ArticleBMJ global health2024
Contribution of malnutrition to infant and child deaths in Sub-Saharan Africa and South Asia.
Article in BMJ global health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 1 of them a synthesis that pooled it.
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Who cites it
36 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Interventions to Prevent Post-Discharge Mortality among Children in Sub-Saharan Africa: A Systematic Review.The American journal of tropical medicine and hygiene · 2026Pooled it
- Impact of biannual azithromycin on weight-for-age z-score among infants in the AVENIR cluster-randomised trial.BMJ paediatrics open · 2025Trial
- Including malnourished siblings in treatment improves nutritional outcomes for children with sickle cell anemia in Northern Nigeria: Results from a feasibility trial.Nutrition research (New York, N.Y.) · 2025Trial
- Disordered pancreatic and gastrointestinal hormone responses to nutrient stimulation in Zambian children with severe acute malnutrition.Experimental physiology · 2026Article
- Causes of Death Among Stillbirths and Children Aged <5 Years in Africa and South Asia - Child Health and Mortality Prevention Surveillance, Seven Countries, 2016-2024.Morbidity and mortality weekly report. Surveillance summaries (Washington, D.C. : 2002) · 2026Article
- Impact of Chicken Protein Hydrolysate in Complementary Baby Food on Protein Quality, Antioxidant Status, and Gut Microbiota in Wistar Rats.Molecular nutrition & food research · 2026Article
- Causes and Contributing Factors of In-Hospital and Post-Discharge Mortality Among Patients With Severe Acute Respiratory Infection in Low- and Middle-Income Countries: A Scoping Review.Health science reports · 2026Article
- Nutritional Profile of Children, Adolescents, and Women Living in Areas Potentially Affected by Heavy Metal Pollutants from the Revuè River in the Manica Province, Mozambique.Epidemiologia (Basel, Switzerland) · 2026Article
- AKI and Mortality in Children Hospitalized With Malnutrition.Kidney international reports · 2026Article
- Antimicrobial and Nutritional Properties of Edible Oyster Mushroom (Food science & nutrition · 2026Article
- Son preference and regional inequalities in girls undernutrition in India.Scientific reports · 2026Article
- Facilitators, barriers, and factors determining the willingness to donate human milk among postpartum mothers in a tertiary women's hospital in Nepal: a cross-sectional study.International breastfeeding journal · 2026Article
- The Epidemiology of the Global Syndemic in Africa: New Evidence and Key Insights.Current obesity reports · 2026Review
- Co-occurrence patterns of malnutrition indicators among children in sub-Saharan Africa.Communications medicine · 2026Article
- Article
- Mapping spatial hotspots and location specific associated factor of diarrhea-wasting multimorbidity among children aged 6-24 months in East Africa: a geographically weighted regression analysis.Scientific reports · 2026Article
- Maternal Knowledge, Attitudes, and Practices Toward Complementary Feeding in Rural Bangladesh: A Cross-Sectional Study.Health science reports · 2026Article
- Prognosis of clinical pneumonia in undernourished children in rural Gambia.Pneumonia (Nathan Qld.) · 2026Article
- Two Sides of a Coin: Molecular, metabolic, and Phenotypic Convergence in Pediatric Undernutrition and Obesity.Current obesity reports · 2026Review
- Unhealthy feeding practices in early childhood: prevalence and associated factors in Bangladesh.BMJ paediatrics open · 2026Article
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Authors and funding
43 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionMalnutrition contributes to 45% of all childhood deaths globally, but these modelled estimates lack direct measurements in countries with high malnutrition and under-5 mortality rates. We investigated malnutrition's role in infant and child deaths in the Child Health and Mortality Prevention Surveillance (CHAMPS) network.
methodsWe analysed CHAMPS data from seven sites (Bangladesh, Ethiopia, Kenya, Mali, Mozambique, Sierra Leone and South Africa) collected between 2016 and 2023. An expert panel assessed each death to determine whether malnutrition was an underlying, antecedent or immediate cause or other significant condition. Malnutrition was further classified based on postmortem anthropometry using WHO growth standards for underweight (z-scores for weight-for-age <-2), stunting (length-for-age <-2), and wasting (weight-for-length or MUAC Z-scores <-2).
resultsOf 1601 infant and child deaths, malnutrition was considered a causal or significant condition in 632 (39.5%) cases, including 85 (13.4%) with HIV infection. Postmortem measurements indicated 90.1%, 61.2% and 94.1% of these cases were underweight, stunted and wasted, respectively. Most malnutrition-related deaths (n=632) had an infectious cause (89.1%). The adjusted odds of having malnutrition as causal or significant condition were 2.4 (95% CI 1.7 to 3.2) times higher for deaths involving infectious diseases compared with other causes. Common pathogens in the causal pathway for malnutrition-related deaths included
conclusionMalnutrition was identified as a causal or significant factor in 39.5% of under-5 deaths in the CHAMPS network, often in combination with infectious diseases. These findings highlight the need for integrated interventions addressing both malnutrition and infectious diseases to effectively reduce under-5 mortality.
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