Bustinduy et al identified risk factors for anemia and malnutrition in children living in Kenya. Chronic anemia and malnutrition can lead to physical and cognitive deficits if left untreated. The authors are from Case Western Reserve University (Cleveland), Ministry of Public Health and Sanitation (Nairobi) and Emory University (Atlanta).


Patient selection: pediatric patients in Kenya


Outcome: anemia, wasting (acute undernutrition), and/or stunting (chronic malnutrition)


Risk factors varied in their significance depending on the gender of the patient, but in general risk factors for anemia or signs of undernutrition were:

(1) lower socioeconomic status (SES)

(2) infection with Schistosoma haematobium

(3) coinfection with hookworm and Plasmodium falciparum

(4) coinfection with Schistosoma haematobium and Plasmodium falciparum


Low SES places a person at greater risk for both parasitic infection and poor diet.


Detection of the adverse outcomes and/or their risk factors can help to identify those children most likely to benefit from an intervention.


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