Malnutrition in Argentine preschoolers: 2005-2019
Abstract
In low- and middle-income countries, studies on children's health focus primarily on their nutritional status, especially the presence of malnutrition. Child malnutrition is a major public health problem in Argentina. The objective of this research is to study the determinants and evolution of young children’s nutritional status in Argentina at the national level, and at different socioeconomic levels, between 2005 and 2019. We use data from the 2004-05 and 2018-19 National Survey of Nutrition and Health (ENNyS1 and ENNyS2). We use multivariate logit models, including household risk factors for childhood malnutrition, to estimate the likelihood of the occurrence of stunting and overweight in Argentinian children aged 24 to 60 months. Our results show that the prevalence of overweight among preschoolers has increased significantly between 2005 and 2019, from just below 10%, still a medium prevalence level, to more than 13%, a high prevalence level. The prevalence of overweight increased between 2005 and 2019 at all socioeconomic levels. The prevalence of stunting has not significantly changed in almost 14 years, remaining at around 7%, a low level. Except for the Cuyo region, which is close to the intermediate level, stunting prevalence in all regions remains between 5 and 8%. Understanding the determinants and evolution of young children’s nutritional status is key to implementing policies aimed at improving childhood nutrition.
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Abeldaño Zúñiga, R. A., Fanta Garrido, J., González Villoria, R. A. M., Castellanos Ospina, Ó. A., & Quiroga, D. E. (2018). Mortalidad por desnutrición y por causas infecciosas en menores de 5 años en Argentina entre los años 2001 y 2013. Revista Latinoamericana de Desarrollo Económico, 29, 85-101. https://doi.org/10.35319/lajed.20182920
Acquah, E., Darteh, E., Amu, H., & Adjei, D. (2019). Predictors of underweight in children under-five years in Ghana. Ghana Medical Journal, 53(1), 71–78. https://doi.org/10.4314/gmj.v53i1.11
Aparicio, M. E., Bejarano, I. F., Dipierri, J. E., & Alfaro Gómez, E. L. (2012). Antropometría nutricional en escolares asistidos alimentariamente (Jujuy, Argentina). Antropo, 26, 19-27. http://www.didac.ehu.es/antropo/26/26-3/Aparicio.pdf
Bassett, M. N., Romaguera, D., Giménez, M. A., Lobo, M. O., & Samman, N. C. (2014). Prevalence and determinants of the dual burden of malnutrition at the household level in Puna and Quebrada of Humahuaca, Jujuy, Argentina. Nutrición Hospitalaria, 29(2),322-30. https://n9.cl/54fmbk
Bejarano, I., Dipierri, J., Alfaro, E., Quispe, Y., & Cabrera, G. (2005). Evolución de la prevalencia de sobrepeso, obesidad y desnutrición en escolares de San Salvador de Jujuy. Archivos Argentinos de Pediatría, 103(2), 101-109. https://www.sap.org.ar/docs/publicaciones/archivosarg/2005/A2.101-109.pdf
Bejarano, I. F., Oyhenart, E. E., Torres, M. F., Cesani, M. F., Garraza, M., Navazo, B., Zonta, M. L., Luis, M. A., Quintero, F. A., Dipierri, J. E., Alfaro, E., Román, E. M., Carrillo, R., Dahinten, S., Lomaglio, D. B., Menecier, N., & Marrodán, M. D. (2019). Extended composite index of anthropometric failure in Argentinean preschool and school children. Public Health Nutrition, 22(18), 3327–3335. https://doi.org/10.1017/S1368980019002027
Bergel Sanchís, M. L., Cesani, M. F., & Oyhenart, E. E. (2017). Contexts of occurrence of child malnutrition in the district of Villaguay, Entre Ríos, Argentina. A multivariate analysis. PloS One, 12(4), e0176346. https://doi.org/10.1371/journal.pone.0176346
Black, R. E., Walker, N., Laxminarayan, R., & Temmerman, M. (2016). Reproductive, Maternal, Newborn, and Child Health: Key Messages of This Volume. In R. E. Black, R. Laxminarayan, M. Temmerman, & N. Walker (Eds.), Reproductive, Maternal, Newborn, and Child Health: Disease Control Priorities (pp. 1-24, 3rd Ed., Vol. 2). The International Bank for Reconstruction and Development / The https://openknowledge.worldbank.org/entities/publication/cd1d6df2-0d29-56e8-a3dd-5633f1a089ae
