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Double burden of malnutrition as a risk factor for overweight and obesity

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dc.contributor.author Bernabé Ortiz, Antonio
dc.contributor.author Quinteros Reyes, Carmen
dc.contributor.author Carrillo Larco, Rodrigo Martín
dc.date.accessioned 2022-12-14T14:25:35Z
dc.date.available 2022-12-14T14:25:35Z
dc.date.issued 2022
dc.identifier.uri https://hdl.handle.net/20.500.12866/12903
dc.description.abstract OBJECTIVE: To assess the longitudinal effect of double burden of malnutrition (DBM) on the risk of developing child and adolescent overweight or obesity. METHODS: Analysis of the Peruvian Young Lives Study, younger cohort: baseline (2002) and 4 follow-ups (2006-2007, 2009-2010, 2013-2014, and 2016-2017). Outcomes were the incidence of overweight and obesity as defined by the World Health Organization standards. The exposure comprised a variable with 4 categories: non-stunted child with a non-overweight mother (reference group), non-stunted child with an overweight mother, stunted child with a non-overweight mother, and stunted child with an overweight mother (i.e., DBM). Poisson regression models were built to assess the association of interest, and relative risks (RR) and 95%CI were reported. RESULTS: Data from 2,034 children; 50.0% were girls and the mean age was 12.0 (3.6) months at baseline. Non-stunted children with an overweight mother had greater risk (RR = 1.64; 95%CI: 1.35-1.99) of developing overweight, compared with the risk for stunted children with a non-overweight mother (RR = 1.38; 95%CI: 1.10-1.72), and for those with DBM (RR = 1.28; 95%CI: 1.02-1.61). When compared with the reference group, obesity risk was greater among non-stunted children with an overweight mother (RR = 2.33; 95%CI: 1.68-3.22), greater among stunted children with a non-overweight mother (RR = 2.59; 95%CI: 1.75-3.84), and greater among those with DBM (RR = 2.14; 95%CI: 1.39-3.28). CONCLUSIONS: DBM is a risk factor for childhood overweight and obesity in Peru. Dual-duty policies tackling both undernutrition in children and overweight in mothers are needed to reduce DBM and its future effects in Peru. en_US
dc.language.iso eng
dc.publisher Universidade de São Paulo. Faculdade de Saúde Pública
dc.relation.ispartofseries Revista de saude publica
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Child en_US
dc.subject Malnutrition en_US
dc.subject Risk Factors en_US
dc.subject Overweight en_US
dc.subject Obesity en_US
dc.subject Maternal and Child Health en_US
dc.title Double burden of malnutrition as a risk factor for overweight and obesity en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.11606/s1518-8787.2022056004205
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.03.05
dc.relation.issn 1518-8787


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