation: Federal University of Bahia. The School of Nutrition. Salvador, BA, Brasil.
Federal University of Bahia. Institute of Collective Health. Salvador, BA, Brasil.
Federal University of Bahia. Institute of Collective Health. Salvador, BA, Brasil.
Fundação Oswaldo Cruz. Centro de Pesquisa Gonçalo Moniz. Salvador, BA, Brasil.
Federal University of Bahia. The School of Nutrition. Salvador, BA, Brasil.
Department of Nutrition. Case Western Reserve University. Cleveland, OH, USA.
Center for Global Health and Diseases. Case Western Reserve University. Cleveland, OH, USA.
Abstract: OBJECTIVE: To evaluate the relationship between stunting, Schistosoma mansoni infection and dietary intake in schoolchildren. DESIGN: This is a cross-sectional study. Two stool samples were obtained from each child and examined quantitatively for the presence of S. mansoni, Ascaris lumbricoides and Trichuris trichiuria eggs. Information on dietary intake, and demographic, biologic and socioeconomic variables was elicited during the in-home survey. Logistic regression was used to evaluate the association between stunting (height for age < -2s.d.), parasitic infection and food consumption. SETTING: The study was carried out in the city of Nazaré, located in the Recôncavo region of the State of Bahia, Northeastern Brazil. SUBJECTS: The sample consisted of 461 children 7-14 y old, 228 boys and 233 girls, recruited from public schools. RESULTS: Of the children studied, 55.1% presented with S. mansoni infection and 22.1% were stunted. The median protein, lipid and carbohydrates intake were 47.8, 36.0 and 248.2 g/day, respectively. The median caloric consumption was 1527.0 kcal (6388.97 kJ/day). The analysis indicated that children heavily infected (> or = 400 eggs/g of stool) with S. mansoni had a 2.74-fold (95% CI: 1.32-5.67) higher risk of stunting than uninfected children, and those with inadequate intake of lipid (< 36 g/day) had a 1.83-fold (95% CI: 1.05-3.20) increased risk of stunting compared to those with adequate diets. CONCLUSION: Heavy S. mansoni infection and inadequate dietary intake of fat in schoolchildren play a significant and independent role in the development of stunting. This meaning that nutritional interventions in this age group in S. mansoni endemic areas must include the diagnosis and treatment of the infection associated with dietary measures. SPONSORSHIP: This study was supported by the Thrasher Foundation. Sandra Maria Conceição Pinheiro is a National Council on Technological Development Scholarship Awardee (CNPq), #302228/81-0.
Keywords: Schistosoma mansoni infection
Helminth infection
Schoolchildren
Dietary intake
Stunting
DeCS: Estatura
Fenômenos Fisiológicos da Nutrição Infantil
Dieta
Transtornos do Crescimento/etiologia
Enteropatias Parasitárias/complicações
Esquistossomose mansoni/complicações
Adolescente
Animais
Brasil/epidemiologia
Desenvolvimento Infantil
Criança
Estudos Transversais
Carboidratos da Dieta/administração & dosagem
Gorduras na Dieta/administração & dosagem
Proteínas na Dieta/administração & dosagem
Ingestão de Energia
Fezes/parasitologia
Feminino
Humanos
Enteropatias Parasitárias/epidemiologia
Modelos Logísticos
Masculino
Esquistossomose mansoni/epidemiologia
Issue Date: 2004
Publisher: Nature Publishing Group
Citation: ASSIS, A. M. O. et al. Childhood stunting in Northeast Brazil: the role of Schistosoma mansoni infection and inadequate dietary intake. European Journal of Clinical Nutrition, v. 58, n. 7, p. 1022–1029, 2004.
DOI: 10.1038/sj.ejcn.1601926
ISSN: 0954-3007
Copyright: open access
Appears in Collections:BA - IGM - Artigos de Periódicos

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