Nutritional status, intestinal parasitic infections, and socio-environmental conditions in Mbyá-guaraní children: The current situation in communities in central Misiones, Argentina.

Szczegóły
Abstrakt

Tytuł:: Nutritional status, intestinal parasitic infections, and socio-environmental conditions in Mbyá-guaraní children: The current situation in communities in central Misiones, Argentina.
Autorzy:: Zonta ML; Centro de Estudios Parasitológicos y de Vectores (CEPAVE-CONICET-UNLP), Buenos Aires, Argentina.
Servián A; Centro de Estudios Parasitológicos y de Vectores (CEPAVE-CONICET-UNLP), Buenos Aires, Argentina.
Panisse G; Centro de Estudios Parasitológicos y de Vectores (CEPAVE-CONICET-UNLP), Buenos Aires, Argentina.
Oyhenart EE; Centro de Estudios Parasitológicos y de Vectores (CEPAVE-CONICET-UNLP), Buenos Aires, Argentina.; Laboratorio de Investigaciones en Ontogenia y Adaptación (LINOA)- Facultad de Ciencias Naturales y Museo (FCNyM), Universidad Nacional de La Plata, Buenos Aires, Argentina.
Navone GT; Centro de Estudios Parasitológicos y de Vectores (CEPAVE-CONICET-UNLP), Buenos Aires, Argentina.
Źródło:: American journal of human biology : the official journal of the Human Biology Council [Am J Hum Biol] 2022 Jul; Vol. 34 (7), pp. e23749. Date of Electronic Publication: 2022 Apr 07.
Typ publikacji:: Journal Article; Research Support, Non-U.S. Gov't
Język:: English
Imprint Name(s):: Publication: New York, NY : Wiley-Blackwell
Original Publication: New York, NY : Alan R. Liss, Inc., c1989-
MeSH Terms:: Intestinal Diseases, Parasitic*/epidemiology
Intestinal Diseases, Parasitic*/parasitology
Malnutrition*/epidemiology
Argentina/epidemiology ; Child ; Growth Disorders/epidemiology ; Humans ; Nutritional Status ; Prevalence
References:: Altuna, M. E., Modesti, N. M., & Demarchi, D. A. (2006). Y-chromosomal evidence for a founder effect in Mbyá-Guaraní Amerindians from Northeast Argentina. Human Biology, 78, 635-640. https://doi.org/10.1353/hub.2007.0000.
Balderrama-Carmona, A. P., Gortáres-Moroyoqui, P., Álvarez-Valencia, L. H., Castro-Espinoza, L., Balderas-Cortés, J. D. J., Mondaca-Fernández, I., & Meza-Montenegro, M. M. (2015). Quantitative microbial risk assessment of cryptosporidium and giardia in well water from a native community of Mexico. International Journal of Environmental Health Research, 25, 570-582. https://doi.org/10.1080/09603123.2014.989492.
Bertonatti, C., & Corcuera, J. (2000). Situación ambiental argentina 2000. Fundación Vida Silvestre Argentina.
Bethancourt, H. J., Leonard, W. R., Tanner, S., Schultz, A. F., & Rosinger, A. Y. (2019). Longitudinal changes in measures of body fat and diet among adult Tsimane'forager-horticulturalists of Bolivia, 2002-2010. Obesity, 27, 1347-1359.
Bogin, B., Smith, P., Orden, A. B., Varela Silva, M. I., & Loucky, J. (2002). Rapid change in height and body proportions of Maya American children. American Journal of Human Biology, 14, 753-761. https://doi.org/10.1002/ajhb.10092.
Brandelli, C. L. C., Carli, G. A., Macedo, A. J., & Tasca, T. (2012). Intestinal parasitism and socio-environmental factors among Mbyá-Guarani indians, Porto Alegre, Rio Grande do Sul, Brazil. Revista do Instituto de Medicina Tropical de São Paulo, 54(3), 119-122. https://doi.org/10.1590/s0036-46652012000300001.
Cabada, M. M., Goodrich, M. R., Graham, B., Villanueva-Meyer, P. G., Deichsel, E. L., Lopez, M., Arque, E., & Jr White, A. C. (2015). Prevalence of intestinal helminths, anemia, and malnutrition in Paucartambo, Peru. Revista Panamericana de Salud Pública, 37, 69-75.
