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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Stunting and Wasting Are Associated with Poorer Psychomotor and Mental Development in HIV-Exposed Tanzanian Infants<xref ref-type="author-notes" rid="fn1"><sup>1</sup></xref><xref ref-type="author-notes" rid="fn2"><sup>2</sup></xref></title><author><name sortKey="Mcdonald, Christine M" sort="Mcdonald, Christine M" uniqKey="Mcdonald C" first="Christine M." last="Mcdonald">Christine M. Mcdonald</name><affiliation><nlm:aff id="aff1">Department of Nutrition</nlm:aff></affiliation></author><author><name sortKey="Manji, Karim P" sort="Manji, Karim P" uniqKey="Manji K" first="Karim P." last="Manji">Karim P. Manji</name><affiliation><nlm:aff wicri:cut=", and" id="aff6">Department of Pediatrics and Child Health</nlm:aff></affiliation></author><author><name sortKey="Kupka, Roland" sort="Kupka, Roland" uniqKey="Kupka R" first="Roland" last="Kupka">Roland Kupka</name><affiliation><nlm:aff id="aff1">Department of Nutrition</nlm:aff></affiliation><affiliation><nlm:aff id="aff8">UNICEF West and Central Africa Regional Office, Dakar, Senegal</nlm:aff></affiliation></author><author><name sortKey="Bellinger, David C" sort="Bellinger, David C" uniqKey="Bellinger D" first="David C." last="Bellinger">David C. Bellinger</name><affiliation><nlm:aff id="aff2">Department of Environmental Health</nlm:aff></affiliation><affiliation><nlm:aff id="aff8">UNICEF West and Central Africa Regional Office, Dakar, Senegal</nlm:aff></affiliation><affiliation><nlm:aff wicri:cut="; and" id="aff9">Department of Neurology, Children’s Hospital, Boston, MA</nlm:aff></affiliation></author><author><name sortKey="Spiegelman, Donna" sort="Spiegelman, Donna" uniqKey="Spiegelman D" first="Donna" last="Spiegelman">Donna Spiegelman</name><affiliation><nlm:aff id="aff3">Department of Epidemiology</nlm:aff></affiliation><affiliation><nlm:aff wicri:cut=", and" id="aff4">Department of Biostatistics</nlm:aff></affiliation></author><author><name sortKey="Kisenge, Rodrick" sort="Kisenge, Rodrick" uniqKey="Kisenge R" first="Rodrick" last="Kisenge">Rodrick Kisenge</name><affiliation><nlm:aff wicri:cut=", and" id="aff6">Department of Pediatrics and Child Health</nlm:aff></affiliation></author><author><name sortKey="Msamanga, Gernard" sort="Msamanga, Gernard" uniqKey="Msamanga G" first="Gernard" last="Msamanga">Gernard Msamanga</name><affiliation><nlm:aff id="aff7">Department of Community Health, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania</nlm:aff></affiliation></author><author><name sortKey="Fawzi, Wafaie W" sort="Fawzi, Wafaie W" uniqKey="Fawzi W" first="Wafaie W." last="Fawzi">Wafaie W. Fawzi</name><affiliation><nlm:aff id="aff1">Department of Nutrition</nlm:aff></affiliation><affiliation><nlm:aff id="aff3">Department of Epidemiology</nlm:aff></affiliation><affiliation><nlm:aff id="aff5">Department of Global Health and Population, Harvard School of Public Health, Boston, MA</nlm:aff></affiliation></author><author><name sortKey="Duggan, Christopher P" sort="Duggan, Christopher P" uniqKey="Duggan C" first="Christopher P." last="Duggan">Christopher P. Duggan</name><affiliation><nlm:aff id="aff1">Department of Nutrition</nlm:aff></affiliation><affiliation><nlm:aff id="aff10">Division of GI/Nutrition, Boston Children’s Hospital, Boston, MA</nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">23256148</idno><idno type="pmc">3542911</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3542911</idno><idno type="RBID">PMC:3542911</idno><idno type="doi">10.3945/jn.112.168682</idno><date when="2012">2012</date><idno type="wicri:Area/Pmc/Corpus">001702</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001702</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Stunting and Wasting Are Associated with Poorer Psychomotor and Mental Development in HIV-Exposed Tanzanian Infants<xref ref-type="author-notes" rid="fn1"><sup>1</sup></xref><xref ref-type="author-notes" rid="fn2"><sup>2</sup></xref></title><author><name sortKey="Mcdonald, Christine