Estimating the burden of disease attributable to childhood and maternal undernutrition in South Africa in 2000

 

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dc.contributor.author Nannan, Nadine
dc.contributor.author Norman, Rosana
dc.contributor.author Hendricks, Michael
dc.contributor.author Dhansay, Muhammad A
dc.contributor.author Bradshaw, Debbie
dc.contributor.author South African Comparative Risk Assessment Collaborating Group
dc.date.accessioned 2017-05-12T13:29:45Z
dc.date.available 2017-05-12T13:29:45Z
dc.date.issued 2007
dc.identifier.citation Nannan, N., Norman, R., Hendricks, M., Dhansay, M. A., Bradshaw, D., & Collaboration, S. A. C. R. A. (2007). Estimating the burden of disease attributable to childhood and maternal undernutrition in South Africa in 2000. South African Medical Journal, 97(8), 733-739.
dc.identifier.uri http://hdl.handle.net/11427/24281
dc.description.abstract Objectives. To estimate the disease burden attributable to being underweight as an indicator of undernutrition in children under 5 years of age and in pregnant women for the year 2000. Design. World Health Organization comparative risk assessment (CRA) methodology was followed. The 1999 National Food Consumption Survey prevalence of underweight classified in three low weight-for-age categories was compared with standard growth charts to estimate population-attributable fractions for mortality and morbidity outcomes, based on increased risk for each category and applied to revised burden of disease estimates for South Africa in 2000. Maternal underweight, leading to an increased risk of intra-uterine growth retardation and further risk of low birth weight (LBW), was also assessed using the approach adopted by the global assessment. Monte Carlo simulation-modelling techniques were used for the uncertainty analysis. Setting. South Africa. Subjects. Children under 5 years of age and pregnant women. Outcome measures. Mortality and disability-adjusted life years (DALYs) from protein- energy malnutrition and a fraction of those from diarrhoeal disease, pneumonia, malaria, other nonHIV/AIDS infectious and parasitic conditions in children aged 0 - 4 years, and LBW. Results. Among children under 5 years, 11.8% were underweight. In the same age group, 11 808 deaths (95% uncertainty interval 11 100 - 12 642) or 12.3% (95% uncertainty interval 11.5 - 13.1%) were attributable to being underweight. Protein-energy malnutrition contributed 44.7% and diarrhoeal disease 29.6% of the total attributable burden. Childhood and maternal underweight accounted for 2.7% (95% uncertainty interval 2.6 - 2.9%) of all DALYs in South Africa in 2000 and 10.8% (95% uncertainty interval 10.2 - 11.5%) of DALYs in children under 5. Conclusions. The study shows that reduction of the occurrence of underweight would have a substantial impact on child mortality, and also highlights the need to monitor this important indicator of child health.
dc.source South African Medical Journal
dc.source.uri http://www.ajol.info/index.php/samj/article/view/13904/59683
dc.title Estimating the burden of disease attributable to childhood and maternal undernutrition in South Africa in 2000
dc.type Journal Article en_ZA
dc.date.updated 2016-01-08T09:40:24Z
uct.type.publication Research en_ZA
uct.type.resource Article en_ZA
dc.publisher.institution University of Cape Town
dc.publisher.faculty Faculty of Health Sciences en_ZA
dc.publisher.department Division of Child and Adolescent Psychiatry en_ZA
uct.type.filetype Text
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