Household environmental conditions are associated with enteropathy and impaired growth in rural Bangladesh.
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ID: 114611
2020
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Abstract
Author(s): Lin, Audrie; Arnold, Benjamin F; Afreen, Sadia; Goto, Rie; Huda, Tarique Mohammad Nurul; Haque, Rashidul; Raqib, Rubhana; Unicomb, Leanne; Ahmed, Tahmeed; Colford, John M; Luby, Stephen P | Abstract: We assessed the relationship of fecal environmental contamination and environmental enteropathy. We compared markers of environmental enteropathy, parasite burden, and growth in 119 Bangladeshi children (≤ 48 months of age) across rural Bangladesh living in different levels of household environmental cleanliness defined by objective indicators of water quality and sanitary and hand-washing infrastructure. Adjusted for potential confounding characteristics, children from clean households had 0.54 SDs (95% confidence interval [CI] = 0.06, 1.01) higher height-for-age z scores (HAZs), 0.32 SDs (95% CI = -0.72, 0.08) lower lactulose:mannitol (L:M) ratios in urine, and 0.24 SDs (95% CI = -0.63, 0.16) lower immunoglobulin G endotoxin core antibody (IgG EndoCAb) titers than children from contaminated households. After adjusting for age and sex, a 1-unit increase in the ln L:M was associated with a 0.33 SDs decrease in HAZ (95% CI = -0.62, -0.05). These results are consistent with the hypothesis that environmental contamination causes growth faltering mediated through environmental enteropathy.
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audrie2020thehousehold
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| Authors | Lin, Audrie;Arnold, Benjamin F;Afreen, Sadia;Goto, Rie;Huda, Tarique Mohammad Nurul;Haque, Rashidul;Raqib, Rubhana;Unicomb, Leanne;Ahmed, Tahmeed;Colford, John M;Luby, Stephen P; |
| Journal | The American journal of tropical medicine and hygiene |
| Year | 2020 |
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