Early development in children with moderate acute malnutrition : A cross‐sectional study in Burkina Faso

Published on Apr 1, 2020in Maternal and Child Nutrition3.305
· DOI :10.1111/MCN.12928
Mette Frahm Olsen11
Estimated H-index: 11
(UCPH: University of Copenhagen),
Ann-Sophie Iuel-Brockdorff1
Estimated H-index: 1
(UCPH: University of Copenhagen)
+ 14 AuthorsHenrik Friis43
Estimated H-index: 43
(UCPH: University of Copenhagen)
Malnutrition impairs cognitive, communication, and motor development, but it is not known how nutrition and health are associated with development in children with moderate acute malnutrition (MAM). We aimed to describe motor and language development of children with MAM and explore its nutrition and health-related correlates. This cross-sectional study used baseline data from a nutritional trial in children with MAM aged 6-23 months in Burkina Faso. Motor and language skills were assessed using the Malawi Development Assessment Tool (MDAT). Linear mixed models were used to explore potential correlates of MDAT including socio-economic status, anthropometry, body composition, whole-blood polyunsaturated fatty acids (PUFA), haemoglobin (Hb), iron status, and morbidity. We also assessed child and caregiver participation during MDAT procedures and their associations with correlates and development. MDAT data were available for 1.608 children. Mean (95% CI) MDAT z-scores were -0.39 (-0.45, -0.34) for gross motor, 0.54 (0.48, 0.59) for fine motor, and -0.91 (-0.96, -0.86) for language skills. Children with higher mid-upper arm circumference, weight-for-height, height-for-age, fat-free mass, n-3 PUFAs, Hb, and iron status had better MDAT z-scores, whereas children with more fat mass index, anaemia, illness, and inflammation had poorer z-scores. In addition, children living in larger households or with an unmarried mother had poorer MDAT z-scores. Associations between morbidity and z-scores were largely explained by children's poorer participation during MDAT assessment. The identified factors associated with child development may inform interventions needed to stimulate development during or after management of MAM.
  • References (38)
  • Citations (0)
📖 Papers frequently viewed together
3 Citations
2 Citations
1 Citations
78% of Scinapse members use related papers. After signing in, all features are FREE.
#1Llúcia González (James I University)H-Index: 5
#2Rosa Cortés-Sancho (University of Valencia)
Last. Clara L. Rodríguez-Bernal (University of Valencia)H-Index: 11
view all 6 authors...
Abstract Objective Assessing the association between socioeconomic gradient and cognitive development among children of a Spanish birth cohort aged 5-6 years from a gender perspective. Method Cognitive development was assessed on 525 children aged 5-6 years in the INMA-Valencia cohort, with the Global Cognitive Score (GCS) from McCarthy Scales of Children's Abilities. Information on social class, education level and employment was collected for both parents in addition to other sociodemographic ...
#1Natasha LelijveldH-Index: 4
Last. Marko KeracH-Index: 18
view all 11 authors...
OBJECTIVE: To assess differences in cognition functions and gross brain structure in children seven years after an episode of severe acute malnutrition (SAM), compared with other Malawian children. DESIGN: Prospective longitudinal cohort assessing school grade achieved and results of five computer-based (CANTAB) tests, covering three cognitive domains. A subset underwent brain MRI scans which were reviewed using a standardized checklist of gross abnormalities and compared with a reference popula...
1 CitationsSource
#1Jef L. Leroy (IFPRI: International Food Policy Research Institute)H-Index: 20
#2Edward A. Frongillo (USC: University of South Carolina)H-Index: 65
9 CitationsSource
#1Emmanuel Grellety (ULB: Université libre de Bruxelles)H-Index: 7
#2Michael H. Golden (Aberd.: University of Aberdeen)H-Index: 4
According to WHO childhood severe acute malnutrition (SAM) is diagnosed when the weight-for-height Z-score (WHZ) is <−3Z of the WHO2006 standards, the mid-upper-arm circumference (MUAC) is < 115 mm, there is nutritional oedema or any combination of these parameters. Recently there has been a move to eliminate WHZ as a diagnostic criterion on the assertion that children meeting the WHZ criterion are healthy, that MUAC is universally a superior prognostic indicator of mortality and that adding WHZ...
6 CitationsSource
#1Mubarek Abera (JU: Jimma University)H-Index: 6
#2Markos Tesfaye (St. Paul's Hospital)H-Index: 18
Last. Gregers S. Andersen (Steno Diabetes Center)H-Index: 10
view all 12 authors...
Objective To examine the relationship between body composition—specifically fat mass (FM) and fat-free mass (FFM)—in early infancy, and mental health outcomes in early childhood. Study design In the Infant Anthropometry and Body Composition birth cohort study from Ethiopia, body composition was measured at birth and 1.5, 2.5, 3.5, 4.5, and 6 months of age. Mental health was assessed at 5 years of age using the approved Amharic version of the Strengths and Difficulties Questionnaire (SDQ), a pare...
1 CitationsSource
#1Mubarek Abera (JU: Jimma University)H-Index: 6
#2Markos Tesfaye (St. Paul's Hospital)H-Index: 18
Last. Pernille Kæstel (UCPH: University of Copenhagen)H-Index: 17
view all 12 authors...
2 CitationsSource
#1Berhanu Nigussie Worku (JU: Jimma University)H-Index: 2
#2Teklu Gemechu Abessa (University of Hasselt)H-Index: 2
Last. Marita Granitzer (University of Hasselt)H-Index: 2
view all 7 authors...
Background Extreme poverty is severe deprivation of basic needs and services. Children living in extreme poverty may lack adequate parental care and face increased developmental and health risks. However, there is a paucity of literature on the combined influences of undernutrition and psychosocial factors (such as limited play materials, playground, playtime, interactions of children with their peers and mother-child interaction) on children’s developmental outcomes. The main objective of this ...
1 CitationsSource
#1Teklu Gemechu Abessa (JU: Jimma University)H-Index: 2
#2Liesbeth Bruckers (University of Hasselt)H-Index: 22
Last. Marita Granitzer (University of Hasselt)H-Index: 2
view all 4 authors...
Retrospective studies show that severe acute malnutrition (SAM) affects child development. However, to what extent SAM affects children of different ages at its acute stage is not well documented. This study was aimed at comparing the developmental performance of severely acutely malnourished children under six with that of age and gender-matched non-malnourished healthy children. The developmental performances of 310 children with SAM (male = 155, female = 155); mean age = 30.7 mo; SD = 15.2 mo...
1 CitationsSource
#1Elizabeth L. Prado (UC Davis: University of California, Davis)H-Index: 13
#2Souheila Abbeddou (UC Davis: University of California, Davis)H-Index: 13
Last. Kathryn G. Dewey (UC Davis: University of California, Davis)H-Index: 11
view all 23 authors...
Background Previous reviews have identified 44 risk factors for poor early child development (ECD) in low- and middle-income countries. Further understanding of their relative influence and pathways is needed to inform the design of interventions targeting ECD. Methods We conducted path analyses of factors associated with 18-month language and motor development in four prospective cohorts of children who participated in trials conducted as part of the International Lipid-Based Nutrient Supplemen...
16 CitationsSource
#1Iqbal Hossain (BRACU: BRAC University)H-Index: 1
#2Tahmeed Ahmed (BRACU: BRAC University)H-Index: 38
Last. Alan Jackson (Southampton General Hospital)H-Index: 86
view all 7 authors...
3 CitationsSource
Cited By0