Calcagno, V., & de Mazancourt, C. (2010). Glmulti: an R package for easy automated model selection with (generalized) linear models. Journal of Statistical Software, 34(12). https://doi.org/10.18637/jss.v034.i12.
Calchi La Corte, M., Rivero de Rodríguez, Z., Bracho Mora, A., Villalobos, R., Acurero de Yamarte, E., Maldonado, A., Chourio-Lozano, G., & Díaz, I. (2013). Prevalencia de Blastocystis sp. y otros protozoarios comensales en individuos de Santa Rosa de Agua, Maracaibo, estado Zulia. Revista de la Sociedad Venezolana de Microbiología, 33, 66-71. https://www.redalyc.org/articulo.oa?id=199428471013.
Carmona-Galindo, V., & Carmona, T. L. (2013). La diversidad de los análisis de diversidad. Bioma, 14, 20-28.
Cebolla Badie, M., Acosta, M. & Acosta, J. (2016). Mbya-guaraní. Yma roiko porã ve “antes vivíamos muy bien.” En: Pueblos indígenas en la Argentina: historias, culturas, lenguas y educación. Ministerio de Educación y Deportes de la Nación. 1a. Ministerio de Educación y Deportes.
Chaparro, M. P., & Estrada, L. (2012). Mapping the nutrition transition in Peru: Evidence for decentralized nutrition policies. Revista Panamericana de Salud Pública, 32(3), 241-244.
Chen, K. Y., Yen, C. M., Hwang, K. P., & Wang, L. C. (2018). Enterobius vermicularis infection and its risk factors among pre-school children in Taipei, Taiwan. Journal of Microbiology, Immunology and Infection, 51, 559-564. https://doi.org/10.1016/j.jmii.2016.12.013.
Cociancic, P. (2019). Evaluación del riesgo de infecciones parasitarias intestinales en poblaciones infanto-juveniles de Argentina: el impacto de los factores ambientales y socio-económicos en su distribución geográfica. Tesis doctoral. Universidad Nacional de La Plata. Disponible en https://sedici.unlp.edu.ar/handle/10915/73477.
Cociancic, P., Rinaldi, L., Zonta, M. L., & Navone, G. T. (2018). Formalin-ethyl acetate concentration, FLOTAC pellet and anal swab techniques for the diagnosis of intestinal parasites. Parasitology Research, 117, 3567-3573. https://doi.org/10.1007/s00436-018-6054-9.
Cociancic, P., Zonta, M. L., & Navone, G. T. (2018). A cross-sectional study of intestinal parasitoses in dogs and children of the periurban area of La Plata (Buenos Aires, Argentina): Zoonotic importance and implications in public health. Zoonoses and Public Health, 65, e44-e53. https://doi.org/10.1111/zph.12408.
Corvalán, C., Garmendia, M. L., Jones-Smith, J., Lutter, C. K., Miranda, J. J., Pedraza, L. S., Popkin, B. M., Ramirez-Zea, M., Salvo, D., & Stein, A. D. (2017). Nutrition status of children in Latin America: Nutrition status of the Latin American region. Obesity Reviews, 18, 7-18. https://doi.org/10.1111/obr.12571.
Crivos, M., Martínez, M. R., Pochettino, M. L., Remorini, C., Sy, A., & Teves, L. (2007). Pathways as “signatures in landscape”: Towards an ethnography of mobility among the Mbya-Guaraní (northeastern Argentina). Journal of Ethnobiology and Ethnomedicine, 3, 2. https://doi.org/10.1186/1746-4269-3-2.
de Onis, M., Onyango, A. W., Borghi, E. A., Siyam, A., Nishida, C., & Siekmann, J. (2007). Development of a WHO growth reference for school-aged children and adolescents. Bulletin of the World Health Organization, 85, 660-667. https://doi.org/10.2471/BLT.07.043497.
Devera, R., Finali, M., Franceschi, G., Gil, S., & Quintero, O. (2005). Elevada prevalencia de parasitosis intestinales en indígenas del Estado Delta Amacuro, Venezuela. REVISTA BIOMÉDICA, 16(4), 289-292. https://doi.org/10.32776/revbiomed.v16i4.430.
Duedu, K. O., Peprah, E., Anim-Baidoo, I., & Ayeh-Kumi, P. F. (2015). Prevalence of intestinal parasites and association with malnutrition at a ghanaian orphanage. Human Parasitic Diseases, 7, 5-9. https://doi.org/10.4137/hpd.s30059.
