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Nutritional transition in children under five years and women of reproductive age: a 15-years trend analysis in Peru

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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.ispartof urn:issn:1932-6203
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#3.02.00 es_PE


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