{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,23]],"date-time":"2026-03-23T20:52:51Z","timestamp":1774299171919,"version":"3.50.1"},"reference-count":60,"publisher":"Cambridge University Press (CUP)","issue":"3","license":[{"start":{"date-parts":[[2013,3,4]],"date-time":"2013-03-04T00:00:00Z","timestamp":1362355200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Public Health Nutr."],"published-print":{"date-parts":[[2014,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S1368980013000190_abs1\" sec-type=\"general\"><jats:title>Objective<\/jats:title><jats:p>To examine the prevalence of stunting and overweight in children and identify demographic, socio-economic and maternal characteristics, as well as biochemical indicators, associated with these outcomes.<\/jats:p><\/jats:sec><jats:sec id=\"S1368980013000190_abs2\" sec-type=\"general\"><jats:title>Design<\/jats:title><jats:p>A population-based, cross-sectional study was performed. Data from structured questionnaires, anthropometric measurements, and blood and stool samples were used in Poisson regression models to estimate prevalence ratios (PR) according to a hierarchical conceptual framework.<\/jats:p><\/jats:sec><jats:sec id=\"S1368980013000190_abs3\" sec-type=\"general\"><jats:title>Setting<\/jats:title><jats:p>Acrel\u00e2ndia, western Brazilian Amazon.<\/jats:p><\/jats:sec><jats:sec id=\"S1368980013000190_abs4\" sec-type=\"subjects\"><jats:title>Subjects<\/jats:title><jats:p>Children (<jats:italic>n<\/jats:italic> 1139) aged &lt;10 years.<\/jats:p><\/jats:sec><jats:sec id=\"S1368980013000190_abs5\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>Prevalence of stunting was 7\u00b71 % (95 % CI 5\u00b71, 9\u00b76 %) and 3\u00b77 % (95 % CI 2\u00b74, 5\u00b77 %) among children aged &lt;5 years and \u22655 years, respectively; overweight was detected in 20\u00b76 % (95 % CI 17\u00b74, 24\u00b72 %) and 9\u00b74 % (95 % CI 7\u00b72, 12\u00b71 %) of children aged &lt;5 years and \u22655 years, respectively. Among children &lt;5 years of age, stunting was positively associated with the lowest maternal height tertile (PR = 3\u00b709, 95 % CI 1\u00b726, 7\u00b763), low birth weight (PR = 2\u00b770, 95 % CI 1\u00b741, 5\u00b719), diarrhoea for \u22653d (PR = 2\u00b721, 95 % CI 1\u00b703, 4\u00b777) and geohelminth infections (PR = 2\u00b753, 95 % CI 1\u00b702, 6\u00b713). Overweight in children &lt;5 years of age was positively associated with caesarean delivery (PR = 1\u00b745, 95 % CI 1\u00b702, 2\u00b706), birth weight \u22653500 g (PR = 1\u00b782, 95 % CI 1\u00b730, 2\u00b755) and Fe deficiency (PR = 1\u00b764, 95 % CI 1\u00b707, 2\u00b753). Among children aged \u22655 years, land or livestock ownership (PR = 1\u00b785, 95 % CI 1\u00b707, 3\u00b722), maternal overweight (PR = 2\u00b706, 95 % CI 1\u00b723, 3\u00b747), high C-reactive protein concentration (PR = 2\u00b743, 95 % CI 1\u00b726, 4\u00b770), vitamin A deficiency (PR = 1\u00b797, 95 % CI 1\u00b713, 3\u00b741) and high serum TAG concentration (PR = 2\u00b716, 95 % CI 1\u00b727, 3\u00b768) were associated with overweight.<\/jats:p><\/jats:sec><jats:sec id=\"S1368980013000190_abs6\" sec-type=\"conclusion\"><jats:title>Conclusions<\/jats:title><jats:p>Overweight was more prevalent than stunting, being associated with higher household wealth, maternal overweight, caesarean delivery, high birth weight, micronutrient deficiencies and high TAG concentration. Improvements in maternal and child health care with sustainable access to healthy food are necessary to reduce short- and long-term health complications related to overweight in this population.