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Subclinical Enteric Parasitic Infections and Growth Faltering in Infants in São Tomé, Africa: A Birth Cohort Study

2018Journal article Open access
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dc.contributor.authorGarzón, M
dc.contributor.authorPereira-da-Silva, L
dc.contributor.authorSeixas, J
dc.contributor.authorPapoila, A
dc.contributor.authorAlves, M
dc.date.accessioned2023-07-04T12:10:30Z
dc.date.available2023-07-04T12:10:30Z
dc.date.issued2018
dc.description.abstractThe associations between enteric pathogenic parasites and growth in infants in São Tomé were explored using a refined anthropometric approach to recognize early growth faltering. A birth cohort study was conducted with follow-up to 24 months of age. Microscopic examination for protozoa and soil-transmitted helminths was performed. Anthropometric assessments included: z-scores for weight-for-length (WLZ), length-for-age (LAZ), weight (WAVZ) and length velocities (LAVZ), length-for-age difference (LAD), and wasting and stunting risk (≤-1 SD). Generalized additive mixed effects regression models were used to explore the associations between anthropometric parameters and enteric parasitic infections and cofactors. A total of 475 infants were enrolled, and 282 completed the study. The great majority of infants were asymptomatic. Giardia lamblia was detected in 35.1% of infants in at least one stool sample, helminths in 30.4%, and Cryptosporidium spp. in 14.7%. Giardia lamblia and helminth infections were significantly associated with mean decreases of 0.10 in LAZ and 0.32 in LAD, and of 0.16 in LAZ and 0.48 in LAD, respectively. Cryptosporidium spp. infection was significantly associated with a mean decrease of 0.43 in WAVZ and 0.55 in LAVZ. The underestimated association between subclinical parasitic enteric infections and mild growth faltering in infants should be addressed in public health policies.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationInt J Environ Res Public Health. 2018 Apr 5;15(4):688pt_PT
dc.identifier.doi10.3390/ijerph15040688pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.17/4591
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherMultidisciplinary Digital Publishing Institute (MDPI)pt_PT
dc.subjectAnthropometrypt_PT
dc.subjectAsymptomatic Infections* / epidemiologypt_PT
dc.subjectBody Weight*pt_PT
dc.subjectChild Development*pt_PT
dc.subjectChild, Preschoolpt_PT
dc.subjectCohort Studiespt_PT
dc.subjectGiardia lamblia / parasitology*pt_PT
dc.subjectHelminthiasis / epidemiologypt_PT
dc.subjectHelminthiasis / parasitology*pt_PT
dc.subjectInfant, Newbornpt_PT
dc.subjectIntestinal Diseases, Parasitic / epidemiologypt_PT
dc.subjectIntestinal Diseases, Parasitic / parasitology*pt_PT
dc.subjectParasitic Diseases / epidemiologypt_PT
dc.subjectParasitic Diseases / parasitology*pt_PT
dc.subjectPregnancypt_PT
dc.subjectSao Tome and Principe / epidemiologypt_PT
dc.subjectHDE CINVpt_PT
dc.titleSubclinical Enteric Parasitic Infections and Growth Faltering in Infants in São Tomé, Africa: A Birth Cohort Studypt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.issue4pt_PT
oaire.citation.startPage688pt_PT
oaire.citation.titleInternational Journal of Environmental Research and Public Healthpt_PT
oaire.citation.volume15pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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