Peri-Urban, but Not Urban, Residence in Bolivia Is Associated with Higher Odds of Co-Occurrence of Overweight and Anemia among Young Children, and of Households with an Overweight Woman and Stunted Child

Jones, Andrew D.; Hoey, Lesli; Blesh, Jennifer; Janda, Kathryn M.; Llanque, Ramiro; Aguilar, Ana María

doi:10.1093/jn/nxy017

Cited by 23 publications

(21 citation statements)

References 57 publications

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“…Similarly to other studies in LAC (Jones et al, ; Parra et al, ; Pérez‐Escamilla, Villalpando, Shamah‐Levy, & Méndez‐Gómez Humarán, ), we found that mild food insecurity was associated with a greater risk of the dual burden at the household level. Previous research in LAC and elsewhere has linked HFI to both the dual burden and its components of under‐ and over‐nutrition.…”

Section: Discussionsupporting

confidence: 89%

“…In LMIC, household food insecurity (HFI) has traditionally been associated with inadequate dietary intake, poor diet quality, infection, anemia, and growth faltering in children (Anderson, Tegegn, Tessema, Galea, & Hadley, ; Campbell et al, ; Hackett, Melgar‐Quiñonez, & Álvarez, ; Schmeer & Piperata, ). However, as in high‐income countries, where a large literature links HFI to obesity (eg, Dinour, Bergen, & Yeh, ; Gorton, Bullen, & Mhurchu, ; Seligman, Laraia, & Kushel, ; Townsend, Peerson, Love, Achterberg, & Murphy, ) particularly among women (Martin & Lippert, ), HFI has also been associated with overweight, obesity, and cardiometabolic disease in LMIC (Jones et al, ; Pérez‐Escamilla, Villalpando, Shamah‐Levy, & Méndez‐Gómez Humarán, ). While less research has examined the potential role of HFI in shaping the dual burden of malnutrition (Jones et al, ; Jones, Mundo‐Rosas, Cantoral, & Levy, ), HFI may be particularly important in this context, shaping both food choice and psychological responses to perceived threats of food shortages in ways that may increase the development of obesity and NCD (Seligman, Laraia, & Kushel, ).…”

Section: Introductionmentioning

confidence: 99%

“…However, as in high‐income countries, where a large literature links HFI to obesity (eg, Dinour, Bergen, & Yeh, ; Gorton, Bullen, & Mhurchu, ; Seligman, Laraia, & Kushel, ; Townsend, Peerson, Love, Achterberg, & Murphy, ) particularly among women (Martin & Lippert, ), HFI has also been associated with overweight, obesity, and cardiometabolic disease in LMIC (Jones et al, ; Pérez‐Escamilla, Villalpando, Shamah‐Levy, & Méndez‐Gómez Humarán, ). While less research has examined the potential role of HFI in shaping the dual burden of malnutrition (Jones et al, ; Jones, Mundo‐Rosas, Cantoral, & Levy, ), HFI may be particularly important in this context, shaping both food choice and psychological responses to perceived threats of food shortages in ways that may increase the development of obesity and NCD (Seligman, Laraia, & Kushel, ). Studies of HFI in LAC suggest that mild‐moderate episodic or cyclical food insecurity is associated with poorer diet quality thorough reduced diversity, less frequent consumption of fruits, vegetables, dairy products, meat, and fish (Weigel & Armijos, ), foods which tend to be more costly, and higher consumption of processed foods (Weigel, Armijos, Racines, Cevallos, & Castro, ).…”

Section: Introductionmentioning

confidence: 99%

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Water, food, and the dual burden of disease in Galápagos, Ecuador

Thompson

Nicholas

Watson

et al. 2019

American J Hum Biol

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Objective: Rapid development in low-and middle-income countries (LMIC) has led to changes in diet that have outpaced water and sanitation improvements, contributing to a dual burden of overweight and noncommunicable disease risk factors (OWT/NCD) and undernutrition and infectious disease symptoms (UND/ID) within individuals and households. Yet, little work has examined the joint impact of water and food exposures on the development of the dual burden. Methods: We use data from Ecuador's nationally representative Encuesta Nacional de Salud y Nutrición (ENSANUT-ECU) to test whether water access and quality and diet quality and security are associated with OWT/NCD and UND/ID among 1119 children and 1582 adults in Galápagos. Adjusted multinomial and logistic models were used to test the separate and joint associations between water and food exposures and the dual burden and its components at the individual and household levels.Results: The prevalence of the dual burden of OWT/NCD and UND/ID was 16% in children, 33% in adults, and 90% in households. Diet quality was associated with a higher risk of dual burden in individuals and households. Mild food insecurity was positively associated with the risk of dual burden at the household level. No water variable separately predicted the dual burden. Joint exposure to poor water access and food insecurity was associated with greater odds of dual burden in households. Conclusion: Our results suggest that unhealthy diets and poor water quality contribute to the dual burden at the individual and household levels. Addressing both food and water limitations is important in LMIC.

