The association between<i>Helicobacter pylori</i>infection and height in children from an urban community in north-east Brazil

Fialho, Andre; Braga, Andréa B. C.; Queiroz, Dulciene Maria Magalhães; Marzano‐Rodrigues, Maria Noel; Herbster, Isabel D.; Braga, Lúcia Libanez Bessa Campelo

doi:10.1179/146532807x170510

Cited by 29 publications

(32 citation statements)

References 21 publications

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“…In our study, we did not find any significant protective effect of breastfeeding against H. pylori infection, but the decrease in the prevalence of H. pylori infection with increase in duration of breastfeeding up to 17 months would suggest a dose response protective effect of IgA antibodies in breast milk. Figures in parenthesis are percentages of the total in the respective row; OR = odds ratio; 95% CI = 95% confidence interval; *p < 0.001; **p < 0.05 [5,6,17,27,28], a few did not find such an association [29][30][31]. Our study did not show a significant relationship with stunting and thinness of the children studied.…”

Section: Discussioncontrasting

confidence: 42%

Helicobacter pylori associated with breastfeeding, nutritional status and recurrent abdominal pain in healthy Nigerian children

Senbanjo

Oshikoya

Njokanma

2014

J Infect Dev Ctries

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Introduction: There is limited knowledge about the associations of Helicobacter pylori (H. pylori) infections in developing countries. This study aimed to determine the current prevalence and associations of H. pylori infection with breastfeeding practices, nutritional status, and recurrent abdominal pain (RAP) in a group of apparently healthy children and adolescents in Lagos, Nigeria. Methodology: This was a prospective hospital-based study conducted at the Lagos State University Teaching Hospital that involved 118 children who came to the hospital for routine pediatric care. Seroprevalence status of the children was determined by measuring immunoglobulin G antibodies against H. pylori using enzyme-linked immunosorbent assay (ELISA). Results: Seventy-five (63.6%) children were seropositive for H. pylori. The prevalence of H. pylori infection increased significantly from 40.4% in children less than five years of age to 85.1% at six to ten years of age (χ 2 = 20.9, p < 0.001). H. pylori infection was associated with low social class (OR = 3.24; 95% CI = 1.20-8.23, p = 0.016) and with RAP (OR = 3.47; 95% CI = 1.55-7.79, p = 0.002), but no association was observed with exclusive breastfeeding, duration of breastfeeding, and under-nutrition. Conclusions: The prevalence of H. pylori infection is high, particularly among children from low socioeconomic backgrounds in Lagos, Nigeria. It is associated with RAP. The effect of this infection on children's health requires further studies.

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Section: Discussioncontrasting

confidence: 42%

Helicobacter pylori associated with breastfeeding, nutritional status and recurrent abdominal pain in healthy Nigerian children

Senbanjo

Oshikoya

Njokanma

2014

J Infect Dev Ctries

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“…These differences were significant only in children more than eight years of age. 23 Our results suggest that the effect of H. pylori on the schoolchildren's height is cumulative, worsening with every year of age. This finding could occur because older children have been exposed longer to the infection, which is acquired in early childhood in developing countries.…”

Section: Discussionmentioning

confidence: 79%

Association of Helicobacter pylori Infection and Height of Mexican Children of Low Socioeconomic Level Attending Boarding Schools

Vilchis

Duque²,

Mera³

et al. 2009

The American Journal of Tropical Medicine and Hygiene

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Abstract. This study evaluated the association between Helicobacter pylori infection and height in a population of schoolchildren of a low socioeconomic level regarding growth-related micronutrient status. It was a cross-sectional study of 685 children 5-13 years of age. Height and weight were recorded, a 13 C urea breath test was performed for detection of H. pylori , and a blood sample was obtained for determination of micronutrient status. Helicobacter pylori infection was found to be associated with the height of children. Children with H. pylori infection are, on average, 1.32 cm lower (95% confidence interval [CI] = -2.22 to -0.42) in height than children without infection. There was an effect modification by age: for every one-year increase in age, height was 0.66 cm less (95% CI = -1.17 to -0.15) in children with H. pylori infection. This finding suggests that H. pylori infection has a negative effect on the growth of children.

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“…The primary risk factors for acquiring H pylori in Brazil are related to unfavorable living conditions experienced during childhood, including low family income, low education levels of the children's parents, lack of proper household sanitary facilities, household crowding or high density housing or in institutions; improper personal hygiene habits, presence of an infected family member, especially the mother, and deficient basic public health services such as supply of piped drinking water, household garbage collection and sewerage with treatment plants for collected waste (9,36,55,56,79,110) .…”

Section: Group 5 Epidemiology Of Infection and Proposals For Action mentioning

confidence: 99%

3rd BRAZILIAN CONSENSUS ON Helicobacter pylori

Coelho

Maguinilk

Zaterka³

et al. 2013

Arq. Gastroenterol.

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Significant progress has been obtained since the Second Brazilian Consensus Conference on Helicobacter pylori Infection held in 2004, in São Paulo, SP, Brazil, and justify a third meeting to establish updated guidelines on the current management of H. pylori infection. The Third Brazilian Consensus Conference on H pylori Infection was organized by the Brazilian Nucleus for the Study of Helicobacter, a Department of the Brazilian Federation of Gastroenterology and took place on April 12-15, 2011, in Bento Gonçalves, RS, Brazil. Thirty-one delegates coming from the five Brazilian regions and one international guest, including gastroenterologists, pathologists, epidemiologists, and pediatricians undertook the meeting. The participants were allocated in one of the five main topics of the meeting: H pylori, functional dyspepsia and diagnosis; H pylori and gastric cancer; H pylori and other associated disorders; H pylori treatment and retreatment; and, epidemiology of H pylori infection in Brazil. The results of each subgroup were submitted to a final consensus voting to all participants. Relevant data were presented, and the quality of evidence, strength of recommendation, and level of consensus were graded. Seventy per cent and more votes were considered as acceptance for the final statement. This article presents the main recommendations and conclusions to guide Brazilian doctors involved in the management of H pylori infection.

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The association betweenHelicobacter pyloriinfection and height in children from an urban community in north-east Brazil

Abstract: H. pylori is associated with short stature in older children living in a poor urban community in Brazil.

Cited by 29 publications

References 21 publications

Helicobacter pylori associated with breastfeeding, nutritional status and recurrent abdominal pain in healthy Nigerian children

Helicobacter pylori associated with breastfeeding, nutritional status and recurrent abdominal pain in healthy Nigerian children

Association of Helicobacter pylori Infection and Height of Mexican Children of Low Socioeconomic Level Attending Boarding Schools

3rd BRAZILIAN CONSENSUS ON Helicobacter pylori

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