Triple burden of malnutrition among mother–child pairs in low-income and middle-income countries: a cross-sectional study
Objective This study aimed to assess the prevalence and determinants of the triple burden of malnutrition among mother–child pairs in low-income and middle-income countries.Design Cross-sectional study.Setting Low-income and middle-income countries.Participants Women and children.Primary outcome Tri...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2023-05-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/13/5/e070978.full |
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| author | Adugnaw Zeleke Alem Nahom Worku Teshager Anteneh Ayelign Kibret Fantu Mamo Aragaw Daniel Gashaneh Belay Dagmawi Chilot Mehari Woldemariam Merid Melaku Hunie Asratie |
| author_facet | Adugnaw Zeleke Alem Nahom Worku Teshager Anteneh Ayelign Kibret Fantu Mamo Aragaw Daniel Gashaneh Belay Dagmawi Chilot Mehari Woldemariam Merid Melaku Hunie Asratie |
| author_sort | Adugnaw Zeleke Alem |
| collection | DOAJ |
| description | Objective This study aimed to assess the prevalence and determinants of the triple burden of malnutrition among mother–child pairs in low-income and middle-income countries.Design Cross-sectional study.Setting Low-income and middle-income countries.Participants Women and children.Primary outcome Triple burden of malnutrition (overweight/obese mother with undernourished and anaemic under 5 years child).Methods Data for this study were drawn from recent 22 low-income and middle-income countries Demographic and Health Surveys. A total weighted sample of 116 795 mother–child pairs was included in the study. STATA V.14.2 was used to clean, code and analyse the data. Multilevel logistic regression was employed to identify factors associated with the problem. Adjusted OR (AOR) with 95% CI and a p<0.05 was reported to indicate statistical association. Model fitness and comparison were done using intraclass correlation coefficient, median OR, proportional change in variance and deviance.Result The pooled prevalence of the triple burden of malnutrition among mother–child pairs was 11.39%. It showed statistically significant positive associations with mothers aged ≥35 years (AOR 2.25, 95% CI 2.08 to 2.44), family size >10 (AOR 1.17, 95% CI 1.08 to 1.26), delivery by caesarean section (AOR 1.93, 95% CI 1.83 to 2.03), the richest household (AOR 1.72, 95% CI 1.56 to 1.88), grand multiparous (AOR 1.62, 95% CI 1.46 to 1.81), age of child 36–47 months (AOR 1.77, 95% CI 1.64 to 1.90), at a p<0.05. Whereas breast feeding (AOR 0.94, 95% CI 0.89 to 0.99), married mothers (AOR 0.87, 95% CI 0.78 to 0.96), female children (AOR 0.88, 95% CI 0.84 to 0.92), improved toilet (AOR 0.23, 95% CI 0.17 to 0.29), improved source of drinking water (AOR 0.28, 95% CI 0.21 to 0.35), rural residents (AOR 0.66, 95% CI 0.62 to 0.69) had a contrasting relationship with the triple burden of malnutrition.Conclusion About 1 out of 10 households suffer from the triple burden of malnutrition in low-income and middle-income countries. This study revealed that several maternal, child, household and community-level factors have a significant impact on the triple burden of malnutrition among mother–child pairs. |
| first_indexed | 2024-04-09T13:30:21Z |
| format | Article |
| id | doaj.art-1110c67280904fd0907a1788202463af |
| institution | Directory Open Access Journal |
| issn | 2044-6055 |
| language | English |
| last_indexed | 2024-04-09T13:30:21Z |
| publishDate | 2023-05-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj.art-1110c67280904fd0907a1788202463af2023-05-10T01:30:07ZengBMJ Publishing GroupBMJ Open2044-60552023-05-0113510.1136/bmjopen-2022-070978Triple burden of malnutrition among mother–child pairs in low-income and middle-income countries: a cross-sectional studyAdugnaw Zeleke Alem0Nahom Worku Teshager1Anteneh Ayelign Kibret2Fantu Mamo Aragaw3Daniel Gashaneh Belay4Dagmawi Chilot5Mehari Woldemariam Merid6Melaku Hunie Asratie7Epidemiology and Biostatistics, University of Gondar College of Medicine and Health Sciences, Gondar, EthiopiaDepartment of Pediatrics and Child Health, School of Medicine, College of