Estimating the burden of disease attributable to childhood and maternal undernutrition in South Africa in 2000

Nannan, N., Norman, R., Hendricks, M., Dhansay, M.A., Bradshaw, D. and South African Comparative Risk Assessment Collaborating Group (2007) Estimating the burden of disease attributable to childhood and maternal undernutrition in South Africa in 2000. Samj South African Medical Journal, 97 8: 733-739.

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Author Nannan, N.
Norman, R.
Hendricks, M.
Dhansay, M.A.
Bradshaw, D.
South African Comparative Risk Assessment Collaborating Group
Title Estimating the burden of disease attributable to childhood and maternal undernutrition in South Africa in 2000
Journal name Samj South African Medical Journal   Check publisher's open access policy
ISSN 0256-9574
Publication date 2007-08
Sub-type Article (original research)
Open Access Status File (Publisher version)
Volume 97
Issue 8
Start page 733
End page 739
Total pages 7
Place of publication South Africa
Publisher Health and Medical Publishing Group
Language eng
Formatted abstract
To estimate the disease burden attributable to being underweight as an indicator of undernutrition in children under 5 years of age and in pregnant women for the year 2000.


World Health Organization comparative risk assessment (CRA) methodology was followed. The 1999 National Food Consumption Survey prevalence of underweight classified in three low weight-for-age categories was compared with standard growth charts to estimate population-attributable fractions for mortality and morbidity outcomes, based on increased risk for each category and applied to revised burden of disease estimates for South Africa in 2000. Maternal underweight, leading to an increased risk of intra-uterine growth retardation and further risk of low birth weight (LBW), was also assessed using the approach adopted by the global assessment. Monte Carlo simulation-modelling techniques were used for the uncertainty analysis.

South Africa.


Children under 5 years of age and pregnant women.

Outcome measures.
Mortality and disability-adjusted life years (DALYs) from protein- energy malnutrition and a fraction of those from diarrhoeal disease, pneumonia, malaria, other non-HIV/AIDS infectious and parasitic conditions in children aged 0 - 4 years, and LBW.

Among children under 5 years, 11.8% were underweight. In the same age group, 11 808 deaths (95% uncertainty interval 11 100 - 12 642) or 12.3% (95% uncertainty interval 11.5 - 13.1%) were attributable to being underweight. Protein-energy malnutrition contributed 44.7% and diarrhoeal disease 29.6% of the total attributable burden. Childhood and maternal underweight accounted for 2.7% (95% uncertainty interval 2.6 - 2.9%) of all DALYs in South Africa in 2000 and 10.8% (95% uncertainty interval 10.2 - 11.5%) of DALYs in children under
Keyword Developing-Countries
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
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