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. 2009 Oct 13;88(1):39–48. doi: 10.2471/BLT.08.057901

Table 2. Duration of exclusive breastfeeding and prevalence of stunting, wasting and underweight in 6-month-old infants as determined using WHO child growth standards and the NCHS growth reference, Ghana, India and Peru, 1995–1997.

Malnutrition indicator Infants who received exclusive breastfeeding; n (%)
Unadjusted P-value Adjusted P-valuea
< 10 weeks 10 to < 18 weeks 18 weeks
WHO child growth standards
Ghanab 1967 274 163
Stunted 364 (18.5) 42 (15.3) 25 (15.3) 0.144 0.481
Wasted 139 (7.1) 16 (5.8) 7 (4.3) 0.135 0.268
Underweight 362 (18.4) 37 (13.5) 21 (12.9) 0.015* 0.057
Indiac 2870 408 185
Stunted 1048 (36.6) 138 (33.8) 60 (32.4) 0.132 0.421
Wasted 415 (14.5) 65 (15.9) 14 (7.6) 0.096 0.152
Underweight 1119 (39.0) 155 (38.0) 58 (31.4) 0.063 0.139
Perud 882 383 821
Stunted 75 (8.5) 29 (7.6) 48 (5.9) 0.035* 0.424
Wasted 13 (1.5) 2 (0.5) 1 (0.1) 0.006* 0.031*
Underweight 31 (3.5) 7 (1.8) 8 (1.0) 0.001* 0.052

NCHS growth reference
Ghanab 1967 274 163
Stunted 218 (11.1) 22 (8.0) 12 (7.4) 0.049* 0.210
Wasted 14 (0.7) 2 (0.7) 2 (1.2) 0.535 0.312
Underweight 180 (9.2) 20 (7.3) 9 (5.5) 0.073 0.269
Indiac 2870 408 185
Stunted 730 (25.5) 97 (23.8) 41 (22.2) 0.224 0.733
Wasted 78 (2.7) 8 (2.0) 3 (2.6) 0.225 0.266
Underweight 688 (24.0) 94 (23.0) 28 (15.1) 0.016* 0.045*
Perud 882 383 821
Stunted 36 (4.1) 14 (3.7) 26 (3.2) 0.311 0.192
Wasted 2 (0.2) 0 (0.0) 0 (0.0) 0.13
Underweight 14 (1.6) 2 (0.5) 4 (0.5) 0.026* 0.268

* P < 0.05.
NCHS, National Center for Health Statistics; WHO, World Health Organization.
a Adjusted for mother’s education, previous child deaths, birth order, infant’s sex, multiple or single birth, and infant’s age and weight at enrolment.
b Stunting could not be assessed for 2 infants and wasting could not be assessed for 4 infants in Ghana.
c Stunting could not be assessed for 8 infants and wasting could not be assessed for 8 infants in India.
d Stunting could not be assessed for 6 infants and wasting could not be assessed for 6 infants in Peru.