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Overweight with concurrent stunting in very young children from rural Mexico: prevalence and associated factors.
Eur J Clin Nutr. 2007 May; 61(5):623-32.EJ

Abstract

OBJECTIVE

To document the prevalence of overweight or obesity concurrent with stunting in rural low-income Mexican children and to identify demographic and socio-economic characteristics that could help identify families at risk of having an overweight/obese and stunted young child in this population.

DESIGN

Cross-sectional analysis of the nutritional status of very young children, using primary data from a rural community-based survey conducted in 2003. Overweight, obesity and stunting were documented along with several maternal, household and community characteristics.

SETTING

Impoverished areas of rural Mexico.

SUBJECTS

Pre-school children (n=7555), aged 24-72 months.

RESULTS

The combined prevalence of overweight and obesity was equal to or greater than 20% in all children, as was the prevalence of stunting. The prevalence of concurrent overweight or obesity and stunting was approximately 5% in non-indigenous children, and over 10% in indigenous children 24-60 months. A multinomial logistic analysis revealed that the factors associated with coexisting stunting and overweight/obesity were lower socio-economic status (SES), lower maternal age, education, intelligence (vocabulary) and perceived social status, shorter maternal height, and larger household size. Among only stunted children, the risk of also being overweight or obese was associated with younger maternal age (relative risk ratios (RRR): 0.98, P=0.05), lower maternal perceived social status (RRR: 0.95, P<0.01) and maternal obesity (RRR: 2.93, P<0.0001) or overweight (RRR: 1.50, P=0.002).

CONCLUSIONS

These analyses highlight that concurrent overweight or obesity and stunting is an important public health issue in low-income areas of rural Mexico beginning in early childhood. Even within this impoverished population, children living in households with low relative SES are the most vulnerable.

SPONSORSHIP

Financial support for this research was provided by the National Institutes of Child Health and Human Development, the Fogarty International Center at NIH, the John D and Catherine T MacArthur Foundation 'Research Network on Socioeconomic Status and Health' and the Mexican Government.

Authors+Show Affiliations

Community Health and Human Development, School of Public Health, University of California, Berkeley, CA, USA.No affiliation info available

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

17136036

Citation

Fernald, L C., and L M. Neufeld. "Overweight With Concurrent Stunting in Very Young Children From Rural Mexico: Prevalence and Associated Factors." European Journal of Clinical Nutrition, vol. 61, no. 5, 2007, pp. 623-32.
Fernald LC, Neufeld LM. Overweight with concurrent stunting in very young children from rural Mexico: prevalence and associated factors. Eur J Clin Nutr. 2007;61(5):623-32.
Fernald, L. C., & Neufeld, L. M. (2007). Overweight with concurrent stunting in very young children from rural Mexico: prevalence and associated factors. European Journal of Clinical Nutrition, 61(5), 623-32.
Fernald LC, Neufeld LM. Overweight With Concurrent Stunting in Very Young Children From Rural Mexico: Prevalence and Associated Factors. Eur J Clin Nutr. 2007;61(5):623-32. PubMed PMID: 17136036.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Overweight with concurrent stunting in very young children from rural Mexico: prevalence and associated factors. AU - Fernald,L C, AU - Neufeld,L M, Y1 - 2006/11/29/ PY - 2006/12/1/pubmed PY - 2007/6/26/medline PY - 2006/12/1/entrez SP - 623 EP - 32 JF - European journal of clinical nutrition JO - Eur J Clin Nutr VL - 61 IS - 5 N2 - OBJECTIVE: To document the prevalence of overweight or obesity concurrent with stunting in rural low-income Mexican children and to identify demographic and socio-economic characteristics that could help identify families at risk of having an overweight/obese and stunted young child in this population. DESIGN: Cross-sectional analysis of the nutritional status of very young children, using primary data from a rural community-based survey conducted in 2003. Overweight, obesity and stunting were documented along with several maternal, household and community characteristics. SETTING: Impoverished areas of rural Mexico. SUBJECTS: Pre-school children (n=7555), aged 24-72 months. RESULTS: The combined prevalence of overweight and obesity was equal to or greater than 20% in all children, as was the prevalence of stunting. The prevalence of concurrent overweight or obesity and stunting was approximately 5% in non-indigenous children, and over 10% in indigenous children 24-60 months. A multinomial logistic analysis revealed that the factors associated with coexisting stunting and overweight/obesity were lower socio-economic status (SES), lower maternal age, education, intelligence (vocabulary) and perceived social status, shorter maternal height, and larger household size. Among only stunted children, the risk of also being overweight or obese was associated with younger maternal age (relative risk ratios (RRR): 0.98, P=0.05), lower maternal perceived social status (RRR: 0.95, P<0.01) and maternal obesity (RRR: 2.93, P<0.0001) or overweight (RRR: 1.50, P=0.002). CONCLUSIONS: These analyses highlight that concurrent overweight or obesity and stunting is an important public health issue in low-income areas of rural Mexico beginning in early childhood. Even within this impoverished population, children living in households with low relative SES are the most vulnerable. SPONSORSHIP: Financial support for this research was provided by the National Institutes of Child Health and Human Development, the Fogarty International Center at NIH, the John D and Catherine T MacArthur Foundation 'Research Network on Socioeconomic Status and Health' and the Mexican Government. SN - 0954-3007 UR - https://www.unboundmedicine.com/medline/citation/17136036/Overweight_with_concurrent_stunting_in_very_young_children_from_rural_Mexico:_prevalence_and_associated_factors_ DB - PRIME DP - Unbound Medicine ER -