Association between neonatal conditions and anthropometric indicators among children attending daycare centers in Southern Brazil.
Luiz Felipe de Paiva Lourenção, Lara Campos Borim, Laura Thaciane Rodrigues Cassiano and 2 others
PMID 42506972WHAT IT FOUND
No birth or household factor was clearly linked to children's height-for-age.
Body mass index-for-age was linked to food insecurity, lower socioeconomic class, and high-risk pregnancy, but this one-time study cannot show cause.
Key findings
01In the adjusted height-for-age model, no statistically significant and reliable associations were identified.
02Mild, moderate, and severe food insecurity had prevalence ratios of 4.1591, 9.1878, and 38.8732 in the body mass index-for-age model.
03Socioeconomic status was inversely associated with body mass index-for-age, and high-risk pregnancy had a prevalence ratio of 3.04.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
This was a cross-sectional study, so it cannot establish whether birth, feeding, food security, or socioeconomic factors came before or caused changes in height-for-age or body mass index-for-age. It was done in one municipality and only among children attending municipal daycare centers, so it may not apply to other settings. The study did not use a prior sample size calculation. Some neonatal subgroups were small, especially preterm birth and low birth weight, which may have reduced precision and produced wide confidence intervals. The severe food insecurity estimate for height-for-age was unstable. Parents or guardians reported gestational history and socioeconomic information, so recall bias is possible. Non-participation or incomplete data may have introduced selection bias.
Declared interests
The work was supported by CAPES, funding code 001. The paper does not provide additional conflict-of-interest disclosures.
The easy way to misread this
Do not read the food insecurity, socioeconomic, birth weight, or high-risk pregnancy findings as proof that they caused changes in children's body mass index-for-age or height-for-age. This study measured everything at one time, the height-for-age model found no reliable associations, and several estimates were unstable or too imprecise.