Child‐level double burden of malnutrition in the MENA and LAC regions: Prevalence and social determinants
Although the prevalence of obesity has rapidly increased in the low‐ and middle‐income countries of the Middle East and North Africa (MENA) and Latin America and the Caribbean (LAC) regions, child undernutrition remains a public‐health challenge. We examined region‐specific sociodemographic determin...
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| Veröffentlicht in: | Maternal and child nutrition 2020-04, Vol.16 (2), p.e12923-n/a |
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| creator | Ghattas, Hala Acharya, Yubraj Jamaluddine, Zeina Assi, Moubadda El Asmar, Khalil Jones, Andrew D. |
| description | Although the prevalence of obesity has rapidly increased in the low‐ and middle‐income countries of the Middle East and North Africa (MENA) and Latin America and the Caribbean (LAC) regions, child undernutrition remains a public‐health challenge. We examined region‐specific sociodemographic determinants of this double burden of malnutrition, specifically, the co‐occurrence of child stunting and overweight, using Demographic and Health Survey and Multiple Indicator Cluster Survey data (2003–2016) from 11 countries in the MENA (n = 118,585) and 13 countries in the LAC (n = 77,824) regions. We used multiple logistic regressions to model region‐specific associations of maternal education and household wealth with child nutritional outcomes (6–59 months). The prevalence of stunting, overweight, and their co‐occurrence was 24%, 10%, and 4.3% in children in the MENA region, respectively, and 19%, 5%, and 0.5% in children in the LAC region, respectively. In both regions, higher maternal education and household wealth were significantly associated with lower odds of stunting and higher odds of overweight. As compared with the poorest wealth quintiles, decreased odds of co‐occurring stunting and overweight were observed among children from the second, third, and fourth wealth quintiles in the LAC region. In the MENA region, this association was only statistically significant for the second wealth quintile. In both regions, double burden was not statistically significantly associated with maternal education. The social patterning of co‐occurring stunting and overweight in children varied across the two regions, indicating potential differences in the underlying aetiology of the double burden across regions and stages of the nutrition transition. |
| doi_str_mv | 10.1111/mcn.12923 |
| format | Article |
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We examined region‐specific sociodemographic determinants of this double burden of malnutrition, specifically, the co‐occurrence of child stunting and overweight, using Demographic and Health Survey and Multiple Indicator Cluster Survey data (2003–2016) from 11 countries in the MENA (n = 118,585) and 13 countries in the LAC (n = 77,824) regions. We used multiple logistic regressions to model region‐specific associations of maternal education and household wealth with child nutritional outcomes (6–59 months). The prevalence of stunting, overweight, and their co‐occurrence was 24%, 10%, and 4.3% in children in the MENA region, respectively, and 19%, 5%, and 0.5% in children in the LAC region, respectively. In both regions, higher maternal education and household wealth were significantly associated with lower odds of stunting and higher odds of overweight. As compared with the poorest wealth quintiles, decreased odds of co‐occurring stunting and overweight were observed among children from the second, third, and fourth wealth quintiles in the LAC region. In the MENA region, this association was only statistically significant for the second wealth quintile. In both regions, double burden was not statistically significantly associated with maternal education. The social patterning of co‐occurring stunting and overweight in children varied across the two regions, indicating potential differences in the underlying aetiology of the double burden across regions and stages of the nutrition transition.</description><identifier>ISSN: 1740-8695</identifier><identifier>EISSN: 1740-8709</identifier><identifier>DOI: 10.1111/mcn.12923</identifier><identifier>PMID: 31828957</identifier><language>eng</language><publisher>England: John Wiley & Sons, Inc</publisher><subject>Africa, Northern - epidemiology ; Age ; Anemia ; Caribbean Region - epidemiology ; Child Nutrition Disorders - epidemiology ; Child, Preschool ; Children ; Children & youth ; Cluster Analysis ; Comorbidity ; Cost of Illness ; Datasets ; double burden ; Education ; Etiology ; Growth Disorders - epidemiology ; Health surveys ; Households ; Humans ; Infant ; LAC ; Latin America - epidemiology ; Malnutrition ; MENA ; Middle East - epidemiology ; Nutrition ; Nutritional status ; Obesity ; Original ; Overweight ; Overweight - epidemiology ; Parent educational background ; Population ; Poverty - statistics & numerical data ; Prevalence ; Public health ; Questionnaires ; Social Determinants of Health - statistics & numerical data ; Social factors ; Sociodemographics ; Socioeconomic Factors ; stunting ; Surveys ; Wealth</subject><ispartof>Maternal and child nutrition, 2020-04, Vol.16 (2), p.e12923-n/a</ispartof><rights>2019 The Authors. published by John Wiley & Sons, Ltd.</rights><rights>2019 The Authors. Maternal & Child Nutrition published by John Wiley & Sons, Ltd.</rights><rights>COPYRIGHT 2020 John Wiley & Sons, Inc.</rights><rights>2020. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). 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As compared with the poorest wealth quintiles, decreased odds of co‐occurring stunting and overweight were observed among children from the second, third, and fourth wealth quintiles in the LAC region. In the MENA region, this association was only statistically significant for the second wealth quintile. In both regions, double burden was not statistically significantly associated with maternal education. The social patterning of co‐occurring stunting and overweight in children varied across the two regions, indicating potential differences in the underlying aetiology of the double burden across regions and stages of the nutrition transition.