Stunted growth, also known as stunting or linear growth failure, is defined as impaired growth and development manifested by low height-for-age. It is a primary manifestation of malnutrition (or more precisely chronic undernutrition) and recurrent infections, such as diarrhea and helminthiasis, in early childhood and even before birth, due to malnutrition during fetal development brought on by a malnourished mother. The definition of stunting according to the World Health Organization (WHO) is for the "height-for-age" value to be less than two standard deviations of the median of WHO Child Growth Standards. Stunted growth is usually associated with poverty, unsanitary environmental conditions, maternal undernutrition, frequent illness, and/or inappropriate feeding practice and care during early years of life. As of 2020, an estimated 149 million children under 5 years of age, are stunted worldwide. More than 85% of the world's stunted children live in Africa and Asia. Once established, stunting and its effects typically become permanent. Stunted children may never regain the height lost as a result of stunting, and most children will never gain the corresponding body weight. Living in an environment where many people defecate in the open due to lack of sanitation, is an important cause of stunted growth in children, for example in India. Stunted growth in children has the following public health impacts apart from the obvious impact of shorter stature of the person affected: Greater risk for illness and premature death Delayed neurocognitive development and therefore poorer school performance and later on reduced productivity in the work force Reduced cognitive capacity Future risk of obesity Women of shorter stature have a greater risk for complications during child birth due to their smaller pelvis, and are at risk of delivering a baby with low birth weight Stunted growth can even be passed on to the next generation (this is called the "intergenerational cycle of malnutrition") The impact of stunting on child development has been established in multiple studies.

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Related concepts (11)
Open defecation
Open defecation is the human practice of defecating outside ("in the open") rather than into a toilet. People may choose fields, bushes, forests, ditches, streets, canals, or other open spaces for defecation. They do so either because they do not have a toilet readily accessible or due to traditional cultural practices. The practice is common where sanitation infrastructure and services are not available. Even if toilets are available, behavior change efforts may still be needed to promote the use of toilets.
Toilet
A toilet is a piece of sanitary hardware that collects human urine and feces, and sometimes toilet paper, usually for disposal. Flush toilets use water, while dry or non-flush toilets do not. They can be designed for a sitting position popular in Europe and North America with a toilet seat, with additional considerations for those with disabilities, or for a squatting posture more popular in Asia, known as a squat toilet. In urban areas, flush toilets are usually connected to a sewer system; in isolated areas, to a septic tank.
Breastfeeding
Breastfeeding, or nursing, is the process by which human breast milk is fed to a child. Breast milk may be from the breast, or may be pumped and fed to the infant. The World Health Organization (WHO) recommends that breastfeeding begin within the first hour of a baby's life and continue as often and as much as the baby wants. Health organizations, including the WHO, recommend breastfeeding exclusively for six months. This means that no other foods or drinks, other than vitamin D, are typically given.
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