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Birthweight, HIV exposure and infant feeding as predictors of malnutrition in Botswanan infants

Chalashika, Paphani; Essex, C.; Mellor, D.; Swift, J.A.; Langley-Evans, S.C.

Authors

Paphani Chalashika paphani.chalashika@nottingham.ac.uk

C. Essex

D. Mellor

J.A. Swift

S.C. Langley-Evans



Abstract

Background: A better understanding of the nutritional status of infants who are HIV-Exposed-Uninfected (HEU) and HIV-Unexposed-Uninfected (HUU) during their first 1000 days is a key to improving population health, particularly in sub-Saharan Africa.
Methods: A cross-sectional study compared nutritional status, feeding practices and determinants of nutritional status of HEU and HUU infants residing in representative selected districts in Botswana during their first 1000 days of life. Four hundred and thirteen infants (37.3% HIV16 exposed), aged 6-24 months attending routine child health clinics were recruited. Anthropometric, 24-hour dietary intake and socio-demographic data was collected. Anthropometric z-scores were calculated using 2006 WHO growth standards. Modelling of the determinants of malnutrition was undertaken using logistic regression.
Results: Overall, prevalence of stunting, wasting and underweight were 10.4%, 11.9% and 10.2% respectively. HEU infants were more likely to be underweight (15.6% vs. 6.9%), (p

Journal Article Type Article
Journal Journal of Human Nutrition and Dietetics
Print ISSN 0952-3871
Electronic ISSN 0952-3871
Publisher Wiley
Peer Reviewed Peer Reviewed
APA6 Citation Chalashika, P., Essex, C., Mellor, D., Swift, J., & Langley-Evans, S. (in press). Birthweight, HIV exposure and infant feeding as predictors of malnutrition in Botswanan infants. Journal of Human Nutrition and Dietetics, doi:10.1111/jhn.12517
DOI https://doi.org/10.1111/jhn.12517
Keywords Child undernutrition, malnutrition, HIV, infant feeding practices, 1000 days, Botswana
Publisher URL http://onlinelibrary.wiley.com/doi/10.1111/jhn.12517/full
Copyright Statement Copyright information regarding this work can be found at the following address: http://eprints.nottingh.../end_user_agreement.pdf
Additional Information This is the peer reviewed version of the following article: Chalashika P., Essex C., Duane M., Swift J.A. & Langley-Evans S. (2017) Birthweight, HIV exposure and infant feeding as predictors of malnutrition in Botswanan infants. J Hum Nutr Diet. https://doi.org/10.1111/jhn.12517 which has been published in final form at http://onlinelibrary.wi.../10.1111/jhn.12517/full This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.

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Copyright Statement
Copyright information regarding this work can be found at the following address: http://eprints.nottingham.ac.uk/end_user_agreement.pdf





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