Birth weight, growth, nutritional status and mortality of infants from Lambarene and Fougamou in Gabon in their first year of life
Background Malnutrition and low birth weight (LBW) are two common causes of morbidity and mortality among children in sub-Saharan Africa. Both malnutrition and LBW affect early childhood development with long term consequences that may vary in their degree depending on the geographical setting. This...
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| Veröffentlicht in: | PloS one 2021-02, Vol.16 (2), p.e0246694-e0246694, Article 0246694 |
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| creator | Zoleko-Manego, Rella Mischlinger, Johannes Dejon-Agobe, Jean Claude Basra, Arti Mackanga, J. Rodolphe Diop, Daisy Akerey Adegnika, Ayola Akim Agnandji, Selidji T. Lell, Bertrand Kremsner, Peter G. Matsiegui, Pierre Blaise Gonzalez, Raquel Menendez, Clara Ramharter, Michael Mombo-Ngoma, Ghyslain |
| description | Background
Malnutrition and low birth weight (LBW) are two common causes of morbidity and mortality among children in sub-Saharan Africa. Both malnutrition and LBW affect early childhood development with long term consequences that may vary in their degree depending on the geographical setting. This study evaluates growth, nutritional status and mortality of infants from Lambarene and Fougamou in Gabon from a birth cohort of a malaria in pregnancy clinical trial (NCT00811421).
Method
A prospective longitudinal birth cohort conducted between 2009 and 2012, included infants that were followed up from birth until their first-year anniversary. The exposure of interest was low birth weight and the outcomes explored were growth represented by weight gain, the nutritional status including stunting, wasting and underweight, and the mortality. Scheduled follow-up visits were at one, nine and 12 months of age. Logistic regression was used to assess the association between low birth weight and growth and nutritional outcomes, and cox regression was used for mortality.
Result
A total of 907 live-born infants were included in the analysis. The prevalence of LBW was 13% (115). At one month of life, out of 743 infants 10% and 4% presented with stunting and underweight, respectively, while these proportions increased at 12 months of life to 17% and 21%, respectively, out of 530 infants. The proportion of infants with wasting remained constant at 7% throughout the follow-up period. Stunting and underweight were associated with LBW, adjusted odds ratio (aOR): 2.6, 95% confidence interval (95%CI): 1.4-4.9 and aOR: 4.5, 95%CI: 2.5-8.1, respectively. Preterm birth was associated with stunting, aOR: 2.7, 95%CI: 1.2-6.3 and underweight, aOR: 5.4, 95%CI: 1.7-16.1 at one month of life. Infants with LBW were at higher hazard of death during the first year of life, adjusted hazard ratio 4.6, 95%CI: 1.2-17.0.
Conclusion
Low birthweight infants in Gabon are at higher risks of growth and nutritional deficits and mortality during the first year of life. Tailored interventions aiming at preventing adverse pregnancy outcomes including LBW, early detection and appropriate management of growth, and nutritional deficits in infants are necessary in Gabon. |
| doi_str_mv | 10.1371/journal.pone.0246694 |
| format | Article |
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Malnutrition and low birth weight (LBW) are two common causes of morbidity and mortality among children in sub-Saharan Africa. Both malnutrition and LBW affect early childhood development with long term consequences that may vary in their degree depending on the geographical setting. This study evaluates growth, nutritional status and mortality of infants from Lambarene and Fougamou in Gabon from a birth cohort of a malaria in pregnancy clinical trial (NCT00811421).
Method
A prospective longitudinal birth cohort conducted between 2009 and 2012, included infants that were followed up from birth until their first-year anniversary. The exposure of interest was low birth weight and the outcomes explored were growth represented by weight gain, the nutritional status including stunting, wasting and underweight, and the mortality. Scheduled follow-up visits were at one, nine and 12 months of age. Logistic regression was used to assess the association between low birth weight and growth and nutritional outcomes, and cox regression was used for mortality.