Bolzán, A., Mercer, R., Ruiz, V., Brawerman, J., Marx, J., Adrogué, G. Carioli, N., & Cordero, C. (2005). Evaluación nutricional antropométrica de la niñez pobre del norte argentino: Proyecto encuNa. Archivos Argentinos de Pediatría, 103(6), https://www.sap.org.ar/docs/publicaciones/archivosarg/2005/545.pdf
Bolzán, A., & Mercer, R. (2009). Seguridad alimentaria y retardo crónico del crecimiento en niños pobres del norte argentino. Archivos Argentinos de Pediatría, 107(3), 221-228. https://n9.cl/z8tou
Bove, I., Miranda, T., Campoy, C., Uauy, R., & Napol, M. (2012). Stunting, overweight and child development impairment go hand in hand as key problems of early infancy: Uruguayan case. Early Human Development, 88(9), 747–751. https://doi.org/10.1016/j.earlhumdev.2012.04.002
Brady T. M. (2017). Obesity-Related Hypertension in Children. Frontiers in Pediatrics, 5, 197. https://doi.org/10.3389/fped.2017.00197
Bustamante, M. J., Alfaro, E. L., Dipierri, J. E., & Román, M. D. (2021). Excess weight and thinness over two decades (1996-2015) and spatial distribution in children from Jujuy, Argentina. BMC Public Health, 21(1), 196. https://doi.org/10.1186/s12889-021-10239-4
Case, A., & Paxson, C. (2010). Causes and consequences of early-life health. Demography, 47(Suppl 1), S65–S85. https://doi.org/10.1353/dem.2010.0007
Cao, H., & Vaca, J. (2006). Desarrollo regional en la Argentina: la centenaria vigencia de un patrón de asimetría territorial. EURE (Santiago), 32(95), 95-111. https://dx.doi.org/10.4067/S0250-71612006000100006
Caulfield, L. E., de Onis, M., Blössner, M., & Black, R. E. (2004). Undernutrition as an underlying cause of child deaths associated with diarrhea, pneumonia, malaria, and measles. The American Journal of Clinical Nutrition, 80(1), 193–198. https://doi.org/10.1093/ajcn/80.1.193
Cesani, M. F., Garraza, M., Bergel Sanchís, M. L., Luis, M. A., Torres, M. F., Quintero, F. A., & Oyhenart, E. E. (2013). A comparative study on nutritional status and body composition of urban and rural schoolchildren from Brandsen district (Argentina). PloS One, 8(1), e52792. https://doi.org/10.1371/journal.pone.0052792
Cesani, M. F., Garraza, M., Zonta, M. L., Torres, M. F., Navazo, B., Bergel Sanchís, M. L., Luna, M. E., Gauna, M. E., & Quintero, F. A. (2022). Changes in the prevalence of undernutrition, overweight and obesity in children and adolescents from Buenos Aires, Mendoza, and Misiones provinces (Argentina) over the last two decades. American Journal of Human Biology, 34(8), e23755. https://doi.org/10.1002/ajhb.23755
Conti, G., & Heckman, J. J. (2012). The economics of child well-being. Institute for the Study of Labor (IZA) Discussion Paper N° 8930. https://docs.iza.org/dp6930.pdf
Cordero, M. L., Longhi, F., & Cesani, M. F. (2021). Estado nutricional y asistencia alimentaria en escolares urbanos de Tucumán, Argentina. Revista Española de Nutrición Comunitaria, 27(2). https://www.renc.es/imagenes/auxiliar/files/RENC_2021_2_art_2.pdf
de Onis, M., & Blössner, M. WHO global database on child growth and
malnutrition. WHO/NUT/97.4. Geneva: World Health Organization,
de Onis, M., Borghi, E., Arimond, M., Webb, P., Croft, T., Saha, K., De-Regil, L. M., Thuita, F., Heidkamp, R., Krasevec, J., Hayashi, C., & Flores-Ayala, R. (2019). Prevalence thresholds for wasting, overweight and stunting in children under 5 years. Public Health Nutrition, 22(1), 175–179. https://doi.org/10.1017/S1368980018002434
de Piero Belmonte, A. J., Rossi, M. C., Bassett, M. N., & Samman, N. C. (2017). Food and Nutritional Assessment in Schoolchildren from Mountainous Areas of Argentinean Northwest. Journal of Clinical Nutrition & Dietetics, 3(24), 1-8. https://n9.cl/oib5o
Dewey, K. G., & Begum, K. (2011). Long-term consequences of stunting in early life. Maternal & Child Nutrition, 7 (Suppl 3), 5–18. https://doi.org/10.1111/j.1740-8709.2011.00349.x
