Table 4. Infant malnutrition at 6 months of age as a predictor of death between 6 and 12 months of age, Ghana, India and Peru, 1995–1997.
Malnutrition indicator at 6 months of agea | No. of deaths |
Sensitivity | Specificity | AUC (95% CI) | |||
---|---|---|---|---|---|---|---|
among malnourished | among non-malnourished | ||||||
Ghana (n = 1558) | |||||||
WHO child growth standards | |||||||
Stuntingb | 8 of 274 | 19 of 1282 | 29.6 | 82.6 | 0.56 (0.47–0.65) | ||
Wastingc | 5 of 113 | 22 of 1441 | 18.5 | 92.9 | 0.56 (0.48–0.63) | ||
Underweight | 10 of 283 | 17 of 1275 | 37.0 | 82.2 | 0.60 (0.50–0.69) | ||
NCHS growth reference | |||||||
Stuntingb | 7 of 153 | 20 of 1403 | 25.9 | 90.5 | 0.58 (0.50–0.67) | ||
Wastingc | 0 of 14 | 27 of 1540 | 0.0 | 99.1 | 0.5 (0.49–0.50) | ||
Underweight | 5 of 144 | 22 of 1414 | 18.5 | 90.9 | 0.55 (0.47–0.62) | ||
India (n = 1702) | |||||||
WHO child growth standards | |||||||
Stuntingb | 19 of 631 | 14 of 1065 | 57.6 | 63.2 | 0.60 (0.52–0.69) | ||
Wastingc | 18 of 260 | 15 of 1436 | 54.6 | 85.5 | 0.70 (0.61–0.79) | ||
Underweight | 22 of 660 | 12 of 1042 | 64.7 | 61.8 | 0.63 (0.55–0.71) | ||
Severe underweightd | 17 of 246 | 17 of 1456 | 50.0 | 86.3 | 0.68 (0.60–0.77) | ||
NCHS growth reference | |||||||
Stuntingb | 18 of 443 | 15 of 1253 | 54.6 | 74.4 | 0.64 (0.56–0.73) | ||
Wastingc | 8 of 53 | 25 of 1643 | 24.2 | 97.3 | 0.61 (0.53–0.68) | ||
Underweight | 20 of 410 | 14 of 1292 | 58.8 | 76.6 | 0.68 (0.59–0.76) | ||
Peru (n = 1734) | |||||||
WHO child growth standards | |||||||
Stuntingb | 2 of 129 | 4 of 1599 | 33.3 | 92.6 | 0.63 (0.42–0.84) | ||
Wastingc | 1 of 13 | 5 of 1715 | 16.7 | 99.3 | 0.58 (0.42–0.74) | ||
Underweight | 2 of 38 | 4 of 1696 | 33.3 | 97.9 | 0.66 (0.45–0.86) | ||
NCHS growth reference | |||||||
Stuntingb | 1 of 70 | 5 of 1658 | 16.7 | 96.0 | 0.56 (0.40–0.73) | ||
Wastingc | 0 of 2 | 6 of 1726 | 0.0 | 99.9 | 0.50 (0.50–0.50) | ||
Underweight | 1 of 14 | 5 of 1720 | 16.7 | 99.3 | 0.58 (0.42–0.74) |
AUC, area under the receiver operating characteristic curve; CI, confidence interval; NCHS, National Center for Health Statistics; WHO, World Health Organization. a Malnutrition indicators were derived using either WHO child growth standards or the NCHS growth reference. b Stunting could not be assessed for 2, 6 and 6 infants in Ghana, India and Peru, respectively. c Wasting could not be assessed for 4, 6 and 6 infants in Ghana, India and Peru, respectively. d Figures for the severe malnutrition indicator were calculated only when the malnutrition indicator had a high sensitivity and a low specificity.