The double burden of malnutrition: an assessment of ‘stunted child and overweight/obese mother (SCOWT) pairs’ in Kerala households

Jayalakshmi, Rajeev; Kannan, Srinivasan

doi:10.1057/s41271-019-00172-7

Cited by 17 publications

(14 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The prevalence of DBM varied from 0.5% in Jharkhand to 10.4% in Kerala. A previous study conducted in Kerala reported a similar prevalence of DBM at the household level as 10.7% [31].…”

Section: Discussionsupporting

confidence: 51%

“…Recent studies in bordering countries like Nepal and Bangladesh reported prevalence of DBM at the household level as 2-4% [29,30]. In India, several studies have documented DBM at the household level but are limited to certain geographies [21,31]. A study, using the National Family Health Survey (NFHS) 2015-16 data, highlights prevalence of DBM at the household level, but no state or region-speci c variations were documented [32].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The Coexistence of Dual Malnutrition At Household Level in India: Evidence From The Comprehensive National Nutrition Study 2016–18

Porwal¹,

Ashraf²,

Ramesh³

et al. 2021

Preprint

View full text Add to dashboard Cite

Objective To examine the prevalence of DBM at national, state, regional level and its proximate determinants in households with a mother and child under 5 years of age. Methods The present study includes data on 38,060 children under 5 years of age and their biological mothers, drawn from the nationally representative Comprehensive National Nutrition Survey (CNNS) of children and adolescents aged 0–19 years in India. The outcome variable for this study was the double burden of malnutrition at the household level. A child was classified as stunted if the height was at least -2SD below the mean for their age. A mother with a body mass index (BMI) of more than or equal to 25kg/m2 (BMI ≥ 25 kg/m2) was considered as overweight. A binary variable with coexistence of both conditions was created and categorized as 1 (existence of stunted child and overweight mother), and 0 otherwise. Multivariate regression analysis was used to examine the association between DBM and covariates at maternal, child and household level. Results 3.4% of households were found to be with DBM, with higher prevalence in urban areas (6.2%) as compared to rural areas (2.5%). Inter-state and regional variations were present in the prevalence of DBM. The proportion of DBM was higher in households with mothers aged 30 years or more, mothers not working and those who had cesarean births. Prevalence of DBM was found to be higher in urban area and rich households. Conclusion This study shows the prevalence of DBM and its proximate determinants. These findings highlight the need for a comprehensive nutrition programme that targets both undernutrition and overnutrition. While formulating standalone policies for both forms of malnutrition is relatively easier, customized policies and programmes are needed to combat the conflicting situation of dietary excess and deprivation at the household level.

show abstract

“…The prevalence of DBM varied from 0.5% in Jharkhand to 10.4% in Kerala. A previous study conducted in Kerala reported a similar prevalence of DBM at the household level as 10.7% [31].…”

Section: Discussionsupporting

confidence: 51%

Section: Introductionmentioning

confidence: 99%

The Coexistence of Dual Malnutrition At Household Level in India: Evidence From The Comprehensive National Nutrition Study 2016–18

Porwal¹,

Ashraf²,

Ramesh³

et al. 2021

Preprint

View full text Add to dashboard Cite

show abstract

“…52 In stunted newborns, there are impaired fat oxidation and low-resting energy expenditure, thus the result of these adaptations could facilitate fat storage and being overweight that drove children to DBM. 22 53 The implication is that the intrauterine period is a window of opportunity to tackle the concomitant occurrence of stunting and overweight/obesity.…”

