Association between stunting and developmental delay in helminth-infected children and adolescents

Authors

  • Thaisy Cristina Honorato Santos ALVES Universidade Federal da Bahia
  • Rita de Cássia Ribeiro SILVA Universidade Federal da Bahia
  • Ana Marlúcia Oliveira ASSIS Universidade Federal da Bahia
  • Maria da Conceição Monteiro da SILVA Universidade Federal da Bahia
  • Mônica Leila Portela de SANTANA Universidade Federal da Bahia
  • Mônica Leila Portela de SANTANA Universidade Federal da Bahia
  • Maurício Lima BARRETO Universidade Federal da Bahia
  • Mitermayer Galvão REIS Fundação Oswaldo Cruz
  • Isabel Martin PARRAGA Case Western Reserve University
  • Ronald Edward BLANTON Case Western Reserve University

Keywords:

Adolescent, Child, Growth and development

Abstract

Objective
The objective of this study is to assess the influence of stunting on the developmental delay of helminth-infected children and adolescents.

Methods
The sample of this cross-sectional study consisted of 1,764 subjects of both sexes from the city of Jequié (Bahia, Brazil), aged 7 to 17 years, infected with helminths (either Schistosoma mansoni alone or associated with associated with geohelminths). All subjects underwent anthropometric and Tanner stage assessment, and stool testing. Data on the family’s socioeconomic status and sanitary conditions of the household were also collected. The data was analyzed by multivariate logistic regression.

Results
The results of this study show a prevalence of stunting of 15.4% and an association between stunting and pubertal delay (0R=4.01; CI 95% 1.01-15.8). The negative impact of malnutrition on the production of both sexual and growth-related hormones may explain this association.

Conclusion
These findings suggest that inadequate nutrition contributes to developmental delay. This shows the importance of intervention strategies that guarantee better living and health conditions and nutrition for proper development. 

References

World Health Organization. Management of the child with a serious infection or severe malnutrition. Geneva: WHO; 2000.

Batista Filho M, Rissin A. Nutritional transition in Brazil: geographic and temporal trends. Cad Saúde Pública. 2003; 19(Suppl 1):S181-91.

Laurentino GE, Arruda IK, Raposo MC, Batista Filho M. Height deficit in school aged children: a multivariate analysis of possible risk factors, Pernambuco-1997. Arch Latinoam Nutr. 2005; 55(2):144-53.

Chipkevitch E. Puberdade & adolescência: aspectos biológicos, clínicos e psicossociais. São Paulo; 1995.

Leenstra T, Petersen LT, Kariuki SK, Oloo AJ, Kager PA, ter Kuile FO. Prevalence and severity of malnutrition and age at menarche; cross-sectional studies in adolescent schoolgirls in Western Kenya. Eur J Clin Nutr. 2005; 59(1):41-8.

Superintendência de Estudos Econômicos e Sociais da Bahia. O perfil financeiro dos municípios baianos: 1993-1997. Salvador: SEI; 2001.

Lohman T. Anthropometric standardization reference manual. Illinois: Human Kinetics Pub; 1998.

Hamill PV, Drizd TA, Johnson CL, Reed RB, Roche AF. NCHS growth curves for children birth-18 years. United States. Vital Health Stat 11. 1977; (165): i-iv, 1-74.

Must A, Dallal GE, Dietz WH. Reference data for obesity: 85th and 95th percentiles of body mass index (wt/ht2) and triceps skinfold thickness. Am J Clin Nutr. 1991; 53(4):839-46.

Frisancho AR. New norms of upper limb fat and muscle areas for assessment of nutritional status. Am J Clin Nutr. 1981; 34(11):2540-5.

Katz N, Chaves A, Pellegrino J. A simple device for quantitative stool thick-smear technique in Schistosomiasis mansoni. Rev Inst Med Trop São Paulo. 1972; 14(6):397-400.

Issler RM, Giugliani ER. Identification of the groups most vulnerable to infant malnutrition through the measuring of poverty level. J ediatr (Rio Janeiro). 1997; 73(2):101-5.

Wronka I, Pawlinska-Chmara R. Menarcheal age and socio-economic factors in Poland. Ann Hum Biol. 2005; 32(5):630-8.

Duarte MDE F. Physical maturation: a review with special reference to Brazilian children. Cad Saúde Pública. 1993; 9(Suppl 1):71-84.

Kletter GB, Kelch RP. Clinical review 60: Effects of gonadotropin-releasing hormone analog therapy on adult stature in precocious puberty. J Clin Endocrinol Metab. 1994; 79(2):331-4.

Steckel RH. Growth depression and recovery: the remarkable case of American slaves. Ann Hum Biol. 1987; 14(2):111-32.

Matsudo SM, Matsudo VKR. Validade da auto-avaliação da maturação sexual. Rev Bras Ciênc Mov. 1991; 5(2):18-35.

Saito MI. Maturação sexual: auto-avaliação do adolescente. Pediatria. 1984; 6(3):111-5.

Published

2023-08-30

How to Cite

Honorato Santos ALVES, T. C. ., Ribeiro SILVA, R. de C., Oliveira ASSIS, A. M. ., Monteiro da SILVA, M. da C. ., Portela de SANTANA, M. L. ., Portela de SANTANA, M. L. ., … Edward BLANTON, R. . (2023). Association between stunting and developmental delay in helminth-infected children and adolescents. Brazilian Journal of Nutrition, 22(3). Retrieved from https://periodicos.puc-campinas.edu.br/nutricao/article/view/9482

Issue

Section

ORIGINAL ARTICLE