dc.contributor.author |
Loret de Mola, Christian |
|
dc.contributor.author |
Quispe, Renato |
|
dc.contributor.author |
Valle, Giancarlo A. |
|
dc.contributor.author |
Poterico, Julio A. |
|
dc.date.accessioned |
2020-06-10T18:12:17Z |
|
dc.date.available |
2020-06-10T18:12:17Z |
|
dc.date.issued |
2014 |
|
dc.identifier.uri |
https://hdl.handle.net/20.500.12866/8096 |
|
dc.description.abstract |
BACKGROUND: Rapid urbanization, increase in food availability, and changes in diet and lifestyle patterns have been changing nutritional profiles in developing nations. We aimed to describe nutritional changes in children under 5 years and women of reproductive age in Peru, during a 15-year period of rapid economic development and social policy enhancement. MATERIALS AND METHODS: Trend analyses of anthropometric measures in children of preschool age and women between 15-49 years, using the Peruvian National Demographic and Family Health Surveys (DHS) from 1996 to 2011. WHO growth curves were used to define stunting, underweight, wasting and overweight in children <5 y. We employed the WHO BMI-age standardized curves for teenagers between 15-19 y. In women >19 years, body mass index (BMI) was analyzed both categorically and as a continuous variable. To statistically analyze the trends, we used regression models: Linear and Poisson for continuous and binary outcomes, respectively. RESULTS: We analyzed data from 123 642 women and 64 135 children, from 1996 to 2011. Decreases over time were evidenced for underweight (p<0.001), wasting (p<0.001), and stunting (p<0.001) in children under 5 y. This effect was particularly noted in urban settings. Overweight levels in children reduced (p<0.001), however this reduction stopped, in urban settings, since 2005 ( approximately 12%). Anemia decreased in children and women (p<0.001); with higher reduction in urban ( downward arrow43%) than in rural children ( downward arrow24%). BMI in women aged 15-19 years increased (p<0.001) across time, with noticeable BMI-curve shift in women older than 30 years. Moreover, obesity doubled during this period in women more than 19 y. CONCLUSION: Nutrition transition in Peru shows different patterns for urban and rural populations. Public policies should emphasize targeting both malnutrition conditions--undernutrition/stunting, overweight/obesity and anemia--considering age and place of residence in rapid developing societies like Peru. |
en_US |
dc.language.iso |
eng |
|
dc.publisher |
Public Library of Science |
|
dc.relation.ispartofseries |
PLoS ONE |
|
dc.rights |
info:eu-repo/semantics/restrictedAccess |
|
dc.rights.uri |
https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es |
|
dc.subject |
Nutritional Status |
en_US |
dc.subject |
Adolescent |
en_US |
dc.subject |
Adult |
en_US |
dc.subject |
Body Mass Index |
en_US |
dc.subject |
Child, Preschool |
en_US |
dc.subject |
Developing Countries |
en_US |
dc.subject |
Female |
en_US |
dc.subject |
Food Supply |
en_US |
dc.subject |
Humans |
en_US |
dc.subject |
Infant |
en_US |
dc.subject |
Male |
en_US |
dc.subject |
Middle Aged |
en_US |
dc.subject |
Overweight/epidemiology |
en_US |
dc.subject |
Peru/epidemiology |
en_US |
dc.subject |
Prevalence |
en_US |
dc.subject |
Rural Population |
en_US |
dc.subject |
Socioeconomic Factors |
en_US |
dc.subject |
Thinness/epidemiology |
en_US |
dc.subject |
Urban Population |
en_US |
dc.subject |
Young Adult |
en_US |
dc.title |
Nutritional transition in children under five years and women of reproductive age: a 15-years trend analysis in Peru |
en_US |
dc.type |
info:eu-repo/semantics/article |
|
dc.identifier.doi |
https://doi.org/10.1371/journal.pone.0092550 |
|
dc.subject.ocde |
https://purl.org/pe-repo/ocde/ford#3.03.04 |
|
dc.subject.ocde |
https://purl.org/pe-repo/ocde/ford#3.02.03 |
|
dc.relation.issn |
1932-6203 |
|