Result
A total of 907 live-born infants were included in the analysis. The prevalence of LBW was 13% (115). At one month of life, out of 743 infants 10% and 4% presented with stunting and underweight, respectively, while these proportions increased at 12 months of life to 17% and 21%, respectively, out of 530 infants. The proportion of infants with wasting remained constant at 7% throughout the follow-up period. Stunting and underweight were associated with LBW, adjusted odds ratio (aOR): 2.6, 95% confidence interval (95%CI): 1.4-4.9 and aOR: 4.5, 95%CI: 2.5-8.1, respectively. Preterm birth was associated with stunting, aOR: 2.7, 95%CI: 1.2-6.3 and underweight, aOR: 5.4, 95%CI: 1.7-16.1 at one month of life. Infants with LBW were at higher hazard of death during the first year of life, adjusted hazard ratio 4.6, 95%CI: 1.2-17.0.
Conclusion
Low birthweight infants in Gabon are at higher risks of growth and nutritional deficits and mortality during the first year of life. Tailored interventions aiming at preventing adverse pregnancy outcomes including LBW, early detection and appropriate management of growth, and nutritional deficits in infants are necessary in Gabon.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0246694</identifier><identifier>PMID: 33561169</identifier><language>eng</language><publisher>SAN FRANCISCO: Public Library Science</publisher><subject>Age ; Agriculture ; Biology and Life Sciences ; Birth weight ; Children & youth ; Clinical trials ; Computer programs ; Disease prevention ; Editing ; Epidemiology ; Funding ; Health care facilities ; HIV ; Human immunodeficiency virus ; Infants ; Infections ; Infectious diseases ; Malnutrition ; Medicine ; Medicine and Health Sciences ; Methodology ; Mortality ; Multidisciplinary Sciences ; Nutritional status ; People and Places ; Pregnancy ; Public health ; Reviews ; Science & Technology ; Science & Technology - Other Topics ; Software ; Womens health</subject><ispartof>PloS one, 2021-02, Vol.16 (2), p.e0246694-e0246694, Article 0246694</ispartof><rights>2021 Zoleko-Manego et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2021 Zoleko-Manego et al 2021 Zoleko-Manego et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>true</woscitedreferencessubscribed><woscitedreferencescount>11</woscitedreferencescount><woscitedreferencesoriginalsourcerecordid>wos000617533000010</woscitedreferencesoriginalsourcerecordid><citedby>FETCH-LOGICAL-c526t-e5260d76324227bc489c497bec0aa45d719dc95ab7acaebfb4ed328e98c382bf3</citedby><cites>FETCH-LOGICAL-c526t-e5260d76324227bc489c497bec0aa45d719dc95ab7acaebfb4ed328e98c382bf3</cites><orcidid>0000-0002-2012-6327 ; 0000-0003-2658-8706 ; 0000-0001-7425-2794 ; 0000-0003-3816-998X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7872243/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7872243/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,2102,2114,2928,23866,27924,27925,53791,53793,79600,79601</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33561169$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Gebremedhin, Samson</contributor><creatorcontrib>Zoleko-Manego, Rella</creatorcontrib><creatorcontrib>Mischlinger, Johannes</creatorcontrib><creatorcontrib>Dejon-Agobe, Jean Claude</creatorcontrib><creatorcontrib>Basra, Arti</creatorcontrib><creatorcontrib>Mackanga, J. Rodolphe</creatorcontrib><creatorcontrib>Diop, Daisy Akerey</creatorcontrib><creatorcontrib>Adegnika, Ayola Akim</creatorcontrib><creatorcontrib>Agnandji, Selidji T.</creatorcontrib><creatorcontrib>Lell, Bertrand</creatorcontrib><creatorcontrib>Kremsner, Peter G.</creatorcontrib><creatorcontrib>Matsiegui, Pierre Blaise</creatorcontrib><creatorcontrib>Gonzalez, Raquel</creatorcontrib><creatorcontrib>Menendez, Clara</creatorcontrib><creatorcontrib>Ramharter, Michael</creatorcontrib><creatorcontrib>Mombo-Ngoma, Ghyslain</creatorcontrib><title>Birth weight, growth, nutritional status and mortality of infants from Lambarene and Fougamou in Gabon in their first year of life</title><title>PloS one</title><addtitle>PLOS ONE</addtitle><addtitle>PLoS One</addtitle><description>Background
Malnutrition and low birth weight (LBW) are two common causes of morbidity and mortality among children in sub-Saharan Africa. Both malnutrition and LBW affect early childhood development with long term consequences that may vary in their degree depending on the geographical setting. This study evaluates growth, nutritional status and mortality of infants from Lambarene and Fougamou in Gabon from a birth cohort of a malaria in pregnancy clinical trial (NCT00811421).
