Modeling environmental influences on child growth in the MAL-ED cohort study: Opportunities and challenges

MAL-ED Network Investigators

Research output: Contribution to journalArticlepeer-review

33 Citations (Scopus)

Abstract

Although genetics, maternal undernutrition and low birth weight status certainly play a role in child growth, dietary insufficiency and infectious diseases are key risk factors for linear growth faltering during early childhood. A primary goal of the Etiology, Risk Factors and Interactions of Enteric Infections and Malnutrition and the Consequences for Child Health and Development (MAL-ED) study is to identify specific risk factors associated with growth faltering during the first 2 years of life; however, growth in early childhood is challenging to characterize because growth may be inherently nonlinear with age. In this manuscript, we describe some methods for analyzing longitudinal growth to evaluate both short-and long-term associations between risk factors and growth trajectories over the first 2 years of life across 8 resource-limited settings using harmonized protocols. We expect there will be enough variability within and between sites in the prevalence of risk factors and burden of linear growth faltering to allow us to distinguish some of the key pathways to linear growth faltering in the MAL-ED study.

Original languageEnglish
Pages (from-to)S255-S260
JournalClinical Infectious Diseases
Volume59
DOIs
Publication statusPublished - 1 Nov 2014

Bibliographical note

Funding Information:
Financial support. The Etiology, Risk Factors and Interactions of Enteric Infections and Malnutrition and the Consequences for Child Health and Development Project (MAL-ED) is carried out as a collaborative project supported by the Bill & Melinda Gates Foundation, the Foundation for the National Institutes of Health, and the National Institutes of Health, Fogarty International Center. M. M. was supported by the National Institutes of Health, Fogarty International Center.

Funding Information:
Supplement sponsorship. This article appeared as part of the supplement “The Malnutrition and Enteric Disease Study (MAL-ED): Understanding the Consequences for Child Health and Development,” sponsored by the National Institutes of Health and the Foundation for the National Institutes of Health. Potential conflicts of interest. All authors: No reported conflicts.

Publisher Copyright:
© 2014 Published by Oxford University Press on behalf of the Infectious Diseases Society of America.

Keywords

  • diarrhea
  • growth
  • MAL-ED
  • malnutrition
  • stunting

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