Echagüe, G., Sosa, L., Díaz, V., Ruiz, I., Rivas, L., Granado, D., Funes, P., Zenteno, J., Pistilli, N., & Ramírez, M. (2015). Enteroparasitosis en niños bajo 5 años de edad, indígenas y no indígenas, de comunidades rurales del Paraguay. Revista Chilena de Infectología, 32, 649-657. https://doi.org/10.4067/S0716-10182015000700006.
Fernández, C. I. (2020). Nutrition transition and health outcomes among indigenous populations of Chile. Current Developments in Nutrition, 4, nzaa070. https://doi.org/10.1093/cdn/nzaa070.
Foster, Z., Byron, E., Reyes-García, V., Huanca, T., Vadez, V., Apaza, L., Pérez, E., Tanner, S., Gutierrez, Y., Sandstrom, B., Yakhedts, A., Osborn, C., Godoy, R. A., & Leonard, W. R. (2005). Physical growth and nutritional status of Tsimane’ Amerindian children of lowland Bolivia. American Journal of Physical Anthropology, 126, 343e351.
Gallego Jaramillo, L. M., Heredia Martínez, H. L., Salazar Hernández, J. J., Hernández Muñoz, T. M., Naranjo García, M. M., & Suárez Hurtado, B. L. (2014). Identificación de parásitos intestinales en agua de pozos profundos de cuatro municipios. Estado Aragua, Venezuela. 2011-2012. Revista Cubana de Medicina Tropical, 66, 164-173.
Gallo, M. E. (2017). La economía Argentina durante el período 2004-2017: ciclo expansivo, restricción externa y retorno de la valorización financiera. Symposium conducted at the meeting of the II Congreso de Economía Política Para la Argentina, Avellaneda, Argentina. https://nulan.mdp.edu.ar/id/eprint/2757.
Godoy, R. A. (2001). Theoretical, comparative, and quantitative explorations in the Neotropics. Indians, Markets and Rainforests. New York: Columbia University Press. https://doi.org/10.7312/godo11784.
Hawkes, C., Ruel, M. T., Salm, L., Sinclair, B., & Branca, F. (2020). Double-duty actions: Seizing programme and policy opportunities to address malnutrition in all its forms. The Lancet, 395(10218), 142-155. https://doi.org/10.1016/s0140-6736(19)32506-1.
Hotez, P. J. (2011). Hookworm infections. In R. L. Guerrant, D. H. Walker, & P. F. Weller (Eds.), Tropical infectious diseases: Principles, pathogens & practice (3rd ed., pp. 799-804). Churchill Livingstone.
Hotez, P. J. (2014). Aboriginal populations and their neglected tropical diseases. PLoS Neglected Tropical Diseases, 8, e2286. https://doi.org/10.1371/journal.pntd.0002286.
Hotez, P. J., Brooker, S., Bethony, J. M., Bottazzi, M. E., Loukas, A., & Xiao, S. (2004). Hookworm infection. New England Journal of Medicine, 351, 799-807. doi:10.1056/NEJMra032492.
INDEC. (2010). Censo Nacional de Población y Vivienda. Instituto Nacional de Estadística y Censo de Argentina, Buenos Aires, Argentina.
Isla, A. & Vezza, E. (2014). El acceso a la Asignación Universal por Hijo en los pueblos indígenas del norte Argentino. Buenos Aires: OIT-FLACSO-UNICEF. https://www.ilo.org/buenosaires/publicaciones/WCMS_459602/lang--es/index.htm.
Kaminsky, R. G., Ault, S. K., Castillo, P., Serrano, K., & Troya, G. (2014). High prevalence of soil-transmitted helminths in southern Belize-highlighting opportunity for control interventions. Asian Pacific Journal of Tropical Biomedicine, 4, 345-353. https://doi.org/10.12980/APJTB.4.201414B3.
Keiser, J., & Utzinger, J. (2008). Efficacy of current drugs against soil-transmitted helminth infections: Systematic review and meta-analysis. JAMA, 299, 1937-1948. https://doi.org/10.1001/jama.299.16.1937.
Kim, D. H., Cho, M. K., Park, M. K., Kang, S. A., Kim, B. Y., Park, S. K., & Yu, H. S. (2013). Environmental factors related to enterobiasis in a southeast region of Korea. Korean Journal of Parasitology, 51, 139-142. https://doi.org/10.3347/kjp.2013.51.1.139.
