Akanksha Marphatia
Dados Biográficos
| ID | 78337 |
|---|---|
| NOME | Akanksha Marphatia |
| PRENOMES | Akanksha |
| SOBRENOME | Marphatia |
| ASSINATURA | MARPHATIA A |
| AFILIAÇÕES | University of Cambridge |
| ORCID | 0000-0002-4277-435X |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 23 |
| TOTAL DE CITAÇÕES | 45 |
| TOTAL COMO AUTOR | 23 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2012 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2025 |
| ÍNDICE H | 4 |
Gender equality and quality of life must be central to the design and delivery of sanitation
box Sanitation is critical to improving quality of life and gender equality
Gender differences in Leptospira exposure risk, perceptions of disease severity, and high-risk behaviours in Salvador, Brazil
Vulnerability to climate hazards and infectious diseases is not gender-neutral, meaning that men, women, and other gender identities experience different risks. Leptospirosis is a zoonotic climate-sensitive infectious disease caused by the bacteria Leptospira and is transmitted to humans through contact with infected animals or contaminated environments, particularly soil and floodwater. Globally, studies report a higher risk of leptospiral infec…
Early Marriage, Preterm Birth, and School Dropout
Background Across generations, girls' early marriage recurs in high‐risk groups; however there is poor understanding of how behavior and biology interact in this context. We hypothesized an intergenerational cycle of risk, linking early marriage, preterm birth, and school dropout, and evaluated evidence for specific components of this cycle in low‐/middle‐income countries. Methods We conducted a systematized review, searching articles published f…
Perceptions and knowledge of diabetes in poor urban communities in Accra, Ghana
Diabetes is a major public health concern, leading to costly and life-threating complications while significantly impacting quality of life. However, limited evidence exists on how diabetes is understood in poor urban communities in Africa, including Ghana. Evidence suggests that community beliefs about disease can shape health outcomes and influence intervention strategies. This cross-sectional qualitative study assessed perceptions and knowledg…
Changes in food quality and habits in urban Ghana
Respondents reported a shift from home cooking and communal meals toward eating out-of-home meals. The current dietary habits reflect a hybrid of modern foods with traditional foods. Food insecurity is high, and their diets provide little protection against chronic non-communicable diseases. This limits opportunities to move towards healthy diets and improved health outcomes as envisioned in the Agenda 2030
Sex differences in social connectedness, health, and quality of life
Our study underscores the importance of examining sex-specific patterns in the relationships between social connectedness, QoL and health outcomes. Social connections appear to have both beneficial and non-beneficial effects, especially among women, although the magnitude of these effects was often small. This may reflect complex social dynamics shaped by cultural and traditional roles that differ by sex. Further research is needed to better unde…
Generational trends in the transition to womanhood in lowland rural Nepal
OBJECTIVE: In South Asia, studies show secular trends toward slightly later women's marriage and first reproduction. However, data on related biological and social events, such as menarche and age of coresidence with husband, are often missing from these analyses. We assessed generational trends in key life events marking the transition to womanhood in rural lowland Nepal. METHODS: We used data on 110 co-resident mother-in-law (MIL) and daughter-…
Association between birth length, linear growth velocities, and primary school achievement at age 10 years
Greater birth length and higher growth velocity from 6 to 24 months were associated with higher school achievement and being in the appropriate grade-for-age, respectively. Children who experienced growth failure were less likely to achieve a high MES score. Interventions aimed at improving school achievement should address maternal and fetal nutrition and health, and monitor post-natal growth
The role of education in child and adolescent marriage in rural lowland Nepal
Marriage during childhood and adolescence adversely affects maternal and child health and well-being, making it a critical global health issue. Analysis of factors associated with women marrying ≥18 years has limited utility in societies where the norm is to marry substantially earlier. This paper investigated how much education Nepali women needed to delay marriage across the range of ages from 15 to ≥18 years. Data on 6,406 women aged 23-30 yea…
Life history trade-offs associated with exposure to low maternal capital are different in sons compared to daughters
Background: Environmental exposures in early life explain variability in many physiological and behavioural traits in adulthood. Recently, we showed that exposure to a composite marker of low maternal capital explained the clustering of adverse behavioural and physical traits in adult daughters in a Brazilian birth cohort. These associations were strongly mediated by whether or not the daughter had reproduced by the age of 18 years. Using evoluti…
Associations between early marriage and preterm delivery
OBJECTIVES: Preterm delivery (<37 weeks gestation) is the largest cause of child mortality worldwide. Marriage and pregnancy during adolescence have been associated with an increased risk of preterm delivery. We investigate independent associations of age at marriage and age at first pregnancy with preterm delivery in a cohort of women from rural lowland Nepal. METHODS: We analyzed data from 17 974 women in the Low Birth Weight South Asia Trial. …
Differences in maternal and early child nutritional status by offspring sex in lowland Nepal
