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Nutrients 2017, 9(5), 491; doi:10.3390/nu9050491

Factors Associated with Stunting among Children Aged 0 to 59 Months from the Central Region of Mozambique

1
Research Institute of Biomedical and Health Sciences, University of Las Palmas de Gran Canaria, 35016 Las Palmas de Gran Canaria, Spain
2
Clinical Genetics Unit, Complejo Hospitalario Insular-Materno Infantil, 35016 Las Palmas de Gran Canaria, Spain
3
Department of Clinical Sciences, University of Las Palmas de Gran Canaria, 35016 Las Palmas de Gran Canaria, Spain
4
Ciber OBN (CB06/03), Instituto Carlos III, Spanish Government, 28029 Madrid, Spain
5
Research Institute of Biomedical and Health Sciences, University of Las Palmas de Gran Canaria/Nutrition Without Borders, 35016 Las Palmas de Gran Canaria, Spain
*
Author to whom correspondence should be addressed.
Received: 3 March 2017 / Revised: 2 May 2017 / Accepted: 4 May 2017 / Published: 12 May 2017
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Abstract

The objective of this study was to identify the major socio-demographic, health, and environmental determinants of stunting among children aged 0–59 months from the Tete province (Mozambique) and offering useful information for future healthcare strategies and interventions. A case-control study was conducted among 282 (162 boys; 120 girls) children under five years of age from the central region of Mozambique between 1 May and 3 June 2014. Children with stunting (HAZ < −2 SD according to the WHO Child Growth Standards in 2006) were considered as cases and those who had a Z-score < −2 SD were considered as controls. We collected data related to mothers and children and their environment, and they were assessed in two groups to find a possible association. The software used for data analysis was the SPSS®(version, 21.0) using descriptive statistics, t-test, ANOVA, chi-square analyses, bivariate comparisons, and stepwise multiple logistic regression analysis. The results showed that birth weight, mother’s educational status, maternal occupation, living in a rural area, family size, number of children under five years of age in the household, cooking with charcoal, inhabiting wooden or straw housing or housing without proper floors, overall duration of breastfeeding as well as duration of exclusive breastfeeding, and time of initiation of complementary feeding were significantly related to stunting. Thus, appropriate nutritional intervention programmes considering these determinants and the dissemination of knowledge at the population level related to undernutrition are necessary to ameliorate the children´s nutritional status. View Full-Text
Keywords: undernutrition; growth retardation; stunting; nutritional assessment; mozambique undernutrition; growth retardation; stunting; nutritional assessment; mozambique
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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García Cruz, L.M.; González Azpeitia, G.; Reyes Súarez, D.; Santana Rodríguez, A.; Loro Ferrer, J.F.; Serra-Majem, L. Factors Associated with Stunting among Children Aged 0 to 59 Months from the Central Region of Mozambique. Nutrients 2017, 9, 491.

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