Does the 65 cm height cut-off as age proxy exclude children eligible for nutritional assessment in Bangladesh?

SETTING: Kamrangirchar slum, Dhaka, Bangladesh.OBJECTIVE: During nutritional surveys and in circumstances when it is difficult to ascertain children's age, length/height cut-offs are used as proxy for age to sample children aged 6-59 months. In a context of prevalent stunting, using data from p...

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Veröffentlicht in:Public health action 2012-12, Vol.2 (4), p.103-106
Hauptverfasser: Ali, E., Zachariah, R., Hinderaker, S. G., Satyanarayana, S., Kizito, W., Alders, P., Shams, Z., Allaouna, M., Draguez, B., Delchevalerie, P., Enarson, D. A.
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container_end_page 106
container_issue 4
container_start_page 103
container_title Public health action
container_volume 2
creator Ali, E.
Zachariah, R.
Hinderaker, S. G.
Satyanarayana, S.
Kizito, W.
Alders, P.
Shams, Z.
Allaouna, M.
Draguez, B.
Delchevalerie, P.
Enarson, D. A.
description SETTING: Kamrangirchar slum, Dhaka, Bangladesh.OBJECTIVE: During nutritional surveys and in circumstances when it is difficult to ascertain children's age, length/height cut-offs are used as proxy for age to sample children aged 6-59 months. In a context of prevalent stunting, using data from primary health care centres where age and height parameters were well-recorded, we assessed the proportion of children aged between 6 and 59 months who would be excluded from nutritional assessment using a height cut-off of 65 cm as a proxy for age ≥6 months.DESIGN: This was a secondary data analysis of primary health centre data.RESULTS: A total of 2060 children were included in the analysis, with a median age of 24 months and a median height of 78 cm (SD 12.1, range 50-109 cm). There were 240 (12%, 95%CI 10-13) children aged between 6 and 29 months, with a height
doi_str_mv 10.5588/pha.12.0037
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G. ; Satyanarayana, S. ; Kizito, W. ; Alders, P. ; Shams, Z. ; Allaouna, M. ; Draguez, B. ; Delchevalerie, P. ; Enarson, D. A.</creator><creatorcontrib>Ali, E. ; Zachariah, R. ; Hinderaker, S. G. ; Satyanarayana, S. ; Kizito, W. ; Alders, P. ; Shams, Z. ; Allaouna, M. ; Draguez, B. ; Delchevalerie, P. ; Enarson, D. A.</creatorcontrib><description>SETTING: Kamrangirchar slum, Dhaka, Bangladesh.OBJECTIVE: During nutritional surveys and in circumstances when it is difficult to ascertain children's age, length/height cut-offs are used as proxy for age to sample children aged 6-59 months. In a context of prevalent stunting, using data from primary health care centres where age and height parameters were well-recorded, we assessed the proportion of children aged between 6 and 59 months who would be excluded from nutritional assessment using a height cut-off of 65 cm as a proxy for age ≥6 months.DESIGN: This was a secondary data analysis of primary health centre data.RESULTS: A total of 2060 children were included in the analysis, with a median age of 24 months and a median height of 78 cm (SD 12.1, range 50-109 cm). There were 240 (12%, 95%CI 10-13) children aged between 6 and 29 months, with a height &lt;65 cm. The majority (59%) of these children were females; 97.5% were aged 6-17 months.CONCLUSION: In an urban slum setting in Bangladesh, the use of the current height cut-off as a proxy for age excludes vulnerable children from nutritional assessment and could also lead to underestimation of the prevalence of malnutrition in nutritional surveys.</description><identifier>ISSN: 2220-8372</identifier><identifier>EISSN: 2220-8372</identifier><identifier>DOI: 10.5588/pha.12.0037</identifier><identifier>PMID: 26392965</identifier><language>eng</language><publisher>Paris, France: International Union Against Tuberculosis and Lung Disease</publisher><subject>Age ; Height ; Malnutrition ; Nutrition Survey ; Operational Research</subject><ispartof>Public health action, 2012-12, Vol.2 (4), p.103-106</ispartof><rights>2012 The Union 2012</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4463059/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4463059/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,288,314,727,780,784,864,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26392965$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ali, E.