ArticleClinical nutrition research2026
Prevalence and factors of concurrent wasting and stunting among children aged 6 to 59 months in Cambodia: a cross-sectional study using the Cambodia Demographic and Health Survey 2021-2022.
Article in Clinical nutrition research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectiveThis study investigated the prevalence and factors of concurrent wasting and stunting (WaSt) in Cambodian children aged 6-59 months.
methodsThis cross-sectional analysis of the Cambodia Demographic and Health Survey from 2021 to 2022 included 3,420 children aged 6-59 months and a subsample of 1,237 aged 6-23 months for whom dietary indicators were available. WaSt was defined as height-for-age and weight-for-height z-scores below -2 standard deviations according to the World Health Organization (WHO) Growth Standards. Dietary indicators followed 2021 WHO/UNICEF infant and young child feeding definitions. Survey-weighted logistic regression was employed in Stata 18.0, with statistical significance set at P<0.05.
resultsThe prevalence rates were 22.4% for stunting, 9.3% for wasting, and 2.1% for WaSt. The odds of WaSt were higher among children with low birth weight (adjusted odds ratio [AOR], 4.93; 95% confidence interval [CI], 1.92-12.63), those born to underweight mothers (AOR, 2.42; 95% CI, 1.06-5.56), and those from the poorest wealth tertile (AOR, 2.46; 95% CI, 1.14-5.31). Contrarily, the odds were lower among girls (AOR, 0.52; 95% CI, 0.28-0.97) and children of mothers who were overweight or obese (AOR, 0.25; 95% CI, 0.10-0.65). No dietary indicator was associated with WaSt, although power was limited by few cases (n=21).
conclusionWaSt was independently associated with low birth weight, maternal underweight, and household poverty, whereas no significant association with dietary indicators was observed. Integrated programs targeting maternal nutrition, birth outcomes, and poverty in vulnerable households are warranted.
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