{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T22:07:44Z","timestamp":1791929264144,"version":"4.3.4"},"reference-count":63,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2020,8,23]],"date-time":"2020-08-23T00:00:00Z","timestamp":1598140800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Maternal &amp; Child Nutrition"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Children with concurrent wasting and stunting (WaSt) and children with severe wasting have a similar risk of death. Existing evidence shows that wasting and stunting share similar causal pathways, but evidence on correlates of WaSt remains limited. Research on correlates of WaSt is needed to inform prevention strategies. We investigated the factors associated with WaSt in children 6\u201359 months in Karamoja Region, Uganda.<\/jats:p>\n                  <jats:p>\n                    We examined data for 33,054 children aged 6\u201359 months using June 2015 to July 2018 Food Security and Nutrition Assessment in Karamoja. We defined WaSt as being concurrently wasted (weight\u2010for\u2010height z\u2010scores &lt;\u22122.0) and stunted (height\u2010for\u2010age z\u2010score &lt;\u22122.0). We conducted multivariate mixed\u2010effect logistic regression to assess factors associated with WaSt. Statistical significance was set at\n                    <jats:italic>p<\/jats:italic>\n                    &lt; 0.05.\n                  <\/jats:p>\n                  <jats:p>\n                    In multivariate analysis, being male (adjusted odds ratio [aOR] = 1.79; 95% confidence interval [CI] [1.60\u20132.00]), aged 12\u201323 months (aOR = 2.25; 95% CI [1.85\u20132.74]), 36\u201347 months (aOR = 0.65; 95% CI [0.50\u20130.84]) and 48\u201359 months (aOR = 0.71; 95% CI [0.54\u20130.93]) were associated with WaSt. In addition, acute respiratory infection (aOR = 1.30; 95% CI [1.15\u20131.48]), diarrhoea (aOR = 1.25; 95% CI [1.06\u20131.48]) and malaria\/fever (aOR = 0.83; 95% CI [0.73\u20130.96]) episodes were associated with WaSt. WaSt was significantly associated with maternal underweight (body mass index &lt;18.5 kg\/m\n                    <jats:sup>2<\/jats:sup>\n                    ), short stature (height &lt;160 cm), low mid\u2010upper arm circumference (MUAC &lt;23 cm) and having \u22654 live\u2010births. WaSt was prevalent in households without livestock (aOR = 1.30; 95% CI [1.13\u20131.59]).\n                  <\/jats:p>\n                  <jats:p>Preventing the occurrence of WaSt through pragmatic and joint approaches are recommended. Future prospective studies on risk factors of WaSt to inform effective prevention strategies are recommended.<\/jats:p>","DOI":"10.1111\/mcn.13074","type":"journal-article","created":{"date-parts":[[2020,8,24]],"date-time":"2020-08-24T06:29:01Z","timestamp":1598250541000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":45,"title":["Factors associated with concurrent wasting and stunting among children 6\u201359 months in Karamoja, Uganda"],"prefix":"10.1111","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5004-3701","authenticated-orcid":false,"given":"Gloria Adobea","family":"Odei Obeng\u2010Amoako","sequence":"first","affiliation":[{"name":"Clinical Epidemiology Unit, School of Medicine, College of Health Sciences Makerere University  Kampala Uganda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charles Amnon Sunday","family":"Karamagi","sequence":"additional","affiliation":[{"name":"Clinical Epidemiology Unit, School of Medicine, College of Health Sciences Makerere University  Kampala Uganda"},{"name":"Department of Paediatrics and Child Health, College of Health Sciences Makerere University  Kampala Uganda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joanita","family":"Nangendo","sequence":"additional","affiliation":[{"name":"Clinical Epidemiology Unit, School of Medicine, College of Health Sciences Makerere University  Kampala Uganda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jaffer","family":"Okiring","sequence":"additional","affiliation":[{"name":"Clinical Epidemiology Unit, School of Medicine, College of Health Sciences Makerere University  Kampala Uganda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yerusa","family":"Kiirya","sequence":"additional","affiliation":[{"name":"Clinical Epidemiology Unit, School of Medicine, College of Health Sciences Makerere University  Kampala Uganda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richmond","family":"Aryeetey","sequence":"additional","affiliation":[{"name":"School of Public Health University of Ghana  Accra Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ezekial","family":"Mupere","sequence":"additional","affiliation":[{"name":"School of Public Health University of Ghana  Accra Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1119-1474","authenticated-orcid":false,"given":"Mark","family":"Myatt","sequence":"additional","affiliation":[{"name":"Brixton Health  Llawryglyn Powys, Wales UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9390-8541","authenticated-orcid":false,"given":"Andr\u00e9","family":"Briend","sequence":"additional","affiliation":[{"name":"School of Medicine, Centre for Child Health Research University of Tampere  Tampere Finland"},{"name":"Department of Nutrition, Exercise and Sports University of Copenhagen  Copenhagen Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joan Nakayaga","family":"Kalyango","sequence":"additional","affiliation":[{"name":"Clinical Epidemiology Unit, School of Medicine, College of Health Sciences Makerere University  Kampala Uganda"},{"name":"Department of Pharmacy, College of Health Sciences Makerere University  Kampala Uganda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Henry","family":"Wamani","sequence":"additional","affiliation":[{"name":"Department of Community Health and Behavioural Sciences, School of Public Health, College of Health Sciences Makerere University  Kampala Uganda"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,8,23]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12887-019-1482-y"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph14080863"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.respe.2018.05.300"},{"key":"e_1_2_10_5_1","unstructured":"Behnke R. 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