OBJECTIVE: On average, boys grow faster than girls in early life but appear more susceptible to undernutrition. We investigated sex differences in early child growth, and whether maternal nutritional status and diet differed by offspring sex during and after pregnancy in an undernourished population. METHODS: We analyzed longitudinal data from a cluster-randomized trial from plains Nepal, stratifying results by child or gestational age. Children'…
Comprehensive analysis of the association of seasonal variability with maternal and neonatal nutrition in lowland Nepal
Objective: To provide a comprehensive seasonal analysis of pregnant mothers’ eating behaviour and maternal/newborn nutritional status in an undernourished population from lowland rural Nepal, where weather patterns, agricultural labour, food availability and disease prevalence vary seasonally. Design: Secondary analysis of cluster-randomised Low Birth Weight South Asia Trial data, applying cosinor analysis to predict seasonal patterns. Outcomes: …
Coming together
This paper investigates how educational and geographic capital are assorted among households in rural Nepal, and how women's marital age may shape this distribution. Our focus on the timing of marriage adds a new dimension to studies of geographies of youth and marital assortment, while our emphasis on the physical and spatial attributes of households leads us to propose the concept of geographic capital, operationalised here as agrarian landhold…
The future of human malnutrition
The major threat to human societies posed by undernutrition has been recognised for millennia. Despite substantial economic development and scientific innovation, however, progress in addressing this global challenge has been inadequate. Paradoxically, the last half-century also saw the rapid emergence of obesity, first in high-income countries but now also in low- and middle-income countries. Traditionally, these problems were approached separat…
Maternal physical, socioeconomic, and demographic characteristics and childbirth complications in rural lowland Nepal
OBJECTIVES: Evolutionary perspectives on human childbirth have primarily focused on characteristics of our species in general, rather than variability within and between contemporary populations. We use an evolutionary framework to explore how physical and demographic characteristics of mothers shape the risks of childbirth complications in rural lowland Nepal, where childbearing typically commences in adolescence and chronic undernutrition is wi…
Independent associations of women's age at marriage and first pregnancy with their height in rural lowland Nepal
OBJECTIVES: In many South Asian communities, the majority of women are married during adolescence and reproduce before 20 years. Early reproduction may adversely affect maternal nutrition and linear growth, however whether early marriage has similar effects is unknown. Shorter women might also be preferentially chosen for earlier marriage. We hypothesized that early marriage and early pregnancy may each be associated with women's shorter height, …
How Much Education Is Needed to Delay Women's Age at Marriage and First Pregnancy
Background: Early childbirth is associated with adverse maternal and child health outcomes. In South Asia, where women generally marry before having children, public health efforts need to focus on delaying marriage. Female education is widely considered the primary means to achieve this. However, it remains unclear how much education is required to delay marriage to the universal minimum age of 18 years, or what predicts marriage age in women la…
The association of maternal nutrition and children’s pre-primary experience with over-age attendance in secondary school
Over-age attendance is increasing but remains under-studied in South Asia.•Children fall behind by entering pre-primary or primary late, and by repeating a grade during/after primary school.•Rural location, thin and uneducated mothers predicted late pre-primary entry.•Educational research and interventions need to focus on the earlier time-point of pre-primary.•Improving maternal nutrition and education may ensure timely progression of children i…
Developmental origins of secondary school dropout in rural India and its differential consequences by sex
We developed a biosocial life-course conceptual approach to investigate maternal and household predictors of secondary school dropout, and to ascertain whether the consequences of dropout differ between girls and boys. We analysed longitudinal biomedical data on 648 mother-child dyads from rural Maharashtra, India. Both maternal (low education, early marriage age, shorter pregnancy duration) and household (low paternal education, low socio-econom…
Maternal phenotype, independent of family economic capital, predicts educational attainment in lowland nepalese children
OBJECTIVES: Factors acting before children are born or reach school-going age may explain why some do not complete primary education. Many relevant factors relate to maternal phenotype, but few studies have tested for independent associations of maternal factors relative to those characterizing the family in general. METHODS: Using data from a longitudinal study of 838 children in Dhanusha, Nepal, we used logistic regression models to test whethe…
A question of gender justice
Associations of economic and gender inequality with global obesity prevalence
Associations of economic and gender inequality with global obesity prevalence
A question of gender justice
Developmental origins of secondary school dropout in rural India and its differential consequences by sex
We developed a biosocial life-course conceptual approach to investigate maternal and household predictors of secondary school dropout, and to ascertain whether the consequences of dropout differ between girls and boys. We analysed longitudinal biomedical data on 648 mother-child dyads from rural Maharashtra, India. Both maternal (low education, early marriage age, shorter pregnancy duration) and household (low paternal education, low socio-econom…
Coming together