Method
A prospective longitudinal birth cohort conducted between 2009 and 2012, included infants that were followed up from birth until their first-year anniversary. The exposure of interest was low birth weight and the outcomes explored were growth represented by weight gain, the nutritional status including stunting, wasting and underweight, and the mortality. Scheduled follow-up visits were at one, nine and 12 months of age. Logistic regression was used to assess the association between low birth weight and growth and nutritional outcomes, and cox regression was used for mortality.
Result
A total of 907 live-born infants were included in the analysis. The prevalence of LBW was 13% (115). At one month of life, out of 743 infants 10% and 4% presented with stunting and underweight, respectively, while these proportions increased at 12 months of life to 17% and 21%, respectively, out of 530 infants. The proportion of infants with wasting remained constant at 7% throughout the follow-up period. Stunting and underweight were associated with LBW, adjusted odds ratio (aOR): 2.6, 95% confidence interval (95%CI): 1.4-4.9 and aOR: 4.5, 95%CI: 2.5-8.1, respectively. Preterm birth was associated with stunting, aOR: 2.7, 95%CI: 1.2-6.3 and underweight, aOR: 5.4, 95%CI: 1.7-16.1 at one month of life. Infants with LBW were at higher hazard of death during the first year of life, adjusted hazard ratio 4.6, 95%CI: 1.2-17.0.
Conclusion
Low birthweight infants in Gabon are at higher risks of growth and nutritional deficits and mortality during the first year of life. Tailored interventions aiming at preventing adverse pregnancy outcomes including LBW, early detection and appropriate management of growth, and nutritional deficits in infants are necessary in Gabon.</description><subject>Age</subject><subject>Agriculture</subject><subject>Biology and Life Sciences</subject><subject>Birth weight</subject><subject>Children & youth</subject><subject>Clinical trials</subject><subject>Computer programs</subject><subject>Disease prevention</subject><subject>Editing</subject><subject>Epidemiology</subject><subject>Funding</subject><subject>Health care facilities</subject><subject>HIV</subject><subject>Human immunodeficiency virus</subject><subject>Infants</subject><subject>Infections</subject><subject>Infectious diseases</subject><subject>Malnutrition</subject><subject>Medicine</subject><subject>Medicine and Health Sciences</subject><subject>Methodology</subject><subject>Mortality</subject><subject>Multidisciplinary Sciences</subject><subject>Nutritional status</subject><subject>People and Places</subject><subject>Pregnancy</subject><subject>Public health</subject><subject>Reviews</subject><subject>Science & Technology</subject><subject>Science & Technology - Other Topics</subject><subject>Software</subject><subject>Womens health</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>HGBXW</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>DOA</sourceid><recordid>eNqNkk1v1DAQhiMEoqXwDxBY4oJEd_FXnPiCBCtaKq3EBc6W7Ux2XSV2sZ1We-WX4_3oqkUcuNij8TPvzFhvVb0meE5YQz5ehyl6Pcxvgoc5plwIyZ9Up0QyOhMUs6cP4pPqRUrXGNesFeJ5dcJYLQgR8rT6_cXFvEZ34FbrfI5WMdzl9TnyU44uu1AaoJR1nhLSvkNjiFkPLm9Q6JHzvfY5oT6GES31aHQEDzvuIkwrPYapMOhSm-C3QV6Di6h3MWW0AR23GoPr4WX1rNdDgleH-6z6efH1x-LbbPn98mrxeTmzNRV5BuXEXSMY5ZQ2xvJWWi4bAxZrzeuuIbKzstam0VaD6Q2HjtEWZGtZS03Pzqq3e92bISR1-L6kKG-bllHCRSGu9kQX9LW6iW7UcaOCdmqXCHGldMzODqAwBib7uie4E5wwYoy0opO2DAW0ZrxofTp0m8wInQWfox4eiT5-8W6tVuFWNW1DKWdF4P1BIIZfE6SsRpcsDIP2EKbd3C1ppaRtQd_9hf57O76nbAwpReiPwxCstpa6r1JbS6mDpUrZm4eLHIvuPVSAD3vgDkzok3XgLRwxjLEgTc1YCTDBhW7_n1644r3iwkWYfGZ_AIst7MU</recordid><startdate>20210209</startdate><enddate>20210209</enddate><creator>Zoleko-Manego, Rella</creator><creator>Mischlinger, Johannes</creator><creator>Dejon-Agobe, Jean Claude</creator><creator>Basra, Arti</creator><creator>Mackanga, J. Rodolphe</creator><creator>Diop, Daisy Akerey</creator><creator>Adegnika, Ayola Akim</creator><creator>Agnandji, Selidji T.</creator><creator>Lell, Bertrand</creator><creator>Kremsner, Peter G.