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Association of Maternal Stature With Offspring Mortality, Underweight, and Stunting in Low- to Middle-Income Countries
Open accessAbstract
CONTEXT: Although maternal stature has been associated with offspring mortality and health, the extent to which this association is universal across developing countries is unclear. OBJECTIVE: To examine the association between maternal stature and offspring mortality, underweight, stunting, and wasting in infancy and early childhood in 54 low- to middle-income countries. DESIGN, SETTING, AND PARTICIPANTS: Analysis of 109 Demographic and Health Surveys in 54 countries conducted between 1991 and 2008. Study population consisted of a nationally representative cross-sectional sample of children aged 0 to 59 months born to mothers aged 15 to 49 years. Sample sizes were 2,661,519 (mortality), 587,096 (underweight), 558,347 (stunting), and 568,609 (wasting) children. MAIN OUTCOME MEASURES: Likelihood of mortality, underweight, stunting, or wasting in children younger than 5 years. RESULTS: The mean response rate across surveys in the mortality data set was 92.8%. In adjusted models, a 1-cm increase in maternal height was associated with a decreased risk of child mortality (absolute risk difference [ARD], 0.0014; relative risk [RR], 0.988; 95% confidence interval [CI], 0.987-0.988), underweight (ARD, 0.0068; RR, 0.968; 95% CI, 0.968-0.969), stunting (ARD, 0.0126; RR, 0.968; 95% CI, 0.967-0.968), and wasting (ARD, 0.0005; RR, 0.994; 95% CI, 0.993-0.995). Absolute risk of dying among children born to the tallest mothers (> or = 160 cm) was 0.073 (95% CI, 0.072-0.074) and to those born to the shortest mothers (< 145 cm) was 0.128 (95% CI, 0.126-0.130). Country-specific decrease in the risk for child mortality associated with a 1-cm increase in maternal height varied between 0.978 and 1.011, with the decreased risk being statistically significant in 46 of 54 countries (85%) (alpha = .05). CONCLUSION: Among 54 low- to middle-income countries, maternal stature was inversely associated with offspring mortality, underweight, and stunting in infancy and childhood.
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Cites
Maternal and child undernutrition: global and regional exposures and health consequences
Black, R. E., Allen, L. H., Bhutta, Z. A., Caulfield, L. E., de Onis, M., Ezzati, M., Mathers, C., & Rivera, J. (2008) · The Lancet · doi:10.1016/s0140-6736(07)61690-0 · Cited by 6,443
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Maternal and child undernutrition and overweight in low-income and middle-income countries
Black, R. E., Victora, C. G., Walker, S. P., Bhutta, Z. A., Christian, P., de Onis, M., Ezzati, M., Grantham-McGregor, S., Katz, J., Martorell, R., et al. (2013) · The Lancet · doi:10.1016/s0140-6736(13)60937-x · Cited by 8,475
Childhood stunting: a global perspective
de Onis, M., & Branca, F. (2016) · Maternal & Child Nutrition · doi:10.1111/mcn.12231 · Cited by 1,552
Demographic and health surveys: a profile
Corsi, D. J., Neuman, M., Finlay, J. E., & Subramanian, S. (2012) · International Journal of Epidemiology · doi:10.1093/ije/dys184 · Cited by 1,178
Gakidou, E., Cowling, K., Lozano, R., & Murray, C. J. (2010) · The Lancet · doi:10.1016/s0140-6736(10)61257-3 · Cited by 796
Multiple-micronutrient supplementation for women during pregnancy
Haider, B. A., & Bhutta, Z. A. (2017) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd004905.pub5 · Cited by 740
Metadata
- Authors
- Özaltin, E.
- Venue
- JAMA
- Publisher
- American Medical Association (AMA)
- Published
- 2010-04-21
- Volume
- 303
- Issue
- 15
- Pages
- 1507
- ISSN
- 0002-9955 (ISSN-L)
- 0098-7484
- OpenAlex
- W1991215594
- Cited by
- 420
- References
- 1
- FWCI
- 15.58
- Type
- journal article
- Language
- en
- Open access
- green
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- Özaltin, E. (2010). Association of Maternal Stature With Offspring Mortality, Underweight, and Stunting in Low- to Middle-Income Countries. JAMA. https://doi.org/10.1001/jama.2010.450
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