@article{fdi:010048380,
  title = {{I}ncidence and duration of severe wasting in two {A}frican populations},
  author = {{G}arenne, {M}ichel and {W}illie, {D}. and {M}aire, {B}ernard and {F}ontaine, {O}livier and {E}eckels, {R}. and {B}riend, {A}ndr{\'e} and {V}an den {B}roeck, {J}.},
  editor = {},
  language = {{ENG}},
  abstract = {{O}bjective. {T}he present study aimed to compare two situations of endemic malnutrition among <5-year-old {A}frican children and to estimate the incidence, the duration and the case fatality of severe wasting episodes {D}esign {S}econdary analysis of longitudinal studies, conducted several years ago, which allowed incidence and duration to be calculated from transition rates. {T}he first site was {N}iakhar in {S}enegal, an area under demographic surveillance, where we followed a cohort of children in 1983-5. {T}he second site was {B}wamanda in the {D}emocratic {R}epublic of {C}ongo, where we followed a cohort of children in 1989-92. {B}oth studies enrolled about 5000 children, who were followed by routine visits and systematic anthropometric assessment, every 6 months in the first case and every 3 months in the second case. {R}esults {N}iakhar had less stunting, more wasting and higher death rates than {B}wamanda {D}ifferences in cause-specific mortality included more diseases, more marasmus, but less malaria and severe anaema in {N}iakhar {S}evere wasting had a higher incidence, a higher prevalence and a more marked age profile in {N}iakhar. {H}owever, despite the difference, the estimated mean durations of episodes of severe wasting, calculated by multi-state life table, were similar in the two studied (7.5 months) {N}oteworthy were the differences in the prevalance and incidence of severe wasting depending on the anthropometric indicator (weight-for-height {Z}-score <=-3.0 or mid upper-arm circumference <110mm) and the reference system ({N}ational {C}enter for {H}ealth {S}tatistics 1977, {C}enters for {D}isease {C}ontrol and {P}revention 2000 or {M}ulticentre {G}rowth {R}eference {S}tudy 2006) {C}onclusions. {S}evere wasting appeared as one of the leading cause of death among under-fives it had a high incidence (about 2% per child-semester), long duration of episodes and high case fatality rates (6 to 12%)},
  keywords = {{U}nder-fives ; {A}nthropometry ; {S}evere wasting ; {M}alnutrition ; {W}eight-for-height ; {M}id upper-arm circumference ; {M}ortality ; {I}ncidence ; {C}ase fatality ; {M}ulti-state life tables ; {S}ub-{S}aharan {A}frica ; {N}iakhar ; {B}wamanda},
  booktitle = {},
  journal = {{P}ublic {H}ealth {N}utrition},
  volume = {12},
  numero = {11},
  pages = {1974--1982},
  ISSN = {1368-9800},
  year = {2009},
  DOI = {10.1017/s1368980009004972},
  URL = {https://www.documentation.ird.fr/hor/fdi:010048380},
}