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

Cole, Tim J.; Pomeroy, Emma; Stanojevic, Sanja; Wells, Jonathan C.K.; Miranda, J. Jaime; Stock, Jay T.

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.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