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s1368980013000190","type":"journal-article","created":{"date-parts":[[2013,3,4]],"date-time":"2013-03-04T13:36:33Z","timestamp":1362404193000},"page":"551-560","source":"Crossref","is-referenced-by-count":18,"title":["Factors associated with stunting and overweight in Amazonian children: a population-based, cross-sectional study"],"prefix":"10.1017","volume":"17","author":[{"given":"Fernanda","family":"Cobayashi","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ros\u00e2ngela Aparecida","family":"Augusto","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B\u00e1rbara Hatzlhoffer","family":"Louren\u00e7o","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pascoal Torres","family":"Muniz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marly Augusto","family":"Cardoso","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2013,3,4]]},"reference":[{"key":"S1368980013000190_ref12","doi-asserted-by":"publisher","DOI":"10.1017\/S1368980008003716"},{"key":"S1368980013000190_ref31","doi-asserted-by":"publisher","DOI":"10.2471\/BLT.09.069195"},{"key":"S1368980013000190_ref2","volume-title":"Pesquisa Nacional de Demografia e Sa\u00fade da crian\u00e7a e da mulher \u2013 Dimens\u00f5es do processo reprodutivo e da sa\u00fade da crian\u00e7a","year":"2009"},{"key":"S1368980013000190_ref25","doi-asserted-by":"publisher","DOI":"10.1089\/152308604322899305"},{"key":"S1368980013000190_ref33","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(07)61690-0"},{"key":"S1368980013000190_ref46","first-page":"1","article-title":"High birth weight and obesity \u2013 a vicious circle across generations","volume":"13","author":"Cnattingius","year":"2011","journal-title":"Int J Obes (Lond)"},{"key":"S1368980013000190_ref53","doi-asserted-by":"publisher","DOI":"10.1038\/ijo.2011.150"},{"key":"S1368980013000190_ref32","doi-asserted-by":"crossref","first-page":"1592S","DOI":"10.1093\/jn\/133.5.1592S","article-title":"The epidemiology of adverse pregnancy outcomes: an overview","volume":"133","author":"Kramer","year":"2003","journal-title":"J Nutr"},{"key":"S1368980013000190_ref52","doi-asserted-by":"publisher","DOI":"10.1038\/sj.ijo.0803141"},{"key":"S1368980013000190_ref58","doi-asserted-by":"publisher","DOI":"10.1017\/S0007114507691831"},{"key":"S1368980013000190_ref30","doi-asserted-by":"publisher","DOI":"10.1590\/S1415-790X2012000100019"},{"key":"S1368980013000190_ref39","doi-asserted-by":"publisher","DOI":"10.3945\/jn.108.098111"},{"key":"S1368980013000190_ref17","volume-title":"Anthropometric Standardization Reference Manual","author":"Lohman","year":"1988"},{"key":"S1368980013000190_ref43","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-10-760"},{"key":"S1368980013000190_ref22","doi-asserted-by":"publisher","DOI":"10.3945\/ajcn.2010.29284"},{"key":"S1368980013000190_ref20","doi-asserted-by":"publisher","DOI":"10.3109\/17477161003615583"},{"key":"S1368980013000190_ref11","doi-asserted-by":"publisher","DOI":"10.1038\/sj.ejcn.1602237"},{"key":"S1368980013000190_ref29","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/26.1.224"},{"key":"S1368980013000190_ref27","first-page":"283","article-title":"The sedimentation concentration method in Schistosomiasis mansoni","volume":"9","author":"Hoffman","year":"1934","journal-title":"PR J Public Health Trop Med"},{"key":"S1368980013000190_ref4","volume-title":"Pesquisa de Or\u00e7amentos Familiares 2008\u20132009. 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