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Table 2 Studies associating chronic undernutrition with body composition in children from low and middle-income countries

From: Body composition of children with moderate and severe undernutrition and after treatment: a narrative review

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

  1. 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