Menu ENN Search

Research Priorities on the Relationship between Wasting and Stunting

Author: Chloe Angood, Tanya Khara, Carmel Dolan, James A. Berkley, WaSt Technical Interest Group
Year: 2016
Resource type: Article

Background

Wasting and stunting are global public health problems that frequently co-exist. However, they are usually separated in terms of policy, guidance, programming and financing. Though both wasting and stunting are manifestations of undernutrition caused by disease and poor diet, there are critical gaps in our understanding of the physiological relationship between them, and how interventions for one may affect the other. The aim of this exercise was to establish research priorities in the relationships between wasting and stunting to guide future research investments.

Methods and Findings

We used the CHNRI (Child Health and Nutrition Research Initiative) methodology for setting research priorities in health. We utilised a group of experts in nutrition, growth and child health to prioritise 30 research questions against three criteria (answerability, usefulness and impact) using an online survey. Eighteen of 25 (72%) experts took part and prioritised research directly related to programming, particularly at the public health level. The highest-rated questions were: “Can interventions outside of the 1000 days, e.g. pre-school, school age and adolescence, lead to catch-up in height and in other developmental markers?”; “What timely interventions work to mitigate seasonal peaks in both wasting and stunting?”; and “What is the optimal formulation of ready-to-use foods to promote optimal ponderal growth and also support linear growth during and after recovery from severe acute malnutrition?” There was a high level of agreement between experts, particularly for the highest ranking questions.

Conclusions

Increased commitment to rigorous evaluations of treatment and prevention interventions at the public health level, addressing questions of the timing of intervention, and the extent to which impacts for both wasting and stunting can be achieved, is needed to inform global efforts to tackle undernutrition and its consequences.

 
Click here to read the published version of this article on PLOS ONE.
 

Download

Research-Priorities-on-the-Relationship-between-Wasting-and-Stunting.PDF (PDF, 255kb)

More like this

FEX: Research priorities on the relationship between wasting and stunting

Summary of research* Location: Global. What we know: There is global momentum to bring down levels of undernutrition. Wasting and stunting frequently co-exist, but are often...

FEX: Relationships between wasting and stunting and their concurrent occurrence in Ghanaian pre-school children

Summary of research* Location: Ghana. What we know: Wasting is a short-term health issue, but repeated episodes may lead to stunting (long-term or chronic malnutrition). This...

FEX: Making connections: Joint meeting of WaSt Technical Interest Group and MAMI Special Interest Group

ENN coordinates two international technical groups, the Management of at-risk Mothers and Infants under six months Special Interest Group (MAMI SIG) and the Wasting and...

FEX: Undernutrition risk factors and their interplay with nutrition outcomes: nutrition causal analysis pilot in Kenya

By Kristy Manners, Muriel Calo, Imelda Awino and Jacob Korir Kristy Manners specialises in Nutrition and Public Health and has worked extensively in the horn of Africa. She is...

FEX: The relationship between wasting and stunting: policy, programming and research implications

Summary of review1 This summary was prepared by Tanya Khara, an independent consultant engaged by the ENN on this review. The review was made possible by the generous support...

FEX: Summary of Lancet Series on Maternal and Child Undernutrition

Below are short summaries of the recently launched Lancet series of papers on Maternal and Child Undernutrition1. This high profile series focuses on the disease burden...

FEX: Wasting and Stunting Technical Interest Group (WaSt TIG) meeting

On the 15th of January 2018 the Wasting and Stunting (WaSt) Technical Interest Group (TIG) held their third face-to-face meeting at Trinity College, Oxford. This group of 30...

FEX: Challenges in addressing undernutrition in India

By Ajay Kumar Sinha, Dolon Bhattacharyya and Raj Bhandari Ajay Kumar Sinha (left) is the Founder Secretary and Executive Director of FLAIR. He is an expert on public policy...

FEX: Transforming media coverage of nutrition in Kenya

By Titus Mung'ou Lisez cet article en français ici At the time of writing, Titus Mung'ou was the Advocacy and Communications Manager at Action Against Hunger (ACF) and...

FEX: Child wasting and stunting: Time to overcome the separation

A briefing note for policy-makers and programme implementers was released in June 2018 by the ENN-coordinated Wasting-Stunting Technical Interest Group (WaSt TIG). The brief,...

FEX: Action Against Hunger Research for Nutrition conference, 2017

By Miriam Ait-Aissa and Stephanie Stern Myriam Ait-Aissa is currently Head of Research and Analyses at Action Against Hunger - France (Action contre la Faim). She has been...

FEX: Children concurrently wasted and stunted: A meta- analysis of prevalence data of children 6-59 months from 84 countries

Research summary1 Location: Global What we know: Wasting and stunting are often present in the same geographical populations and can exist concurrently in the same children,...

FEX: WASH interventions and their effects on the nutritional status of children

Summary of research1 Location: Global What we know: Water, sanitation and hygiene (WASH) interventions are frequently implemented to improve health and reduce infectious...

FEX: Predicting coexistence of wasting and stunting in Guinea-Bissau: A secondary data analysis

Summary of MSc thesis1 By Abbi Sage Abbi Sage is a recent MSc graduate in Nutrition for Global Health from the London School of Hygiene and Tropical Medicine. She is now part...

FEX: Linking agriculture with nutrition within SDG2: making a case for a dietary diversity indicator

By Anna Lartey Anna Lartey is Director of FAO's Nutrition Division within the Economic and Social Development Department at FAO in Rome. She was a Professor of Nutrition at...

FEX: Management of SAM in the Philippines: from emergency-focused modelling to national policy and government scale-up

By Aashima Garg, Anthony Calibo, Rene Galera, Andrew Bucu, Rosalia Paje and Willibald Zeck Lisez cet article en français ici Aashima Garg is Nutrition Specialist based...

NEX: Scaling up nutrition: experiences from Balochistan, Pakistan

Muhammad Sheraz and Dr. Ali Nasir Bugti Muhammad Sheraz is the Nutrition Information Management Officer for the Department of Health within the Government of Balochistan. Dr....

FEX: Editorial

There are three themes running through this issue of Field Exchange. We have four field articles which describe the very real practical challenges of having to adapt...

FEX: En-net update and MAMI thematic area launch

By Tamsin Walters, en-net moderator Over the period October 2013- Jan 2014, 43 questions have been posted on en-net, along with 166 responses and 48 vacancy...

FEX: WHO consultation on management of moderate malnutrition in U5s

The WHO, in collaboration with UNICEF, WFP and UNHCR, hosted a second consultation to discuss the programmatic aspects of the management of moderate malnutrition in children...

Close

Reference this page

Chloe Angood, Tanya Khara, Carmel Dolan, James A. Berkley, WaSt Technical Interest Group (2016). Research Priorities on the Relationship between Wasting and Stunting. www.ennonline.net/wastingandstuntinglink