Factors Associated With Underweight and Stunting Among Children in Rural Terai of Eastern Nepal
Malnutrition continues to affect a large proportion of children in the developing world. The authors undertook this study to identify biologic, socioeconomic, and health care factors associated with underweight and stunting in young children in an the eastern Tarai (plains) district of Nepal. Data w...
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| Veröffentlicht in: | Asia-Pacific journal of public health 2009-04, Vol.21 (2), p.144-152 |
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| creator | Singh, G. C. Pramod Nair, Manju Grubesic, Ruth B. Connell, Frederick A. |
| description | Malnutrition continues to affect a large proportion of children in the developing world. The authors undertook this study to identify biologic, socioeconomic, and health care factors associated with underweight and stunting in young children in an the eastern Tarai (plains) district of Nepal. Data were collected via questionnaires from mothers of 443 children aged 6 to 36 months in Sunsari district. Multistage cluster sampling was used to select villages and children. Anthropometric measurements were made on both children and their mothers. Logistic regression was used to measure the independent (adjusted) effect of risk and protective factors on the odds of underweight or stunting. More than half (53.3%) of the children were found to be underweight ( |
| doi_str_mv | 10.1177/1010539509332063 |
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C. Pramod ; Nair, Manju ; Grubesic, Ruth B. ; Connell, Frederick A.</creator><creatorcontrib>Singh, G. C. Pramod ; Nair, Manju ; Grubesic, Ruth B. ; Connell, Frederick A.</creatorcontrib><description>Malnutrition continues to affect a large proportion of children in the developing world. The authors undertook this study to identify biologic, socioeconomic, and health care factors associated with underweight and stunting in young children in an the eastern Tarai (plains) district of Nepal. Data were collected via questionnaires from mothers of 443 children aged 6 to 36 months in Sunsari district. Multistage cluster sampling was used to select villages and children. Anthropometric measurements were made on both children and their mothers. Logistic regression was used to measure the independent (adjusted) effect of risk and protective factors on the odds of underweight or stunting. More than half (53.3%) of the children were found to be underweight (<2 standard deviations weight for age below reference median) and more than one third (36.6%) had stunting (<2 standard deviations height for age below reference median). Low maternal body mass index, child's age, higher birth order, and lower standard of living score were strong predictors of underweight, whereas mother's education >5 years and participation in vitamin A and nutritional programs were protective. Infant age, low maternal body mass index, and low standard of living score were significant risk factors for stunting, whereas mother's education >5 years was strongly protective. These results suggest that underweight and stunting are the result of a nexus of biological, socioeconomic, and health care factors.</description><identifier>ISSN: 1010-5395</identifier><identifier>EISSN: 1941-2479</identifier><identifier>DOI: 10.1177/1010539509332063</identifier><identifier>PMID: 19251720</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Age Factors ; Birth Weight ; Body Mass Index ; Child Nutrition Disorders - epidemiology ; Child, Preschool ; Cross-Sectional Studies ; Diet ; Female ; Humans ; Infant ; Male ; Nepal - epidemiology ; Nexus ; Nutrition Surveys ; Original Papers ; Prenatal Care - statistics & numerical data ; Risk Factors ; Rural Population - statistics & numerical data ; Socioeconomic Factors ; Thinness - epidemiology</subject><ispartof>Asia-Pacific journal of public health, 2009-04, Vol.21 (2), p.144-152</ispartof><rights>Copyright © 2009 Asia-Pacific Academic Consortium for Public Health</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c388t-c453b80a16be592b29e5e4da5b9460fd2c0df647502dfc7890657c425acae04c3</citedby><cites>FETCH-LOGICAL-c388t-c453b80a16be592b29e5e4da5b9460fd2c0df647502dfc7890657c425acae04c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/26723418$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/26723418$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>314,776,780,799,21798,27901,27902,43597,43598,57992,58225</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19251720$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Singh, G. C. Pramod</creatorcontrib><creatorcontrib>Nair, Manju</creatorcontrib><creatorcontrib>Grubesic, Ruth B.</creatorcontrib><creatorcontrib>Connell, Frederick A.</creatorcontrib><title>Factors Associated With Underweight and Stunting Among Children in Rural Terai of Eastern Nepal</title><title>Asia-Pacific journal of public health</title><addtitle>Asia Pac J Public Health</addtitle><description>Malnutrition continues to affect a large proportion of children in the developing world. The authors undertook this study to identify biologic, socioeconomic, and health care factors associated with underweight and stunting in young children in an the eastern Tarai (plains) district of Nepal. Data were collected via questionnaires from mothers of 443 children aged 6 to 36 months in Sunsari district. Multistage cluster sampling was used to select villages and children. Anthropometric measurements were made on both children and their mothers. Logistic regression was used to measure the independent (adjusted) effect of risk and protective factors on the odds of underweight or stunting. More than half (53.3%) of the children were found to be underweight (<2 standard deviations weight for age below reference median) and more than one third (36.6%) had stunting (<2 standard deviations height for age below reference median). Low maternal body mass index, child's age, higher birth order, and lower standard of living score were strong predictors of underweight, whereas mother's education >5 years and participation in vitamin A and nutritional programs were protective. Infant age, low maternal body mass index, and low standard of living score were significant risk factors for stunting, whereas mother's education >5 years was strongly protective. These results suggest that underweight and stunting are the result of a nexus of biological, socioeconomic, and health care factors.