Childhood stunting in Northeast Brazil: the role of Schistosoma mansoni infection and inadequate dietary intake

European Journal of Clinical Nutrition
A M O AssisR E Blanton

Abstract

To evaluate the relationship between stunting, Schistosoma mansoni infection and dietary intake in schoolchildren. This is a cross-sectional study. Two stool samples were obtained from each child and examined quantitatively for the presence of S. mansoni, Ascaris lumbricoides and Trichuris trichiuria eggs. Information on dietary intake, and demographic, biologic and socioeconomic variables was elicited during the in-home survey. Logistic regression was used to evaluate the association between stunting (height for age < -2s.d.), parasitic infection and food consumption. The study was carried out in the city of Nazaré, located in the Recôncavo region of the State of Bahia, Northeastern Brazil. The sample consisted of 461 children 7-14 y old, 228 boys and 233 girls, recruited from public schools. Of the children studied, 55.1% presented with S. mansoni infection and 22.1% were stunted. The median protein, lipid and carbohydrates intake were 47.8, 36.0 and 248.2 g/day, respectively. The median caloric consumption was 1527.0 kcal (6388.97 kJ/day). The analysis indicated that children heavily infected (> or = 400 eggs/g of stool) with S. mansoni had a 2.74-fold (95% CI: 1.32-5.67) higher risk of stunting than uninfected children, and...Continue Reading

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