The coexistence of child undernutrition and maternal overweight: prevalence, hypotheses, and programme and policy implications
- 28 June 2005
- journal article
- research article
- Published by Wiley in Maternal & Child Nutrition
- Vol. 1 (3), 185-196
- https://doi.org/10.1111/j.1740-8709.2005.00034.x
Abstract
The purpose of this paper is to document the prevalence of the phenomenon of the coexistence of a stunted child and an overweight mother (SCOWT) in the same household in low‐ and middle‐income countries. We also explore whether this phenomenon is associated with a country's level of economic development and urbanization and highlight policy directions for public nutrition. Data from 36 Demographic and Health Surveys (DHS) were used (23 in Africa, 8 in Latin America, and 5 in Asia). Stunting was defined as height‐for‐age < −2 SD of the reference population and maternal overweight as a body mass index (BMI) of > 25 kg m−2. World Bank and United Nations figures were used for gross national product per capita (an indicator of economic development) and for level of urbanization respectively. Descriptive statistics were derived, and multivariate linear regression analysis was used to model the association between economic development, urbanization and the prevalence of SCOWT. The prevalence of SCOWT is generally below 10%, except in four countries, of which three are in Latin America. Among our sample of countries, SCOWT is generally more prevalent in Latin America than in Africa, and is near or below 5% in all five countries of Asia. Contrary to our expectations, SCOWT is not necessarily more prevalent in urban than rural areas. We also find that when economic development is controlled for, SCOWT is associated with urbanization only in Latin America. In Africa and Asia, SCOWT is associated with economic development, but not urbanization. The concrete recognition of the SCOWT phenomenon is an important step to delineating more effective and integrated strategies to address problems of over‐ and undernutrition and dietary quality within countries, regions and households. This gives special importance to designing programmes and policies that will address the food and nutrition needs of each individual, rather than assuming that those needs are addressed by targeting programmes or policies to the household as a whole.Keywords
This publication has 16 references indexed in Scilit:
- INTRODUCTORY OBSERVATIONS: THE REGION, NUTRITION, AND HEALTHEcology of Food and Nutrition, 2004
- The epidemiological transition: need to incorporate obesity prevention into nutrition programmesPublic Health Nutrition, 2002
- The underweight/overweight household: an exploration of household sociodemographic and dietary factors in ChinaPublic Health Nutrition, 2002
- Promotion of physical activity in a developing country: The Agita São Paulo experiencePublic Health Nutrition, 2002
- What Brazil is doing to promote healthy diets and active lifestyles.Public Health Nutrition, 2002
- What is China doing in policy-making to push back the negative aspects of the nutrition transition?Public Health Nutrition, 2002
- An overview on the nutrition transition and its health implications: the Bellagio meetingPublic Health Nutrition, 2002
- Obesity and undernutrition in a very-low-income population in the city of Maceió, northeastern BrazilBritish Journal of Nutrition, 2001
- Overweight and Underweight Coexist within Households in Brazil, China and RussiaJournal of Nutrition, 2000
- The Nutrition Transition in Low-Income Countries: An Emerging CrisisNutrition Reviews, 1994