The importance of age in evaluating anthropometric indices for predicting mortality

Research output: Contribution to journalArticle

Abstract

Weights and heights were obtained on approximately 4,000 preschool-aged children in six rural villages of West Java between 1977 and 1978. Deaths occurring in the ensuing 18 months were ascertained at three-month intervals. The abilities of relative weight for height and height for age to discriminate children at greatest risk of dying were compared. Younger children (≤two years) with low height for age (<95% of the reference median) were at greater risk of dying than children of the same age who were not stunted. This risk declined with increasing age, and among children aged 3-5 years, those who were stunted were at no greater risk than those of normal height for age. The mortality risk associated with mild wasting (80-90% of the reference median) also declined with increasing age. However, the risk of dying among moderately to severely wasted (<80% of the reference median) children increased with increasing age. These results suggest that stunting, rather than wasting, puts younger children at greater risk of death, but among older children, wasting carries a greater relative mortality risk over an 18-month period.

Original languageEnglish (US)
Pages (from-to)1219-1226
Number of pages8
JournalAmerican journal of epidemiology
Volume130
Issue number6
DOIs
StatePublished - Dec 1989

Keywords

  • Anthropometry
  • Body height
  • Body weight
  • Growth
  • Malnutrition
  • Mortality

ASJC Scopus subject areas

  • Epidemiology

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