ArticlePublic health nutrition2015
Stunting at birth: recognition of early-life linear growth failure in the western highlands of Guatemala.
Article in Public health nutrition, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02755012 (Reducing Maternal Stress Due to Infection, Malnutrition and Psychosocial Conditions of Poverty), which is not on this map. Cited by 33 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Reducing Maternal Stress Due to Infection, Malnutrition and Psychosocial Conditions of Poverty: A New Paradigm for Tackling Infant Stunting
Who cites it
33 citing papers in PubMed, 62 citations in OpenAlex.
- Prenatal Intravenous Iron and Child Growth: A Secondary Analysis of a Randomized Clinical Trial.JAMA network open · 2025Trial
- Growth from Birth Through Six Months for Infants of Mothers in the "Women First" Preconception Maternal Nutrition Trial.The Journal of pediatrics · 2021Trial
- Micronutrient supplementation of lactating Guatemalan women acutely increases infants' intake of riboflavin, thiamin, pyridoxal, and cobalamin, but not niacin, in a randomized crossover trial.The American journal of clinical nutrition · 2020Trial
- Distinct associations among human milk microbiota and minerals in relation to early infant growth: a longitudinal study.Journal of translational medicine · 2026Article
- Newborn Nutritional Status at Birth and Its Association With Maternal Dietary Practices During Pregnancy in Gamo Zone, Southern Ethiopia: A Path Analysis.Food science & nutrition · 2025Article
- Unbalanced Macronutrient Intakes, Multiple Micronutrient Inadequacies, and Diarrhea Underscore Low-Height-for-Age in Indigenous Panamanian Preschool Children.Current developments in nutrition · 2025Article
- Determinants of preterm birth among newborns delivered at public referral hospitals in Bahir Dar City, Northwest Ethiopia, 2024.BMC public health · 2025Article
- Human milk microbiome: associations with maternal diet and infant growth.Frontiers in nutrition · 2024Article
- Early full-day leg movement kinematics and swaddling patterns in infants in rural Guatemala: A pilot study.PloS one · 2024Observational
- Reconsidering the developmental origins of adult disease paradigm: The 'metabolic coordination of childbirth' hypothesis.Evolution, medicine, and public health · 2024Review
- Prevalence of stunting and associated factors among neonates in Shebadino woreda, Sidama region South Ethiopia; a community-based cross-sectional study 2022.BMC pediatrics · 2023Article
- Stunting at birth: linear growth failure at an early age among newborns in Hawassa city public health hospitals, Sidama region, Ethiopia: a facility-based cross-sectional study.Journal of nutritional science · 2023Article
- Neonatal stunting and early childhood caries: A mini-review.Frontiers in pediatrics · 2022Review
- Human milk microbial species are associated with mild growth deficits during early infancy among Guatemalan mother-infant dyads.Frontiers in microbiomes · 2022Article
- Article
- The Effect of the Physical Factors of Parents and Children on Stunting at Birth Among Newborns in Indonesia.Journal of preventive medicine and public health = Yebang Uihakhoe chi · 2021Article
- Population Estimates of GFR and Risk Factors for CKD in Guatemala.Kidney international reports · 2021Article
- Article
- Undernutrition among under-five indigenous Mbororo children in the Foumban and Galim health districts of Cameroon: a cross-sectional study.The Pan African medical journal · 2021Article
- Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveMeasurements of length at birth, or in the neonatal period, are challenging to obtain and often discounted for lack of validity. Hence, classical 'under-5' stunting rates have been derived from surveys on children from 6 to 59 months of age. Guatemala has a high prevalence of stunting (49.8%), but the age of onset of growth failure is not clearly defined. The objective of the study was to assess length-for-age within the first 1.5 months of life among Guatemalan infants.
designAs part of a cross-sectional observational study, supine length was measured in young infants. Mothers' height was measured. Length-for-age Z-scores (HAZ) were generated and stunting was defined as HAZ <-2 using WHO growth standards.
settingEight rural, indigenous Mam-Mayan villages (n 200, 100% of Mayan indigenous origin) and an urban clinic of Quetzaltenango (n 106, 27% of Mayan indigenous origin), Guatemala. SUBJECTS: Three hundred and six newborns with a median age of 19 d.
resultsThe median rural HAZ was -1.56 and prevalence of stunting was 38%; the respective urban values were -1.41 and 25%. Linear regression revealed no relationship between infant age and HAZ (r = 0.101, r(2) = 0.010, P = 0.077). Maternal height explained 3% of the variability in HAZ (r = 0.171, r(2) = 0.029, P = 0.003).
conclusionsStunting must be carried over from in utero growth retardation in short-stature Guatemalan mothers. As linear growth failure in this setting begins in utero, its prevention must be linked to maternal care strategies during gestation, or even before. A focus on maternal nutrition and health in an intergenerational dimension is needed to reduce its prevalence.
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