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Impact of acute undernutrition on stunting

This question was posted the Prevention and treatment of moderate acute malnutrition forum area and has 2 replies. You can also reply via email – be sure to leave the subject unchanged.

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Anonymous 1464

Normal user

7 Jun 2012, 11:05

Can anyone point me in the direction of any research on the links between acute and chronic undernutrition? I'm looking at the extent to which a failure to prevent acute malnutrition can affect progress on reducing stunting and I'm sure there must be data out there.

Mary Arimond

University of California, Davis

Normal user

7 Jun 2012, 13:08

There is an excellent paper just published on this topic in the Journal of Nutrition. Here is the citation: J Nutr. 2012 May 23. [Epub ahead of print]

Wasting Is Associated with Stunting in Early Childhood.

Richard SA, Black RE, Gilman RH, Guerrant RL, Kang G, Lanata CF, Mølbak K,
Rasmussen ZA, Sack RB, Valentiner-Branth P, Checkley W; Childhood Infection and
Malnutrition Network.

PMID: 22623393 [PubMed - as supplied by publisher]

Dr Marko Kerac

Course Director, Global Nutrition MSc, LSHTM

Frequent user

13 Jun 2012, 01:12

Good question.
I'm sorry to say not yet written up as a paper, but has been presented at conferences: some long term follow-up data on ex-SAM children in Malawi. Note that this was in 2006/7 before there was a fully functioning CMAM programme in district, so children all came through inpatient care 1st and were on the "complicated" spectrum of SAM.

See page 114: growth of ex-SAM children compared to sibling controls - sadly very limited catch-up...
http://discovery.ucl.ac.uk/1306755/

So, indeed an impact - but question remains how to address. Ideas and suggestions welcome - please see MAMI-2 project elsewhere on ENN website. Future intervention studies desperately needed.

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