ArticleInternational journal of environmental research and public health2019
Attending Informal Preschools and Daycare Centers Is a Risk Factor for Underweight, Stunting and Wasting in Children under the Age of Five Years in Underprivileged Communities in South Africa.
Article in International journal of environmental research and public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.
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Who cites it
25 citing papers in PubMed, 2 syntheses or guidelines pooled it, 42 citations in OpenAlex.
- Childcare centre attendance and health, growth, and development among children aged 0-3 years in low- and middle-income countries: A systematic review.Journal of global health · 2024Pooled it
- Anthropometric nutritional status of children (0-18 years) in South Africa 1997-2022: a systematic review and meta-analysis.Public health nutrition · 2023Pooled it
- Trial
- Underweight prevalence among children under five in Sri Lanka: unpacking the role of food prices.BMC nutrition · 2026Article
- Article
- Simultaneous Wasting and Stunting (WaSt), Wasting and Anemia (WaAn) and Wasting, Stunting and Anemia (WaStAn) Among Children 6-59 Months in Karamoja, Uganda.Food science & nutrition · 2025Article
- Sports-related factors and stunting in children under 5 years old: a cross-sectional study across 471 counties in 31 provincial regions of China.BMC public health · 2025Article
- Coexisting predictors for undernutrition indices among under-five children in West Africa: application of a multilevel multivariate ordinal logistic regression model.BMC nutrition · 2025Article
- Childhood wasting and associated factors in Africa: evidence from standard demographic and health surveys from 35 countries.BMC public health · 2025Article
- Cross-sectional analysis of risk factors associated with the coexistence of three undernutrition indicators among children aged 0-23 months in Tanzania.BMC nutrition · 2025Article
- Global and Chinese growth failure disease burden analysis and projections for adolescents and children, 1990-2021.Frontiers in public health · 2025Article
- Global burden of children and adolescents' nutritional deficiencies from 1990 to 2021.Frontiers in pediatrics · 2025Article
- Birth order, daycare attendance, and childhood socioeconomic status in relation to gingivitis: a cross-sectional study in Turkish young adults.BMC oral health · 2024Observational
- Iron and Vitamin A Status of Children Aged 0 to 36 Months in Thulamela Municipality, Vhembe District, South Africa.Children (Basel, Switzerland) · 2024Article
- Article
- Feeding practices of caregivers with children attending early childhood development centres in Xhariep, South Africa.Health SA = SA Gesondheid · 2024Article
- High-risk fertility behaviour and undernutrition among children under-five in sub-Saharan Africa: a cross-sectional study.BMJ open · 2023Article
- Complementary Feeding Practices and Childhood Malnutrition in South Africa: The Potential ofNutrients · 2023Review
- The Relationship between Childcare-Giving Arrangements and Children's Malnutrition Status in South Africa.International journal of environmental research and public health · 2023Article
- Prevalence and factors associated with undernutrition among children under the age of five years in Benin.PloS one · 2023Article
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The study objectives were to determine the nutritional status of children between the ages of 12-60 months and to establish the association between attending preschool and the prevalence of undernutrition. This was a cross-sectional survey conducted in health facilities in Tshwane district in South Africa, consisting of both a questionnaire and anthropometric measures of 1256 mothers and their children. Weight-for-age (WAZ), height-for age (HAZ) and BMI-for-age (BAZ) were calculated and bivariate and multivariable analysis was performed to establish association. The results showed that child-related factors, namely birthweight, age, gender, and attending preschool increased the risk of undernutrition. Children over the age of 24 months were likely to be stunted and underweight. Maternal education reduced the odds of underweight. Children who stayed at home had reduced odds of underweight and stunting. High birthweight reduced the odds of wasting and underweight. The risks for undernutrition are multifaceted, but children who attend preschool have an increased risk of undernutrition. The risk of undernutrition increased with age and coincided with the time of cessation of breast-feeding and attendance at daycare or preschool. The complementary role of quality childcare in preschools and daycare centers is vital in alleviating the problem of undernutrition in underprivileged communities.
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