Children from a rural region in The Chiapas Highlands, Mexico, show an increased risk of stunting and intestinal parasitoses when compared with urban children
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Background: The state of Chiapas has held the first place of extreme poverty in Mexico.The majority of Chiapas' municipalities are inhabited by marginalized, indigenous populations, who usually present diarrhea of unknown etiology.We evaluated the nutritional status, intestinal parasites, and common bacterial pathogens, including DEC (diarrheagenic Escherichia coli) strains, in 178 children under five years of age with a high (rural) and a moderate (urban) degree of marginalization.Methods: Z-scores for anthropometric indexes from the children were obtained, whereas intestinal parasites were investigated by using a direct coproparasitoscopic analysis and a concentration method.DEC strains were detected by polymerase chain reaction (PCR).Results: The stunting prevalence in children from the rural and urban regions was 79.8 and 7.5%, respectively.Only children from rural municipalities were parasitized (72.6%), being Ascaris lumbricoides and Entamoeba histolytica/Entamoeba dispar the most prevalent parasites (57.1 and 38.1%, respectively).More than half of the children presented moderated ascariasis.Besides Giardia intestinalis, these parasites were associated with stunting.The prevalence of DEC strains was similar in both regions.Conclusions: Only children from the Chiapas Highlands (rural zone) exhibited high prevalences of stunting and intestinal parasites.A reevaluation of social development programs should be in place to address stunting and intestinal parasitoses, mainly in rural regions of Chiapas, to avoid adverse functional consequences on these children.
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- Authors
- Gutiérrez-Jiménez, J., Luna-Cázares, L. M., Martínez-de la Cruz, L., De Aquino-López, J. A., Sandoval-Gómez, D., León-Ortiz, A. T., Hernández-Shilón, J. A., Constantino-Jonapa, L. A., Matamoros, W. A., & Vidal, J. E.
- Affiliations
- Universidad de Ciencias y Artes de Chiapas (MX)
- Instituto Politécnico Nacional (MX)
- Emory University (US)
- Venue
- Boletín Médico del Hospital Infantil de México (English Edition)
- Publisher
- Publicidad Permanyer, SLU
- Published
- 2023-11-02
- Volume
- 76
- Issue
- 1
- ISSN
- 2444-3409 (ISSN-L)
- OpenAlex
- W4250268485
- Cited by
- 13
- References
- 16
- Citations by year
- 2025: 2 · 2024: 2 · 2023: 1 · 2022: 4 · 2020: 2 · 2019: 2
- FWCI
- 1.52
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Locations
- Boletín Médico Del Hospital Infantil de México (English Edition) (publishedVersion)
- Funders
- Instituto Carlos Slim de la Salud
- Topics
- Health Sciences › Nursing › Nutrition and Dietetics › Child Nutrition and Water Access
- Life Sciences › Immunology and Microbiology › Parasitology › Parasites and Host Interactions
- Life Sciences › Immunology and Microbiology › Parasitology › Parasitic Infections and Diagnostics
- Keywords
- stunting, intestinal parasitic infections, children under five, urban-rural differences, Chiapas highlands, nutritional status, Ascaris lumbricoides, Giardia lamblia, diarrheagenic Escherichia coli, poverty, indigenous peoples, marginalization
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