Jens Koßmann|Penelope Nestel|M G Herrera|A el Amin|Wafaie Fawzi
Undernutrition in relation to childhood infections: a prospective study in the Sudan
Institute for International Urban Development|Institute for International Urban Development|Institute for International Urban Development|Federal Ministry of Health|Harvard University
aim study examine relationships nutritional status diarrhoea respiratory infectionsprospective cohort study within framework randomized doubleblind placebocontrolled intervention trialin rural communities khartoum gezira regions northern sudan28753 sudanese preschool children 6 months 6 oldrelative risks subsequent diarrhoea respiratory infections relation nutritional status measured anthropometry zscores heightforage ha weightforheight wh weightforage wa reflect stunting wasting underweight respectively estimated using odds ratios logistic regression adjusting various covariatesha wh wa significantly inversely associated subsequent diarrhoea febrile diarrhoea p trend 0001 risks 200 times higher 95 confidence interval ci 164 243 among children wa zscores 4 z 175 times higher 95 ci 156 196 among wa zscore 4 3 z compared children wa zscore 1 age gender region residence seasonality modified associations also febrile cough inversely associated wa wh p003 risks ranging 141 times higher 95 ci 102 197 121 times higher 95 ci 104 141 group underweight children wa zscores 4 2 1 z compared normally nourished children 1 zthe reduction severe also mild moderate undernutrition necessary nutrition health socioeconomic improvement order prevent morbidity