Predictors of maternal and child double burden of malnutrition in rural Indonesia and Bangladesh
Predictors of maternal and child double burden of malnutrition in rural Indonesia and Bangladesh
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DOI：
10.3945/ajcn.111.026070
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发表时间：
2012-04-01
影响因子：
7.1
通讯作者：
Kraemer, Klaus
中科院分区：
文献类型：
--
作者：
Oddo, Vanessa M.;Rah, Jee H.;Kraemer, Klaus
背景资料：许多发展中国家现在面临着营养不良的双重负担，定义为在同一个家庭中同时存在发育不良的儿童和超重的母亲。目的：本研究试图估计营养不良双重负担的流行率，并确定印度尼西亚和孟加拉国农村地区相关的母亲、儿童和家庭特征。设计：共有247 126个农村家庭参加了印度尼西亚营养监测系统（2000-2003年），168 317个农村家庭参加了孟加拉国营养监测项目（2003-2006年），这些家庭都被纳入了分析。母亲和儿童的双重负担（MCDB）及其与个人和家庭特征的关联，通过使用logistic回归models.Results：MCDB观察到在11%和4%的家庭在印度尼西亚和孟加拉国，分别。母亲身材矮小[印度尼西亚（OR：2.32; 95% CI：2.25，2.40）;孟加拉国（OR：2.11; 95% CI：1.96，2.26）]和年龄较大是MCDB的强预测因素。年龄较大和女性等儿童特征与MCDB的几率增加相关，而目前正在母乳喂养可预防MCDB [印度尼西亚（OR：0.84; 95% CI：0.81，0.84）;孟加拉国（OR：0.55; 95% CI：0.52，0.58）]。较大的家庭规模和较高的每周人均家庭支出预测MCDB [印度尼西亚（OR：1.34; 95% CI：1.28，1.40）;孟加拉国（OR：1.94; 95% CI：1.77，2.12）]。未来的政策和干预措施应同时解决发展中国家农村和城市环境中的体重不足和超重问题。Am J Clin Nutr 2012;95：951-8。
Background: Many developing countries now face the double burden of malnutrition, defined as the coexistence of a stunted child and overweight mother within the same household.Objective: This study sought to estimate the prevalence of the double burden of malnutrition and to identify associated maternal, child, and household characteristics in rural Indonesia and Bangladesh.Design: A total of 247,126 rural households that participated in the Indonesia Nutrition Surveillance System (2000-2003) and 168,317 rural households in the Bangladesh Nutritional Surveillance Project (2003-2006) were included in the analysis. Maternal and child double burden (MCDB) and its association with individual and household characteristics were determined by using logistic regression models.Results: MCDB was observed in 11% and 4% of the households in rural Indonesia and Bangladesh, respectively. Maternal short stature [Indonesia (OR: 2.32; 95% CI: 2.25, 2.40); Bangladesh (OR: 2.11; 95% CI: 1.96, 2.26)], and older age were strong predictors of MCDB. Child characteristics such as older age and being female were associated with an increased odds of MCDB, whereas currently being breastfed was protective against MCDB [Indonesia (OR: 0.84; 95% CI: 0.81, 0.84); Bangladesh (OR: 0.55; 95% CI: 0.52, 0.58)]. A large family size and higher weekly per capita household expenditure predicted MCDB [Indonesia (OR: 1.34; 95% Cl: 1.28, 1.40); Bangladesh (OR: 1.94; 95% CI: 1.77, 2.12)].Conclusions: Double burden is not exclusive to urban areas. Future policies and interventions should address under- and overweight simultaneously in both rural and urban developing country settings. Am J Clin Nutr 2012;95:951-8.