Nutrient intake in 5-17-year-old African boys and girls in a rural district of Kenya / Aporte de nutrientes en chicos y chicas africanos de 5-17 años en un distrito rural de Kenia

Objective: To investigate relationships between nutritional status and growth among a sample of schoolchildren and adolescents living in a rural district of Kenya. Design: Cross-sectional nutritional and anthropometric survey. Setting: The data are from schools in a rural district of south-western Kenya. Subjects: Schoolchildren and adolescents aged between 5 and 17 years of age. Anthropometric measurements and interviews on dietary intake were carried out in 2001 and2002 on 1,442 subjects. Results: In this African rural sample, the degree of malnutrition differs with age (increasing with age) and sex (more accentuated in males). Several correlations (P <0.05) were observed between nutrient adequacy ratios and anthropometric values, particularly in males. There were no correlations between an thropometric characteristics and sodium or vitamin C (in males and females) and vitamin A or potassium (in females).Conclusions: Malnutrition was more evident in subjects at puberty. The diet was deficient in sodium, calcium and potassium. Although weight-for-age (WAZ) and BMI-for-age (BMIZ) did not show significant relationships with nutrients in girls, the anthropometric variables were significantly correlated with micronutrients and thiamine in boys. To develop effective intervention strategies, it is vital to understand both how changes in malnutrition do occur and how different factors influence nutrient intake. The different growth pattern of boys and girls could be caused by sexual differences in environmental sensitivity, access to food and energy expenditure (AU)

A pesar de la emergencia en la prevalencia del sobrepeso en escolares de países en vías de desarrollo, se sigue observando una deficiencia de micronutrientes en la infancia. Algunos estudios realizados en Kenia han notificado algunos efectos beneficiosos de los suplementos dietéticos en algunos escolares pero no en otros. De hecho, estos estudios no detectaban la influencia de la ingesta nutricional sobre el crecimiento de los escolares por edad y sexo. Con el fin de investigar las relaciones entre el estado nutricional y el crecimiento entre escolares y adolescentes, diseñamos un estudio nutricional transversal que recogía datos de escuelas de educación primaria en un distrito rural de Kenia. Los individuos eran niños de entre 5 y 17 años. Se realizaron medidas antropométricas y entrevistas sobre la ingesta diaria en 2001 y 2002 en 1.442 individuos. En esta muestra rural africana, el grado de desnutrición difería con la edad (aumentando con la edad) y el sexo (más acentuado en los chicos). Se observaron fuertes correlaciones (P < 0,05) entre las tasas de adecuación de los nutrientes y los valores antropométricos, particularmente en los chicos. No hubo correlaciones entre las características antropométricas y el sodio o la vitamina C (en chicos y chicas) ni la vitamina A o el potasio (en las chicas). La malnutrición fue más evidente en individuos en la pubertad. La dieta fue deficiente en sodio, calcio y potasio. Aunque WAZ y BMIZ no mostraron relaciones significativas con los nutrientes en las chicas, las variables antropométricas se correlacionaron significativamente con los micronutrientes y la tiamina en los chicos. El diferente patrón de crecimiento en los niños y las niñas podría estar causado por las diferencias sexuales en la sensibilidad ambiental, el acceso a la comida y el gasto de energía (AU)

Nutrient intake in 5-17-year-old African boys and girls in a rural district of Kenya.

OBJECTIVE: To investigate relationships between nutritional status and growth among a sample of schoolchildren and adolescents living in a rural district of Kenya. DESIGN: Cross-sectional nutritional and anthropometric survey. SETTING: The data are from schools in a rural district of south-western Kenya. SUBJECTS: Schoolchildren and adolescents aged between 5 and 17 years of age. Anthropometric measurements and interviews on dietary intake were carried out in 2001 and 2002 on 1,442 subjects. RESULTS: In this African rural sample, the degree of malnutrition differs with age (increasing with age) and sex (more accentuated in males). Several correlations (P < 0.05) were observed between nutrient adequacy ratios and anthropometric values, particularly in males. There were no correlations between anthropometric characteristics and sodium or vitamin C (in males and females) and vitamin A or potassium (in females). CONCLUSIONS: Malnutrition was more evident in subjects at puberty. The diet was deficient in sodium, calcium and potassium. Although weight-for-age (WAZ) and BMI-for-age (BMIZ) did not show significant relationships with nutrients in girls, the anthropometric variables were significantly correlated with micronutrients and thiamine in boys. To develop effective intervention strategies, it is vital to understand both how changes in malnutrition do occur and how different factors influence nutrient intake. The different growth pattern of boys and girls could be caused by sexual differences in environmental sensitivity, access to food and energy expenditure.

Somatotype in 6-11-year-old Italian and Estonian schoolchildren.

The study of somatotypes can contribute to the understanding of variability in human body build. The aim of this study was to compare the somatotypes of Italian and Estonian schoolchildren in order to evaluate factors that might lead to variability in somatotypes. The sample consisted of 762 Italian and 366 Estonian children aged 6-11 years. They were somatotyped by the Heath-Carter anthropometric method. Data on organised extra-curricular physical activity and hours of weekly training were also collected. One-way ANOVA was used to evaluate country-related variations of somatotype in each age/sex group, while factorial ANOVA was used to test the influence of country and organised physical activity on the variability of the anthropometric characteristics and somatotype components. There are significant differences in mean somatotypes between the Italian and Estonian children in many age classes and a different constitutional trend in children from the two different countries is observed. The Italian children are more endomorphic and less mesomorphic and ectomorphic than the Estonian children. On the other hand, it emerges from factorial ANOVA, that the somatotype components do not present significant variations related to organised physical activity and to the interaction between the country of origin and sport practice. Moreover, the results of the forward stepwise discriminant analyses show that mesomorphy is the best discriminator between the two countries, followed by ectomorphy. Our findings suggest that the observed differences between Italian and Estonian children could be related mainly to country rather than to the practice of organised physical activity in the two countries.

Growth and malnutrition of rural Zimbabwean children (6-17 years of age).

The rural environment is an important factor in delayed growth in developing countries. The aim of this study was to investigate the effects of poor rural living conditions on the growth of a Shona sample in Zimbabwe. In total, 982 subjects aged 6-17 years were analyzed. Mean values of height, weight, skinfolds (triceps, subscapular, suprailiac, biceps, medial calf), cormic index, body mass index (BMI), arm composition (total upper arm area, upper arm muscle area, arm fat area, and arm fat index), fat percentage (%F), centripetal fat ratio (CFR), and the contribution of each skinfold to the adiposity of the trunk and upper limbs are presented. Weight, height, BMI, cormic index, SSCP, TRCP, arm circumference, and arm composition are compared with NHANES percentiles. Boys and girls showed stunting and underweight at ages 11-15 and 8-15, respectively; boys presented particularly severe malnutrition and their means of height and weight were below the 10th percentile. The means of arm circumference, UMA, UFA, and TRCP were below the 15th percentile in both sexes. The contribution of the skinfolds generally showed an overall prevalence of TRCP in both sexes; the contribution of SSCP was prevalent only for the 16- to 17-year-old boys. Males presented a higher CFR than girls after 14 years while females showed an irregular pattern. There was a high incidence of brachycormia and mesocormia in females and males, respectively. Height, weight, and BMI were similar to the values observed in other sub-Saharan countries, although body size was slightly larger than in South Africa and smaller than in Tanzania. The results provide a useful database for future comparisons.