This paper investigates how educational and geographic capital are assorted among households in rural Nepal, and how women's marital age may shape this distribution. Our focus on the timing of marriage adds a new dimension to studies of geographies of youth and marital assortment, while our emphasis on the physical and spatial attributes of households leads us to propose the concept of geographic capital, operationalised here as agrarian landhold…
Independent associations of women's age at marriage and first pregnancy with their height in rural lowland Nepal
OBJECTIVES: In many South Asian communities, the majority of women are married during adolescence and reproduce before 20 years. Early reproduction may adversely affect maternal nutrition and linear growth, however whether early marriage has similar effects is unknown. Shorter women might also be preferentially chosen for earlier marriage. We hypothesized that early marriage and early pregnancy may each be associated with women's shorter height, …
Associations of economic and gender inequality with global obesity prevalence
A question of gender justice
Maternal phenotype, independent of family economic capital, predicts educational attainment in lowland nepalese children
OBJECTIVES: Factors acting before children are born or reach school-going age may explain why some do not complete primary education. Many relevant factors relate to maternal phenotype, but few studies have tested for independent associations of maternal factors relative to those characterizing the family in general. METHODS: Using data from a longitudinal study of 838 children in Dhanusha, Nepal, we used logistic regression models to test whethe…
Developmental origins of secondary school dropout in rural India and its differential consequences by sex
We developed a biosocial life-course conceptual approach to investigate maternal and household predictors of secondary school dropout, and to ascertain whether the consequences of dropout differ between girls and boys. We analysed longitudinal biomedical data on 648 mother-child dyads from rural Maharashtra, India. Both maternal (low education, early marriage age, shorter pregnancy duration) and household (low paternal education, low socio-econom…
How Much Education Is Needed to Delay Women's Age at Marriage and First Pregnancy
Background: Early childbirth is associated with adverse maternal and child health outcomes. In South Asia, where women generally marry before having children, public health efforts need to focus on delaying marriage. Female education is widely considered the primary means to achieve this. However, it remains unclear how much education is required to delay marriage to the universal minimum age of 18 years, or what predicts marriage age in women la…
The association of maternal nutrition and children’s pre-primary experience with over-age attendance in secondary school
Over-age attendance is increasing but remains under-studied in South Asia.•Children fall behind by entering pre-primary or primary late, and by repeating a grade during/after primary school.•Rural location, thin and uneducated mothers predicted late pre-primary entry.•Educational research and interventions need to focus on the earlier time-point of pre-primary.•Improving maternal nutrition and education may ensure timely progression of children i…
The future of human malnutrition
The major threat to human societies posed by undernutrition has been recognised for millennia. Despite substantial economic development and scientific innovation, however, progress in addressing this global challenge has been inadequate. Paradoxically, the last half-century also saw the rapid emergence of obesity, first in high-income countries but now also in low- and middle-income countries. Traditionally, these problems were approached separat…
Maternal physical, socioeconomic, and demographic characteristics and childbirth complications in rural lowland Nepal
OBJECTIVES: Evolutionary perspectives on human childbirth have primarily focused on characteristics of our species in general, rather than variability within and between contemporary populations. We use an evolutionary framework to explore how physical and demographic characteristics of mothers shape the risks of childbirth complications in rural lowland Nepal, where childbearing typically commences in adolescence and chronic undernutrition is wi…
Independent associations of women's age at marriage and first pregnancy with their height in rural lowland Nepal
OBJECTIVES: In many South Asian communities, the majority of women are married during adolescence and reproduce before 20 years. Early reproduction may adversely affect maternal nutrition and linear growth, however whether early marriage has similar effects is unknown. Shorter women might also be preferentially chosen for earlier marriage. We hypothesized that early marriage and early pregnancy may each be associated with women's shorter height, …
Life history trade-offs associated with exposure to low maternal capital are different in sons compared to daughters
Background: Environmental exposures in early life explain variability in many physiological and behavioural traits in adulthood. Recently, we showed that exposure to a composite marker of low maternal capital explained the clustering of adverse behavioural and physical traits in adult daughters in a Brazilian birth cohort. These associations were strongly mediated by whether or not the daughter had reproduced by the age of 18 years. Using evoluti…
Associations between early marriage and preterm delivery
OBJECTIVES: Preterm delivery (<37 weeks gestation) is the largest cause of child mortality worldwide. Marriage and pregnancy during adolescence have been associated with an increased risk of preterm delivery. We investigate independent associations of age at marriage and age at first pregnancy with preterm delivery in a cohort of women from rural lowland Nepal. METHODS: We analyzed data from 17 974 women in the Low Birth Weight South Asia Trial. …
Differences in maternal and early child nutritional status by offspring sex in lowland Nepal