M" sort="Mcdonald, Christine M" uniqKey="Mcdonald C" first="Christine M." last="Mcdonald">Christine M. Mcdonald</name><affiliation><nlm:aff id="aff1">Department of Nutrition</nlm:aff></affiliation></author><author><name sortKey="Manji, Karim P" sort="Manji, Karim P" uniqKey="Manji K" first="Karim P." last="Manji">Karim P. Manji</name><affiliation><nlm:aff wicri:cut=", and" id="aff6">Department of Pediatrics and Child Health</nlm:aff></affiliation></author><author><name sortKey="Kupka, Roland" sort="Kupka, Roland" uniqKey="Kupka R" first="Roland" last="Kupka">Roland Kupka</name><affiliation><nlm:aff id="aff1">Department of Nutrition</nlm:aff></affiliation><affiliation><nlm:aff id="aff8">UNICEF West and Central Africa Regional Office, Dakar, Senegal</nlm:aff></affiliation></author><author><name sortKey="Bellinger, David C" sort="Bellinger, David C" uniqKey="Bellinger D" first="David C." last="Bellinger">David C. Bellinger</name><affiliation><nlm:aff id="aff2">Department of Environmental Health</nlm:aff></affiliation><affiliation><nlm:aff id="aff8">UNICEF West and Central Africa Regional Office, Dakar, Senegal</nlm:aff></affiliation><affiliation><nlm:aff wicri:cut="; and" id="aff9">Department of Neurology, Children’s Hospital, Boston, MA</nlm:aff></affiliation></author><author><name sortKey="Spiegelman, Donna" sort="Spiegelman, Donna" uniqKey="Spiegelman D" first="Donna" last="Spiegelman">Donna Spiegelman</name><affiliation><nlm:aff id="aff3">Department of Epidemiology</nlm:aff></affiliation><affiliation><nlm:aff wicri:cut=", and" id="aff4">Department of Biostatistics</nlm:aff></affiliation></author><author><name sortKey="Kisenge, Rodrick" sort="Kisenge, Rodrick" uniqKey="Kisenge R" first="Rodrick" last="Kisenge">Rodrick Kisenge</name><affiliation><nlm:aff wicri:cut=", and" id="aff6">Department of Pediatrics and Child Health</nlm:aff></affiliation></author><author><name sortKey="Msamanga, Gernard" sort="Msamanga, Gernard" uniqKey="Msamanga G" first="Gernard" last="Msamanga">Gernard Msamanga</name><affiliation><nlm:aff id="aff7">Department of Community Health, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania</nlm:aff></affiliation></author><author><name sortKey="Fawzi, Wafaie W" sort="Fawzi, Wafaie W" uniqKey="Fawzi W" first="Wafaie W." last="Fawzi">Wafaie W. Fawzi</name><affiliation><nlm:aff id="aff1">Department of Nutrition</nlm:aff></affiliation><affiliation><nlm:aff id="aff3">Department of Epidemiology</nlm:aff></affiliation><affiliation><nlm:aff id="aff5">Department of Global Health and Population, Harvard School of Public Health, Boston, MA</nlm:aff></affiliation></author><author><name sortKey="Duggan, Christopher P" sort="Duggan, Christopher P" uniqKey="Duggan C" first="Christopher P." last="Duggan">Christopher P. Duggan</name><affiliation><nlm:aff id="aff1">Department of Nutrition</nlm:aff></affiliation><affiliation><nlm:aff id="aff10">Division of GI/Nutrition, Boston Children’s Hospital, Boston, MA</nlm:aff></affiliation></author></analytic><series><title level="j">The Journal of Nutrition</title><idno type="ISSN">0022-3166</idno><idno type="eISSN">1541-6100</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Infants born to HIV-infected women are at increased risk of impaired neurodevelopment, but little research has attempted to identify modifiable risk factors. The objective of this prospective cohort analysis was to identify maternal, socioeconomic, and child correlates of psychomotor and mental development in the first 18 mo of life among Tanzanian infants born to HIV-infected women. We hypothesized that child HIV infection, morbidity, and undernutrition would be associated with lower developmental status when taking into consideration maternal health and socioeconomic factors. Baseline maternal characteristics were recorded during pregnancy, birth characteristics were collected immediately after delivery, infant micronutrient status was measured at 6 wk and 6 mo, and anthropometric measurements and morbidity histories were performed at monthly follow-up visits. The Psychomotor Development Index (PDI) and Mental Development Index (MDI) of the Bayley Scales of Infant Development, 2nd edition (BSID-II) were used to assess developmental functioning at 6, 12, and 18 mo of age. Multivariate repeated regression models with time-varying covariates were used to estimate adjusted mean MDI and PDI scores for each level of the variables. A total of 311 infants contributed ≥1 BSID-II assessments for 657 PDI and 655 MDI measurements. Of infants, 51% were male, 23% were born preterm, 7% were low birth weight, and 10% were HIV-positive at 6 wk. Preterm birth, child HIV infection, stunting, and wasting were independently associated with lower PDI and MDI scores. Strategies to lower mother-to-child transmission of HIV, prevent preterm birth, and enhance child growth could contribute to improved child psychomotor and mental development.</p></div></front></TEI><pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">J Nutr</journal-id><journal-id journal-id-type="publisher-id">nutrition</journal-id><journal-id journal-id-type="hwp">nutrition</journal-id><journal-title-group><journal-title>The Journal of Nutrition</journal-title></journal-title-group><issn pub-type="ppub">0022-3166</issn><issn pub-type="epub">1541-6100</issn><publisher><publisher-name>American Society for Nutrition</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">23256148</article-id><article-id pub-id-type="pmc">3542911</article-id><article-id pub-id-type="publisher-id">168682</article-id><article-id pub-id-type="doi">10.3945/jn.112.168682</article-id><article-categories><subj-group subj-group-type="heading"><subject>Community and International Nutrition</subject></subj-group></article-categories><title-group><article-title>Stunting and Wasting Are Associated with Poorer Psychomotor and Mental Development in HIV-Exposed Tanzanian Infants<xref ref-type="author-notes" rid="fn1"><sup>1</sup></xref><xref ref-type="author-notes" rid="fn2"><sup>2</sup></xref></article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>McDonald</surname><given-names>Christine M.</given-names></name><xref ref-type="aff" rid="aff1"><sup>3</sup></xref></contrib><contrib contrib-type="author"><name><surname>Manji</surname><given-names>Karim P.</given-names></name><xref ref-type="aff" rid="aff6"><sup>8</sup></xref></contrib><contrib contrib-type="author"><name><surname>Kupka</surname><given-names>Roland</given-names></name><xref ref-type="aff" rid="aff1"><sup>3</sup></xref><xref ref-type="aff" rid="aff8"><sup>10</sup></xref></contrib><contrib contrib-type="author"><name><surname>Bellinger</surname><given-names>David C.</given-names></name><xref ref-type="aff" rid="aff2"><sup>4</sup></xref><xref ref-type="aff" rid="aff8"><sup>10</sup></xref><xref ref-type="aff" rid="aff9"><sup>11</sup></xref></contrib><contrib contrib-type="author"><name><surname>Spiegelman</surname><given-names>Donna</given-names></name><xref ref-type="aff" rid="aff3"><sup>5</sup></xref><xref ref-type="aff" rid="aff4"><sup>6</sup></xref></contrib><contrib contrib-type="author"><name><surname>Kisenge</surname><given-names>Rodrick</given-names></name><xref ref-type="aff" rid="aff6"><sup>8</sup></xref></contrib><contrib contrib-type="author"><name><surname>Msamanga</surname><given-names>Gernard</given-names></name><xref ref-type="aff" rid="aff7"><sup>9</sup></xref></contrib><contrib contrib-type="author"><name><surname>Fawzi</surname><given-names>Wafaie W.</given-names></name><xref ref-type="aff" rid="aff1"><sup>3</sup></xref><xref ref-type="aff" rid="aff3"><sup>5</sup></xref><xref ref-type="aff" rid="aff5"><sup>7</sup></xref></contrib><contrib contrib-type="author"><name><surname>Duggan</surname><given-names>Christopher P.