Dipasquale, V., Cucinotta, U., & Romano, C. (2020). Acute Malnutrition in Children: Pathophysiology, Clinical Effects and Treatment. Nutrients, 12(8), 2413. https://doi.org/10.3390/nu12082413
Durán, P. (2005). Transición epidemiológica nutricional o el “efecto mariposa”. Archivos Argentinos de Pediatría, 103(3), 195-197. https://www.sap.org.ar/docs/publicaciones/archivosarg/2005/A3.195-197.pdf
Durán, P., Mangialavori, G., Biglieria, A., Kogan, L., & Abeyá Gilardon, E. (2009). Estudio descriptivo de la situación nutricional en niños de 6-72 meses de la República Argentina. Resultados de la Encuesta Nacional de Nutrición y Salud (ENNyS). Archivos Argentinos de Pediatría, 107(5), 397-404. https://www.sap.org.ar/docs/publicaciones/archivosarg/2009/v107n5a06.pdf
Filmer, D., & Pritchett (1999). The impact of public spending on health: does money matter? Social Science & Medicine, 49(10), 1309-1323. https://doi.org/10.1016/S0277-9536(99)00150-1
Flores Villavicencio, M. E., Troyo Sanromán, R., Haro Jiménez, L. P., Lemus García, A., Valle Barbosa, M. A., & Muñóz de la Torre, A. (2005). La desnutrición del siglo XXI y su impacto en las emociones y afrontamientos en niños escolares. Investigación en Salud, VII(3),188-195. https://www.redalyc.org/pdf/142/14220644003.pdf
Freeman, H. E., Klein, R. E., Townsend, J. W., & Lechtig, A. (1980). Nutrition and cognitive development among rural Guatemalan children. American Journal of Public Health, 70(12), 1277–1285. https://doi.org/10.2105/ajph.70.12.1277
Galler, J. R., Bringas-Vega, M. L., Tang, Q., Rabinowitz, A. G., Musa, K. I., Chai, W. J., Omar, H., Abdul Rahman, M. R., Abd Hamid, A. I., Abdullah, J. M., & Valdés-Sosa, P. A. (2021). Neurodevelopmental effects of childhood malnutrition: A Neuroimaging Perspective. NeuroImage, 231, 117828. https://doi.org/10.1016/j.neuroimage.2021.117828
Garraza, M., Cesani, M.F., Navone, G.T. & Oyhenart, E.E. (2016), Malnutrition and body composition in urban and rural schoolchildren: A cross-sectional study in San Rafael, Mendoza (Argentina). American Journal of Human Biology, 28, 796-803. https://doi.org/10.1002/ajhb.22869
Grantham-McGregor, S., Cheung, Y. B., Cueto, S., Glewwe, P., Richter, L., Strupp, B., & the International Child Development Steering Group (2007). Developmental potential in the first 5 years for children in developing countries. The Lancet. Series Child Development in Developing Countries, 369(9555), 60-70. https://doi.org/10.1016/S0140-6736(07)60032-4
Handakas, E., Chang, K., Khandpur, N., Vamos, E. P., Millett, C., Sassi, F., Vineis, P., & Robinson, O. (2022). Metabolic profiles of ultra-processed food consumption and their role in obesity risk in British children. Clinical Nutrition (Edinburgh, Scotland), 41(11), 2537–2548. https://doi.org/10.1016/j.clnu.2022.09.002
Karlsson, O., Kim, R., Guerrero, S., Hasman, A., & Subramanian, S. V. (2022). Child wasting before and after age two years: A cross-sectional study of 94 countries. EClinicalMedicine, 46, 101353. https://doi.org/10.1016/j.eclinm.2022.101353
Kirolos, A., Blacow, R. M., Parajuli, A., Welton, N. J., Khanna, A., Allen, S. J., McAllister, D. A., Campbell, H., & Nair, H. (2021). The impact of childhood malnutrition on mortality from pneumonia: a systematic review and network meta-analysis. BMJ Global Health, 6(11), e007411. https://doi.org/10.1136/bmjgh-2021-007411
Kovalskys, I., Rausch Herscovici, C., & De Gregorio, M. J. (2011). Nutritional status of school-aged children of Buenos Aires, Argentina: data using three references. Journal of Public Health (Oxford, England), 33(3), 403–411. https://doi.org/10.1093/pubmed/fdq079
Lomaglio, D. B. (1999). Estudio antropométrico en escolares de sectores periféricos de la capital de Catamarca, Argentina. Archivos Argentinos de Pediatría, 97(4), 236-240. https://www.sap.org.ar/docs/archivos/1999/arch99_4/99_236_240.pdf
