Urbanization in Peru is inversely associated with double burden of malnutrition: Pooled analysis of 92,841 mother–child pairs

Mendoza-Quispe, Daniel; Hernández-Vasquéz, Akram; Miranda, J. Jaime; Anza-Ramírez, Cecilia; Carrillo‐Larco, Rodrigo M.; Pomati, Marco; Nandy, Shailen; Bernabé‐Ortiz, Antonio

doi:10.1002/oby.23188

Cited by 10 publications

(19 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Reporting the underweight prevalence, our findings (0.5%) were lower than the global data reported by UNICEF (12.6%) [ 11 ], East Asia and Pacific region (5.18%) [ 11 ], and the Regions of the Americas (2.5%) [ 11 ]. As for wasting prevalence, our results (6.7%) were in line with the global UNICEF data (6.7%) [ 11 ], higher than the Region of the Americas (0.7%) [ 11 ], Peru (0.1%) [ 64 ], Brazil (5.1%) [ 65 ], and the Western Pacific Region (2.1%) [ 11 ]. As for overweight prevalence, our rate (16.8) was higher than the UNICEF data at the global level (5.7%) [ 11 ], as well, it was higher than the Region of the Americas (8%) [ 11 ], Brazil (12.6%) [ 64 ], the Europe Region (7.9%) [ 11 ], and the Western Pacific Region (7.5%) [ 11 ].…”

Section: Discussionsupporting

confidence: 89%

“…Concerning stunting’s prevalence, our findings (8.4%) were lower than the global data reported by UNICEF (22%) [ 11 ], the Regions of the Americas (8.9%) [ 11 ], the Western Pacific Region (9.3%) [ 11 ], Peru (14.4%) [ 65 ], and Brazil (12.7%) [ 66 ], and higher than the estimate prevalence reported in the European Region (5.7%) [ 11 ]. Reporting the underweight prevalence, our findings (0.5%) were lower than the global data reported by UNICEF (12.6%) [ 11 ], East Asia and Pacific region (5.18%) [ 11 ], and the Regions of the Americas (2.5%) [ 11 ].…”

Section: Discussioncontrasting

confidence: 78%

See 1 more Smart Citation

Correlates of Sub-Optimal Feeding Practices among under-5 Children amid Escalating Crises in Lebanon: A National Representative Cross-Sectional Study

et al. 2022

View full text Add to dashboard Cite

Sub-optimal feeding practices among under-5 children are the major drivers of malnutrition. This study aims to assess the prevalence of malnutrition and the factors affecting exclusive breastfeeding, bottle feeding, and complementary feeding practices among under 5 children amid the COVID-19 pandemic as well as the economic and the political crises in Lebanon. A nationally representative stratified random sample of mother–child dyads (n = 511) was collected from households using a stratified cluster sampling design. The survey inquired about infant’s feeding and complementary feeding practices using a valid questionnaire. Anthropometric measurements of the mother and child were collected. Multivariate logistic regression was conducted to explore the determinants associated with under-5 children’s practices. The prevalence of underweight, stunting, wasting, overweight and obese children was 0.5%, 8.4%, 6.7%, 16.8% and 8.9%, respectively. In total, among under-5 children, the prevalence of ever breastfeeding, exclusive breastfeeding, and bottle feeding at birth was 95.1%, 59.1% and 25.8%, respectively. Half the children in this study started solid foods between 4 and 6 months. Regression analysis showed that supporting breastfeeding at hospital (aOR = 8.20, 95% CI (3.03–22.17)) and husband’s support (aOR = 3.07, 95% CI (1.9–4.92)) were associated with increased breastfeeding odds. However, mother’s occupation (aOR = 0.18, 95% CI (0.55–0.58)) was inversely associated with breastfeeding practices. Male children (aOR = 2.119, 95% CI (1.37–3.27), mothers diagnosed with COVID-19 (aOR = 0.58, 95% CI (0.35–0.95)), and bottle feeding at hospital (aOR = 0.5, 95% CI (0.32–0.77)) were more likely to induce early initiation of solid foods at 4 months of age. This study demonstrated non-negligible rates of malnutrition, low prevalence of exclusive breastfeeding, and high rates of early introduction of formula feeding and solid foods among Lebanese under-5-children amid escalating crises.

show abstract

Section: Discussionsupporting

confidence: 89%

Section: Discussioncontrasting

confidence: 78%

Correlates of Sub-Optimal Feeding Practices among under-5 Children amid Escalating Crises in Lebanon: A National Representative Cross-Sectional Study

et al. 2022

View full text Add to dashboard Cite

show abstract

“…Increases in the gross domestic product (GDP) per capita in LMIC predict an increase in the BMI, owing largely to the widespread nutritional transitions that occur with development [ 40 ]. In Peru, the urbanization of rural life has caused a shift from traditional diets that were mostly self-grown to high-energy market-bought foods with larger portions and lower nutritional value [ 41 , 42 ]. In 2020, on average, inhabitants of rural environments consumed fruits and vegetables less frequently than in urban settings (4.1 vs. 4.6 days of the week) [ 43 ].…”

