Universidad Peruana Cayetano Heredia

Stunting, adiposity, and the individual-level "dual burden" among urban lowland and rural highland peruvian children

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dc.contributor.author Pomeroy, Emma
dc.contributor.author Stock, Jay T.
dc.contributor.author Stanojevic, Sanja
dc.contributor.author Miranda, J. Jaime
dc.contributor.author Cole, Tim J.
dc.contributor.author Wells, Jonathan C.K.
dc.date.accessioned 2020-06-10T18:11:37Z
dc.date.available 2020-06-10T18:11:37Z
dc.date.issued 2014
dc.identifier.uri https://hdl.handle.net/20.500.12866/8035
dc.description.abstract Background: The causes of the "dual burden" of stunting and obesity remain unclear, and its existence at the individual level varies between populations. We investigate whether the individual dual burden differentially affects low socioeconomic status Peruvian children from contrasting environments (urban lowlands and rural highlands), and whether tibia length can discount the possible autocorrelation between adiposity proxies and height due to height measurement error. Methods: Stature, tibia length, weight, and waist circumference were measured in children aged 3-8.5 years (n=201). Height and body mass index (BMI) z scores were calculated using international reference data. Age-sex-specific centile curves were also calculated for height, BMI, and tibia length. Adiposity proxies (BMI z score, waist circumference-height ratio (WCHtR)) were regressed on height and also on tibia length z scores. Results: Regression model interaction terms between site (highland vs. lowland) and height indicate that relationships between adiposity and linear growth measures differed significantly between samples (P<0.001). Height was positively associated with BMI among urban lowland children, and more weakly with WCHtR. Among rural highland children, height was negatively associated with WCHtR but unrelated to BMI. Similar results using tibia length rather than stature indicate that stature measurement error was not a major concern. Conclusions: Lowland and rural highland children differ in their patterns of stunting, BMI, and WCHtR. These contrasts likely reflect environmental differences and overall environmental stress exposure. Tibia length or knee height can be used to assess the influence of measurement error in height on the relationship between stature and BMI or WCHtR. Am. J. Hum. Biol. 26:481-490, 2014. © 2014 Wiley Periodicals, Inc. en_US
dc.language.iso eng
dc.publisher Wiley
dc.relation.ispartofseries American Journal of Human Biology
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Peru en_US
dc.subject Female en_US
dc.subject Humans en_US
dc.subject Male en_US
dc.subject Child en_US
dc.subject Child, Preschool en_US
dc.subject Infant en_US
dc.subject Socioeconomic Factors en_US
dc.subject Altitude en_US
dc.subject Rural Population en_US
dc.subject epidemiology en_US
dc.subject Cost of Illness en_US
dc.subject obesity en_US
dc.subject Body Height en_US
dc.subject Growth Disorders en_US
dc.subject body mass en_US
dc.subject altitude en_US
dc.subject human en_US
dc.subject Urban Population en_US
dc.subject female en_US
dc.subject male en_US
dc.subject socioeconomics en_US
dc.subject child en_US
dc.subject rural population en_US
dc.subject urban population en_US
dc.subject anatomy and histology en_US
dc.subject preschool child en_US
dc.subject cost of illness en_US
dc.subject Body Mass Index en_US
dc.subject Waist Circumference en_US
dc.subject Body Weight en_US
dc.subject infant en_US
dc.subject body height en_US
dc.subject body weight en_US
dc.subject waist circumference en_US
dc.subject Adiposity en_US
dc.subject tibia en_US
dc.subject Tibia en_US
dc.title Stunting, adiposity, and the individual-level "dual burden" among urban lowland and rural highland peruvian children en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1002/ajhb.22551
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.01.01
dc.relation.issn 1520-6300


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