Section: Discussionmentioning

confidence: 99%

Malnutrition and contributing factors among newborns delivered at the University of Gondar Hospital, Northwest Ethiopia: a cross-sectional study

et al. 2021

View full text Add to dashboard Cite

ObjectivesTo estimate the prevalence of various indicators of malnutrition (stunting, wasting, low birth weight, concurrent stunting and wasting, overweight/obesity and double burden malnutrition) among newborns and to investigate factors associated with these nutritional disorders.MethodsA hospital-based cross-sectional study was conducted from 10 March through to May 2020. A total of 419 newborns were recruited into the study to estimate the prevalence of low birth weight and stunting. After excluding 28 newborns whose length was less than 45 cm, 394 newborn–mother dyads were approached to estimate wasting and overweight/obesity. A systematic random sampling technique was used to select participants. All independent variables were entered into the multivariable logistic regression model and variables that had significant associations were identified based on a p value.ResultsA very small proportion of the newborns 2.5% (0.9% to 4.1%) were concurrently wasted and stunted. The prevalence rates of low birth weight and wasting were 20.8% (16.8% to 24.6%) and 10.9% (7.82% to 14.01%), respectively. The magnitude of overweight/obesity was 12.7% (9.3% to 15.9%) where 2.8% (1.1% to 4.4%) of newborns have the double burden of malnutrition. Having a father with a primary level of education 2.82 (1.19 to 6.65) and being stunted at birth 3.17 (1.6 to 6.0) were variables that were associated with increased odds of low birth weight. The odds of being overweight/obese are significantly higher among newborns born to mothers who are urban dwellers 0.35 (0.12 to 0.99).ConclusionsThe study underscores that malnutrition is a pressing public health concern that demands due emphasis. Fathers’ educational status (low level) and being stunted are associated with a high burden of low birth weight. Mothers’ residency (being urban) is associated with an elevated risk of overweight/obesity among newborns. Thus, improving the health literacy of fathers and preventing stunting at birth are recommended to mitigate low birth weight.

show abstract

“…The secondary data includes relevant documents such as National Food Security Act (NFSA, 2013), NFSA State Rules of Kerala (2018), ICDS Manual for district-level functionaries (2017), Legislative Assembly questions asked by MLAs in Kerala. In addition, two analyses were done using the first and the second India Human Development Survey (IHDS) data (Jayalakshmi & Kannan, 2019a, 2019b.…”

Section: Secondary Datamentioning

confidence: 99%

Protocol of Explanatory Study on Social, Economic and Political Dimensions of Nutritional Status of Children Aged Six to Sixty Months from Low Socio-Economic Strata in Kerala, India

Jayalakshmi

Kannan

2021

ssp

Self Cite

View full text Add to dashboard Cite

Background: Despite having better human development indicators, one-fifth of under-five children in Kerala are undernourished. The demographic, socio-economic, cultural and political transition in Kerala necessitates a revisit on the causes of undernutrition among children given that it tackled many of the immediate causes of undernutrition. The present study aims at the multi-dimensional factors' influence on nutritional status of children from low socio-economic strata in Kerala. Methods/Design: The conceptual framework for the present study adapted the ecosocial theory by Nancy Krieger. We use an explanatory study design, by adopting both quantitative and qualitative methods. The sample size for the quantitative phase is 600 children of age six to 60 months and their mothers. The qualitative phase includes in-depth interviews with key informants. The data collection tools include weighing scale and stadiometer for taking anthropometric measurements, household survey questionnaire, interview schedule for mothers, interview guide for key informants, field diary and checklist for document analysis. Discussion: Contextual evidence that the study generates will have implications at individual, service provision and policy perspectives of undernutrition among children in Kerala. It will help improve the nutrition-specific and nutrition-sensitive policies and programs in Kerala, which in turn will improve the nutritional status of the children.

show abstract

The double burden of malnutrition: an assessment of ‘stunted child and overweight/obese mother (SCOWT) pairs’ in Kerala households

Cited by 17 publications

References 20 publications

The Coexistence of Dual Malnutrition At Household Level in India: Evidence From The Comprehensive National Nutrition Study 2016–18

The Coexistence of Dual Malnutrition At Household Level in India: Evidence From The Comprehensive National Nutrition Study 2016–18

Malnutrition and contributing factors among newborns delivered at the University of Gondar Hospital, Northwest Ethiopia: a cross-sectional study

Protocol of Explanatory Study on Social, Economic and Political Dimensions of Nutritional Status of Children Aged Six to Sixty Months from Low Socio-Economic Strata in Kerala, India

Contact Info

Product

Resources

About