Overlooking undernutrition? Using a composite index of anthropometric failure to assess how underweight misses and misleads the assessment of undernutrition in young children
Overlooking undernutrition? Using a composite index of anthropometric failure to assess how underweight misses and misleads the assessment of undernutrition in young children
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DOI：
10.1016/j.socscimed.2008.01.021
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发表时间：
2008-05-01
影响因子：
5.4
通讯作者：
Miranda, J. Jaime
中科院分区：
文献类型：
--
作者：
Nandy, Shailen;Miranda, J. Jaime
鉴于目前国际上对千年发展目标的兴趣，本简短报告审查了用来评估进展情况的一项主要指标的适宜性。使用7个发展中国家46,784名0-35个月的儿童的人体测量数据，我们展示了按年龄计算的体重(体重不足)指标是如何存在问题的，但不是由于常规引用的原因。我们表明，它提供的有关营养不良程度和方向随时间变化的信息有时与其他传统指标提供的信息相矛盾。我们展示了所有替代指标--人体测量失败综合指数(CIAF)的潜力，它可以用来显示儿童营养不良的总体程度，并对营养不良的方向和程度随时间的变化提供了明确的陈述。鉴于营养不良对儿童生存和健康的根本重要性，提出的问题将引起政策制定者和规划者的兴趣并产生影响。(C)2008爱思唯尔有限公司。保留所有权利。
In light of current international interest in the Millennium Development Goals, this short report examines the suitability of one of the primary indicators being used to assess progress. Using anthropometric data oil 46,784 children aged 0 - 35 months ill seven developing countries, we show how the weight for age (underweight) indicator is problematic but not for the reasons conventionally cited. We show that the information it provides about the degree and direction of change in undernutrition over time sometimes contradicts that provided by other conventional indicators. We demonstrate the potential of all alternative indicator, the composite index of anthropometric failure (CIAF), which can be used to show the overall extent of undernutrition among children, and which provides an unequivocal statement on the direction and degree of change in undernutrition over time. Given the fundamental importance of undernutrition to child survival and health, the issues raised will be of interest to and have implications for policy makers and planners alike. (c) 2008 Elsevier Ltd. All rights reserved.