Lagranja, E. S., Phojanakong, P., Navarro, A., & Valeggia, C. R. (2015). Indigenous populations in transition: An evaluation of metabolic syndrome and its associated factors among the Toba of northern Argentina. Annals of Human Biology, 42, 84-90. https://doi.org/10.3109/03014460.2014.932008.
Lazarte, C. E., Soto, A., Alvarez, L., Bergenståhl, B., Medrano, N., & Granfeldt, Y. (2015). Nutritional status of children with intestinal parasites from a tropical area of bolivia, emphasis on zinc and iron status. Food and Nutrition Sciences, 6(4), 399-411. https://doi.org/10.4236/fns.2015.64041.
Li, H. M., Zhou, C. H., Li, Z. S., Deng, Z. H., Ruan, C. W., Zhang, Q. M., Zhu, T. J., Xu, L. Q., & Chen, Y. D. (2015). Risk factors for Enterobius vermicularis infection in children in Gaozhou, Guangdong, China. Infectious Diseases of Poverty, 4, 28. https://doi.org/10.1186/s40249-015-0058-9.
Little, B. B., Malina, R. M., Pena-Reyes, M. E., & Chavez, G. B. (2019). Thinness, overweight, and obesity in indigenous school children and youth in Mexico. Annals of Human Biology, 46, 448-459. https://doi.org/10.1080/03014460.2019.1674378.
Lourenço, A., Santos, R., Orellana, J., & Coimbra, C., Jr. (2008). Nutrition transition in Amazonia: Obesity and socioeconomic change in the Suruí Indians from Brazil. American Journal of Human Biology, 20, 564e571.
Martínez R. & Fernández, A. (2006) Modelo de análisis del impacto social y económico de la desnutrición infantil en América Latina. CEPAL-PMA. https://hdl.handle.net/11362/5491.
Motulsky, H., & Christopoulos, A. (2004). Comparing models using Akaike Information Criterion corrected for small sample size. Fitting models to biological data using linear and nonlinear regression a practical guide to curve fitting. (pp. 143-148). Oxford, UK: Oxford University Press.
Navazo, B., Oyhenart, E., Dahinten, S., Mumm, R., & Scheffler, C. (2020). Decrease of external skeletal robustness (frame index) between two cohorts of school children living in Puerto Madryn, Argentina at the beginning of the 21st century. Anthropologischer Anzeiger, 77(5), 405-413. https://doi.org/10.1127/anthranz/2020/1182.
Navone, G. T., Gamboa, M. I., Oyhenart, E. E., & Orden, A. B. (2006). Parasitosis intestinales en poblaciones Mbyá-Guaraní de la Provincia de Misiones, Argentina: aspectos epidemiológicos y nutricionales. Cadernos de Saúde Pública, 22, 1089-1100. https://doi.org/10.1590/S0102-311X2006000500022.
Navone, G. T., Zonta, M. L., & Gamboa, M. I. (2014). Fitoterapia Mbyá-Guaraní en el control de las parasitosis intestinales: Un estudio exploratorio con Chenopodium ambrosioides L. var anthelminticum en cinco comunidades de Misiones, Argentina. Polibotánica, 37, 135-151.
Nazr, R. (2004). La nutrición infantil: una deuda del país con el norte argentino. Archivos Argentinos de Pediatría, 102, 81-82.
Orden, A. B., & Oyhenart, E. E. (2006). Prevalence of overweight and obesity among Guaraní-Mbyá from Misiones, Argentina. American Journal of Human Biology, 18, 590-599. https://doi.org/10.1002/ajhb.20476.
Oyhenart, E. E., Techenski, M. F., & Orden, A. B. (2003). Nutritional status in two Mbyá-Guaraní communities from Misiones (Argentina). HOMO, 54(2), 170-179. https://doi.org/10.1078/0018-442x-00069.
Pepe, M. S. (2000). An interpretation for the ROC curve and inference using GLM procedures. Biometrics, 56, 352-359. https://doi.org/10.1111/j.0006-341X.2000.00352.x.
Piperata, B. A., Spence, J. E., Da-Gloria, P., & Hubbe, M. (2011). The nutrition transition in Amazonia: Rapid economic change and its impact on growth and development in Ribeirinhos. American Journal of Physical Anthropology, 146, 1-13. https://doi.org/10.1002/ajpa.21459.
Popkin, B. M. (2011). Contemporary nutritional transition: Determinants of diet and its impact on body composition. Proceedings of the Nutrition Society, 70, 82-91.
