Understanding Growth and Malnutrition in Baka Pygmy Children

We determined stunting, wasting, and obesity frequencies in a total 1092 2-to-12 year old Baka Pygmy children from anthropometric and health data gathered in 34 villages in the Djoum-Mintom region in southeastern Cameroon in four health campaigns in 2010 and 2017-9. We compare these to the WHO Child...

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Autores: Funk, Stephan M., Palomo Guerra, Belén, Bueno Zamora, Amalia, Ickowitz, Amy, Poni, Nicias Afoumpam, Abdou, Mohamadou Aminou, Sibama, Yaya Hadam, Penda, René, Ros Brull, Guillermo, Abossolo, Martin, Ávila Martín, Eva, Okale, Robert, Ze, Blaise Ango, Moreno Carrión, Ananda, García Sebastián, Cristina, Ruiz De Loizaga García, Cristina, López Romero Salazar, Francisco, Amazia, Hissein, Álvarez Reyes, Idoia, Sánchez Expósito, Rafaela, Fa, John E.
Tipo de recurso: artículo
Fecha de publicación:2020
País:España
Institución:Universidad de Barcelona
Repositorio:Dipòsit Digital de la UB
OAI Identifier:oai:diposit.ub.edu:2445/174076
Acceso en línea:https://hdl.handle.net/2445/174076
Access Level:acceso abierto
Palabra clave:Obesitat en els infants
Pobles indígenes
Camerun
Obesity in children
Indigenous peoples
Cameroon
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spelling Understanding Growth and Malnutrition in Baka Pygmy ChildrenFunk, Stephan M.Palomo Guerra, BelénBueno Zamora, AmaliaIckowitz, AmyPoni, Nicias AfoumpamAbdou, Mohamadou AminouSibama, Yaya HadamPenda, RenéRos Brull, GuillermoAbossolo, MartinÁvila Martín, EvaOkale, RobertZe, Blaise AngoMoreno Carrión, AnandaGarcía Sebastián, CristinaRuiz De Loizaga García, CristinaLópez Romero Salazar, FranciscoAmazia, HisseinÁlvarez Reyes, IdoiaSánchez Expósito, RafaelaFa, John E.Obesitat en els infantsPobles indígenesCamerunObesity in childrenIndigenous peoplesCameroonWe determined stunting, wasting, and obesity frequencies in a total 1092 2-to-12 year old Baka Pygmy children from anthropometric and health data gathered in 34 villages in the Djoum-Mintom region in southeastern Cameroon in four health campaigns in 2010 and 2017-9. We compare these to the WHO Child Growth Standards, Amazonian Tsiname growth references for inter-population comparisons and the study population itself. Population-specific growth charts were constructed using GAMLSS modelling. Our results show that Baka children have one of the highest global rates of stunting relative to the WHO child growth standard with 57.8% for 2-to-12 year olds and 64% and 73% for 2-to-4 year old girls and boys, respectively. Frequencies of wasting, overweight, and low BMI were low at 3.4%, 4.6% and 4.3%, respectively, for 2-to-12 year olds. Underweight was at 25.5%, in the upper range for sub-Saharan Africa. Edemas indicated rare severe malnutrition (0.3%). Uncertainties in age estimation had dramatic effects on the reliability of estimated individual z-scores but distributions of z-scores were robust at a population level. In the context of the recent evidence for genetic adaptation of the Pygmies' small stature to the tropical forest environment we argue that WHO child standards for weight and BMI are applicable. However, standards for height are clearly not adequate for Pygmy people. To achieve UN Sustainable Development Goals, we recommend that Pygmy specific growth standards are developed for the various, genetically differing Pygmy tribes.Springer Science and Business Media LLC2020info:eu-repo/semantics/articleapplication/pdfhttps://hdl.handle.net/2445/174076Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))reponame:Dipòsit Digital de la UBinstname:Universidad de BarcelonaInglésReproducció del document publicat a: https://doi.org/10.1007/s10745-020-00161-5Human Ecology, 2020, vol. 48, issue. 3, p. 293-306https://doi.org/10.1007/s10745-020-00161-5cc by (c) Funk, Stephan M. et al., 2020http://creativecommons.org/licenses/by/3.0/es/info:eu-repo/semantics/openAccessoai:diposit.ub.edu:2445/1740762026-05-27T06:46:51Z
dc.title.none.fl_str_mv Understanding Growth and Malnutrition in Baka Pygmy Children
title Understanding Growth and Malnutrition in Baka Pygmy Children
spellingShingle Understanding Growth and Malnutrition in Baka Pygmy Children
Funk, Stephan M.
Obesitat en els infants
Pobles indígenes
Camerun
Obesity in children
Indigenous peoples
Cameroon
title_short Understanding Growth and Malnutrition in Baka Pygmy Children
title_full Understanding Growth and Malnutrition in Baka Pygmy Children
title_fullStr Understanding Growth and Malnutrition in Baka Pygmy Children
title_full_unstemmed Understanding Growth and Malnutrition in Baka Pygmy Children
title_sort Understanding Growth and Malnutrition in Baka Pygmy Children
dc.creator.none.fl_str_mv Funk, Stephan M.