Section: Discussionmentioning

confidence: 99%

“…Over half of these centers do not have a medical doctor; and many are concentrated in coastal cities and in areas with higher economic development [ 50 ]. Peri-urban and rural settings are especially susceptible to both malnutrition and obesity [ 41 ]. Thus, rural inhabitants of the highlands and jungle have limited access to preventive health care services, and therefore, do not receive education regarding the health risks of excessive body fat and the increased risk of developing additional chronic diseases.…”

Section: Discussionmentioning

confidence: 99%

What Drives Abdominal Obesity in Peru? A Multilevel Analysis Approach Using a Nationally Representative Survey

Hernández-Vasquéz

Olazo-Cárdenas

Visconti-Lopez

et al. 2022

IJERPH

Self Cite

View full text Add to dashboard Cite

Abdominal obesity (AO) is a serious public health threat due to its increasing prevalence and effect on the development of various non-communicable diseases. A multilevel analysis of the 2019 Demographic and Family Health Survey (ENDES in Spanish) using the Latin American Diabetes Association (ALAD in Spanish) cut-off points was carried out to evaluate the individual and contextual factors associated with AO in Peru. A total of 30,585 individuals 18 years and older were included in the analysis. The prevalence of AO among Peruvians in 2019 was 56.5%. Individuals of older age (aOR 4.64; 95% CI: 3.95–5.45), women (aOR 2.74; 95% CI: 2.33–3.23), individuals with a higher wealth index (aOR 2.81; 95% CI: 2.40–3.30) and having only secondary education (aOR 1.45; 95% CI: 1.21–1.75) showed increased odds of presenting AO compared to their peers. At a contextual level, only the Human Development Index (aOR 1.59; 95% CI: 1.17–2.16) was associated with the development of AO. A high Human Development Index is the contextual factor most associated with AO. It is necessary to formulate and implement new public health policies focused on these associated factors in order to reduce the prevalence of OA and prevent the excessive burden of associated noncommunicable diseases.

show abstract

“…Fenomena yang muncul pada masyarakat marginal adalah kegemukan yang diakibatkan oleh akibat perubahan metabolisme pada masa kanak-kanak akibat stunting atau malnutrisi (29). Perubahan pola konsumsi dengan menggunakan produk olahan ultraproses karena harga yang lebih murah menjadi pemicu kejadian gizi ganda yang terjadi pada wilayah marginal/urban pinggiran perkotaan (44).…”

Section: Sosial Ekonomiunclassified

Karakteristik Kabupaten dan Kota di Indonesia dengan Masalah Gizi Ganda pada Penduduk Dewasa Tahun 2018

Inayatullah

Djokosujono

Ramadhan

2022

J mppki

View full text Add to dashboard Cite

Economic transitions, industrialization, urbanization, and technological shifts in developing countries have led to nutrition transitions, which has impact on the incidence of double burden malnutrition. This study aims to identify districts/cities with adult double burden malnutrition (DBM) as well as to analyze the characteristics of the region. The design of this research is an ecological study. Samples are 371 districts/cities with adult nutritional problems based on Riskesdas 2018, which categorized into undernutrition, overnutrition, and DBM region. Regional characteristics are classified based on the national figures. Samples were analyzed by spatial and bivariate analysis. There were 38 districts/cities (10.2%) in Indonesia that experienced adult DBM, with the highest number on Java island. The PPH score (87.01), protein intake (63.92 grams/cap/day), proportion of population with sufficient physical activity (62.93%), percentage of poor population (7.95 %), population density (2968 people/km2) and average length of schooling (9.35%) were not significantly different between DBM and overnutrition region (p>0.05). Harvested area (26 890.58 Ha), rice production (152.899.76 Tons/GKG), and rice productivity (152.899.76 Ku/Ha) were not significantly different between DBM and undernutrition region (p>0.05). The DBM region is a districts/cities that has undergone agricultural and economic transformation, resulting in changes in food consumption patterns and physical activity of the population. The incidence of adult DBM in districts/cities is more related to regional characteristics that increase the prevalence of overnutrition. Keywords: adult double burden malnutrition, nutrition transition, ecological study

show abstract

Urbanization in Peru is inversely associated with double burden of malnutrition: Pooled analysis of 92,841 mother–child pairs

Cited by 10 publications

References 30 publications

Correlates of Sub-Optimal Feeding Practices among under-5 Children amid Escalating Crises in Lebanon: A National Representative Cross-Sectional Study

Correlates of Sub-Optimal Feeding Practices among under-5 Children amid Escalating Crises in Lebanon: A National Representative Cross-Sectional Study

What Drives Abdominal Obesity in Peru? A Multilevel Analysis Approach Using a Nationally Representative Survey

Karakteristik Kabupaten dan Kota di Indonesia dengan Masalah Gizi Ganda pada Penduduk Dewasa Tahun 2018

Contact Info

Product

Resources

About