{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T15:30:27Z","timestamp":1790695827617,"version":"4.1.0"},"reference-count":0,"publisher":"Instituto Nacional de Salud (Peru)","license":[{"start":{"date-parts":[[2025,3,18]],"date-time":"2025-03-18T00:00:00Z","timestamp":1742256000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Peru Med Exp Salud Publica"],"abstract":"<jats:p>Objetivo. Determinar los factores asociados a la desnutrici\u00f3n cr\u00f3nica infantil (DCI) en dos regiones peruanas: Huancavelica y Loreto. Materiales y m\u00e9todos.\u00a0 Se realiz\u00f3 un an\u00e1lisis a cuatro evaluaciones transversales repetidas anidadas en una cohorte\u00a0 prospectiva de ni\u00f1os atendidos en establecimientos de\u00a0 salud de primer nivel de atenci\u00f3n. Se recopilaron datos\u00a0 sobre caracter\u00edsticas del ni\u00f1o, la madre y el hogar,\u00a0 incluyendo informaci\u00f3n antropom\u00e9trica, lactancia,\u00a0 alimentaci\u00f3n complementaria, y condiciones\u00a0 socioecon\u00f3micas. A trav\u00e9s de un modelo lineal\u00a0 generalizado se calcul\u00f3 las razones de prevalencias (RP) por cada una de las cuatro evaluaciones trimestrales de la cohorte (3\u00b0, 6\u00b0, 9\u00b0 y 12\u00b0 meses). Resultados. Factores como sexo masculino, uso de biber\u00f3n y empleo de combustibles contaminantes se asociaron con mayor riesgo de DCI, mientras que recibir seis o m\u00e1s controles prenatales y ser beneficiario del programa JUNTOS actuaron como factores protectores. Las madres con\u00a0 lengua materna distinta al castellano, que trabajaban o\u00a0 estudiaban, o con limitada participaci\u00f3n en las\u00a0 decisiones familiares, tambi\u00e9n presentaron mayor riesgo de DCI. Adem\u00e1s, se identificaron asociaciones inesperadas, como la inseguridad alimentaria actuando como factor protector, reflejando posibles sesgos o efectos confusores. Conclusiones. Los hallazgos resaltan la importancia de abordar las desigualdades en la atenci\u00f3n prenatal, pr\u00e1cticas alimentarias y participaci\u00f3n de las madres en la toma de decisiones del hogar para prevenir la DCI en contextos vulnerables.<\/jats:p>","DOI":"10.17843\/rpmesp.2025.421.13662","type":"journal-article","created":{"date-parts":[[2025,4,8]],"date-time":"2025-04-08T15:07:10Z","timestamp":1744124830000},"page":"14-27","source":"Crossref","is-referenced-by-count":1,"title":["Factores asociados a la desnutrici\u00f3n cr\u00f3nica infantil durante los primeros 12 meses en ni\u00f1os de una cohorte de Per\u00fa","Factors associated with childhood chronic malnutrition during the first 12 months of life in children from a peruvian cohort"],"prefix":"10.17843","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1757-9111","authenticated-orcid":false,"given":"Bladimir","family":"Morales-Cahuancama","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2160-5629","authenticated-orcid":false,"given":"Elena","family":"Gonzales-Achuy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7084-088X","authenticated-orcid":false,"given":"Gilmer","family":"Solis-S\u00e1nchez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8306-8283","authenticated-orcid":false,"given":"Cinthia","family":"Quispe-Gala","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1815-8952","authenticated-orcid":false,"given":"William","family":"Bautista-Olortegui","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7690-0676","authenticated-orcid":false,"given":"Gabriela","family":"Santos-Antonio","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1592-4586","authenticated-orcid":false,"given":"Pa\u00fal","family":"Hinojosa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9159-7997","authenticated-orcid":false,"given":"Juan Pablo","family":"Aparco","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"7920","published-online":{"date-parts":[[2025,3,18]]},"container-title":["Revista Peruana de Medicina Experimental y Salud P\u00fablica"],"original-title":[],"link":[{"URL":"https:\/\/rpmesp.ins.gob.pe\/index.php\/rpmesp\/article\/download\/13662\/5846","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/rpmesp.ins.gob.pe\/index.php\/rpmesp\/article\/download\/13662\/5846","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,8]],"date-time":"2025-04-08T15:07:11Z","timestamp":1744124831000},"score":1,"resource":{"primary":{"URL":"https:\/\/rpmesp.ins.gob.pe\/index.php\/rpmesp\/article\/view\/13662"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3,18]]},"references-count":0,"URL":"https:\/\/doi.org\/10.17843\/rpmesp.2025.421.13662","relation":{},"ISSN":["1726-4642","1726-4634"],"issn-type":[{"value":"1726-4642","type":"electronic"},{"value":"1726-4634","type":"print"}],"subject":[],"published":{"date-parts":[[2025,3,18]]}}}