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Maternal height and double-burden of malnutrition households in Mexico: stunted children with overweight or obese mothers.


ABSTRACT:

Objective

To assess the association between short maternal height and four types of mother-child nutritional status groupings within Mexican households.

Design

We classified mother-child dyads into four groups: stunted child and a non-overweight/non-obese mother (stunting-only), non-stunted child and an overweight/obese mother (overweight-only), stunted child with an overweight/obese mother (double-burden) and households with neither child stunting nor overweight/obese mothers (neither-condition). We assessed the association between maternal height and mother-child nutrition status using multinomial logistic regression, controlling for socio-economic covariates.

Setting

Nationally representative cross-section of households from the 2012 Mexican National Health and Nutrition Survey.

Participants

Children <5 years of age were matched to their mothers, resulting in a sample of 4706 mother-child dyads.

Results

We found that among children with stunting, 53·3% have an overweight/obese mother. Double-burden was observed in 8·1% of Mexican households. Maternal short stature increased the probability of stunting-only by 3·5% points (p.p.) and double-burden by 9·7 p.p. (P < 0·05). The inverse association was observed for overweight-only and neither-condition households, where the probability of these outcomes decreased by 7·2 and 6 p.p. in households with short-statured mothers (P < 0·05), respectively.

Conclusions

Women with short stature are more likely to develop overweight and simultaneously have a stunted child than those who are not short-statured. Our findings underline the challenges faced by public health systems, which have to balance the provision of services for both an undernourished and increasingly overweight/obese population.

SUBMITTER: Felix-Beltran L 

PROVIDER: S-EPMC10049080 | biostudies-literature | 2021 Jan

REPOSITORIES: biostudies-literature

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Publications

Maternal height and double-burden of malnutrition households in Mexico: stunted children with overweight or obese mothers.

Félix-Beltrán Lucía L   Macinko James J   Kuhn Randall R  

Public health nutrition 20200901 1


<h4>Objective</h4>To assess the association between short maternal height and four types of mother-child nutritional status groupings within Mexican households.<h4>Design</h4>We classified mother-child dyads into four groups: stunted child and a non-overweight/non-obese mother (stunting-only), non-stunted child and an overweight/obese mother (overweight-only), stunted child with an overweight/obese mother (double-burden) and households with neither child stunting nor overweight/obese mothers (ne  ...[more]

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