Longhi, F., & del Castillo, A. (2017). Mortalidad infantil por desnutrición y condiciones de pobreza en Tucumán (Argentina): magnitudes, manifestaciones espaciales y acciones familiares en los primeros años del siglo XXI. Papeles de Geografía, 63, 91-112. https://doi.org/10.6018/geografia/2017/284351
Longhi, F., Gómez, A., Zapata, M. E., Paolasso, P., Olmos, F., & Margarido, S. R. (2018). La desnutrición en la niñez argentina en los primeros años del siglo XXI: un abordaje cuantitativo. Salud Colectiva, 14(1), 33–50. https://doi.org/10.18294/sc.2018.1176
Longhi, F., Gómez, A., & Olmos, M. F. (2020). Desnutrición e infancia en Argentina: Dimensiones, tendencias y miradas actuales sobre el problema a partir de la combinación de un diseño observacional y cualitativo. Revista Española de Nutrición Humana y Dietética, 24(3), 203-217. https://doi.org/10.14306/renhyd.24.3.933
Martins, V. J., Toledo Florêncio, T. M., Grillo, L. P., do Carmo P Franco, M., Martins, P. A., Clemente, A. P., Santos, C. D., de Fatima A Vieira, M., & Sawaya, A. L. (2011). Long-lasting effects of undernutrition. International Journal of Environmental Research and Public Health, 8(6), 1817–1846. https://doi.org/10.3390/ijerph8061817
Marcovecchio, M. L., Mohn, A., & Chiarelli, F. (2010). Obesity and insulin resistance in children. Journal of Pediatric Gastroenterology and Nutrition, 51(Supp. 3), S149-S150. https://n9.cl/3nz7u
Muniagurria, M. E., & Novak, B. (2014). Family structure and child health in Argentina. International Journal of Sociology of the Family, 40(2), 175-198. https://www.jstor.org/stable/43488423
Navazo, B., Dahinten, S. L., & Oyhenart, E. E. (2018). Malnutrición y pobreza estructural. Comparación de dos cohortes de escolares de Puerto Madryn, Argentina. Revista de Salud Pública, 20(1), 60-66. https://revistas.unal.edu.co/index.php/revsaludpublica/article/view/68576
Neri, D., Steele, E. M., Khandpur, N., Cediel, G., Zapata, M. E., Rauber, F., Marrón-Ponce, J. A., Machado, P., da Costa Louzada, M. L., Andrade, G. C., Batis, C., Babio, N., Salas-Salvadó, J., Millett, C., Monteiro, C. A., Levy, R. B., & NOVA Multi-Country Study Group on Ultra-Processed Foods, Diet Quality and Human Health (2022). Ultraprocessed food consumption and dietary nutrient profiles associated with obesity: A multicountry study of children and adolescents. Obesity Reviews, 23(Suppl 1), e13387. https://doi.org/10.1111/obr.13387
Novak, B., & Muniagurria, M. E. (2017). El rol de la estrutura familiar en el acortamiento de la estatura (baja talla por edad) de pré-escolares argentinos de dos a cinco años. Papeles de Población, 92(23), 245-269. https://rppoblacion.uaemex.mx/article/view/8243
Nuñez, P. A., Fernández, M. S., Turjanski, P., Pérez, A., Rivero, M. R., De Angelo, C., Salomón, O. D., & Cueto, G. (2020). Substantial reduction in child stunting is differentially associated to geographical and socioeconomic disparities in Misiones Province, Argentina. Tropical Medicine & International Health: TM & IH, 25(7), 874–885. https://doi.org/10.1111/tmi.13400
Oyhenart, E. E., Dahinten, S. L., Alba, J. A., Alfaro, E. L., Bejarano, I. F., Cabrera, G. E., Cesani, M. F., Dipierri, J.E., Forte, L. M., Lamaglio, D. B., Luis, M. A., Luna, M. E., Madorran, M. D., Moreno Romero, S., Orden, A. B., Quintero, F. A., Sire, M. L., Torres, M. F., Verón, J. A., & Savatti, J. R. (2008). Estado nutricional infanto juvenil en seis provincias de Argentina: variación regional. Revista Argentina de Antropología Biológica, 10(1), 1-62. https://revistas.unlp.edu.ar/raab/article/view/198
Padula, G., Seoane, A. I., & Salceda, S. A. (2012). Variations in estimates of underweight, stunting, wasting, overweight and obesity in children from Argentina comparing three growth charts. Public Health Nutrition, 15(11), 2086–2090. https://doi.org/10.1017/S136898001200095X
Padula, G., & Salceda, S. A. (2013). Prevalencias de desnutrición global, desmedro, sobrepeso y obesidad: su evolución en niños de Azampay (Catamarca, Argentina). Runa, 34(2), 233-244. http://revistascientificas.filo.uba.ar/index.php/runa/article/view/645
