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The coexistence of child undernutrition and maternal overweight: prevalence, hypotheses, and programme and policy implications.
Matern Child Nutr 2005; 1(3):185-96MC

Abstract

The purpose of this paper is to document the prevalence of the phenomenon of the coexistence of a stunted child and an overweight mother (SCOWT) in the same household in low- and middle-income countries. We also explore whether this phenomenon is associated with a country's level of economic development and urbanization and highlight policy directions for public nutrition. Data from 36 Demographic and Health Surveys (DHS) were used (23 in Africa, 8 in Latin America, and 5 in Asia). Stunting was defined as height-for-age < -2 SD of the reference population and maternal overweight as a body mass index (BMI) of > 25 kg m(-2). World Bank and United Nations figures were used for gross national product per capita (an indicator of economic development) and for level of urbanization respectively. Descriptive statistics were derived, and multivariate linear regression analysis was used to model the association between economic development, urbanization and the prevalence of SCOWT. The prevalence of SCOWT is generally below 10%, except in four countries, of which three are in Latin America. Among our sample of countries, SCOWT is generally more prevalent in Latin America than in Africa, and is near or below 5% in all five countries of Asia. Contrary to our expectations, SCOWT is not necessarily more prevalent in urban than rural areas. We also find that when economic development is controlled for, SCOWT is associated with urbanization only in Latin America. In Africa and Asia, SCOWT is associated with economic development, but not urbanization. The concrete recognition of the SCOWT phenomenon is an important step to delineating more effective and integrated strategies to address problems of over- and undernutrition and dietary quality within countries, regions and households. This gives special importance to designing programmes and policies that will address the food and nutrition needs of each individual, rather than assuming that those needs are addressed by targeting programmes or policies to the household as a whole.

Authors+Show Affiliations

International Food Policy Research Institute, 2033 K Street, Washington, DC 20006, USA. j.garrett@cgiar.orgNo affiliation info available

Pub Type(s)

Journal Article
Meta-Analysis
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

16881899

Citation

Garrett, James, and Marie T. Ruel. "The Coexistence of Child Undernutrition and Maternal Overweight: Prevalence, Hypotheses, and Programme and Policy Implications." Maternal & Child Nutrition, vol. 1, no. 3, 2005, pp. 185-96.
Garrett J, Ruel MT. The coexistence of child undernutrition and maternal overweight: prevalence, hypotheses, and programme and policy implications. Matern Child Nutr. 2005;1(3):185-96.
Garrett, J., & Ruel, M. T. (2005). The coexistence of child undernutrition and maternal overweight: prevalence, hypotheses, and programme and policy implications. Maternal & Child Nutrition, 1(3), pp. 185-96.
Garrett J, Ruel MT. The Coexistence of Child Undernutrition and Maternal Overweight: Prevalence, Hypotheses, and Programme and Policy Implications. Matern Child Nutr. 2005;1(3):185-96. PubMed PMID: 16881899.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The coexistence of child undernutrition and maternal overweight: prevalence, hypotheses, and programme and policy implications. AU - Garrett,James, AU - Ruel,Marie T, PY - 2006/8/3/pubmed PY - 2006/8/30/medline PY - 2006/8/3/entrez SP - 185 EP - 96 JF - Maternal & child nutrition JO - Matern Child Nutr VL - 1 IS - 3 N2 - The purpose of this paper is to document the prevalence of the phenomenon of the coexistence of a stunted child and an overweight mother (SCOWT) in the same household in low- and middle-income countries. We also explore whether this phenomenon is associated with a country's level of economic development and urbanization and highlight policy directions for public nutrition. Data from 36 Demographic and Health Surveys (DHS) were used (23 in Africa, 8 in Latin America, and 5 in Asia). Stunting was defined as height-for-age < -2 SD of the reference population and maternal overweight as a body mass index (BMI) of > 25 kg m(-2). World Bank and United Nations figures were used for gross national product per capita (an indicator of economic development) and for level of urbanization respectively. Descriptive statistics were derived, and multivariate linear regression analysis was used to model the association between economic development, urbanization and the prevalence of SCOWT. The prevalence of SCOWT is generally below 10%, except in four countries, of which three are in Latin America. Among our sample of countries, SCOWT is generally more prevalent in Latin America than in Africa, and is near or below 5% in all five countries of Asia. Contrary to our expectations, SCOWT is not necessarily more prevalent in urban than rural areas. We also find that when economic development is controlled for, SCOWT is associated with urbanization only in Latin America. In Africa and Asia, SCOWT is associated with economic development, but not urbanization. The concrete recognition of the SCOWT phenomenon is an important step to delineating more effective and integrated strategies to address problems of over- and undernutrition and dietary quality within countries, regions and households. This gives special importance to designing programmes and policies that will address the food and nutrition needs of each individual, rather than assuming that those needs are addressed by targeting programmes or policies to the household as a whole. SN - 1740-8695 UR - https://www.unboundmedicine.com/medline/citation/16881899/The_coexistence_of_child_undernutrition_and_maternal_overweight:_prevalence_hypotheses_and_programme_and_policy_implications_ L2 - https://doi.org/10.1111/j.1740-8709.2005.00034.x DB - PRIME DP - Unbound Medicine ER -