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Gazzetta Medica Italiana Archivio per le Scienze Mediche 2017 October;176(10):528-32

DOI: 10.23736/S0393-3660.17.03406-4


lingua: Inglese

Comparison between Caucasian and West African children for assessing earlier malnutrition

Marie-Valérie MORENO 1 , Philippe CHAUVET 2, Ousmane LY 3

1 Department of Research, BioparHom, La Motte-Servolex, France; 2 Department of Research, French Institute of Mountain Medicine (Ifremmont), Chamonix-Mont-Blanc, France; 3 National Telehealth and Informatics Medical Agency (ANTIM), Bamako/bko, Mali


BACKGROUND: One in two children died of malnutrition in Mali and many are malnourished. The use of mobile technologies could allow these challenges and resolve the difficulties associated with interventions for child survival and maternal health, especially in areas of difficult access, and compensate the inadequacy of infrastructure. In a first step, the purpose of this work is to test a new device to assess earlier malnutrition.
METHODS: Body mass index has been validated by the World Health Organization as a universal detection of malnutrition and overweight criterion. In addition, other authors have shown the limitations of BMI and have proposed other criteria of detection of malnutrition. In addition, to enhance the detection of malnutrition and to isolate the cause, other criteria have been tested, using a bioimpedance analyzer of body composition. 416 Malian children and 77 Caucasians children participated to the study.
RESULTS: There is an average of 33.7% of malnourished children detected by “BMI test” but a mean of 58.4% taking in account the others criteria. All children detected by “BMI” index also showed another criterion (IAM, FM or hydration). On the other hand, some children with a tissue, water or metabolic malnutrition were not all detected by the BMI Index.
CONCLUSIONS: Through this first phase of study, we could verify that the new device could allow, despite the environmental conditions, valid measurements. It is also noted that BMI may be enriched by others criteria of malnutrition, which to better target and earlier correct causes of malnutrition.

KEY WORDS: Malnutrition - Africa - Child

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