Christine P. Stewart, Ph.D.

Christine Stewart

Associate Professor, Department of Nutrition
Associate Nutritionist in Agricultural Experiment Station

3253B Meyer Hall
  • B.S., Cornell University, Ithaca, New York
  • M.P.H., Tulane University School of Public Health and Tropical Medicine, New Orleans, Louisiana
  • Ph.D., The Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland
Research Interests

Dr. Stewart’s research is related to maternal and child nutrition in low income communities, primarily in developing country settings. Her focus is on both the immediate and long-term effects of poor nutrition during pregnancy and early childhood on birth outcomes, infant and child survival, child growth, and risk of chronic disease in later life.

Selected Publications

Lin A, Ercumen A, Benjamin-Chung J, Arnold BF, Das S, Haque R, Ashraf S, Parvez SM, Unicomb L, Rahman M, Hubbard AE, Stewart CP, Colford JM Jr, Luby SP. Effects of water, sanitation, handwashing, and nutritional interventions on child enteric protozoan infections in rural Bangladesh: A cluster-randomized controlled trial. Clin Infect Dis. 2018 Apr 13. [PubMed]

Stewart CP, Kariger P, Fernald L, Pickering AJ, Arnold CD, Arnold BF, Hubbard AE, Dentz HN, Lin A, Meerkerk TJ, Milner E, Swarthout J, Colford JM Jr, Null C. Effects of water quality, sanitation, handwashing, and nutritional interventions on child development in rural Kenya (WASH Benefits Kenya): a cluster-randomised controlled trial. Lancet Child Adolesc Health. 2018 Apr;2(4):269-280. [PubMed]

Tofail F, Fernald LC, Das KK, Rahman M, Ahmed T, Jannat KK, Unicomb L, Arnold BF, Ashraf S, Winch PJ, Kariger P, Stewart CP, Colford JM Jr, Luby SP. Effect of water quality, sanitation, hand washing, and nutritional interventions on child development in rural Bangladesh (WASH Benefits Bangladesh): a cluster-randomised controlled trial. Lancet Child Adolesc Health. 2018 Apr;2(4):255-268. [PubMed]

Luby SP, Rahman M, Arnold BF, Unicomb L, Ashraf S, Winch PJ, Stewart CP, Begum F, Hussain F, Benjamin-Chung J, Leontsini E, Naser AM, Parvez SM, Hubbard AE, Lin A, Nizame FA, Jannat K, Ercumen A, Ram PK, Das KK, Abedin J, Clasen TF,  Dewey KG, Fernald LC, Null C, Ahmed T, Colford JM Jr. Effects of water quality, sanitation, handwashing, and nutritional interventions on diarrhoea and child growth in rural Bangladesh: a cluster randomised controlled trial. Lancet Glob Health. 2018 Mar;6(3):e302-e315. [PubMed]

Null C, Stewart CP, Pickering AJ, Dentz HN, Arnold BF, Arnold CD, Benjamin-Chung J, Clasen T, Dewey KG, Fernald LCH, Hubbard AE, Kariger P, Lin A, Luby SP, Mertens A, Njenga SM, Nyambane G, Ram PK, Colford JM Jr. Effects of water quality, sanitation, handwashing, and nutritional interventions on diarrhoea and child growth in rural Kenya: a cluster-randomised controlled trial. Lancet Glob Health. 2018 Mar;6(3):e316-e329. [PubMed]

Ashorn P, Hallamaa L, Allen LH, Ashorn U, Chandrasiri U, Deitchler M, Doyle R, Harjunmaa U, Jorgensen JM, Kamiza S, Klein N, Maleta K, Nkhoma M, Oaks BM, Poelman B, Rogerson SJ, Stewart CP, Zeilani M, Dewey KG. Co-causation of reduced newborn size by maternal undernutrition, infections, and inflammation. Matern Child Nutr. 2018 Jan 8. [PubMed]

Williams AM, Stewart CP, Shahab-Ferdows S, Hampel D, Kiprotich M, Achando B, Lin A, Null CA, Allen LH, Chantry CJ. Infant Serum and Maternal Milk Vitamin B-12 Are Positively Correlated in Kenyan Infant-Mother Dyads at 1-6 Months Postpartum, Irrespective of Infant Feeding Practice. J Nutr. 2018 Jan 1;148(1):86-93. [PubMed]

Harjunmaa U, Doyle R, Järnstedt J, Kamiza S, Jorgensen JM, Stewart CP, Shaw L, Hallamaa L, Ashorn U, Klein N, Dewey KG, Maleta K, Ashorn P. Periapical infection may affect birth outcomes via systemic inflammation. Oral Dis. 2017 Dec 12. [PubMed]

Iannotti LL, Lutter CK, Waters WF, Gallegos Riofrío CA, Malo C, Reinhart G, Palacios A, Karp C, Chapnick M, Cox K, Aguirre S, Narvaez L, López F, Sidhu R, Kell P, Jiang X, Fujiwara H, Ory DS, Young R, Stewart CP. Eggs early in complementary feeding increase choline pathway biomarkers and DHA: a randomized controlled trial in Ecuador. Am J Clin Nutr. 2017 Dec;106(6):1482-1489. [PubMed]