</description><subject>Age Factors</subject><subject>Birth Weight</subject><subject>Body Mass Index</subject><subject>Child Nutrition Disorders - epidemiology</subject><subject>Child, Preschool</subject><subject>Cross-Sectional Studies</subject><subject>Diet</subject><subject>Female</subject><subject>Humans</subject><subject>Infant</subject><subject>Male</subject><subject>Nepal - epidemiology</subject><subject>Nexus</subject><subject>Nutrition Surveys</subject><subject>Original Papers</subject><subject>Prenatal Care - statistics & numerical data</subject><subject>Risk Factors</subject><subject>Rural Population - statistics & numerical data</subject><subject>Socioeconomic Factors</subject><subject>Thinness - epidemiology</subject><issn>1010-5395</issn><issn>1941-2479</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkcuL2zAQh0Xp0n20915adOrN3dHLso4h7AuWLuyDHo0sjRMFR04lmdL_fh0SWuihvcwMzDff4TeEfGTwlTGtLxkwUMIoMEJwqMUbcsaMZBWX2ryd53ld7fen5DznDYAyDZh35JQZrpjmcEbaa-vKmDJd5Dy6YAt6-j2UNX2JHtNPDKt1oTZ6-lSmWEJc0cV2nOtyHQafMNIQ6eOU7ECfMdlAx55e2VwwRfoNd3Z4T056O2T8cOwX5OX66nl5W90_3NwtF_eVE01TKieV6BqwrO5QGd5xgwqlt6ozsobecwe-r6VWwH3vdGOgVtpJrqyzCNKJC_Ll4N2l8ceEubTbkB0Og404TrmtNSgla_ZfkO_NjTEzCAfQpTHnhH27S2Fr06-WQbtPv_07_fnk89E9dVv0fw6Occ9AdQCyXWG7GacU51D-Jfx04Dd5ftJvH681F5I14hU-EZU0</recordid><startdate>20090401</startdate><enddate>20090401</enddate><creator>Singh, G. C. Pramod</creator><creator>Nair, Manju</creator><creator>Grubesic, Ruth B.</creator><creator>Connell, Frederick A.</creator><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7U1</scope><scope>7U2</scope><scope>C1K</scope><scope>7X8</scope></search><sort><creationdate>20090401</creationdate><title>Factors Associated With Underweight and Stunting Among Children in Rural Terai of Eastern Nepal</title><author>Singh, G. C. Pramod ; Nair, Manju ; Grubesic, Ruth B. ; Connell, Frederick A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c388t-c453b80a16be592b29e5e4da5b9460fd2c0df647502dfc7890657c425acae04c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Age Factors</topic><topic>Birth Weight</topic><topic>Body Mass Index</topic><topic>Child Nutrition Disorders - epidemiology</topic><topic>Child, Preschool</topic><topic>Cross-Sectional Studies</topic><topic>Diet</topic><topic>Female</topic><topic>Humans</topic><topic>Infant</topic><topic>Male</topic><topic>Nepal - epidemiology</topic><topic>Nexus</topic><topic>Nutrition Surveys</topic><topic>Original Papers</topic><topic>Prenatal Care - statistics & numerical data</topic><topic>Risk Factors</topic><topic>Rural Population - statistics & numerical data</topic><topic>Socioeconomic Factors</topic><topic>Thinness - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Singh, G. C. Pramod</creatorcontrib><creatorcontrib>Nair, Manju</creatorcontrib><creatorcontrib>Grubesic, Ruth B.</creatorcontrib><creatorcontrib>Connell, Frederick A.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Risk Abstracts</collection><collection>Safety Science and Risk</collection><collection>Environmental Sciences and Pollution Management</collection><collection>MEDLINE - Academic</collection><jtitle>Asia-Pacific journal of public health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Singh, G. C. Pramod</au><au>Nair, Manju</au><au>Grubesic, Ruth B.</au><au>Connell, Frederick A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Factors Associated With Underweight and Stunting Among Children in Rural Terai of Eastern Nepal</atitle><jtitle>Asia-Pacific journal of public health</jtitle><addtitle>Asia Pac J Public Health</addtitle><date>2009-04-01</date><risdate>2009</risdate><volume>21</volume><issue>2</issue><spage>144</spage><epage>152</epage><pages>144-152</pages><issn>1010-5395</issn><eissn>1941-2479</eissn><abstract>Malnutrition continues to affect a large proportion of children in the developing world. The authors undertook this study to identify biologic, socioeconomic, and health care factors associated with underweight and stunting in young children in an the eastern Tarai (plains) district of Nepal. Data were collected via questionnaires from mothers of 443 children aged 6 to 36 months in Sunsari district. Multistage cluster sampling was used to select villages and children. Anthropometric measurements were made on both children and their mothers. Logistic regression was used to measure the independent (adjusted) effect of risk and protective factors on the odds of underweight or stunting. More than half (53.3%) of the children were found to be underweight (<2 standard deviations weight for age below reference median) and more than one third (36.6%) had stunting (<2 standard deviations height for age below reference median). Low maternal body mass index, child's age, higher birth order, and lower standard of living score were strong predictors of underweight, whereas mother's education >5 years and participation in vitamin A and nutritional programs were protective. Infant age, low maternal body mass index, and low standard of living score were significant risk factors for stunting, whereas mother's education >5 years was strongly protective. These results suggest that underweight and stunting are the result of a nexus of biological, socioeconomic, and health care factors.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>19251720</pmid><doi>10.1177/1010539509332063</doi><tpages>9</tpages></addata></record> |
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| subjects | Age Factors Birth Weight Body Mass Index Child Nutrition Disorders - epidemiology Child, Preschool Cross-Sectional Studies Diet Female Humans Infant Male Nepal - epidemiology Nexus Nutrition Surveys Original Papers Prenatal Care - statistics & numerical data Risk Factors Rural Population - statistics & numerical data Socioeconomic Factors Thinness - epidemiology |
| title | Factors Associated With Underweight and Stunting Among Children in Rural Terai of Eastern Nepal |
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