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Factors Associated with Growth and Weight Status in Indigenous Children Under 5 Years of Age in Northeastern Brazil

2026-06Artigo científico Acesso aberto
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dc.contributor.authordos Anjos, Ana Beatriz Sousa Luz
dc.contributor.authorde Oliveira, Valéria Clarisse
dc.contributor.authordos Santos, Tamara Rodrigues
dc.contributor.authorFerreira, Haroldo da Silva
dc.contributor.authorCardoso, Marly Augusto
dc.contributor.authorLourenço, Bárbara Hatzlhoffer
dc.contributor.institutionLaboratório Associado de Translacção e Inovação para a Saúde Global - LA Real (Pólo IHMT)
dc.contributor.institutionPopulation health, policies and services (PPS)
dc.contributor.institutionGlobal Health and Tropical Medicine (GHTM)
dc.contributor.institutionInstituto de Higiene e Medicina Tropical (IHMT)
dc.contributor.pblSpringer Science Business Media
dc.date.accessioned2026-06-22T01:46:01Z
dc.date.available2026-06-22T01:46:01Z
dc.date.issued2026-06
dc.descriptionFunding information: The Article Processing Charge (APC) for the publication of this research was funded by the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - Brasil (CAPES) (ROR identifier: 00x0ma614). This study was supported by the Brazilian National Council for Scientific and Technological Development (CNPq 432249/2018-4), São Paulo Research Foundation (FAPESP 2019/22739-4), and Alagoas Research Foundation (FAPEAL 600300000000460/2020). ABSLA and VCO were supported by master scholarships from Coordination for the Improvement of Higher Education Personnel (CAPES), grants nº 88887.836261/2023-00 and 88887.663687/2022-00, respectively (Finance code 001). HSF and MAC are recipients of CNPq senior research scholarships. The funders had no role in study design, data collection and interpretation, or the decision to submit the work for publication. Publisher Copyright: © The Author(s) 2026.
dc.description.abstractObjective: Indigenous children in Brazil experience persistent health and nutritional inequities, yet remain underrepresented in epidemiological research. This study investigated factors associated with the nutritional status of Indigenous children under 5 years in Northeastern Brazil. Methods: A cross-sectional household survey collected demographic, socioeconomic, maternal, perinatal, and anthropometric data of 329 children across 13 Indigenous communities in Alagoas, Brazil. Height-for-age (HAZ) and body mass index-for-age (BAZ) z-scores were calculated using the World Health Organization growth standards. Multiple linear regression models were used to estimate coefficients (β) and confidence intervals (95%CI) of factors associated with HAZ and BAZ. Results: Among 329 Indigenous children (52% boys, mean age [standard deviation, SD]: 2.4 [1.4] years), the mean HAZ was − 0.38 (SD: 1.09) and BAZ was 0.50 (SD: 1.10). Overall, 6.1% of children were stunted (HAZ <-2) and 9.5% were overweight (BAZ > + 2). HAZ was negatively associated with moderate or severe food insecurity (β: −0.37; 95%CI: −0.71, −0.03). Children living in masonry households (β: 0.71; 95%CI: 0.10, 1.32) and whose mothers were taller (β: 0.54; 95%CI: 0.24, 0.85) had higher HAZ. Regarding weight status, maternal underweight (β: −1.02; 95%CI: −2.00, −0.03) and cesarean section (β: 0.38; 95%CI: 0.14, 0.63) were significantly associated with BAZ. Conclusions for Practice: Monitoring the nutritional status of Indigenous children is important in the first years of life. Strengthening traditional practices within Indigenous territories is essential for improved nutritional outcomes.en
dc.description.versionpublishersversion
dc.description.versionpublished
dc.format.extent1013483
dc.identifier.doi10.1007/s10995-026-04274-z
dc.identifier.issn1092-7875
dc.identifier.otherPURE: 165024136
dc.identifier.otherPURE UUID: fb598629-3666-4f9b-af07-6e1298f6023d
dc.identifier.otherScopus: 105039283388
dc.identifier.otherWOS: 001766643700001
dc.identifier.otherPubMed: 42133246
dc.identifier.otherPubMedCentral: PMC13275511
dc.identifier.urihttp://hdl.handle.net/10362/203952
dc.identifier.urlhttps://www.scopus.com/pages/publications/105039283388
dc.language.isoeng
dc.peerreviewedyes
dc.subjectChild nutrition
dc.subjectIndigenous children
dc.subjectNutritional status
dc.subjectOverweight
dc.subjectStunting
dc.subjectEpidemiology
dc.subjectPediatrics, Perinatology, and Child Health
dc.subjectObstetrics and Gynaecology
dc.subjectPublic Health, Environmental and Occupational Health
dc.subjectSDG 2 - Zero Hunger
dc.subjectSDG 3 - Good Health and Well-being
dc.titleFactors Associated with Growth and Weight Status in Indigenous Children Under 5 Years of Age in Northeastern Brazilen
dc.typejournal article
degois.publication.firstPage799
degois.publication.issue6
degois.publication.lastPage808
degois.publication.titleMaternal and Child Health Journal
degois.publication.volume30
dspace.entity.typePublication
rcaap.rightsopenAccess

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