</creator><creator>Matsiegui, Pierre Blaise</creator><creator>Gonzalez, Raquel</creator><creator>Menendez, Clara</creator><creator>Ramharter, Michael</creator><creator>Mombo-Ngoma, Ghyslain</creator><general>Public Library Science</general><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>BLEPL</scope><scope>DTL</scope><scope>HGBXW</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0002-2012-6327</orcidid><orcidid>https://orcid.org/0000-0003-2658-8706</orcidid><orcidid>https://orcid.org/0000-0001-7425-2794</orcidid><orcidid>https://orcid.org/0000-0003-3816-998X</orcidid></search><sort><creationdate>20210209</creationdate><title>Birth weight, growth, nutritional status and mortality of infants from Lambarene and Fougamou in Gabon in their first year of life</title><author>Zoleko-Manego, Rella ; Mischlinger, Johannes ; Dejon-Agobe, Jean Claude ; Basra, Arti ; Mackanga, J. Rodolphe ; Diop, Daisy Akerey ; Adegnika, Ayola Akim ; Agnandji, Selidji T. ; Lell, Bertrand ; Kremsner, Peter G. ; Matsiegui, Pierre Blaise ; Gonzalez, Raquel ; Menendez, Clara ; Ramharter, Michael ; Mombo-Ngoma, Ghyslain</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c526t-e5260d76324227bc489c497bec0aa45d719dc95ab7acaebfb4ed328e98c382bf3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Age</topic><topic>Agriculture</topic><topic>Biology and Life Sciences</topic><topic>Birth weight</topic><topic>Children & youth</topic><topic>Clinical trials</topic><topic>Computer programs</topic><topic>Disease prevention</topic><topic>Editing</topic><topic>Epidemiology</topic><topic>Funding</topic><topic>Health care facilities</topic><topic>HIV</topic><topic>Human immunodeficiency virus</topic><topic>Infants</topic><topic>Infections</topic><topic>Infectious diseases</topic><topic>Malnutrition</topic><topic>Medicine</topic><topic>Medicine and Health Sciences</topic><topic>Methodology</topic><topic>Mortality</topic><topic>Multidisciplinary Sciences</topic><topic>Nutritional status</topic><topic>People and Places</topic><topic>Pregnancy</topic><topic>Public health</topic><topic>Reviews</topic><topic>Science & Technology</topic><topic>Science & Technology - Other Topics</topic><topic>Software</topic><topic>Womens health</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zoleko-Manego, Rella</creatorcontrib><creatorcontrib>Mischlinger, Johannes</creatorcontrib><creatorcontrib>Dejon-Agobe, Jean Claude</creatorcontrib><creatorcontrib>Basra, Arti</creatorcontrib><creatorcontrib>Mackanga, J. 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Academic</collection><collection>ProQuest Engineering Collection</collection><collection>ProQuest Biological Science Collection</collection><collection>Agricultural Science Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biological Science Database</collection><collection>Engineering Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Advanced Technologies & Aerospace Database</collection><collection>ProQuest Advanced Technologies & Aerospace Collection</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Environmental Science Database</collection><collection>Materials Science Collection</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>Engineering Collection</collection><collection>Environmental Science Collection</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zoleko-Manego, Rella</au><au>Mischlinger, Johannes</au><au>Dejon-Agobe, Jean Claude</au><au>Basra, Arti</au><au>Mackanga, J. Rodolphe</au><au>Diop, Daisy Akerey</au><au>Adegnika, Ayola Akim</au><au>Agnandji, Selidji T.</au><au>Lell, Bertrand</au><au>Kremsner, Peter G.</au><au>Matsiegui, Pierre Blaise</au><au>Gonzalez, Raquel</au><au>Menendez, Clara</au><au>Ramharter, Michael</au><au>Mombo-Ngoma, Ghyslain</au><au>Gebremedhin, Samson</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Birth weight, growth, nutritional status and mortality of infants from Lambarene and Fougamou in Gabon in their first year of life</atitle><jtitle>PloS one</jtitle><stitle>PLOS ONE</stitle><addtitle>PLoS One</addtitle><date>2021-02-09</date><risdate>2021</risdate><volume>16</volume><issue>2</issue><spage>e0246694</spage><epage>e0246694</epage><pages>e0246694-e0246694</pages><artnum>0246694</artnum><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Background
Malnutrition and low birth weight (LBW) are two common causes of morbidity and mortality among children in sub-Saharan Africa. Both malnutrition and LBW affect early childhood development with long term consequences that may vary in their degree depending on the geographical setting. This study evaluates growth, nutritional status and mortality of infants from Lambarene and Fougamou in Gabon from a birth cohort of a malaria in pregnancy clinical trial (NCT00811421).