Medicine and Health Science, University of Gondar, Gondar, EthiopiaHuman Anatomy, University of Gondar, Gondar, EthiopiaDepartment of Epidemiology and Biostatistics, University of Gondar College of Medicine and Health Sciences, Gondar, EthiopiaDepartment of Epidemiology and Biostatistics, University of Gondar, Gondar, EthiopiaPhysiology, University of Gondar College of Medicine and Health Sciences, Gondar, Amara, EthiopiaDepartment of Epidemiology and Biostatistics, University of Gondar College of Medicine and Health Sciences, Gondar, EthiopiaDepartment of women and family health, University of Gondar College of Medicine and Health Sciences, Gondar, EthiopiaObjective This study aimed to assess the prevalence and determinants of the triple burden of malnutrition among mother–child pairs in low-income and middle-income countries.Design Cross-sectional study.Setting Low-income and middle-income countries.Participants Women and children.Primary outcome Triple burden of malnutrition (overweight/obese mother with undernourished and anaemic under 5 years child).Methods Data for this study were drawn from recent 22 low-income and middle-income countries Demographic and Health Surveys. A total weighted sample of 116 795 mother–child pairs was included in the study. STATA V.14.2 was used to clean, code and analyse the data. Multilevel logistic regression was employed to identify factors associated with the problem. Adjusted OR (AOR) with 95% CI and a p<0.05 was reported to indicate statistical association. Model fitness and comparison were done using intraclass correlation coefficient, median OR, proportional change in variance and deviance.Result The pooled prevalence of the triple burden of malnutrition among mother–child pairs was 11.39%. It showed statistically significant positive associations with mothers aged ≥35 years (AOR 2.25, 95% CI 2.08 to 2.44), family size >10 (AOR 1.17, 95% CI 1.08 to 1.26), delivery by caesarean section (AOR 1.93, 95% CI 1.83 to 2.03), the richest household (AOR 1.72, 95% CI 1.56 to 1.88), grand multiparous (AOR 1.62, 95% CI 1.46 to 1.81), age of child 36–47 months (AOR 1.77, 95% CI 1.64 to 1.90), at a p<0.05. Whereas breast feeding (AOR 0.94, 95% CI 0.89 to 0.99), married mothers (AOR 0.87, 95% CI 0.78 to 0.96), female children (AOR 0.88, 95% CI 0.84 to 0.92), improved toilet (AOR 0.23, 95% CI 0.17 to 0.29), improved source of drinking water (AOR 0.28, 95% CI 0.21 to 0.35), rural residents (AOR 0.66, 95% CI 0.62 to 0.69) had a contrasting relationship with the triple burden of malnutrition.Conclusion About 1 out of 10 households suffer from the triple burden of malnutrition in low-income and middle-income countries. This study revealed that several maternal, child, household and community-level factors have a significant impact on the triple burden of malnutrition among mother–child pairs.https://bmjopen.bmj.com/content/13/5/e070978.full |
| spellingShingle | Adugnaw Zeleke Alem Nahom Worku Teshager Anteneh Ayelign Kibret Fantu Mamo Aragaw Daniel Gashaneh Belay Dagmawi Chilot Mehari Woldemariam Merid Melaku Hunie Asratie Triple burden of malnutrition among mother–child pairs in low-income and middle-income countries: a cross-sectional study BMJ Open |
| title | Triple burden of malnutrition among mother–child pairs in low-income and middle-income countries: a cross-sectional study |
| title_full | Triple burden of malnutrition among mother–child pairs in low-income and middle-income countries: a cross-sectional study |
| title_fullStr | Triple burden of malnutrition among mother–child pairs in low-income and middle-income countries: a cross-sectional study |
| title_full_unstemmed | Triple burden of malnutrition among mother–child pairs in low-income and middle-income countries: a cross-sectional study |
| title_short | Triple burden of malnutrition among mother–child pairs in low-income and middle-income countries: a cross-sectional study |
| title_sort | triple burden of malnutrition among mother child pairs in low income and middle income countries a cross sectional study |
| url | https://bmjopen.bmj.com/content/13/5/e070978.full |
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