Popkin, B. M., Corvalan, C., & Grummer-Strawn, L. M. (2020). Dynamics of the double burden of malnutrition and the changing nutrition reality. The Lancet, 395, 65-74. https://doi.org/10.1016/S0140-6736(19)32497-3.
R Core Team. (2020). R: A language and environment for statistical computing. R Foundation for Statistical Computing, Vienna, Austria. https://www.R-project.org/.
Ratowiecki, J., Poletta, F. A., Gimenez, L. G., Gili, J. A., Pawluk, M. S., & López Camelo, J. S. (2018). Prevalence of low birth weight in a scenario of economic depression in Argentina. Archivos Argentinos de Pediatría, 16, 322-327.
Remorini, C. (2009). Aporte a la caracterización etnográfica de los procesos de salud-enfermedad en las primeras etapas del ciclo vital, en comunidades Mbyá-Guaraní de Misiones, República Argentina. Tesis doctoral No: 0960. Universidad Nacional de La Plata. https://sedici.unlp.edu.ar/handle/10915/4293.
Remorini, C. (2016). Growing up in the forest ethnographic study on Mbya childrearing values and practices. Annals of Public Health and Research, 3(3), 1046. https://hdl.handle.net/11336/55485.
Rivero, M., De Angelo, C., Nuñez, P., Salas, M., & Liang, S. (2018). Intestinal parasitism and nutritional status among indigenous children from the Argentinian Atlantic Forest: Determinants of enteroparasites infections in minority populations. Acta Tropica, 187, 248-256. https://doi.org/10.1016/j.actatropica.2018.08.015.
Rivero, M. R., De Angelo, C., Nuñez, P., Salas, M., Motta, C. E., Chiaretta, A., Salomón, O. D., & Liang, S. (2017). Environmental and socio-demographic individual, family and neighborhood factors associated with children intestinal parasitoses at Iguazú, in the subtropical northern border of Argentina. PLoS Neglected Tropical Diseases, 11, e0006098. https://doi.org/10.1371/journal.pntd.0006098.
Rodríguez, G. (2001). Generalized linear models. Lecture notes. https://data.princeton.edu/wws509/notes/.
Rosinger, A., Tanner, S., Leonard, W. R., & TAPS Bolivia Research Team. (2013). Precursors to overnutrition: The effects of household market food expenditures on measures of body composition among Tsimane' adults in lowland Bolivia. Social Science & Medicine, 92, 53-60. https://doi.org/10.1016/j.socscimed.2013.05.022.
Sing, T., Sander, O., Beerenwinkel, N., & Lengauer, T. (2005). ROCR: Visualizing classifier performance in R. Bioinformatics, 21, 3940-3941. https://doi.org/10.1093/bioinformatics/bti623.
Sinharoy, S. S., Schmidt, W. P., Cox, K., Clemence, Z., Mfura, L., Wendt, R., Boisson, S., Crossett, E., Grépin, K. A., Jack, W., Condo, J., Habyarimana, J., & Clasen, T. (2016). Child diarrhoea and nutritional status in rural Rwanda: A cross-sectional study to explore contributing environmental and demographic factors. Tropical Medicine & International Health, 21, 956-964. https://doi.org/10.1111/tmi.12725.
Sociedad Argentina de Pediatría. (2013). Comité Nacional de Crecimiento y Desarrollo. Guía para la evaluación del crecimiento físico. Tercera edición. Buenos Aires, Argentina.
Suárez-Díaz, O., Atencio, A., Carruyo, M., Fernández, P., Villalobos, R., Rivero, Z., Maldonado, A., Bracho, A., Ruiz, A., González, M., Briceño, O., Quintero, M. & Suárez, M. (2013). Parasitosis intestinales y tisulares y su relación con la eosinofilia en una comunidad indígena Yukpa de la Sierra de Perijá. Estado Zulia. Kasmera, 41, 27-41. Available at: https://www.redalyc.org/articulo.oa?id=373061992005.
Szulc, A. (2016). Infancias y derechos indígenas en la Argentina: reflexiones desde la antropología. Revista de Direitos e Garantias Fundamentais, 17(2), 19. https://doi.org/10.18759/rdgf.v17i2.792.
Tanner, S., Leonard, W. R., McDade, T. W., Reyes-Garcia, V., Godoy, R., & Huanca, T. (2009). Influence of helminth infections on childhood nutritional status in lowland Bolivia. American Journal of Human Biology, 21(5), 651-656.
