Shifts towards overweight and double burden of malnutrition among socio-economically vulnerable children

A longitudinal ecological analysis of Brazilian municipalities

Bibliographic Data

ID15095294
AuthorsNatanael De Jesus Silva (0000-0003-3002-1032, Universidade Federal da Bahia, corresponding author), Rita De Cássia Ribeiro-Silva (0000-0002-8387-9254, Universidade Federal da Bahia), Davide Rasella (0000-0002-7260-4386, Fundação Oswaldo Cruz), Flávia Jôse Oliveira Alves (0000-0003-1613-2270, Universidade Federal da Bahia), Tereza Campello (0000-0002-9905-9453, University of Nottingham), Rosemeire L Fiaccone (0000-0001-5439-1551, Fundação Oswaldo Cruz), Maurício Lima Barreto (0000-0002-0215-4930, Fundação Oswaldo Cruz)
Year2021
Volume24
Issue15
Pages4908-4917
Publication date2021-10-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenuePublic Health Nutrition (JOURNAL)
Journal identifiersISSN: 1368-9800 • E-ISSN: 1475-2727
PublisherCambridge University Press (CUP) (PUBLISHER)
DOI10.1017/s1368980020004735
PMID33222714
OpenAlexW3109988392
LanguageEN
Citations received7
References cited31

Objective: To investigate the shifts and factors associated with different scenarios resulting from the prevalence of child stunting and overweight in Brazilian municipalities. Design: This is an ecological study using municipality-level panel data of stunting and overweight prevalence and socio-economic characteristics from 2008 to 2014. The municipalities were classified according to the WHO-UNICEF prevalence thresholds for stunting and overweight and were categorised into four nutritional scenarios: no burden (prevalence of stunting Setting: Totally, 4443 Brazilian municipalities. Participants: Aggregated data of children under 5 years old enrolled in the Brazil’s conditional cash transfer programme (Bolsa Família). Results: A mean reduction from 14·2 % to 12·7 % in the prevalence of stunting and an increase from 17·2 % to 18·4 % in the prevalence of overweight were observed. The predominant scenarios were overweight burden and double burden. The odds of both scenarios increased with higher gross domestic product (GDP) per capita and decreased with higher unemployment rates. Stunting and double burden decreased with higher expected years of schooling, and stunting burden increased with household crowding. Conclusion: Our findings indicate an advanced nutrition transition stage in Brazil, associated mainly with municipal GDP per capita growth, which has contributed to increasing the burden of overweight alone or coexisting with stunting (double burden) among children in the most socio-economically vulnerable strata of the population

Double burden · Environmental health · Malnutrition · Nutrition transition · Obesity · Overweight · Per capita · Population · Prevalence · Child Nutrition and Water Access · Demography · Food Security and Health in Diverse Populations · Medicine · Obesity, Physical Activity, Diet

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