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Trends and patterns of the double burden of malnutrition (DBM) in Peru: a pooled analysis of 129,159 mother-child dyads
- Source :
- CONCYTEC-Institucional, Consejo Nacional de Ciencia Tecnología e Innovación Tecnológica, instacron:CONCYTEC, International journal of obesity (2005)
- Publication Year :
- 2021
- Publisher :
- Springer, 2021.
-
Abstract
- Background This study aims to evaluate trends of DBM in Peru over the last 20 years. Methods Using individual-level data collected in nationally representative household surveys from Peru between 1996 and 2017, we analysed trends in the prevalence and patterning of the DBM. We classified the nutritional status of children and their mothers as undernourished (either underweight, stunted or wasted for children), normal, overweight or obese. Children classified as experiencing the DBM were those undernourished and living with an overweight or obese mother. We also fitted logistic regression models to evaluate the probability of children having an overweight/obese mother across subgroups of socioeconomic status, place of residence and education. Results The overall percentage of children experiencing the DBM in 2016 was 7%, and constitutes ~203,600 children (90% of whom were stunted). Between 1996 and 2016, undernourished children have seen the largest relative increase in the risk of having an overweight mother (31% vs. 37%) or obese mother (6% vs. 17%); however, due to the substantial decrease in the absolute number of undernourished children, the DBM has not grown. Moreover, all children, irrespective of their own nutritional status, are now more likely to live with an overweight or obese mother, a consistent pattern across wealth, location and education subgroups, and all regions of Peru. Conclusions DBM prevalence in Peru has decreased, although the number of DBM cases is estimated to be above 200,000. In addition, all children are now more likely to live with overweight or obese mothers. The basic pattern has shifted from one of undernourished children whose mothers have a ‘normal’ BMI, to one where now most children have a ‘normal’ or healthy anthropometric status, but whose mothers are overweight or obese. This suggest that Peru is on the cusp of a major public health challenge requiring significant action.
- Subjects :
- Male
0301 basic medicine
obesity
Double burden
Epidemiology
Endocrinology, Diabetes and Metabolism
Medicine (miscellaneous)
Overweight
disease burden
0302 clinical medicine
Peruvian
Peru
Prevalence
030212 general & internal medicine
purl.org/pe-repo/ocde/ford#3.03.04 [http]
Nutrition and Dietetics
purl.org/pe-repo/ocde/ford#3.02.18 [https]
Middle Aged
Child, Preschool
Female
Underweight
medicine.symptom
childhood obesity
Adult
medicine.medical_specialty
Adolescent
purl.org/pe-repo/ocde/ford#3.03.04 [https]
Mothers
Nutritional Status
Major clinical study
Article
Young Adult
03 medical and health sciences
medicine
Humans
cross-sectional study
controlled study
Obesity
Socioeconomic status
030109 nutrition & dietetics
business.industry
Public health
Malnutrition
Infant, Newborn
Infant
nutritional and metabolic diseases
Anthropometry
medicine.disease
nutritional status
Cross-Sectional Studies
Socioeconomic Factors
business
Demography
meta analysis
Subjects
Details
- Language :
- English
- ISSN :
- 03070565
- Database :
- OpenAIRE
- Journal :
- CONCYTEC-Institucional, Consejo Nacional de Ciencia Tecnología e Innovación Tecnológica, instacron:CONCYTEC, International journal of obesity (2005)
- Accession number :
- edsair.doi.dedup.....96240823082aa52e017b7c623988525c