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Figure 1: Mean height between 3-18 yr for subjects stunted & not stunted at 3 yr |
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*- p<0.05 for trend from lower to higher tertile BMI: Body mass index (Kg/m2) HSBP- systolic blood pressure >=140 mmHg HDBP- diastolic blood pressure >=90 mmHg Hypertension- either systolic blood pressure >=140 mmHg or diastolic blood pressure >=90 Figure 2: Prevalence of HSBP, HDBP and HYPT by tertiles of adult BMI among rural adults |
Parameters |
Males |
Females |
N |
449 |
267 |
Age (yr) |
23.2±2.6** |
22.9±2.7 |
Weight (Kg) |
56.2±9.1** |
45.4±7.9 |
Height (cm) |
166.3±6.1** |
152.7±5.6 |
BMI (Kg/m2) |
20.3±2.9** |
19.4±2.8 |
% Overweight (BMI >=25 Kg/m2)
(BMI >=30 Kg/m2) |
6.5
0.2 |
4.1
0.7 |
% Underweight (BMI <18.5 Kg/m2) |
29.0 |
43.4 |
Body fat (%) |
15.7±5.4 |
21.0±6.2** |
Systolic blood pressure(mmHg) |
120.3±11.2** |
112.1±10. |
diastolic blood pressure(mmHg) |
76.3±9.3** |
73.0±8.2 |
**: p<0.01 for sex differences BMI: Body mass index (Kg/m2) Table 1: Characteristics (mean ± sd) of young rural adults |
|
Males |
Females |
||||
Age (yr) |
N |
Underweight$ |
Stunted# |
N |
Underweight$ |
Stunted# |
0-1 |
101 |
30.7 |
12.9 |
68 |
39.7 |
16.2 |
1-3 |
240 |
57.1 |
47.1 |
148 |
58.8 |
43.2 |
3 -5 |
232 |
59.9 |
50.9 |
147 |
60.5 |
58.5 |
$: Dugdale Growth Index for weight <80 in respective age groups #: Dugdale Growth Index for height <90 in respective age groups Table 2: Prevalence of underweight and stunting in early life |
Age (yr)
|
Early life nutrition Status | n |
Weight
(kg) |
Height (cm) | Sitting Ht (cm) | BMI (Kg/m2) | Body Fat (%) |
Males |
|||||||
0+ |
Stunted |
13 |
51.3±8.4 |
160.3±7.3 |
83.8±2.7 |
20.0±3.0 |
14.7±5.4 |
Not stunted |
88 |
56.3±9.0 |
168.5±5.0 |
87.1±3.1 |
19.8±2.7 |
13.9±4.7 |
|
p |
ns |
0.000 |
0.000 |
ns |
ns |
||
1-3 |
Stunted |
112 |
53.7±8.3 |
164.2±6.2 |
85.1±3.4 |
19.9±2.7 |
15.1±5.5 |
Not stunted |
127 |
57.4±9.4 |
168.4±5.8 |
86.8±3.2 |
20.3±2.9 |
15.7±5.0 |
|
p |
0.002 |
0.000 |
0.000 |
ns |
ns |
||
3-5 |
Stunted |
118 |
54.0±7.3 |
164.1±5.5 |
84.9±2.8 |
20.0±2.5 |
15.7±5.2 |
Not stunted |
114 |
59.1±10.0 |
168.9±5.9 |
87.1±3.2 |
207±3.2 |
16.1±5.3 |
|
p |
0.000 |
0.000 |
0.000 |
ns |
ns |
||
Females |
|||||||
0+ | Stunted | 11 | 41.5±8.3 | 148.3±6.1 | 76.1±3.6 | 18.7±2.5 | 19.4±5.9 |
Not stunted | 57 | 45.5±7.9 | 154.4±5.1 | 79.9±2.6 | 19.0±2.8 | 20.4±6.4 | |
p | Ns | 0.001 | 0.000 | ns | ns | ||
1-3 | Stunted | 64 | 44.4±7.5 | 150.1±4.8 | 78.1±3.0 | 19.6±2.7 | 20.9±5.7 |
Not stunted | 84 | 46.9±7.0 | 155.5±4.2 | 80.4±2.8 | 19.4±2.7 | 21.3±6.2 | |
p | 0.04 | 0.000 | 0.000 | ns | ns | ||
3-5 | Stunted | 86 | 43.0±7.1 | 150.2±5.4 | 77.9±3.1 | 19.0±2.7 | 19.9±5.8 |
Not stunted | 61 | 48.0±8.9 | 155.4±5.3 | 80.4±3.0 | 19.8±3.2 | 21.9±6.9 | |
p | 0.000 | 0.000 | 0.000 | ns | ns | ||
$ - Dugdale Growth Index for height <90 in respective age groups BMI: Body mass index (Kg/m2) Table 3: Early life stunting$ & adult body size |
Tertiles of adult BMI |
Males |
Females | ||
Stunted at age 3yr |
Not stunted |
Stunted at age 3 yr |
Not stunted |
|
Lower |
23.8 |
5.9 |
6.7 |
0 |
Middle |
22.6 |
12.5 |
3.8 |
9.1 |
Higher |
34.6 |
21.4 |
17.6 |
6.7 |
+: z score is <-2 for height at age 3+ yr using WHO (2006) standards BMI: Body mass index (Kg/m2) Table 4: Prevalence (%) of hypertension by tertiles of adult BMI and stunting+ at age 3 yr |
Risk for |
Adjusted for | Males |
Females |
||
Stunted |
Not stunted |
Stunted |
Not stunted |
||
Hypertension |
BMI |
2.7*
(1.2 – 6.2) |
1.0 |
2.8
(0.47 – 16.8) |
1.0 |
Body fat |
2.55*
(1.14 – 5.7) |
1.0 |
3.44
(0.52 – 23.0) |
1.0 |
|
HSBP |
BMI |
1.53 (0.49 – 4.8) |
1.0 |
3.29 (0.26 - 42) |
1.0 |
Body fat |
1.41 (0.46 - 4.3) |
1.0 |
3.88 (0.27 – 56.8) |
1.0 |
|
HDBP |
BMI |
3.25* (1.27 – 8.30) |
1.0 |
1.91 (0.18 – 19.7) |
1.0 |
Body fat |
3.0* (1.2 - 7.5) |
1.0 |
2.01 (0.2 – 21.1) |
1.0 |
|
*- p<0.05, HSBP – systolic blood pressure >=140 mmHg, HDBP– diastolic blood pressure >=90 mmHg, BMI- body mass index (Kg/m2), Hypertension – either systolic blood pressure >=140 mmHg or diastolic blood pressure >=90 mmHg @ z score is <-2 for height at age 3+ yr using WHO (2006) standards Table 5: Odds Ratios (95% CI) for risk of HSBP & HDBP among subjects stunted@at 3+ yr |