Factors associated with nutritional outcomes in the mother-child dyad: a population-based cross-sectional study
Factors associated with nutritional outcomes in the mother-child dyad: a population-based cross-sectional study
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DOI：
10.1017/s136898001600080x
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发表时间：
2016-10-01
影响因子：
3.2
通讯作者：
Velasquez-Melendez, Gustavo
中科院分区：
文献类型：
--
作者：
Gea-Horta, Tatiane;Ribeiro Silva, Rita de Cassia;Velasquez-Melendez, Gustavo
目的：估计因素与双重负担的营养结果在母亲-儿童二分体在家庭层面（儿童发育迟缓和/或产妇超重）。设计：采用巴西人口与健康调查的横断面研究。营养结果为：体重正常的母亲和身高正常的孩子;超重的母亲和身高正常的孩子;体重正常的母亲和身材矮小的孩子;超重的母亲和身材矮小的孩子（双重负担）。当年龄别身高Z评分= 25.00 kg/m（2）时，儿童被归类为矮小。社会经济地位、环境、社会脆弱性、母亲特征和儿童的食物摄入是暴露因素。多项逻辑回归模型的分层方法被用来评估相关性。设置：2006- 2007年在巴西进行的全国儿童和妇女人口与健康调查。对象：母子二人组（n 3676）。结果：调整后，母亲受教育程度较低，（OR=3.53; 95% CI 1.33，9.33）和不适当的家庭（非砖石房屋; OR=2.54; 95% CI 1.39，4.66）与营养不良的双重负担有关。母亲身材矮小（OR=3.41; 95% CI 1.76，6.61）、儿童每周蔬菜摄入量≤ 4 d（OR=2.21; 95% CI 1.03，4.75）和家庭条件不佳（非砖石房屋; OR=2.29; 95% CI 1.36，3.87）与儿童身材矮小有关。缺乏母乳喂养（OR=2.00; 95%CI 1.07，3.72）与孕产妇overweight.Conclusions：目前的研究结果有助于建立战略，促进健康和健康的饮食，考虑生长缺陷和超重/肥胖伴随。
Objective: To estimate factors associated with double burden of nutritional outcomes in the mother-child dyad at the household level (child stunting and/or maternal overweight).Design: Cross-sectional study using the Brazilian Demographic and Health Survey. Nutritional outcomes were: mother with normal weight and child with normal height; overweight mother and child with normal height; mother with normal weight and short-stature child; and overweight mother and child with short stature (double burden). The child was classified as short when height-for-age Z-score was = 25.00 kg/m(2). Socio-economic status, environment, social vulnerability, maternal characteristics and the child's food intake were the exposure factors. The hierarchical approach for multinomial logistic regression modelling was used to assess the associations.Setting: National Demographic and Health Survey of Children and Women conducted in Brazil, 2006-2007.Subjects: Mother-child dyads (n 3676).Results: After adjustments, lower maternal educational level (OR=3.53; 95% CI 1.33, 9.33) and inadequate household (non-masonry house; OR=2.54; 95% CI 1.39, 4.66) were associated with the double burden of malnutrition. Mother's short stature (OR=3.41; 95% CI 1.76, 6.61), child's vegetable intake on less than or equal to 4 d/week (OR=2.21; 95% CI 1.03, 4.75) and inadequate household (non-masonry house; OR=2.29; 95% CI 1.36, 3.87) were associated with child's short stature. The lack of breast-feeding (OR=2.00; 95% CI 1.07, 3.72) was associated with maternal overweight.Conclusions: The present findings contribute to establishing strategies promoting health and healthy diets, by considering the growth deficit and overweight/obesity concomitantly.