Na M, Aguayo VM, Arimond M, Dahal P, Lamichhane B, Pokharel R, Chitekwe S, Stewart CP. Trends and predictors of appropriate complementary feeding practices in Nepal: An analysis of national household survey data collected between 2001 and 2014. Matern Child Nutr. 2017 Nov 17. [PubMed]

Lin A, Arnold BF, Mertens AN, Lin J, Benjamin-Chung J, Ali S, Hubbard AE, Stewart CP, Shoab AK, Rahman MZ, Hossen MS, Mutsuddi P, Famida SL, Akther S, Rahman M, Unicomb L, Dhabhar FS, Fernald LCH, Colford JM Jr, Luby SP. Effects of  water, sanitation, handwashing, and nutritional interventions on telomere length among children in a cluster-randomized controlled trial in rural Bangladesh. Elife. 2017 Oct 5;6. pii: e29365. [PubMed]

Na M, Aguayo VM, Arimond M, Stewart CP. Risk factors of poor complementary feeding practices in Pakistani children aged 6-23 months: A multilevel analysis of the Demographic and Health Survey 2012-2013. Matern Child Nutr. 2017 Oct;13 Suppl 2. [PubMed]

Fernald LC, Galasso E, Qamruddin J, Ranaivoson C, Ratsifandrihamanana L, Stewart CP, Weber AM. A cluster-randomized, controlled trial of nutritional supplementation and promotion of responsive parenting in Madagascar: the MAHAY study design and rationale. BMC Public Health. 2016 Jun 3;16:466. [PubMed]

Williams AM, Chantry CJ, Young SL, Achando BS, Allen LH, Arnold BF, Colford JM Jr, Dentz HN, Hampel D, Kiprotich MC, Lin A, Null CA, Nyambane GM, Shahab-Ferdows S, Stewart CP. Vitamin B-12 Concentrations in Breast Milk Are Low and Are Not Associated with Reported Household Hunger, Recent Animal-Source Food, or Vitamin B-12 Intake in Women in Rural Kenya. J Nutr. 2016 May;146(5):1125-31. [PubMed]

Gernand AD, Schulze KJ, Stewart CP, West KP Jr, Christian P. Micronutrient deficiencies in pregnancy worldwide: health effects and prevention. Nat Rev Endocrinol. 2016 May;12(5):274-89. [PubMed]

Oaks BM, Laugero KD, Stewart CP, Adu-Afarwuah S, Lartey A, Ashorn P, Vosti SA, Dewey KG. Late-Pregnancy Salivary Cortisol Concentrations of Ghanaian Women Participating in a Randomized Controlled Trial of Prenatal Lipid-Based Nutrient Supplements. J Nutr. 2016 Jan 13. pii: jn219576. [PubMed]

Stewart CP, Oaks BM, Laugero KD, Ashorn U, Harjunmaa U, Kumwenda C, Chaima D, Maleta K, Ashorn P, Dewey KG. Maternal cortisol and stress are associated with birth outcomes, but are not affected by lipid-based nutrient supplements during pregnancy: an analysis of data from a randomized controlled trial in rural Malawi. PLoS One. 2015 Dec 16;10(12):e0144996. [PubMed]

Khan RJ, Stewart CP, Davis SK, Harvey DJ, Leistikow BN. The risk and burden of smoking related heart disease mortality among young people in the United States. Tobacco Induced Diseases. 2015 Jul;13(1):16. [PubMed

Khan RJ, Harvey DJ, Leistikow BN, Haque KS, Stewart CP. Relationship between obesity and coronary heart disease among urban Bangladeshi men and women. Integr Obes Diabetes. 2015 May;1(3):49-55. [PubMed]

Campbell RK, Talegawkar SA, Christian P, Leclerq SC, Khatry SK, Wu LS, Stewart CP, West KP, Jr. Evaluation of a Novel Single-administration Food Frequency Questionnaire for Assessing Seasonally Varied Dietary Patterns among Women in Rural Nepal. Ecology of food and nutrition. 2015 Feb 13:1-14. [PubMed]

Iannotti LL, Lutter CK, Bunn DA, Stewart CP. Eggs: the uncracked potential for improving maternal and young child nutrition among the world's poor. Nutrition reviews. 2014 Jun;72:355-68.[PubMed]

Yakub M, Schulze KJ, Khatry SK, Stewart CP, Christian P, West KP. High plasma homocysteine increases risk of metabolic syndrome in 6 to 8 year old children in rural Nepal. Nutrients. 2014 Apr;6:1649-61.[PubMed]

Schulze KJ, Christian P, Wu LS, Arguello M, Cui H, Nanayakkara-Bind A, Stewart CP, Khatry SK, LeClerq S, West KP, Jr. Micronutrient deficiencies are common in 6- to 8-year-old children of rural Nepal, with prevalence estimates modestly affected by inflammation. The Journal of nutrition. 2014 Jun;144:979-87.[PubMed]

