@article{fdi:010074365,
  title = {{S}tunting, beyond acute diarrhoea : {G}iardia duodenalis, in {C}ambodia},
  author = {{C}aron, {Y}. and {H}ong, {R}. and {G}authier, {L}udovic and {L}aillou, {A}. and {W}ieringa, {F}ranck and {B}erger, {J}acques and {P}oirot, {E}.},
  editor = {},
  language = {{ENG}},
  abstract = {{B}ackground: {T}he adverse outcomes of malnutrition on the development of a child are well acknowledged as are the broad variety of contextual factors that may impact child nutritional status. {A}dequate nutrient intake and the adoption of appropriate water, sanitation and hygiene measures are largely documented for their positive influence on health. {I}mproved sanitation and protection from human feces can significantly lower the incidence of diarrhea and environmental enteropathy. {H}owever, the impact of excessive exposure to animal feces on child health is less well documented. {O}bjectives: {T}his study tests the hypothesis that there is a positive association between exposure to animal feces, morbidity and anthropometric outcomes in children under 5 years of age, in {C}ambodia. {I}t aims to improve insights that can contribute to discerning high-impact policies that promote children can develop to their full potential. {M}ethods: {D}ata for this study was drawn from the third follow-up round of the {M}y{H}ealth project cohort study that is conducted in six districts of three {C}ambodian provinces ({P}hnom {P}enh, {K}ratie and {R}atanak {K}iri). {T}he analysis included a sample of 639 children under 5 years of age. {R}esults: {T}he presence of livestock and more particularly, pigs near the main household dwelling was found a risk factor associated with {G}iardia duodenalis infection (23%). {G}iardia duodenalis infection was found to be a protective factor for acute diarrhea, yet, associated with stunting in the univariate model. {C}onclusions: {P}reventive measures that protect from extensive exposure to animal feces may be most effective to prevent infection with {G}iardia duodenalis and consequent stunting, thereby improving the potential for a healthy development in young {C}ambodian children. {T}he results support the need for cross-sector policy measures that reinforce comprehensive early childhood interventions towards improving nutritional status as part of a wider set of child welfare and development measures.},
  keywords = {{G}iardia duodenalis ; diarrhea ; livestock ownership ; feces ; stunting ; {CAMBODGE}},
  booktitle = {},
  journal = {{N}utrients},
  volume = {10},
  numero = {10},
  pages = {art. 1420 [15 p.]},
  ISSN = {2072-6643},
  year = {2018},
  DOI = {10.3390/nu10101420},
  URL = {https://www.documentation.ird.fr/hor/fdi:010074365},
}