Tags

Type your tag names separated by a space and hit enter

Conditional cash transfers and the double burden of malnutrition among children in Colombia: a quasi-experimental study.
Br J Nutr 2016; 115(10):1780-9BJ

Abstract

Conditional cash-transfer (CCT) programmes have been shown to improve the nutritional and health status of children from poor families. However, CCT programmes may have unintended and not fully known consequences by increasing the risk of overweight and obesity. We examined the impact of Familias en Acción (FA), a large CCT programme in Colombia, on the double burden of malnutrition among pre-school and school-aged children. Height and weight were measured before programme enrolment and during follow-ups in 1290 children from thirty-one treatment municipalities, being compared with 1584 children from sixty-two matched control municipalities. We used a difference-in-differences approach to evaluate the effect of FA on children's stunting, BMI z-scores, thinness, overweight and obesity, controlling for individual and municipality-level confounders. At baseline, the prevalences of stunting and overweight were 30·3 and 15·4 %, respectively, in treatment municipalities and 27·9 and 17·4 % in control municipalities. FA was associated with reduced odds of thinness (OR 0·26; 95 % CI 0·09, 0·75) and higher BMI-for-age z-scores (BMI z-scores) (β 0·14; 95 % CI 0·00, 0·27; P<0·05), although the latter was of small clinical significance. The prevalence of stunting, overweight and obesity decreased over time, but the effect of FA on these outcomes was not significant. The CCT programme in Colombia reduced the odds of thinness, but had no effect on stunting, a more prevalent outcome. The FA programme had no effect on overweight or obesity, although BMI z-scores were higher for children under treatment, raising the possibility of an increase of small clinical significance on BMI among pre-school and school-aged children.

Authors+Show Affiliations

1Department of Public Health,Erasmus MC,PO Box 2040,3000 CA Rotterdam,The Netherlands.2Department of Social Science, Health and Medicine,King's College London,East Wing, Strand Campus, London WC2R 2LS,UK.4Health Division, OECD,2, rue André Pascal, 75775 Cedex 16,Paris,France.1Department of Public Health,Erasmus MC,PO Box 2040,3000 CA Rotterdam,The Netherlands.1Department of Public Health,Erasmus MC,PO Box 2040,3000 CA Rotterdam,The Netherlands.

Pub Type(s)

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

Language

eng

PubMed ID

26988836

Citation

Lopez-Arana, Sandra, et al. "Conditional Cash Transfers and the Double Burden of Malnutrition Among Children in Colombia: a Quasi-experimental Study." The British Journal of Nutrition, vol. 115, no. 10, 2016, pp. 1780-9.
Lopez-Arana S, Avendano M, Forde I, et al. Conditional cash transfers and the double burden of malnutrition among children in Colombia: a quasi-experimental study. Br J Nutr. 2016;115(10):1780-9.
Lopez-Arana, S., Avendano, M., Forde, I., van Lenthe, F. J., & Burdorf, A. (2016). Conditional cash transfers and the double burden of malnutrition among children in Colombia: a quasi-experimental study. The British Journal of Nutrition, 115(10), pp. 1780-9. doi:10.1017/S0007114516000714.
Lopez-Arana S, et al. Conditional Cash Transfers and the Double Burden of Malnutrition Among Children in Colombia: a Quasi-experimental Study. Br J Nutr. 2016 May 28;115(10):1780-9. PubMed PMID: 26988836.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Conditional cash transfers and the double burden of malnutrition among children in Colombia: a quasi-experimental study. AU - Lopez-Arana,Sandra, AU - Avendano,Mauricio, AU - Forde,Ian, AU - van Lenthe,Frank J, AU - Burdorf,Alex, Y1 - 2016/03/18/ PY - 2016/3/19/entrez PY - 2016/3/19/pubmed PY - 2016/9/1/medline KW - BMI z-scores BMI-for-age z-scores KW - CCT conditional cash transfer KW - Children KW - Conditional cash transfers KW - DID difference-in-differences KW - FA Familias en Acción KW - HAZ height-for-age z-scores KW - Nutrition KW - Poverty KW - Social policies SP - 1780 EP - 9 JF - The British journal of nutrition JO - Br. J. Nutr. VL - 115 IS - 10 N2 - Conditional cash-transfer (CCT) programmes have been shown to improve the nutritional and health status of children from poor families. However, CCT programmes may have unintended and not fully known consequences by increasing the risk of overweight and obesity. We examined the impact of Familias en Acción (FA), a large CCT programme in Colombia, on the double burden of malnutrition among pre-school and school-aged children. Height and weight were measured before programme enrolment and during follow-ups in 1290 children from thirty-one treatment municipalities, being compared with 1584 children from sixty-two matched control municipalities. We used a difference-in-differences approach to evaluate the effect of FA on children's stunting, BMI z-scores, thinness, overweight and obesity, controlling for individual and municipality-level confounders. At baseline, the prevalences of stunting and overweight were 30·3 and 15·4 %, respectively, in treatment municipalities and 27·9 and 17·4 % in control municipalities. FA was associated with reduced odds of thinness (OR 0·26; 95 % CI 0·09, 0·75) and higher BMI-for-age z-scores (BMI z-scores) (β 0·14; 95 % CI 0·00, 0·27; P<0·05), although the latter was of small clinical significance. The prevalence of stunting, overweight and obesity decreased over time, but the effect of FA on these outcomes was not significant. The CCT programme in Colombia reduced the odds of thinness, but had no effect on stunting, a more prevalent outcome. The FA programme had no effect on overweight or obesity, although BMI z-scores were higher for children under treatment, raising the possibility of an increase of small clinical significance on BMI among pre-school and school-aged children. SN - 1475-2662 UR - https://www.unboundmedicine.com/medline/citation/26988836/Conditional_cash_transfers_and_the_double_burden_of_malnutrition_among_children_in_Colombia:_a_quasi_experimental_study_ L2 - https://www.cambridge.org/core/product/identifier/S0007114516000714/type/journal_article DB - PRIME DP - Unbound Medicine ER -