narrative_review·pediatrics, nutrition, epidemiology, public health·PMC10202738
Determining factors of child linear growth from the viewpoint of Bronfenbrenner's Bioecological Theory
Jornal de Pediatria · 4 authors, 2 centres
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This narrative review applied Bronfenbrenner's Bioecological Theory and a 6Cs model to synthesize factors associated with children's linear growth from empirical studies across four databases. Protective factors included adequate birth weight, breastfeeding for six months or more, and proper hygiene, while risk factors included low birth weight, prematurity, maternal short stature, poverty, and food insecurity.
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The authors applied Bronfenbrenner's Bioecological Theory to organize determining factors into six interrelated subsystems (cell, child, clan, community, country/state, and culture) via a 6Cs model. Protective factors identified across empirical studies included adequate birth weight, satisfactory weight gain, breastfeeding for six months or more, proper hand hygiene, correct fecal elimination, and access to clean water. Risk factors included low birth weight and size, prematurity, multiple deliveries, short inter-delivery interval, non-exclusive breastfeeding until the third month, infectious processes, anemia, limited parental education, short maternal stature, inadequate maternal nutrition, domestic violence, family poverty, food and nutritional insecurity, and living in rural areas or at high altitudes.