Understanding the double burden of malnutrition in food insecure households in Brazil

Datos Bibliográficos

ID15536960
AutoresMuriel Bauermann Gubert (0000-0002-0103-4187, Yale University, autor de correspondencia), Ana Maria Spaniol (0000-0003-4017-9597, Universidade de Brasília), Ana Maria Segall-Corrêa (0000-0003-0140-064X, Universidade Estadual de Campinas (UNICAMP)), Ana Maria Segall‐Corrêa (Department of Collective Health University of Campinas Campinas Brazil), Rafael Pérez-Escamilla (0000-0001-9416-8039, Yale University)
Año2016
Volumen13
Número3
Fecha de publicación2016-08-09
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaMaternal and Child Nutrition (JOURNAL)
Identificadores de la revistaISSN: 1740-8695 • E-ISSN: 1740-8709
EditorialWiley (PUBLISHER • GB)
DOI10.1111/mcn.12347
PMID27502214
OpenAlexW2488184973
IdiomaEN
Citas recibidas28
Referencias citadas28

Household food insecurity (HFI) has been associated with both obesity among mothers and undernutrition among children. However, this association has not been well investigated in mother/child pairs living in the same household. The objective of this study was to examine the relationship of coexistence of maternal overweight and child stunting with HFI in Brazil. We conducted secondary data analyses of the 2006 Brazilian National Demographic and Health Survey. We analyzed the nutritional status of 4299 pairs of 15-49-year-olds mothers and their children under 5 years of age. The double burden of malnutrition (DBM) was defined as the presence of an overweight mother and a stunted child in the same household. HFI was measured with the Brazilian HFI Measurement Scale. The association between DBM and HFI was examined with hierarchical multivariable logistic regression analyses. Severe HFI was associated with DBM after adjusting for macroeconomic and household level socio-economic and demographic variables (Adjusted OR: 2.65 - CI: 1.17-8.53). Findings suggest that policies and programmes targeting HFI are needed to prevent the coexistence of child chronic undernutrition and maternal overweight/obesity in the same household. These investments are likely to be highly cost-effective as stunting has been identified as one of the major risk factors for poor child development and adult overweight/obesity and a strong risk factor for the development of costly chronic diseases including type 2 diabetes and cardiovascular disease

Cross-sectional study · Disease burden · Double burden · Environmental health · Household income · Logistic regression · Malnutrition · Obesity · Overweight · Population · Public health · Child Nutrition and Water Access · Demography · Food Security and Health in Diverse Populations · Medicine · Obesity, Physical Activity, Diet