Palloni, A. (2006). Reproducing inequalities: luck, wallets, and the enduring effects of childhood health. Demography, 43(4), 587-615. https://doi.org/10.1353/dem.2006.0036
Rice, A. L., Sacco, L., Hyder, A., & Black, R. E. (2000). Malnutrition as an underlying cause of childhood deaths associated with infectious diseases in developing countries. Bulletin of the World Health Organization, 78(10), 1207–1221. https://www.scielosp.org/pdf/bwho/2000.v78n10/1207-1221/en
Roth, D. E., Krishna, A., Leung, M., Shi, J., Bassani, D. G., & Barros, A. (2017). Early childhood linear growth faltering in low-income and middle-income countries as a whole-population condition: analysis of 179 Demographic and Health Surveys from 64 countries (1993-2015). The Lancet. Global health, 5(12), e1249–e1257. https://doi.org/10.1016/S2214-109X(17)30418-7
Sahoo, K., Sahoo, B., Choudhury, A. K., Sofi, N. Y., Kumar, R., & Bhadoria, A. S. (2015). Childhood obesity: causes and consequences. Journal of Family Medicine and Primary Care, 4(2), 187–192. https://doi.org/10.4103/2249-4863.154628
Walker, S. P., Chang, S. M., Powell, C. A., Simonoff, E., & Grantham-McGregor, S. M. (2007). Early childhood stunting is associated with poor psychological functioning in late adolescence and effects are reduced by psychosocial stimulation. The Journal of Nutrition, 137(11), 2464–2469. https://doi.org/10.1093/jn/137.11.2464
Zapata, M. E., Soruco, A. I., & Carmuega, E. (2020). Malnutrition in all its forms and socio-economic indicators in Argentina. Public Health Nutrition, 23(S1), s13–s20. https://doi.org/10.1017/S1368980019003124
Zapata, M. E. & Rovirosa, A. (2021). La alimentación en la Argentina: una mirada desde distintas aproximaciones. CAPA II.: Consumo aparente de alimentos y nutrientes a nivel hogar. Centro de Estudios sobre Nutrición Infantil – CESNI. https://cesni-biblioteca.org/archivos/CAPA-2.pdf
Other Sources
Ministerio de Hacienda [Ministry of Finance]. (2017). Resolución 426-E/2017. September 15, 2017. https://www.argentina.gob.ar/normativa/nacional/resoluci%C3%B3n-426-2017-279545/texto
Ministerio de Salud [Ministry of Health]. (2022). Datos Abiertos del Ministerio de Salud. http://datos.salud.gob.ar
Organización Panamericana de la Salud [Pan American Health Organization] (OPS) (2019). Alimentos y bebidas ultraprocesados en América Latina: ventas, fuentes, perfiles de nutrientes e implicaciones. Washington, D.C.: OPS; 2019. https://iris.paho.org/bitstream/handle/10665.2/51523/9789275320327_spa.pdf?sequence=1&isAllowed=y
Secretaría de Salud y Desarrollo Social [Secretary of Health and Social Development] (2018), Sobrepeso y obesidad en niños, niñas y adolescentes según datos del primer nivel de atención en la Argentina. 2018. https://www.unicef.org/argentina/sobrepeso-y-obesidad
United Nations Children´s Fund (UNICEF) (1998). The state of the world’s children 1998 — Oxford and New York: Oxford University Press for UNICEF
United Nations Children´s Fund (UNICEF) (2006), Progress for children: A report card for nutrition, Nueva York, N° 4, Mayo 2006.
United Nations Children´s Fund (UNICEF) Regional Office for Latin America and the Caribbean (2019), Childhood Overweight and the Retail Environment in Latin America and the Caribbean: Synthesis report, United Nations Children’s Fund, Panama City, September 2019.
World Health Organization (WHO) (2006). WHO Child Growth Standards: methods and development, length/height-for-age, weight-for-age, weight-for-length, weight-for-height and body mass index-forage. http://www.who.int/childgrowth/standards/technical_report/en/
World Health Organization (WHO) (2010). WHO Anthro for personal computers, version 3.2.2, 2011: Software for assessing growth and development of the world's children. Geneva: WHO, 2010. http://www.who.int/childgrowth/software/en/
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