Method
A prospective longitudinal birth cohort conducted between 2009 and 2012, included infants that were followed up from birth until their first-year anniversary. The exposure of interest was low birth weight and the outcomes explored were growth represented by weight gain, the nutritional status including stunting, wasting and underweight, and the mortality. Scheduled follow-up visits were at one, nine and 12 months of age. Logistic regression was used to assess the association between low birth weight and growth and nutritional outcomes, and cox regression was used for mortality.
Result
A total of 907 live-born infants were included in the analysis. The prevalence of LBW was 13% (115). At one month of life, out of 743 infants 10% and 4% presented with stunting and underweight, respectively, while these proportions increased at 12 months of life to 17% and 21%, respectively, out of 530 infants. The proportion of infants with wasting remained constant at 7% throughout the follow-up period. Stunting and underweight were associated with LBW, adjusted odds ratio (aOR): 2.6, 95% confidence interval (95%CI): 1.4-4.9 and aOR: 4.5, 95%CI: 2.5-8.1, respectively. Preterm birth was associated with stunting, aOR: 2.7, 95%CI: 1.2-6.3 and underweight, aOR: 5.4, 95%CI: 1.7-16.1 at one month of life. Infants with LBW were at higher hazard of death during the first year of life, adjusted hazard ratio 4.6, 95%CI: 1.2-17.0.
Conclusion
Low birthweight infants in Gabon are at higher risks of growth and nutritional deficits and mortality during the first year of life. Tailored interventions aiming at preventing adverse pregnancy outcomes including LBW, early detection and appropriate management of growth, and nutritional deficits in infants are necessary in Gabon.</abstract><cop>SAN FRANCISCO</cop><pub>Public Library Science</pub><pmid>33561169</pmid><doi>10.1371/journal.pone.0246694</doi><tpages>15</tpages><orcidid>https://orcid.org/0000-0002-2012-6327</orcidid><orcidid>https://orcid.org/0000-0003-2658-8706</orcidid><orcidid>https://orcid.org/0000-0001-7425-2794</orcidid><orcidid>https://orcid.org/0000-0003-3816-998X</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1932-6203 |
| ispartof | PloS one, 2021-02, Vol.16 (2), p.e0246694-e0246694, Article 0246694 |
| issn | 1932-6203 1932-6203 |
| language | eng |
| recordid | cdi_plos_journals_2487832146 |
| source | DOAJ Directory of Open Access Journals; Public Library of Science (PLoS) Journals Open Access; EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Age Agriculture Biology and Life Sciences Birth weight Children & youth Clinical trials Computer programs Disease prevention Editing Epidemiology Funding Health care facilities HIV Human immunodeficiency virus Infants Infections Infectious diseases Malnutrition Medicine Medicine and Health Sciences Methodology Mortality Multidisciplinary Sciences Nutritional status People and Places Pregnancy Public health Reviews Science & Technology Science & Technology - Other Topics Software Womens health |
| title | Birth weight, growth, nutritional status and mortality of infants from Lambarene and Fougamou in Gabon in their first year of life |
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