Skau, JKH;
Grenov, B;
Chamnan, C;
Mary, C;
Wieringa, FT;
Dijkhuizen, MA;
Ritz, C;
... Friis, H; + view all
(2019)
Stunting, wasting and breastfeeding as correlates of body composition in Cambodian children at 6 and 15 months of age.
British Journal of Nutrition
, 121
(6)
pp. 688-698.
10.1017/S0007114518003884.
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Abstract
The study aimed at assessing stunting, wasting and breast-feeding as correlates of body composition in Cambodian children. As part of a nutrition trial (ISRCTN19918531), fat mass (FM) and fat-free mass (FFM) were measured using 2^{H} dilution at 6 and 15 months of age. Of 419 infants enrolled, 98 % were breastfed, 15 % stunted and 4 % wasted at 6 months. At 15 months, 78 % were breastfed, 24 % stunted and 11 % wasted. Those not breastfed had lower FMI at 6 months but not at 15 months. Stunted children had lower FM at 6 months and lower FFM at 6 and 15 months compared with children with length-for-age z ≥0. Stunting was not associated with height-adjusted indexes fat mass index (FMI) or fat-free mass index (FFMI). Wasted children had lower FM, FFM, FMI and FFMI at 6 and 15 months compared with children with weight-for-length z (WLZ) ≥0. Generally, FFM and FFMI deficits increased with age, whereas FM and FMI deficits decreased, reflecting interactions between age and WLZ. For example, the FFM deficits were –0·99 (95 % CI –1·26, –0·72) kg at 6 months and –1·44 (95 % CI –1·69; –1·19) kg at 15 months (interaction, P<0·05), while the FMI deficits were –2·12 (95 % CI –2·53, –1·72) kg/m^{2} at 6 months and –1·32 (95 % CI –1·77, –0·87) kg/m^{2} at 15 months (interaction, P<0·05). This indicates that undernourished children preserve body fat at the detriment of fat-free tissue, which may have long-term consequences for health and working capacity.
| Type: | Article |
|---|---|
| Title: | Stunting, wasting and breastfeeding as correlates of body composition in Cambodian children at 6 and 15 months of age |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1017/S0007114518003884 |
| Publisher version: | https://doi.org/10.1017/S0007114518003884 |
| Language: | English |
| Additional information: | This version is the version of record. For information on re-use, please refer to the publisher’s terms and conditions. |
| Keywords: | Body composition, fat-free mass, fat mass, infancy, childhood, breastfeeding, stunting, wasting |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health > Population, Policy and Practice Dept |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10066933 |
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