2134/35751 Rebecca Pradeilles Rebecca Pradeilles Tom Norris Tom Norris Elaine Ferguson Elaine Ferguson Haris Gazdar Haris Gazdar Sidra Mazhar Sidra Mazhar Hussain Bux Mallah Hussain Bux Mallah Azmat Budhani Azmat Budhani Rashid Mehmood Rashid Mehmood Saba Aslam Saba Aslam Alan D. Dangour Alan D. Dangour Elizabeth Allen Elizabeth Allen Factors associated with catch‐up growth in early infancy in rural Pakistan: a longitudinal analysis of the women's work and nutrition study Loughborough University 2018 Length-for-age Catch-up growth Predictors Infant Pakistan Rural Medical and Health Sciences not elsewhere classified 2018-11-06 09:15:05 Journal contribution https://repository.lboro.ac.uk/articles/journal_contribution/Factors_associated_with_catch_up_growth_in_early_infancy_in_rural_Pakistan_a_longitudinal_analysis_of_the_women_s_work_and_nutrition_study/9620306 The adverse health impacts of early infant stunting can be partially ameliorated by early catch‐up growth. Few studies have examined predictors of and barriers to catch‐up growth to identify intervention points for improving linear growth during infancy. This study aimed to estimate the prevalence of, and factors associated with, catch‐up growth among infants in Pakistan. A longitudinal study of mother‐infant dyads (n=1161) was conducted in rural Sindh province, with enrolment between December 2015‐February 2016 (infants aged 0.5‐3 months) and follow‐up (n=1035) between November 2016‐January 2017 (infants aged 9‐15 months). The outcome was catch‐up growth (change in conditional length‐for‐age z‐scores (LAZ) >0.67 between baseline and endline). Associated factors were examined using multivariable logistic regression analyses. The prevalence of stunting was 45.3% at baseline and 60.7% at follow‐up. 22.8% of infants exhibited catch‐up growth over this period. Factors positively associated with catch‐up growth included maternal height (OR=1.08 [1.05‐1.11]), household wealth (OR=3.61 [1.90‐6.84]), maternal (OR=2.43 [1.30‐4.56]) or paternal education (OR=1.46 [1.05‐2.03]) and households with two or more adult females (OR=1.91 [1.26‐2.88]). Factors negatively associated with catch‐up growth were two (OR=0.64 [0.45‐0.89]) or three or more (OR=0.44 [0.29‐0.66]) preschool children in the household and the infant being currently breastfed (OR=0.59 [0.41‐0.88]). Catch‐up growth was exhibited among approximately a quarter of infants despite living in challenging environments associated with extremely high rates of early infant stunting. Several modifiable factors were identified that might represent suitable programme intervention points to off‐set early infant stunting in rural Pakistan.