Child nutrition and lower respiratory tract disease burden in New Zealand: A global context for a national perspective

Show simple item record Grant, Cameron en Wall, Clare en Gibbons, MJ en Hofman, Paul en Santosham, M en Black, RE en
dc.coverage.spatial Australia en 2012-03-27T02:41:32Z en 2011-08 en
dc.identifier.citation Jounrnal of Paediatrics and Child Health 47(8):497-504 Aug 2011 en
dc.identifier.issn 1034-4810 en
dc.identifier.uri en
dc.description.abstract Aim: To consider the contribution of malnutrition to acute lower respiratory infection (ALRI) disease burden in children <5 years old in New Zealand (NZ). Methods: The contribution of maternal and child malnutrition to ALRI disease burden in early childhood globally was described. A literature review was conducted to describe the nutritional status and ALRI disease burden of NZ children <5 years old. Results: The four key nutritional risk factors for ALRI disease burden globally are macronutrient undernutrition, low birthweight, zinc deficiency and suboptimal breastfeeding. In addition, maternal nutritional status and vitamin D deficiency are potentially important nutritional determinants of ALRI disease burden. Relative to other developed countries, NZ has a large ALRI disease burden in pre-school-aged children. Pneumonia and bronchiolitis hospitalisation rates are two to four times greater than other developed countries. The ALRI disease burden varies with ethnicity, being highest in Pacific, intermediate in Maori and lowest in European children. Three of the four key nutritional risk factors for global ALRI disease burden – low birthweight, zinc deficiency and suboptimal breastfeeding – are potential contributors to ALRI disease burden in NZ. In addition to these factors, vitamin D deficiency during early childhood and maternal vitamin D deficiency are also potentially important particularly with respect to the larger disease burden in Pacific and Maori children. Conclusion: The contribution of malnutrition to ALRI disease burden in NZ requires greater clarification. Such clarification is necessary to inform the development of nutritional policy, which seeks to improve early child health. en
dc.language eng en
dc.publisher Wiley-Blackwell en
dc.relation.ispartofseries Journal of Paediatrics and Child Health en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. Details obtained from: en
dc.rights.uri en
dc.subject Breast Feeding en
dc.subject Child Nutrition Disorders en
dc.subject Child Nutrition Sciences en
dc.subject Child, Preschool en
dc.subject Female en
dc.subject Humans en
dc.subject Infant en
dc.subject Infant, Low Birth Weight en
dc.subject Infant, Newborn en
dc.subject Male en
dc.subject Malnutrition en
dc.subject Maternal Nutritional Physiological Phenomena en
dc.subject New Zealand en
dc.subject Respiratory Tract Infections en
dc.subject Risk Factors en
dc.subject World Health en
dc.title Child nutrition and lower respiratory tract disease burden in New Zealand: A global context for a national perspective en
dc.type Journal Article en
dc.identifier.doi 10.1111/j.1440-1754.2010.01868.x en
pubs.issue 8 en
pubs.begin-page 497 en
pubs.volume 47 en
dc.rights.holder Copyright: Wiley-Blackwell en
dc.identifier.pmid 21040074 en
pubs.end-page 504 en
dc.rights.accessrights en
pubs.subtype Review en
pubs.elements-id 172581 en Liggins Institute en Medical and Health Sciences en Medical Sciences en Nutrition en Population Health en Social & Community Health en School of Medicine en Paediatrics Child & Youth Hlth en
dc.identifier.eissn 1440-1754 en
pubs.record-created-at-source-date 2012-03-27 en
pubs.dimensions-id 21040074 en

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