Concurrent wasting and stunting among under‐five children in the context of Ethiopia: A generalised mixed‐effects modelling

Sahiledengle, Biniyam; Agho, Kingsley; Petrucka, Pammla; Kumie, Abera; Beressa, Girma; Atlaw, Daniel; Tekalegn, Yohannes; Zenbaba, Demisu; Desta, Fikreab; Mwanri, Lillian

doi:10.1111/mcn.13483

Cited by 7 publications

(6 citation statements)

References 50 publications

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“…Here, acute diarrhoea was linked to WaSt, which is consistent with previous findings ( 8 , 15 ) . A previous report from Bangladesh indicated that dehydrating diarrhoea was associated with severe wasting in severely stunted children ( 41 ) .…”

Section: Discussionsupporting

confidence: 93%

“…Poverty contributes to household food insecurity, which causes an increase in malnutrition among children (45) . Previous studies have found that children from middle class, poor and the poorest households are at higher risk of WaSt than those from rich families (8,15) .…”

Section: Discussionmentioning

confidence: 91%

“…Recent meta-analysis reported that the prevalence of WaSt ranges between 0 and 8 % in eighty-four countries, with the highest occurrence in the fragile and conflict-affected areas ( 13 ) . WaSt was substantially correlated with male sex ( 8 , 9 , 14 ) , age of 12–23 months, infection and maternal underweight ( 8 , 15 ) . A number of risk factors, including low birth weight ( 16 , 17 ) , poor socioeconomic status ( 16 , 17 ) and maternal short stature ( 17 ) , have also been linked to both wasting and stunting.…”

Section: Introductionmentioning

confidence: 99%

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Concurrent wasting and stunting among marginalised children in Sana’a city, Yemen: a cross-sectional study

Al-Taj,

Al Serouri,

Al-Muradi

et al. 2023

J Nutr Sci

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Concurrent wasting and stunting (WaSt) is a serious form of malnutrition among young children, particularly vulnerable groups affected by the conflict. Understanding the prevalence and risk factors of WaSt among vulnerable children is important to develop effective intervention measures to reduce the burden of WaSt. The present study aimed to identify the prevalence of and risk factors for WaSt among marginalised children aged 6–59 months in Sana’a city, Yemen. A community-based cross-sectional design was conducted on a total sample size of 450 marginalised children aged 6–59 months who lived at home with their mothers. Multivariable logistic regression analysis was performed and the prevalence of WaSt was found to be 10⋅7 %. Children aged 24–59 months were protected from WaSt (adjusted odds ratio (AOR) 0⋅40, 95 % confidence interval (CI) 0⋅21, 0⋅75). A higher prevalence of WaSt was associated with male sex (AOR 2⋅31, 95 % CI 1⋅13, 4⋅71), no history of being breastfed (AOR 3⋅57, 95 % CI 1⋅23, 10⋅39), acute diarrhoea (AOR 2⋅12, 95 % CI 1⋅12, 4⋅02) and family income sources of assistance from others (AOR 2⋅74, 95 % CI 1⋅08, 6⋅93) or salary work (AOR 2⋅22, 95 % CI 1⋅10, 4⋅47). Continued breast- and bottle-feeding were not associated with WaSt in children aged 6–23 months. Mothers’ age, education and work status, family size and drinking water source were not associated with WaSt. Overall, we found that the prevalence of WaSt among marginalised children remained high. Interventions to improve household income, hygienic conditions and child feeding practices are necessary to promote child growth.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 91%

Section: Introductionmentioning

confidence: 99%

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Concurrent wasting and stunting among marginalised children in Sana’a city, Yemen: a cross-sectional study

Al-Taj,

Al Serouri,

Al-Muradi

et al. 2023

J Nutr Sci

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“…This study shows that children who were perceived to be smaller sized than average at birth were strongly associated with higher odds of TBM. This result is consistent with studies from SSA [ 4 ], India [ 14 ], Ethiopia [ 42 ], and Bangladesh [ 43 ]. This result is not unexpected considering that low birth weight is highly correlated with child undernutrition and anemia [ 44 – 47 ] and multiple concurrent forms of undernutrition [ 42 , 43 ].…”

Section: Discussionsupporting

confidence: 93%

“…This result is consistent with studies from SSA [ 4 ], India [ 14 ], Ethiopia [ 42 ], and Bangladesh [ 43 ]. This result is not unexpected considering that low birth weight is highly correlated with child undernutrition and anemia [ 44 – 47 ] and multiple concurrent forms of undernutrition [ 42 , 43 ]. The observed relationship between TBM and perceived birth size could have been attributed to biological and maternal nutrition status during pregnancy.…”

Section: Discussionsupporting

confidence: 93%

Co-existence of maternal overweight/obesity, child undernutrition, and anaemia among mother-child pairs in Ethiopia

Sahiledengle,

Mwanri,

Petrucka

et al. 2024

PLOS Glob Public Health

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Ethiopia is currently known to be the most food-insecure country in sub-Saharan Africa, where childhood undernutrition remains endemic. While attention is increasingly being paid to childhood undernutrition in Ethiopia, a current surge of "triple burden of malnutrition" (TBM) has received less attention. The purpose of this study was to determine the prevalence of TBM and identify the associated factors in Ethiopia. Data were from the Ethiopian Demographic and Health Surveys (2005–2016) and a total of 20,994 mother-child pairs were examined in this study. The TBM was our primary outcome variable, which encompasses three types of nutritional problems-when a mother may be overweight/obese, while her child is stunted, wasted, or underweight plus has anaemia under the same roof. A multilevel logistic regression explored the individual- and community-level factors associated with TBM. Our study indicated that children under-five years of age were anaemic, stunted, wasted, and underweight [49.3% (95% CI: 48.7–49.9), 43.1% (95% CI: 42.4–43.7), 10.3% (95% CI: 9.9–10.7), and 27.6% (95% CI: 27.0–28.1)] respectively. The overall prevalence of TBM was 2.6% (95% CI: 2.39–2.83). Multilevel analyses revealed that TBM was more likely to occur among children aged 12–23 months (AOR: 2.54, 95% CI: 1.68–3.83), 24–35 months (AOR: 1.54, 95% CI: 1.03–2.29), children perceived by their mothers to be smaller than normal at birth (AOR: 1.94, 95% CI: 1.48–2.56), who experienced fever in the past 2 weeks (AOR: 1.58, 95% CI: 1.24–2.01), and lived in urban settings (AOR: 1.79, 95% CI: 1.13–2.86). Lower odds of TBM were reported among female children (AOR: 0.59, 95% CI: 0.47–0.72), and those who lived in rich households (AOR: 0.69: 95% CI: 0.49–0.98). TBM was found to be present in almost three percent of households in Ethiopia. Addressing the TBM through double-duty actions will be of critical importance in achieving malnutrition in all its forms in Ethiopia.

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Determinants of concurrent wasting and stunting among children 6 to 23 mo in Indonesia

Jokhu,

Syauqy

2024

Nutrition

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Concurrent wasting and stunting among under‐five children in the context of Ethiopia: A generalised mixed‐effects modelling

Cited by 7 publications

References 50 publications

Concurrent wasting and stunting among marginalised children in Sana’a city, Yemen: a cross-sectional study

Concurrent wasting and stunting among marginalised children in Sana’a city, Yemen: a cross-sectional study

Co-existence of maternal overweight/obesity, child undernutrition, and anaemia among mother-child pairs in Ethiopia

Determinants of concurrent wasting and stunting among children 6 to 23 mo in Indonesia

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