</description><subject>Africa, Northern - epidemiology</subject><subject>Age</subject><subject>Anemia</subject><subject>Caribbean Region - epidemiology</subject><subject>Child Nutrition Disorders - epidemiology</subject><subject>Child, Preschool</subject><subject>Children</subject><subject>Children & youth</subject><subject>Cluster Analysis</subject><subject>Comorbidity</subject><subject>Cost of Illness</subject><subject>Datasets</subject><subject>double burden</subject><subject>Education</subject><subject>Etiology</subject><subject>Growth Disorders - epidemiology</subject><subject>Health surveys</subject><subject>Households</subject><subject>Humans</subject><subject>Infant</subject><subject>LAC</subject><subject>Latin America - epidemiology</subject><subject>Malnutrition</subject><subject>MENA</subject><subject>Middle East - 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epidemiology</topic><topic>Age</topic><topic>Anemia</topic><topic>Caribbean Region - epidemiology</topic><topic>Child Nutrition Disorders - epidemiology</topic><topic>Child, Preschool</topic><topic>Children</topic><topic>Children & youth</topic><topic>Cluster Analysis</topic><topic>Comorbidity</topic><topic>Cost of Illness</topic><topic>Datasets</topic><topic>double burden</topic><topic>Education</topic><topic>Etiology</topic><topic>Growth Disorders - epidemiology</topic><topic>Health surveys</topic><topic>Households</topic><topic>Humans</topic><topic>Infant</topic><topic>LAC</topic><topic>Latin America - epidemiology</topic><topic>Malnutrition</topic><topic>MENA</topic><topic>Middle East - epidemiology</topic><topic>Nutrition</topic><topic>Nutritional status</topic><topic>Obesity</topic><topic>Original</topic><topic>Overweight</topic><topic>Overweight - epidemiology</topic><topic>Parent educational background</topic><topic>Population</topic><topic>Poverty - statistics & numerical data</topic><topic>Prevalence</topic><topic>Public health</topic><topic>Questionnaires</topic><topic>Social Determinants of Health - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Maternal and child nutrition</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ghattas, Hala</au><au>Acharya, Yubraj</au><au>Jamaluddine, Zeina</au><au>Assi, Moubadda</au><au>El Asmar, Khalil</au><au>Jones, Andrew D.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Child‐level double burden of malnutrition in the MENA and LAC regions: Prevalence and social determinants</atitle><jtitle>Maternal and child nutrition</jtitle><addtitle>Matern Child Nutr</addtitle><date>2020-04</date><risdate>2020</risdate><volume>16</volume><issue>2</issue><spage>e12923</spage><epage>n/a</epage><pages>e12923-n/a</pages><issn>1740-8695</issn><eissn>1740-8709</eissn><abstract>Although the prevalence of obesity has rapidly increased in the low‐ and middle‐income countries of the Middle East and North Africa (MENA) and Latin America and the Caribbean (LAC) regions, child undernutrition remains a public‐health challenge. We examined region‐specific sociodemographic determinants of this double burden of malnutrition, specifically, the co‐occurrence of child stunting and overweight, using Demographic and Health Survey and Multiple Indicator Cluster Survey data (2003–2016) from 11 countries in the MENA (n = 118,585) and 13 countries in the LAC (n = 77,824) regions. We used multiple logistic regressions to model region‐specific associations of maternal education and household wealth with child nutritional outcomes (6–59 months). The prevalence of stunting, overweight, and their co‐occurrence was 24%, 10%, and 4.3% in children in the MENA region, respectively, and 19%, 5%, and 0.5% in children in the LAC region, respectively. In both regions, higher maternal education and household wealth were significantly associated with lower odds of stunting and higher odds of overweight. As compared with the poorest wealth quintiles, decreased odds of co‐occurring stunting and overweight were observed among children from the second, third, and fourth wealth quintiles in the LAC region. In the MENA region, this association was only statistically significant for the second wealth quintile. In both regions, double burden was not statistically significantly associated with maternal education. The social patterning of co‐occurring stunting and overweight in children varied across the two regions, indicating potential differences in the underlying aetiology of the double burden across regions and stages of the nutrition transition.</abstract><cop>England</cop><pub>John Wiley & Sons, Inc</pub><pmid>31828957</pmid><doi>10.1111/mcn.12923</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0003-2074-9329</orcidid><orcidid>https://orcid.org/0000-0002-9003-636X</orcidid><orcidid>https://orcid.org/0000-0001-8864-3374</orcidid><orcidid>https://orcid.org/0000-0002-9265-3935</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Africa, Northern - epidemiology Age Anemia Caribbean Region - epidemiology Child Nutrition Disorders - epidemiology Child, Preschool Children Children & youth Cluster Analysis Comorbidity Cost of Illness Datasets double burden Education Etiology Growth Disorders - epidemiology Health surveys Households Humans Infant LAC Latin America - epidemiology Malnutrition MENA Middle East - epidemiology Nutrition Nutritional status Obesity Original Overweight Overweight - epidemiology Parent educational background Population Poverty - statistics & numerical data Prevalence Public health Questionnaires Social Determinants of Health - statistics & numerical data Social factors Sociodemographics Socioeconomic Factors stunting Surveys Wealth |
| title | Child‐level double burden of malnutrition in the MENA and LAC regions: Prevalence and social determinants |
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