OBJECTIVE: On average, boys grow faster than girls in early life but appear more susceptible to undernutrition. We investigated sex differences in early child growth, and whether maternal nutritional status and diet differed by offspring sex during and after pregnancy in an undernourished population. METHODS: We analyzed longitudinal data from a cluster-randomized trial from plains Nepal, stratifying results by child or gestational age. Children'…
Comprehensive analysis of the association of seasonal variability with maternal and neonatal nutrition in lowland Nepal
Objective: To provide a comprehensive seasonal analysis of pregnant mothers’ eating behaviour and maternal/newborn nutritional status in an undernourished population from lowland rural Nepal, where weather patterns, agricultural labour, food availability and disease prevalence vary seasonally. Design: Secondary analysis of cluster-randomised Low Birth Weight South Asia Trial data, applying cosinor analysis to predict seasonal patterns. Outcomes: …
Coming together
This paper investigates how educational and geographic capital are assorted among households in rural Nepal, and how women's marital age may shape this distribution. Our focus on the timing of marriage adds a new dimension to studies of geographies of youth and marital assortment, while our emphasis on the physical and spatial attributes of households leads us to propose the concept of geographic capital, operationalised here as agrarian landhold…
The role of education in child and adolescent marriage in rural lowland Nepal
Marriage during childhood and adolescence adversely affects maternal and child health and well-being, making it a critical global health issue. Analysis of factors associated with women marrying ≥18 years has limited utility in societies where the norm is to marry substantially earlier. This paper investigated how much education Nepali women needed to delay marriage across the range of ages from 15 to ≥18 years. Data on 6,406 women aged 23-30 yea…
Generational trends in the transition to womanhood in lowland rural Nepal
OBJECTIVE: In South Asia, studies show secular trends toward slightly later women's marriage and first reproduction. However, data on related biological and social events, such as menarche and age of coresidence with husband, are often missing from these analyses. We assessed generational trends in key life events marking the transition to womanhood in rural lowland Nepal. METHODS: We used data on 110 co-resident mother-in-law (MIL) and daughter-…
Association between birth length, linear growth velocities, and primary school achievement at age 10 years
Greater birth length and higher growth velocity from 6 to 24 months were associated with higher school achievement and being in the appropriate grade-for-age, respectively. Children who experienced growth failure were less likely to achieve a high MES score. Interventions aimed at improving school achievement should address maternal and fetal nutrition and health, and monitor post-natal growth
Gender equality and quality of life must be central to the design and delivery of sanitation
box Sanitation is critical to improving quality of life and gender equality
Gender differences in Leptospira exposure risk, perceptions of disease severity, and high-risk behaviours in Salvador, Brazil
Vulnerability to climate hazards and infectious diseases is not gender-neutral, meaning that men, women, and other gender identities experience different risks. Leptospirosis is a zoonotic climate-sensitive infectious disease caused by the bacteria Leptospira and is transmitted to humans through contact with infected animals or contaminated environments, particularly soil and floodwater. Globally, studies report a higher risk of leptospiral infec…
Early Marriage, Preterm Birth, and School Dropout
Background Across generations, girls' early marriage recurs in high‐risk groups; however there is poor understanding of how behavior and biology interact in this context. We hypothesized an intergenerational cycle of risk, linking early marriage, preterm birth, and school dropout, and evaluated evidence for specific components of this cycle in low‐/middle‐income countries. Methods We conducted a systematized review, searching articles published f…
Perceptions and knowledge of diabetes in poor urban communities in Accra, Ghana
Diabetes is a major public health concern, leading to costly and life-threating complications while significantly impacting quality of life. However, limited evidence exists on how diabetes is understood in poor urban communities in Africa, including Ghana. Evidence suggests that community beliefs about disease can shape health outcomes and influence intervention strategies. This cross-sectional qualitative study assessed perceptions and knowledg…
Changes in food quality and habits in urban Ghana
Respondents reported a shift from home cooking and communal meals toward eating out-of-home meals. The current dietary habits reflect a hybrid of modern foods with traditional foods. Food insecurity is high, and their diets provide little protection against chronic non-communicable diseases. This limits opportunities to move towards healthy diets and improved health outcomes as envisioned in the Agenda 2030
Sex differences in social connectedness, health, and quality of life
Our study underscores the importance of examining sex-specific patterns in the relationships between social connectedness, QoL and health outcomes. Social connections appear to have both beneficial and non-beneficial effects, especially among women, although the magnitude of these effects was often small. This may reflect complex social dynamics shaped by cultural and traditional roles that differ by sex. Further research is needed to better unde…
Medicine (17 obras) · Demography (15 obras) · Environmental health (12 obras) · Sociology (11 obras) · Birth, Development, and Health (9 obras) · Child Nutrition and Water Access (9 obras) · Population (8 obras) · Demographic Trends and Gender Preferences (7 obras) · Logistic regression (7 obras) · Biology (6 obras)