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Association between household food access insecurity and nutritional status indicators among children aged <5 years in Nepal: results from a national, cross-sectional household survey.
Public Health Nutr. 2015 Nov; 18(16):2906-14.PH

Abstract

OBJECTIVE

To examine the association between household food insecurity score and Z-scores of childhood nutritional status indicators.

DESIGN

Population-based, cross-sectional survey, Nepal Demographic and Health Survey 2011.

SETTING

A nationally representative sample of 11 085 households selected by a two-stage, stratified cluster sampling design to interview eligible men and women.

SUBJECTS

Children (n 2591) aged 0-60 months in a sub-sample of households selected for men's interview.

RESULTS

Prevalence of moderate and severe household food insecurity was 23·2% and 19·0%, respectively, for children aged 0-60 months. Weighted prevalence rates for stunting (height-for-age Z-score (HAZ) <-2), wasting (weight-for-height Z-score (WHZ) <-2) and underweight (weight-for-age Z-score (WAZ) <-2) were 41·6% (95% CI 38·9, 44·3%), 11·5% (95% CI 9·8, 13·2%) and 30·1% (95% CI 27·5, 32·8%), respectively. Prevalences of stunting, severe stunting (HAZ<-3) and underweight by level of household food insecurity were statistically significant (P<0·001). By multiple linear regression analyses and after adjustment for sociodemographic, child and environmental factors, household food access insecurity score was associated with HAZ (β=-0·02, P=0·01) and WAZ (β=-0·01, P=0·01) but was not associated with WHZ and BMI-for-age Z-score. A 10-point increase in household food access insecurity score was associated with a decrease in HAZ of 0·2 (95% CI 0·05, 0·39) and decrease in WAZ of 0·1 (95% CI 0·03, 0·27).

CONCLUSIONS

Our results from a nationally representative sample confirm the previously reported association of household food insecurity with stunting and underweight. Community nutrition interventions may use household food insecurity scales for identifying those households where children may be at risk of growth faltering.

Authors+Show Affiliations

1Department of Population Medicine, Faculty of Medicine and Health Sciences,Universiti Tunku Abdul Rahman,Jalan Sungai Long,Bandar Sungai Long,Post code: 43000,Kajang,Cheras,Selangor,Malaysia.2Department of Community Medicine,Bangalore Medical College and Research Institute,Bangalore,Karnataka,India.3Faculty of Medicine and Health Sciences,Universiti Tunku Abdul Rahman,Bandar Sungai Long,Selangor,Malaysia.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

25435296

Citation

Sreeramareddy, Chandrashekhar T., et al. "Association Between Household Food Access Insecurity and Nutritional Status Indicators Among Children Aged <5 Years in Nepal: Results From a National, Cross-sectional Household Survey." Public Health Nutrition, vol. 18, no. 16, 2015, pp. 2906-14.
Sreeramareddy CT, Ramakrishnareddy N, Subramaniam M. Association between household food access insecurity and nutritional status indicators among children aged <5 years in Nepal: results from a national, cross-sectional household survey. Public Health Nutr. 2015;18(16):2906-14.
Sreeramareddy, C. T., Ramakrishnareddy, N., & Subramaniam, M. (2015). Association between household food access insecurity and nutritional status indicators among children aged <5 years in Nepal: results from a national, cross-sectional household survey. Public Health Nutrition, 18(16), 2906-14. https://doi.org/10.1017/S1368980014002729
Sreeramareddy CT, Ramakrishnareddy N, Subramaniam M. Association Between Household Food Access Insecurity and Nutritional Status Indicators Among Children Aged <5 Years in Nepal: Results From a National, Cross-sectional Household Survey. Public Health Nutr. 2015;18(16):2906-14. PubMed PMID: 25435296.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Association between household food access insecurity and nutritional status indicators among children aged <5 years in Nepal: results from a national, cross-sectional household survey. AU - Sreeramareddy,Chandrashekhar T, AU - Ramakrishnareddy,N, AU - Subramaniam,Mayoori, Y1 - 2014/12/01/ PY - 2014/12/2/entrez PY - 2014/12/2/pubmed PY - 2016/7/19/medline KW - Food insecurity KW - Nepal KW - Under-5s KW - Undernutrition SP - 2906 EP - 14 JF - Public health nutrition JO - Public Health Nutr VL - 18 IS - 16 N2 - OBJECTIVE: To examine the association between household food insecurity score and Z-scores of childhood nutritional status indicators. DESIGN: Population-based, cross-sectional survey, Nepal Demographic and Health Survey 2011. SETTING: A nationally representative sample of 11 085 households selected by a two-stage, stratified cluster sampling design to interview eligible men and women. SUBJECTS: Children (n 2591) aged 0-60 months in a sub-sample of households selected for men's interview. RESULTS: Prevalence of moderate and severe household food insecurity was 23·2% and 19·0%, respectively, for children aged 0-60 months. Weighted prevalence rates for stunting (height-for-age Z-score (HAZ) <-2), wasting (weight-for-height Z-score (WHZ) <-2) and underweight (weight-for-age Z-score (WAZ) <-2) were 41·6% (95% CI 38·9, 44·3%), 11·5% (95% CI 9·8, 13·2%) and 30·1% (95% CI 27·5, 32·8%), respectively. Prevalences of stunting, severe stunting (HAZ<-3) and underweight by level of household food insecurity were statistically significant (P<0·001). By multiple linear regression analyses and after adjustment for sociodemographic, child and environmental factors, household food access insecurity score was associated with HAZ (β=-0·02, P=0·01) and WAZ (β=-0·01, P=0·01) but was not associated with WHZ and BMI-for-age Z-score. A 10-point increase in household food access insecurity score was associated with a decrease in HAZ of 0·2 (95% CI 0·05, 0·39) and decrease in WAZ of 0·1 (95% CI 0·03, 0·27). CONCLUSIONS: Our results from a nationally representative sample confirm the previously reported association of household food insecurity with stunting and underweight. Community nutrition interventions may use household food insecurity scales for identifying those households where children may be at risk of growth faltering. SN - 1475-2727 UR - https://www.unboundmedicine.com/medline/citation/25435296/Association_between_household_food_access_insecurity_and_nutritional_status_indicators_among_children_aged_<5_years_in_Nepal:_results_from_a_national_cross_sectional_household_survey_ L2 - https://www.cambridge.org/core/product/identifier/S1368980014002729/type/journal_article DB - PRIME DP - Unbound Medicine ER -