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. 2019 Nov 25;17:215. doi: 10.1186/s12916-019-1465-8

Table 2.

Studies associating chronic undernutrition with body composition in children from low and middle-income countries

Country [Reference] Location Categories of undernutrition Sample size Age BC techniques
Brazil [22] Slums of Sao Paulo

HAZ < –2

HAZ > –2

13

29

CS, 11–15 years DXA
Peru [46] Lowland (Pampas de San Juan de Miraflores, Lima), and highland (rural communities of Santillana and Vinchos Districts of Ayacucho Region) Height analysed on continuous basis

Lowland 201

Highland 160

CS, 3–8.5 years Waist girth
Jamaica [47] Poor neighbourhoods of Kingston

HAZ < –2

HAZ > –2

103

64

L, stunting assessed at < 2 years; follow-up at 7, 11 and 17 years Skinfolds, girths
Cambodia [35] Rural municipalities in Prey Veng province, southeast of Phnom Penh

HAZ < –2

HAZ − 2 to − 1

HAZ − 1 to 0

HAZ > 0

34

119

169

90

L, measurements at 6 and 15 months D2O
Nepal [48] Janakpur, Terai District

HAZ < –2

HAZ > –2

309

494

L, stunting assessed at 2 years; follow-up at 8 years BIA, skinfolds, girths, kidney dimensions
India [49] Areas of low socioeconomic status in Mumbai city, Maharashtra

HAZ < –2

HAZ > –2

330

330

CS, 2–4 years Skinfolds, girths
Senegal [50] Niakhar rural district

HAZ < –2

HAZ > –2

81

286

L, stunting assessed at 6–18 months; follow-up at 11 and 15 years Skinfolds, girths
South Africa [51] Township setting outside Potchefstroom, North-West Province

HAZ < –2

HAZ > –2

32

146

CS, 13–18 year range Skinfolds, girths, densitometry
South Africa [21] Birth-to-Twenty cohort, Soweto, Johannesburg HAZ <-2, HAZ >-2 Total 140 L, Stunting assessed at 1 and 2 years; follow-up at 8 years DXA

Abbreviations: BC body composition, BIA bioelectrical impedance analysis, CS cross-sectional study, D2O deuterium dilution, DXA dual-energy X-ray absorptiometry, HAZ height-for-age z-score, L longitudinal study. The south Africa study measured stunting at two time points in 140 children, but did not quantify the numbers stunted at either time point