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THE OPEN PUBLIC HEALTH JOURNAL


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PEER REVIEW REQUEST - ACCEPTANCE CONFIRMATION


BMS-TOPHJ-2024-269

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Article Title:
Impact of adequate hydration on stunting among underfive children: a narrative
review
Abstract:
Background: Stunting remains a significant global health challenge affecting
millions of children under five years old. While nutrition interventions have
been the primary focus, the role of adequate hydration in preventing stunting is
less understood. Aim: This narrative review aims to synthesize current evidence
on the impact of adequate hydration on stunting among children under five years
of age and explore its potential as a complementary intervention to existing
nutrition strategies. Methods: A comprehensive literature search was conducted
using PubMed, Web of Science, and Google Scholar databases. Studies published
between 2000 and 2024 addressing hydration, water intake, or water, sanitation,
and hygiene (WASH) interventions in relation to child growth and stunting were
included. The review synthesized findings from observational studies,
intervention trials, and systematic reviews. Result: The review found evidence
suggesting that adequate hydration may contribute to reduced stunting risk
through improved nutrient absorption, better appetite regulation, and enhanced
overall health. While direct studies on hydration and stunting are limited,
broader WASH interventions have shown promising results in reducing stunting
prevalence. The review also identified significant gaps in current research,
particularly in studies directly measuring hydration status in relation to
linear growth in children. Conclusion: Adequate hydration, especially when
integrated with WASH interventions, may play a crucial role in stunting
prevention. The findings suggest that incorporating hydration strategies into
existing nutrition and child health programs could enhance their effectiveness.
However, more targeted research is needed to establish a direct causal
relationship between hydration status and stunting. Future studies should focus
on longitudinal assessments of hydration and its impact on linear growth in
children, particularly in resource-limited settings.

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