ArticleAmerican journal of human biology : the official journal of the Human Biology Council
Stunting, adiposity, and the individual-level "dual burden" among urban lowland and rural highland Peruvian children.
Article in American journal of human biology : the official journal of the Human Biology Council. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.
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Who cites it
27 citing papers in PubMed.
- Body composition, geography and ethnicity: understanding the associations with health.European journal of clinical nutrition · 2026Review
- Anthropometric and Body-Composition Changes in Severely Acute Malnourished Children (12-59 Months) Post-Nutritional Rehabilitation: A Follow-Up Study.Pediatric gastroenterology, hepatology & nutrition · 2025Article
- Exploring the Laws of Developmental Direction Using a Documented Skeletal Collection.American journal of biological anthropology · 2025Article
- Risk Factors for Stunting among Children under Five Years in the Province of East Nusa Tenggara (NTT), Indonesia.International journal of environmental research and public health · 2023Article
- Association between anthropometric criteria and body composition among children aged 6-59 months with severe acute malnutrition: a cross-sectional assessment from India.BMC nutrition · 2022Article
- Climate anomalies and childhood growth in Peru.Population and environment · 2021Article
- Associations of Growth Impairment and Body Composition among South African School-Aged Children Enrolled in theNutrients · 2021Article
- The double burden of malnutrition in under-five children at national and individual levels: observed and expected prevalence in ninety-three low- and middle-income countries.Public health nutrition · 2021Article
- Stunting and Physical Fitness. The Peruvian Health and Optimist Growth Study.International journal of environmental research and public health · 2020Article
- Socio-demographic patterning of the individual-level double burden of malnutrition in a rural population in South India: a cross-sectional study.BMC public health · 2020Article
- Differences in the relationship of weight to height, and thus the meaning of BMI, according to age, sex, and birth year cohort.Annals of human biology · 2020Article
- The double burden of malnutrition: aetiological pathways and consequences for health.Lancet (London, England) · 2020Review
- Body composition of children with moderate and severe undernutrition and after treatment: a narrative review.BMC medicine · 2019Review
- Relation between changes in weight parameters and height parameters in prepubertal children: daily weight gain and BMIi changes in relation to linear growth during nutritional rehabilitation of underweight children.Acta bio-medica : Atenei Parmensis · 2019Article
- Stunting, food security, markets and food policy in Rwanda.BMC public health · 2019Article
- Risk factors for stunting among children under five years: a cross-sectional population-based study in Rwanda using the 2015 Demographic and Health Survey.BMC public health · 2019Article
- Associations of stunting at 2 years with body composition and blood pressure at 8 years of age: longitudinal cohort analysis from lowland Nepal.European journal of clinical nutrition · 2019Article
- Correlates of Overweight in Children and Adolescents Living at Different Altitudes: The Peruvian Health and Optimist Growth Study.Journal of obesity · 2019Article
- Thrifty phenotype versus cold adaptation: trade-offs in upper limb proportions of Himalayan populations of Nepal.Royal Society open science · 2018Article
- Rural-urban variations in age at menarche, adult height, leg-length and abdominal adiposity in black South African women in transitioning South Africa.Annals of human biology · 2018Article
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6 authors.
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Abstract
backgroundThe causes of the "dual burden" of stunting and obesity remain unclear, and its existence at the individual level varies between populations. We investigate whether the individual dual burden differentially affects low socioeconomic status Peruvian children from contrasting environments (urban lowlands and rural highlands), and whether tibia length can discount the possible autocorrelation between adiposity proxies and height due to height measurement error.
methodsStature, tibia length, weight, and waist circumference were measured in children aged 3-8.5 years (n = 201). Height and body mass index (BMI) z scores were calculated using international reference data. Age-sex-specific centile curves were also calculated for height, BMI, and tibia length. Adiposity proxies (BMI z score, waist circumference-height ratio (WCHtR)) were regressed on height and also on tibia length z scores.
resultsRegression model interaction terms between site (highland vs. lowland) and height indicate that relationships between adiposity and linear growth measures differed significantly between samples (P < 0.001). Height was positively associated with BMI among urban lowland children, and more weakly with WCHtR. Among rural highland children, height was negatively associated with WCHtR but unrelated to BMI. Similar results using tibia length rather than stature indicate that stature measurement error was not a major concern.
conclusionsLowland and rural highland children differ in their patterns of stunting, BMI, and WCHtR. These contrasts likely reflect environmental differences and overall environmental stress exposure. Tibia length or knee height can be used to assess the influence of measurement error in height on the relationship between stature and BMI or WCHtR.
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