TY - JOUR A1 - Scheffler, Christiane A1 - Bogin, Barry A1 - Hermanussen, Michael T1 - Catch-up growth is a better indicator of undernutrition than thresholds for stunting JF - Public health nutrition : PHN / The Nutrition Society N2 - Objective: Stunting (height-for-age < −2 SD) is one of the forms of undernutrition and is frequent among children of low- and middle-income countries. But stunting perSe is not a synonym of undernutrition. We investigated association between body height and indicators of energetic undernutrition at three critical thresholds for thinness used in public health: (1) BMI SDS < −2; (2) mid-upper arm circumference divided by height (MUAC (mm) × 10/height (cm) < 1·36) and (3) mean skinfold thickness (SF) < 7 mm and to question the reliability of thresholds as indicators of undernutrition. Design: Cross-sectional study; breakpoint analysis. Setting: Rural and urban regions of Indonesia and Guatemala – different socio-economic status (SES). Participants: 1716 Indonesian children (6·0–13·2 years) and 3838 Guatemalan children (4·0–18·9 years) with up to 50 % stunted children. Results: When separating the regression of BMI, MUAC or SF, on height into distinguishable segments (breakpoint analysis), we failed to detect relevant associations between height, and BMI, MUAC or SF, even in the thinnest and shortest children. For BMI and SF, the breakpoint analysis either failed to reach statistical significance or distinguished at breakpoints above critical thresholds. For MUAC, the breakpoint analysis yielded negative associations between MUAC/h and height in thin individuals. Only in high SES Guatemalan children, SF and height appeared mildly associated with R2 = 0·017. Conclusions: Currently used lower thresholds of height-for-age (stunting) do not show relevant associations with anthropometric indicators of energetic undernutrition. We recommend using the catch-up growth spurt during early re-feeding instead as immediate and sensitive indicator of past undernourishment. We discuss the primacy of education and social-economic-political-emotional circumstances as responsible factors for stunting. KW - no threshold for stunting KW - catch-up growth KW - social-economic-political-emotional KW - (SEPE) factors Y1 - 2020 U6 - https://doi.org/10.1017/S1368980020003067 SN - 1475-2727 SN - 1368-9800 VL - 24 IS - 1 SP - 52 EP - 61 PB - Cambridge University Press CY - Cambridge ; New York, NY ER - TY - JOUR A1 - Scheffler, Christiane A1 - Hermanussen, Michael T1 - Stunting does not impair physical fitness in Indonesian school children JF - Human biology and public health N2 - Background: Physical fitness is decreased in malnourished children and adults. Poor appearance and muscular flaccidity are among the first signs of malnutrition. Malnutrition is often associated with stunting. Objectives: We test the hypotheses that stunted children of low social strata are physically less fit than children of high social strata. Sample: We investigated 354 school girls and 369 school boys aged 5.83 to 13.83 (mean 9.54) years from three different social strata in Kupang (West-Timor, Indonesia) in 2020. Methods: We measured height, weight, and elbow breadth, calculated standard deviation (SDS) of height and weight according to CDC references, and the Frame index as an indicator of long-term physical fitness, and we tested physical fitness in standing long jump and hand grip strength. Results: Children of low social strata are physically fittest. They jump longer distances, and they have higher values in the Frame index. No association exists between height SDS and physical fitness, neither in respect to standing long jump, nor to hand grip strength. Conclusion: Stunting does not impair physical fitness in Indonesian school children. Our results support the concept that SEPE (social-economic-political-emotional) factors are involved in the regulation of human growth. KW - stunting KW - standing long jump KW - handgrip strength KW - SEPE KW - frame index Y1 - 2021 U6 - https://doi.org/10.52905/hbph.v2.19 SN - 2748-9957 IS - 2 PB - Universitätsverlag Potsdam CY - Potsdam ER - TY - JOUR A1 - Scheffler, Christiane A1 - Hermanussen, Michael A1 - Rogol, Alan D. T1 - Stunting BT - historical lessons that catch-up growth tells us for mapping growth restoration JF - Archives of disease in childhood : a peer review journal for health professionals and researchers covering conception to adolescence Y1 - 2020 U6 - https://doi.org/10.1136/archdischild-2020-319240 SN - 0003-9888 SN - 1468-2044 VL - 106 IS - 8 SP - 819 EP - 820 PB - BMJ Publishing Group CY - London ER - TY - JOUR A1 - Scheffler, Christiane A1 - Nguyen, Thi Hong A1 - Hermanussen, Michael T1 - Vietnamese migrants are as tall as they want to be JF - Human biology and public health N2 - Background: Members of the same social group tent to have the same body height. Migrants tend to adjust in height to their host communities. Objectives: Social-Economic-Political-Emotional (SEPE) factors influence growth. We hypothesized that Vietnamese young adult migrants in Germany (1) are taller than their parents, (2) are as tall as their German peers, and (3) are as tall as predicted by height expectation at age 13 years. Sample: The study was conducted in 30 male and 54 female Vietnamese migrants (mean age 26.23 years. SD=4.96) in Germany in 2020. Methods: Information on age, sex, body height, school and education, job, height and ethnicity of best friend, migration history and cultural identification, parental height and education, and recalled information on their personal height expectations at age 13 years were obtained by questionnaire. The data were analyzed by St. Nicolas House Analysis (SNHA) and multiple regression. Results: Vietnamese young adults are taller than their parents (females 3.85cm, males 7.44cm), but do not fully attain height of their German peers. The body height is positively associated with the height of best friend (p < 0.001), the height expectation at age 13 year (p < 0.001), and father’s height (p=0.001). Conclusion: Body height of Vietnamese migrants in Germany reflects competitive growth and strategic growth adjustments. The magnitude of this intergenerational trend supports the concept that human growth depends on SEPE factors. KW - body height KW - regulation of growth KW - migrants KW - Social-Economic-Political-Emotional (SEPE) factors Y1 - 2021 U6 - https://doi.org/10.52905/hbph.v2.12 SN - 2748-9957 IS - 2 PB - Universitätsverlag Potsdam CY - Potsdam ER - TY - JOUR A1 - Scheffler, Christiane A1 - Rogol, Alan D. A1 - Iancu, Mirela A1 - Hanc, Tomasz A1 - Moelyo, Annang Giri A1 - Suchomlinov, Andrej A1 - Lebedeva, Lidia A1 - Limony, Yehuda A1 - Musalek, Martin A1 - Veldre, Gudrun A1 - Godina, Elena Z. A1 - Kirchengast, Sylvia A1 - Mumm, Rebekka A1 - Groth, Detlef A1 - Tutkuviene, Janina A1 - Böker, Sonja A1 - Ozer, Basak Koca A1 - Navazo, Barbara A1 - Spake, Laure A1 - Koziel, Slawomir A1 - Hermanussen, Michael T1 - Growth during times of fear and emotional stress BT - Proceedings of the 28th Aschauer Soiree, held at Potsdam, Germany, and online, November 14th 2020 JF - Human biology and public health N2 - Twenty-one scientists met for this year’s virtual conference on Auxology held at the University Potsdam, Germany, to discuss child and adolescent growth during times of fear and emotional stress. Growth within the broad range of normal for age and sex is considered a sign of good general health whereas fear and emotional stress can lead to growth faltering. Stunting is a sign of social disadvantage and poor parental education. Adverse childhood experiences affect child development, particularly in families with low parental education and low socioeconomic status. Negative effects were also shown in Indian children exposed prenatally and in early postnatal life to the cyclone Aila in 2009. Distrust, fears and fake news regarding the current Corona pandemic received particular attention though the effects generally appeared weak. Mean birth weight was higher; rates of low, very and extremely low birth weight were lower. Other topics discussed by the participants, were the influences of economic crises on birth weight, the measurement of self-confidence and its impact on growth, the associations between obesity, peer relationship, and behavior among Turkish adolescents, height trends in Indonesia, physiological neonatal weight loss, methods for assessing biological maturation in sportsmen, and a new method for skeletal age determination. The participants also discussed the association between acute myocardial infarction and somatotype in Estonia, rural-urban growth differences in Mongolian children, socio-environmental conditions and sexual dimorphism, biological mortality bias, and new statistical techniques for describing inhomogeneity in the association of bivariate variables, and for detecting and visualizing extensive interactions among variables. KW - stunting KW - birth weight KW - fear KW - emotional stress KW - economy KW - SEPE Y1 - 2021 U6 - https://doi.org/10.52905/hbph.v2.15 SN - 2748-9957 IS - 2 PB - Universitätsverlag Potsdam CY - Potsdam ER -