Palomo Guerra, Belén
Bueno Zamora, Amalia
Ickowitz, Amy
Poni, Nicias Afoumpam
Abdou, Mohamadou Aminou
Sibama, Yaya Hadam
Penda, René
Ros Brull, Guillermo
Abossolo, Martin
Ávila Martín, Eva
Okale, Robert
Ze, Blaise Ango
Moreno Carrión, Ananda
García Sebastián, Cristina
Ruiz De Loizaga García, Cristina
López Romero Salazar, Francisco
Amazia, Hissein
Álvarez Reyes, Idoia
Sánchez Expósito, Rafaela
Fa, John E.
author Funk, Stephan M.
author_facet Funk, Stephan M.
Palomo Guerra, Belén
Bueno Zamora, Amalia
Ickowitz, Amy
Poni, Nicias Afoumpam
Abdou, Mohamadou Aminou
Sibama, Yaya Hadam
Penda, René
Ros Brull, Guillermo
Abossolo, Martin
Ávila Martín, Eva
Okale, Robert
Ze, Blaise Ango
Moreno Carrión, Ananda
García Sebastián, Cristina
Ruiz De Loizaga García, Cristina
López Romero Salazar, Francisco
Amazia, Hissein
Álvarez Reyes, Idoia
Sánchez Expósito, Rafaela
Fa, John E.
author_role author
author2 Palomo Guerra, Belén
Bueno Zamora, Amalia
Ickowitz, Amy
Poni, Nicias Afoumpam
Abdou, Mohamadou Aminou
Sibama, Yaya Hadam
Penda, René
Ros Brull, Guillermo
Abossolo, Martin
Ávila Martín, Eva
Okale, Robert
Ze, Blaise Ango
Moreno Carrión, Ananda
García Sebastián, Cristina
Ruiz De Loizaga García, Cristina
López Romero Salazar, Francisco
Amazia, Hissein
Álvarez Reyes, Idoia
Sánchez Expósito, Rafaela
Fa, John E.
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Obesitat en els infants
Pobles indígenes
Camerun
Obesity in children
Indigenous peoples
Cameroon
topic Obesitat en els infants
Pobles indígenes
Camerun
Obesity in children
Indigenous peoples
Cameroon
description We determined stunting, wasting, and obesity frequencies in a total 1092 2-to-12 year old Baka Pygmy children from anthropometric and health data gathered in 34 villages in the Djoum-Mintom region in southeastern Cameroon in four health campaigns in 2010 and 2017-9. We compare these to the WHO Child Growth Standards, Amazonian Tsiname growth references for inter-population comparisons and the study population itself. Population-specific growth charts were constructed using GAMLSS modelling. Our results show that Baka children have one of the highest global rates of stunting relative to the WHO child growth standard with 57.8% for 2-to-12 year olds and 64% and 73% for 2-to-4 year old girls and boys, respectively. Frequencies of wasting, overweight, and low BMI were low at 3.4%, 4.6% and 4.3%, respectively, for 2-to-12 year olds. Underweight was at 25.5%, in the upper range for sub-Saharan Africa. Edemas indicated rare severe malnutrition (0.3%). Uncertainties in age estimation had dramatic effects on the reliability of estimated individual z-scores but distributions of z-scores were robust at a population level. In the context of the recent evidence for genetic adaptation of the Pygmies' small stature to the tropical forest environment we argue that WHO child standards for weight and BMI are applicable. However, standards for height are clearly not adequate for Pygmy people. To achieve UN Sustainable Development Goals, we recommend that Pygmy specific growth standards are developed for the various, genetically differing Pygmy tribes.
publishDate 2020
dc.date.none.fl_str_mv 2020
dc.type.none.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/174076
url https://hdl.handle.net/2445/174076
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció del document publicat a: https://doi.org/10.1007/s10745-020-00161-5
Human Ecology, 2020, vol. 48, issue. 3, p. 293-306
https://doi.org/10.1007/s10745-020-00161-5
dc.rights.none.fl_str_mv cc by (c) Funk, Stephan M. et al., 2020
http://creativecommons.org/licenses/by/3.0/es/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv cc by (c) Funk, Stephan M. et al., 2020
http://creativecommons.org/licenses/by/3.0/es/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Springer Science and Business Media LLC
publisher.none.fl_str_mv Springer Science and Business Media LLC
dc.source.none.fl_str_mv Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))
reponame:Dipòsit Digital de la UB
instname:Universidad de Barcelona
instname_str Universidad de Barcelona
reponame_str Dipòsit Digital de la UB
collection Dipòsit Digital de la UB
repository.name.fl_str_mv
repository.mail.fl_str_mv
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