</given-names></name><xref ref-type="aff" rid="aff1"><sup>3</sup></xref><xref ref-type="aff" rid="aff10"><sup>12</sup></xref><xref ref-type="corresp" rid="cor1">*</xref></contrib><aff id="aff1"><label>3</label>Department of Nutrition</aff><aff id="aff2"><label>4</label>Department of Environmental Health</aff><aff id="aff3"><label>5</label>Department of Epidemiology</aff><aff id="aff4"><label>6</label>Department of Biostatistics, and</aff><aff id="aff5"><label>7</label>Department of Global Health and Population, Harvard School of Public Health, Boston, MA</aff><aff id="aff6"><label>8</label>Department of Pediatrics and Child Health, and</aff><aff id="aff7"><label>9</label>Department of Community Health, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania</aff><aff id="aff8"><label>10</label>UNICEF West and Central Africa Regional Office, Dakar, Senegal</aff><aff id="aff9"><label>11</label>Department of Neurology, Children’s Hospital, Boston, MA; and</aff><aff id="aff10"><label>12</label>Division of GI/Nutrition, Boston Children’s Hospital, Boston, MA</aff></contrib-group><author-notes><fn id="fn1" fn-type="financial-disclosure"><label>1</label><p>Supported by NICHD grants R01 32257 and K24 HD058795.</p></fn><fn id="fn2" fn-type="conflict"><label>2</label><p>Author disclosures: C. M. McDonald, K. P. Manji, R. Kupka, D. C. Bellinger, D. Spiegelman, R. Kisenge, G. Msamanga, W. W. Fawzi, and C. P. Duggan, no conflicts of interest. The opinions and statements in this article are those of the authors and may not reflect official UNICEF policies.</p></fn><corresp id="cor1"><label>*</label>To whom correspondence should be addressed. E-mail: <email>christopher.duggan@childrens.harvard.edu</email>.</corresp></author-notes><pub-date pub-type="ppub"><month>2</month><year>2013</year></pub-date><pub-date pub-type="epub"><day>19</day><month>12</month><year>2012</year></pub-date><pub-date pub-type="pmc-release"><day>1</day><month>2</month><year>2014</year></pub-date><pmc-comment> PMC Release delay is 12 months and 0 days and was based on the
<volume>143</volume><issue>2</issue><fpage>204</fpage><lpage>214</lpage><history><date date-type="received"><day>28</day><month>8</month><year>2012</year></date><date date-type="rev-recd"><day>12</day><month>10</month><year>2012</year></date><date date-type="accepted"><day>20</day><month>11</month><year>2012</year></date></history><permissions><copyright-statement>© 2013 American Society for Nutrition</copyright-statement><copyright-year>2013</copyright-year></permissions><abstract><p>Infants born to HIV-infected women are at increased risk of impaired neurodevelopment, but little research has attempted to identify modifiable risk factors. The objective of this prospective cohort analysis was to identify maternal, socioeconomic, and child correlates of psychomotor and mental development in the first 18 mo of life among Tanzanian infants born to HIV-infected women. We hypothesized that child HIV infection, morbidity, and undernutrition would be associated with lower developmental status when taking into consideration maternal health and socioeconomic factors. Baseline maternal characteristics were recorded during pregnancy, birth characteristics were collected immediately after delivery, infant micronutrient status was measured at 6 wk and 6 mo, and anthropometric measurements and morbidity histories were performed at monthly follow-up visits. The Psychomotor Development Index (PDI) and Mental Development Index (MDI) of the Bayley Scales of Infant Development, 2nd edition (BSID-II) were used to assess developmental functioning at 6, 12, and 18 mo of age. Multivariate repeated regression models with time-varying covariates were used to estimate adjusted mean MDI and PDI scores for each level of the variables. A total of 311 infants contributed ≥1 BSID-II assessments for 657 PDI and 655 MDI measurements. Of infants, 51% were male, 23% were born preterm, 7% were low birth weight, and 10% were HIV-positive at 6 wk. Preterm birth, child HIV infection, stunting, and wasting were independently associated with lower PDI and MDI scores. Strategies to lower mother-to-child transmission of HIV, prevent preterm birth, and enhance child growth could contribute to improved child psychomotor and mental development.</p></abstract><counts><page-count count="11"></page-count></counts></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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