Stewart CP, Iannotti L, Dewey KG, Michaelsen KF, Onyango AW. Contextualising complementary feeding in a broader framework for stunting prevention. Maternal & child nutrition. 2013 Sep;9 Suppl 2:27-45.[PubMed]

Arnold BF, Null C, Luby SP, Unicomb L, Stewart CP, Dewey KG, Ahmed T, Ashraf S, Christensen G, Clasen T, Dentz HN, Fernald LC, Haque R, Hubbard AE, Kariger P, Leontsini E, Lin A, Njenga SM, Pickering AJ, Ram PK, Tofail F, Winch PJ, Colford JM, Jr. Cluster-randomised controlled trials of individual and combined water, sanitation, hygiene and nutritional interventions in rural Bangladesh and Kenya: the WASH Benefits study design and rationale. BMJ open 2013;3(8):e003476. [PubMed]

Stewart CP, Christian P, Wu LS, Leclerq SC, Khatry SK, West KP Jr. Prevalence and Risk Factors of Elevated Blood Pressure, Overweight, and Dyslipidemia in Adolescent and Young Adults in Rural Nepal. Metab Syndr Relat Disord. 2013 May 17. [PubMed]

Khan RJ, Stewart CP, Christian P, Schulze KJ, Wu L, Leclerq SC, Khatry SK, West KP Jr. A cross-sectional study of the prevalence and risk factors for hypertension in rural Nepali women. BMC Public Health. 2013 Jan 21;13:55. doi: 10.1186/1471-2458-13-55. [PubMed]

Stewart CP, Christian P, Schulze KJ, Arguello M, LeClerq SC, Khatry SK, West KP Jr. Low maternal vitamin B-12 status is associated with offspring insulin resistance regardless of antenatal micronutrient supplementation in rural Nepal. J Nutr. 2011 Oct;141(10):1912-7. doi: 10.3945/jn.111.144717. Epub 2011 Aug 24. [PubMed]

Stewart CP, Dewey KG, Ashorn P. The undernutrition epidemic: an urgent health priority. Lancet. 2010 Jan 23;375(9711):282. doi: 10.1016/S0140-6736(10)60132-8. No abstract available. [PubMed]

Stewart CP, Christian P, Katz J, Schulze KJ, Wu LSF, LeClerq SC, Shakya TR, Khatry SK, West KP, Jr. Maternal supplementation with vitamin A or β-carotene and cardiovascular risk among pre-adolescent children in rural Nepal.  J DOHaD 2010; 1(4): 262-270.

Stewart CP, Christian P, Schulze KJ, Shah US, Subedi G, LeClerq SC, Khatry SK. Size at birth is associated with blood pressure but not insulin resistance in 6-8 year old children in rural Nepal. J DOHaD 2010; 1(2): 114-122.

Christian P, Stewart CP. Maternal micronutrient deficiency, fetal development, and the risk of chronic disease. J Nutr 2010; 140: 437–445. [PubMed]

Christian P, Stewart CP, LeClerq SC, Wu L, Katz J, West KP, Jr., Khatry SK.  Antenatal and postnatal iron supplementation and childhood mortality in rural Nepal. A prospective follow-up in a randomized, controlled community trial. Am J Epid 2009; 170(9): 1127-36. [PubMed]

Palmer AC, Stewart CP. Micronutrients, Health and Development: Evidence-based programs: A report of the 2nd International Meeting of the Micronutrient Forum. Sight and Life Magazine 2009; 3 (Supplement): 3-82.

Palmer AC, Stewart CP. Micronutrients, Health and Development: Evidence-based programs: Executive Summary. Sight and Life Magazine; 2009; 2: 25-33. [PubMed]

Stewart CP. The role of micronutrients in the developmental origins of health and disease. Sight and Life Magazine 2009; 1: 16-25.

Stewart CP, Christian P, Schulze KJ, LeClerq SC, West KP, Jr., Khatry SK. Antenatal micronutrient supplementation reduces metabolic syndrome in 6-8 year old children in rural Nepal. J Nutr 2009; 139 (8): 1575-1581. [PubMed]

Stewart CP, Christian P, LeClerq SC, West KP, Jr., Khatry SK. Antenatal supplementation with folic acid-iron-zinc improves linear growth and reduces peripheral adiposity in school-aged children in rural Nepal.  Am J Clin Nutr 2009; 90: 132-140. [PubMed]

Stewart CP, Katz J, Khatry SK, LeClerq SC, Shrestha SR, West KP, Jr., and Christian P. Preterm delivery but not intrauterine growth retardation is associated with young maternal age among primiparas in rural Nepal.  J Matern Child Nutr 2007; 3: 174-185. [PubMed]

Mason J, Bailes A, Beda-Andourou M, Copeland N, Curtis T, Deitchler M, Foster L, Hensley M, Horjus P, Johnson C*, Lloren T, Mendez A, Munoz M, Rivers J, Vance G. Recent trends in malnutrition in developing regions: vitamin A deficiency, anemia, iodine deficiency, and child underweight. Food Nutr Bull 2005; 26:59-108. *Published under maiden name. [PubMed]