</creatorcontrib><creatorcontrib>Zachariah, R.</creatorcontrib><creatorcontrib>Hinderaker, S. 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In a context of prevalent stunting, using data from primary health care centres where age and height parameters were well-recorded, we assessed the proportion of children aged between 6 and 59 months who would be excluded from nutritional assessment using a height cut-off of 65 cm as a proxy for age ≥6 months.DESIGN: This was a secondary data analysis of primary health centre data.RESULTS: A total of 2060 children were included in the analysis, with a median age of 24 months and a median height of 78 cm (SD 12.1, range 50-109 cm). There were 240 (12%, 95%CI 10-13) children aged between 6 and 29 months, with a height &lt;65 cm. The majority (59%) of these children were females; 97.5% were aged 6-17 months.CONCLUSION: In an urban slum setting in Bangladesh, the use of the current height cut-off as a proxy for age excludes vulnerable children from nutritional assessment and could also lead to underestimation of the prevalence of malnutrition in nutritional surveys.</description><subject>Age</subject><subject>Height</subject><subject>Malnutrition</subject><subject>Nutrition Survey</subject><subject>Operational Research</subject><issn>2220-8372</issn><issn>2220-8372</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><recordid>eNpVkc1v3CAUxK2oVRKlOfVecaxUeQvY2ObSqkk_pUi5pGeE4WETYdgCjpL_vuxuukrfhZH4MW_EVNVbgjeMDcPH7Sw3hG4wbvqT6pxSiuuh6emrF_qsukzpHpfpMCUDPa3OaNdwyjt2XvmvARLKM6COIbWgGew0Z6TWXAdjkExIToC2MTw-IXhUbtWA1GydjuARODvZ0QEyISK_5mizDV668ixBSgv4jKxHV9JPTmpI8-c31WsjXYLL5_Oi-v392931z_rm9sev6y83taKc5Jpr3VKpdN9jCsAUZti0mgGWA-4UJwCEcj4Y2hI2SGr4OIyjIXJsdNdp3DYX1aeD73YdF9CqJInSiW20i4xPIkgr_r_xdhZTeBBt2zWY8WLw_tkghj8rpCwWmxQ4Jz2ENQnSE8ZJRxtc0A8HVMWQUgRzXEOw2JUkSkmCULErqdDvXiY7sv8qKcDVAbB-KuGkuA9rLJ-ahF1ldnrvRvHebz9H0QoZ806w5i-KzqPB</recordid><startdate>20121221</startdate><enddate>20121221</enddate><creator>Ali, E.</creator><creator>Zachariah, R.</creator><creator>Hinderaker, S. 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In a context of prevalent stunting, using data from primary health care centres where age and height parameters were well-recorded, we assessed the proportion of children aged between 6 and 59 months who would be excluded from nutritional assessment using a height cut-off of 65 cm as a proxy for age ≥6 months.DESIGN: This was a secondary data analysis of primary health centre data.RESULTS: A total of 2060 children were included in the analysis, with a median age of 24 months and a median height of 78 cm (SD 12.1, range 50-109 cm). There were 240 (12%, 95%CI 10-13) children aged between 6 and 29 months, with a height &lt;65 cm. The majority (59%) of these children were females; 97.5% were aged 6-17 months.CONCLUSION: In an urban slum setting in Bangladesh, the use of the current height cut-off as a proxy for age excludes vulnerable children from nutritional assessment and could also lead to underestimation of the prevalence of malnutrition in nutritional surveys.</abstract><cop>Paris, France</cop><pub>International Union Against Tuberculosis and Lung Disease</pub><pmid>26392965</pmid><doi>10.5588/pha.12.0037</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record>
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source DOAJ Directory of Open Access Journals; IngentaConnect Free/Open Access Journals; EZB-FREE-00999 freely available EZB journals; PubMed Central
subjects Age
Height
Malnutrition
Nutrition Survey
Operational Research
title Does the 65 cm height cut-off as age proxy exclude children eligible for nutritional assessment in Bangladesh?
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