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Poster #103 - Relationship between developmental level and nutritional status in mexican children younger than 5 years

Sat, March 23, 4:15 to 5:30pm, Baltimore Convention Center, Floor: Level 1, Exhibit Hall B

Integrative Statement

Introduction: Malnutrition is a known risk factor for developmental issues. Although childhood obesity is a serious public health issue, the relationship between obesity/overweight and developmental troubles has not been evaluated.

Objective: To evaluate the relationship between developmental level and abnormal nutritional status in children younger than 5 years old at the primary care facilities in México (Guanajuato state).

Methods: Developmental level was assessed through the Child Developmental Evaluation test (CDE or Prueba EDI in Spanish) together with weight-for-height in children 1-59 months old during well-child care visits at 318 primary care facilities of Guanajuato State (central region of México) from December 2013 to June 2015. The Odds Ratio (OR) for developmental level and nutritional status were obtained, and adjusted for sex, age, type of locality, level of marginalization and conditional cash transfer beneficiary status (PROSPERA).

Results: 34,972 participants were included: 50.3% male, 39.5% of very low income level, 58.6% in urban localities and 55.0% subscribers of the PROSPERA Program. By age: 31.9% of 1-12 months; 17.5% of 13-24 months; 16.3% of 25-36 months and 34.3% of 37-59 months. By nutritional status: normal 85.8%, malnutrition 9.1% overweight / obesity 5.0%. Developmental level: 79.1% normal and 20.9% abnormal. The adjusted OR for abnormal development was: a) 1,820 (95% CI: 1,671-1,981) for mild malnutrition; b) 2,796 (95% CI: 2,195-3,562) for moderate malnutrition; c) 14,903 (95% CI: 8,149-27,257) for severe malnutrition; and d) 1,160 (95% CI: 1,030-1,307) for overweight/obesity. The overweight/obesity had a OR for issues in the gross motor area of 1.52 (IC95%: 1.16-1.99) for children of 1-12 months and 1.86 (CI95%: 1.25-2.74) for children of 37-59 months.

Conclusions: In addition to malnutrition, overweight/obesity can also increase the risk of developmental issues, especially gross motor.

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