Pattanee Winichagoon

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10/20/2013Child stunting/wasting w/ infection increased risks of deathPrevalence of Small-for-gestational age (SGA)• 20% preterms in LMIC = SGA• RR for neonatal mortality among SGA is 1.83x of AGA;3x of AGA for term SGA• ~ 1 of 5 child stunting was SGA4
10/20/2013Very wide variationBlack, et al, MCN 1, Lancet 2013;Global prevalence & trends in child malnutrition• Largest stunting reduction is in Asia:– 26% from 40% in 1990– Annual reduction rate of 2.1%• U5 stunting = 2.47x higher among lower quintile thanrichest quintile• Slight gender differences in prevalence (boys> girls)• Prevalence in rural areas = 1.5x of urban areas• Globally,– 16% = udeweight (36% reduction of 1990)– 8% = wasting (11% decline from 1990), but 70% U5wasting are in Asia, severe wasting highest in S-central Asia– Overwt/obesity 7%, expected to rise to 9.9% in 2025,most live in LMICs; Asia=5%, but # very high (17 mill)5
Page 1 and 2: 10/20/2013Southeast Asia: Nutrition
Page 3: 10/20/2013Lancet 2013, MCN paper 1R
Page 7 and 8: 10/20/2013Stunting prevalence in ch
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Page 11 and 12: 10/20/2013Gestational diabetes mell
Page 13 and 14: 10/20/2013504030201000-5 yr. pregna
Page 15 and 16: 10/20/2013Proportion and # school-a
Page 17 and 18: 10/20/2013Worldwide VAD prevalence
Page 19 and 20: 10/20/2013Foods first introduced as
Page 21: 10/20/20136. Infant and young child

Pattanee Winichagoon

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