Tanner, S., Chuquimia-Choque, M. E., Huanca, T., McDade, T. W., Leonard, W. R., & Reyes-García, V. (2011). The effects of local medicinal knowledge and hygiene on helminth infections in an Amazonian society. Social Science & Medicine, 72(5), 701-709.
Thompson, A. L., Nicholas, K. M., Watson, E., Terán, E., & Bentley, M. E. (2020). Water, food, and the dual burden of disease in Galápagos, Ecuador. American Journal of Human Biology, 32, e23344. https://doi.org/10.1002/ajhb.23344.
Valeggia, C. R., Burke, K. M., & Fernandez-Duque, E. (2010). Nutritional status and socioeconomic change among Toba and Wichí populations of the Argentinean Chaco. Economics and Human Biology, 8, 100-110. https://doi.org/10.1016/j.ehb.2009.11.001.
Valeggia, C. R., & Snodgrass, J. J. (2015). Health of indigenous peoples. Annual Review of Anthropology, 44, 117-135.
World Health Organization. (2008). Weight-for-age (5-10 years). https://www.who.int/tools/child-growth-standards/standards/weight-for-age.
World Health Organization (2017). Preventive chemotherapy to control soil-transmitted helminth infections in at-risk population groups. https://www.who.int/nutrition/publications/guidelines/deworming/en/.
Yanola, J., Nachaiwieng, W., Duangmano, S., Prasannarong, M., Somboon, P., & Pornprasert, S. (2018). Current prevalence of intestinal parasitic infections and their impact on hematological and nutritional status among Karen hill tribe children in Omkoi District, Chiang Mai Province, Thailand. Acta Tropica, 180, 1-6. https://doi.org/10.1016/j.actatropica.2018.01.001.
Zonta, M. L., Cociancic, P., Oyhenart, E. E., & Navone, G. T. (2019). Intestinal parasitosis, undernutrition and socio-environmental factors in schoolchildren from Clorinda Formosa, Argentina. Revista Salud Pública, 21, 224-231. https://doi.org/10.15446/rsap.v21n2.73692.
Zonta, M. L., Oyhenart, E. E., & Navone, G. T. (2010). Nutritional status, body composition, and intestinal parasitism among the Mbyá-Guaraní communities of Misiones, Argentina. American Journal of Human Biology, 22, 193-200. https://doi.org/10.1002/ajhb.20977.
Zonta, M. L., Oyhenart, E. E., & Navone, G. T. (2011). Nutritional vulnerability in Mbyá-Guaraní adolescents and adults from Misiones, Argentina. American Journal of Human Biology, 23, 592-600. https://doi.org/10.1002/ajhb.21175.
Entry Date(s):: Date Created: 20220407 Date Completed: 20220706 Latest Revision: 20220810
Update Code:: 20240105
DOI:: 10.1002/ajhb.23749
PMID:: 35388936
: Czasopismo naukowe

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Objectives: Our previous research in Mbyá-guaraní communities of central Misiones showed high levels of growth stunting and intestinal parasites in children, as well as associations between these variables and deficient sanitary conditions. New studies were necessary to update the present health status of the previously studied Mbyá populations after around two decades. Therefore, we evaluated the current nutritional status, intestinal parasites, and socio-environmental conditions among Mbyá-guaraní children from these communities.
Methods: Body weight and height of 102 individuals (aged 2-14) were measured and nutritional status was estimated according to the World Health Organization criteria. Serial fecal samples and anal swabs were analyzed from 75 children (aged 1-14). Socio-environmental data were obtained from questionnaires.
Results: The prevalence of undernutrition was 31.4% and excess of weight was 10.8%. The prevalence of stunting and of overweight reached 30.4% and 8.8%, respectively. About 85% of the children were infected with at least one of the 14 species identified, and around 44% had multiple parasite infections. The most prevalent species were Enterobius vermicularis and hookworms. Among undernourished children, 88.2% were parasitized by at least one of the potentially pathogenic species detected. Most of the families lived in overcrowded conditions in precarious houses, defecated in latrines, and consumed well water. A higher risk of parasitosis was associated with the source of drinking water.
Conclusions: Although the prevalence of undernutrition and intestinal parasites decreased compared with our previous studies, we still observed the coexistence of stunting, excess weight, and parasitic infections, in a context of socio-environmental vulnerability.
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