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Section: Discussionsupporting

confidence: 89%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Water, food, and the dual burden of disease in Galápagos, Ecuador

Thompson

Nicholas

Watson

et al. 2019

American J Hum Biol

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“…Periurban areas surrounding cities like Mexico City, Caracas, Bogota, Rio de Janeiro, Lima, and Sao Paulo, are confronted with violence, poverty, and environmental problems in various degrees (da Gama Torres 2008). Populations in peri-urban areas were associated with the double burden of malnutrition, more than in rural areas, showing overweight and anemia in children, overweight mothers, and stunted children (Jones et al 2018).…”

Section: Discussionmentioning

confidence: 99%

Double Burden of Excess Weight and Anemia in Latin American Children up to 2019

Shimabuku

Delgado

Nakachi

et al. 2020

Tohoku J. Exp. Med.

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The double burden of malnutrition is the coexistence of two different conditions, mainly reflected as excess or deficit in weight. Anemia is a specific nutritional deficit not always included in the double burden assessment. We reviewed overweight and/or obesity (OW/OB) and anemia studies from Latin-American Children over the last ten years up to 2019. Two authors evaluated the MEDLINE, SCOPUS, and LILACS databases. A scale of ten questions was used to assess the risk of bias in prevalence studies. Fourteen studies were selected. The population studies' size ranged from 147 to 20,342 children with different socioeconomic backgrounds, such as urban, peri-urban and rural settings, socioeconomic status, schooling, population (ethnic minorities and indigenous), and environmental differences (sea level or high altitude). The prevalence of OW/OB ranged from 4.9% to 42%. The prevalence of anemia was from 3.4% to 67%. The double burden, including OW/OB and anemia, ranged from 0.7% to 67%. A higher prevalence of excess weight and anemia was found in rural and high altitude above sea level environments, extreme poverty, low education level, and indigenous communities. These heterogeneous data, before the 2020 (COVID-19 pandemic), reflect the vast inequities between countries and within each country. Food insecurity linked to poverty and the induced change in eating habits and lifestyles threaten optimal child nutrition in ongoing and future scenarios. The existence of OW/OB and anemia and their simultaneous coexistence in the community, home, and individual levels, indicates that interventions should be comprehensive to face the double burden of malnutrition.

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“…The urban population is increasing day by day with the facilities' and infrastructure's advancement in urban areas [8]. It has an impact, one of which is an increase in nutritional problems, including obesity and malnutrition problems [9]. Obesity and anemia in women of working age (15-49 years) are the nutritional issues in urban areas and malnutrition, especially stunted children aged 6-59 months [10].…”

Section: Introductionmentioning

confidence: 99%

The Determinant Factors of Stunting Among Children in Urban Slums Area, Yogyakarta, Indonesia

Huriah

Handayani

Sudyasih³

et al. 2021

Open Access Maced J Med Sci

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BACKGROUND: In Indonesia, health indicators in urban areas are better than in rural areas. It is related to the health services’ accessibility. However, in some regions, the stunting rate among children under five in urban areas is higher than in rural areas, including in Yogyakarta. AIM: The research purpose was to analyze the determinant factor influencing the stunting incidence in children under five in urban slums areas. MATERIALS AND METHODS: The study design employed a case control with a sample of mother and 29 children under five as a case group and 42 children under five as a control group in Yogyakarta District during the December–January 2020 period. The inclusion criteria were children aged 6–59 months living in the urban slum area, while the exclusion criteria were children who had physical and mental disabilities, suffering from illness or were hospitalized, and had congenital diseases. The data collection was conducted by questionnaire and anthropometric measurements. Data analysis used central tendency, Chi-square, and logistic regression. RESULTS: The results showed that the majority of children were girls in the case group and boys in the control group with a history of non-exclusive breastfeeding. Most respondents have mothers with low levels of education and work as housewives. The results of the correlation test showed that of the seven variables studied as a risk factor, there are two factors which were birth weight and mother occupation which were related with stunting in children under five with p = 0.041 and 0.047, respectively. CONCLUSION: This study concluded that birth weight (AOR = 3.49) and mother’s occupation (AOR = 0.25) are the determinant cause of stunting in children under 5 years of age in urban slums areas. The pregnant women’s health promotion needs to be improved because it will affect birth weight, a risk factor for stunting in children under five.

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Peri-Urban, but Not Urban, Residence in Bolivia Is Associated with Higher Odds of Co-Occurrence of Overweight and Anemia among Young Children, and of Households with an Overweight Woman and Stunted Child

Cited by 23 publications

References 57 publications

Water, food, and the dual burden of disease in Galápagos, Ecuador

Water, food, and the dual burden of disease in Galápagos, Ecuador

Double Burden of Excess Weight and Anemia in Latin American Children up to 2019

The Determinant Factors of Stunting Among Children in Urban Slums Area, Yogyakarta, Indonesia

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