@article{fdi:010078447,
  title = {{T}aller but thinner : trends in child anthropometry in {S}enegal, 1990-2015},
  author = {{G}arenne, {M}ichel},
  editor = {},
  language = {{ENG}},
  abstract = {{O}bjective : {T}o investigate trends in child anthropometry in {S}enegal between 1990
and 2015 and relate them with potential causes. {S}everal hypotheses were tested:
changes in health status, income, diet and socio-economic status.
{D}esign : {S}tatistical analysis of trends in anthropometric data: height, weight, {BMI}
and associated {Z}-scores calculated with the {CDC}-2000 standard ({C}enters for
{D}isease {C}ontrol and {P}revention): height-for-age ({HAZ}), weight-for-age ({WAZ})
and weight-for-height ({WHZ}). {T}rends were fitted with linear regression models
and were related with changes in health and socio-economic status.
{S}etting: {N}ine nationally representative samples of {S}enegalese children aged
12-59 months, taken between 1986 and 2017 by {D}emographic and {H}ealth
{S}urveys ({DHS}).
{P}articipants : {C}hildren aged 12-59 months.
{R}esults : {O}ver the 25 years of investigation, the average height of children increased
by þ1·88 cm, their average weight by þ0·10 kg, but their {BMI} decreased by
-0·53 kg/m2. {C}orresponding changes expressed in {Z}-scores were þ0·454 in
{HAZ}, þ0·109 in {WAZ} and -0·302 in {WHZ}. {T}his pattern of decreasing stunting while
increasing wasting was correlated with decreasing child mortality, despite small
changes in income per capita and in adult heights or {BMI}. {L}argest improvements
in {HAZ} were among the lower socio-economic strata, while largest declines in
{WHZ} were among higher socio-economic strata.
{C}onclusions : {D}ecline in stunting appeared associated primarily with the control of
infectious diseases, also responsible for the mortality decline. {I}ncrease in wasting
was surprising. {I}t appears associated with small changes in income per capita, and
therefore in diet, in a context of increasing height.},
  keywords = {{SENEGAL}},
  booktitle = {},
  journal = {{P}ublic {H}ealth {N}utritition},
  volume = {23},
  numero = {13},
  pages = {2365--2372},
  ISSN = {1368-9800},
  year = {2020},
  DOI = {10.1017/{S}1368980019003598},
  URL = {https://www.documentation.ird.fr/hor/fdi:010078447},
}