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Table 2 Shifts in severity of malnutrition after 3 months in children with incident of moderate clinical malnutrition (McM), marasmus, moderate wasting, severe wasting moderate stunting and severe stunting

From: Incidence and course of child malnutrition according to clinical or anthropometrical assessment: a longitudinal study from rural DR Congo

  Total number of incident cases Nutritional status after three months % (95% CI)
   McM Marasmus Kwashiorkor Normal clinical status
McM1 1044 20.4 (18.0, 22.8) 2.5 (1.6, 3.4) 0,3 74.3 (71.3, 76.7)
Marasmus2 198 5.1 (2.0, 8.2) 9.6 (5.5, 13.7) 1.0 80.3 (74.4, 85.6)
Kwashiorkor3 37 0 0 24.3 (10.5, 38.1) 62.2 (44.6, 77.8)
   Moderate wasting Severe wasting   No wasting
Moderate wasting4 232 25.0 (19.4, 30.6) 4.7 (2.0, 7.4)   66.4 (60.3, 72.5)
Severe wasting5 61 27.9 (16.6, 39.2) 11.5 (3.5, 19.5)   52.5 (40.0, 65.0)
   Moderate stunting Severe stunting   No stunting
Moderate stunting6 687 57.2 (53.5, 60.9) 7.7 (5.7, 9.7)   30.9 (27.4, 34.4)
Severe stunting7 557 32.1 (28.2, 36.0) 62.5 (58.5, 66.5)   3.4 (1.9, 4.9)
  1. 1Identified as the presence of wasting of the gluteus muscle at inspection and/or palpation without signs of marasmus or kwashiorkor.
  2. 2Assessed by inspection of abnormal visibility of skeletal structures and by absence or near-absence of palpable gluteus muscle.
  3. 3Assessed using the presence of pitting oedema of the ankles and/or feet as a criterion.
  4. 4Weight-for-length/height Z-score <-2 to >-3.
  5. 5Weight-for-length/height Z-score <-3.
  6. 6Length/height-for-age Z-score <-2 to >-3.
  7. 7Length/height-for-age Z-score <-3.