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Growth patterns in early childhood: Better trajectories in Afro-Ecuadorians independent of sex and socioeconomic factors.

Matos, SMA; Amorim, LD; Campos, ACP; Barreto, ML; Rodrigues, LC; Morejón, YA; Chico, ME; Cooper, PJ (2017) Growth patterns in early childhood: Better trajectories in Afro-Ecuadorians independent of sex and socioeconomic factors. Nutr Res, 44. pp. 51-59. ISSN 1879-0739 https://doi.org/10.1016/j.nutres.2017.06.003
SGUL Authors: Cooper, Philip John

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Abstract

The first years of life are the most dynamic period for childhood growth. There are limited data available on growth patterns of infants and children living in rural Latin America. The aim of this study was to describe the growth patterns from birth to 5years in children living in a rural District of tropical coastal Ecuador using data from a birth cohort of 2404 neonates. We hypothesize that there would be growth differences according to ethnicity and sex. Evaluations were conducted at birth or until 2weeks of age and at 7, 13, 24, 36 and 60months during clinic and home visits. Individual growth trajectories for weight-for-age, height-for-age and weight/height-for-age Z-scores were estimated using multilevel models. Girls were lighter and shorter than boys at birth. However, Afro-Ecuadorian children (versus mestizo or indigenous) were longer/taller and heavier throughout the first 5years of life and had greater mean trajectories for HAZ and WAZ independent of sex and socioeconomic factors. Our data indicate that ethnicity is a determinant of growth trajectories during the first 5years of life independent of socioeconomic factors in a birth cohort conducted in a rural region of Latin America.

Item Type: Article
Additional Information: © 2017 The Authors. Published by Elsevier Inc. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
Keywords: Childhood, Ethnicity, Growth, Multilevel Models, Trajectories, Nutrition & Dietetics, 1111 Nutrition And Dietetics
SGUL Research Institute / Research Centre: Academic Structure > Infection and Immunity Research Institute (INII)
Journal or Publication Title: Nutr Res
ISSN: 1879-0739
Language: eng
Dates:
DateEvent
August 2017Published
28 June 2017Published Online
23 June 2017Accepted
Publisher License: Creative Commons: Attribution 4.0
Projects:
Project IDFunderFunder ID
074679/Z/04/ZWellcome Trusthttp://dx.doi.org/10.13039/100004440
088862/Z/09/ZWellcome Trusthttp://dx.doi.org/10.13039/100004440
PubMed ID: 28821317
Go to PubMed abstract
URI: https://openaccess.sgul.ac.uk/id/eprint/109083
Publisher's version: https://doi.org/10.1016/j.nutres.2017.06.003

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