@article{fdi:010076570, title = {{T}he interaction between morbidity and nutritional status among children under five years old in {C}ambodia : a longitudinal study}, author = {{H}ondru, {G}. and {W}ieringa, {F}ranck and {P}oirot, {E}. and {B}erger, {J}acques and {S}om, {S}. {V}. and {T}heary, {C}. and {L}aillou, {A}.}, editor = {}, language = {{ENG}}, abstract = {{E}ven though limited evidence is available, the relationship between morbidity and under-nutrition among children under-five is likely to be a strong two-way association. {T}his study aims to explore this vicious cycle by employing longitudinal data of four periods within a 24 month follow-up, whereby morbidity was captured between two subsequent anthropometric measures. {M}alnutrition was classified according to z-scores of anthropometric measures and morbidity by number of sick days experienced in between. {M}ixed-effects models were used to assess this relation, where dependency of morbidity and nutritional status were interchanged; models were adjusted for province, age, gender, wealth index score, maternal education level, diet, and {W}ater, {S}anitation, and {H}ygiene indicators. {S}tunting and wasting prevalence were 29.9% and 8.9%, respectively, where 21.3% of the children had multiple anthropometric failures. {C}hildren identified as wasted were 35% more likely to experience prolonged illness periods ({OR}: 1.35, 95% {CI}: 1.02-1.56). {T}hose experiencing high proportion of sick days were found to be 64% more likely to become stunted ({OR}: 1.64, 95% {CI}: 1.18-2.29). {T}his study suggests that the link between wasting and stunting could be partly explained by acute illness, where wasting increases the likelihood of prolonged episodes of illness, which increases the risk of stunting.}, keywords = {stunting ; wasting ; anthropometric failure ; morbidity ; children under five ; acute illness ; {CAMBODGE}}, booktitle = {}, journal = {{N}utrients}, volume = {11}, numero = {7}, pages = {art. 1527 [12p.]}, ISSN = {2072-6643}, year = {2019}, DOI = {10.3390/nu11071527}, URL = {https://www.documentation.ird.fr/hor/fdi:010076570}, }