Evidence map›Paper›PMID 26136589›Full record

ArticleThe Journal of nutrition2015

Food Price Spikes Are Associated with Increased Malnutrition among Children in Andhra Pradesh, India.

Sukumar Vellakkal, Jasmine Fledderjohann, Sanjay Basu, Sutapa Agrawal, Shah Ebrahim, Oona Campbell, Pat Doyle, David Stuckler

Open access · bronzeAbstract read
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Article in The Journal of nutrition, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 40 citations in OpenAlex.

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  16. Breastfeeding, pregnant, and non-breastfeeding nor pregnant women's food consumption: A matched within-household analysis in India.Sexual & reproductive healthcare : official journal of the Swedish Association of Midwives · 2016
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 3 countries.

Sukumar VellakkalDepartment of Sociology, University of Oxford, Oxford, United Kingdom; Public Health Foundation of India, New Delhi, India; and sukumar.vellakkal@phfi.org.ORCID http://orcid.org/0000-0003-2635-1944
Jasmine FledderjohannDepartment of Sociology, University of Oxford, Oxford, United Kingdom;
Sanjay BasuDepartment of Medicine, Stanford University, Stanford, CA;
Sutapa AgrawalPublic Health Foundation of India, New Delhi, India; and.
Shah EbrahimDepartment of Non-Communicable Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, United Kingdom.
Oona CampbellDepartment of Non-Communicable Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, United Kingdom.
Pat DoyleDepartment of Non-Communicable Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, United Kingdom.
David StucklerDepartment of Sociology, University of Oxford, Oxford, United Kingdom; Public Health Foundation of India, New Delhi, India; and.
London School of Hygiene & Tropical Medicine · GBUniversity of Oxford · GBPublic Health Foundation of India · INStanford University · US

Funding

CORE--PROGRAM DEVELOPMENTP30AG017253 · NIA · STANFORD UNIVERSITY · PI BHATTACHARYA, JAY · 1999 to 2019
$5.8M
NIA NIH HHS P30 AG017253Wellcome Trust 084674Wellcome Trust 100709Wellcome Trust 1007/09/Z/12/Z
6 · The paper itself

Abstract

backgroundGlobal food prices have risen sharply since 2007. The impact of food price spikes on the risk of malnutrition in children is not well understood.

objectiveWe investigated the associations between food price spikes and childhood malnutrition in Andhra Pradesh, one of India's largest states, with >85 million people. Because wasting (thinness) indicates in most cases a recent and severe process of weight loss that is often associated with acute food shortage, we tested the hypothesis that the escalating prices of rice, legumes, eggs, and other staples of Indian diets significantly increased the risk of wasting (weight-for-height z scores) in children.

methodsWe studied periods before (2006) and directly after (2009) India's food price spikes with the use of the Young Lives longitudinal cohort of 1918 children in Andhra Pradesh linked to food price data from the National Sample Survey Office. Two-stage least squares instrumental variable models assessed the relation of food price changes to food consumption and wasting prevalence (weight-for-height z scores).

resultsBefore the 2007 food price spike, wasting prevalence fell from 19.4% in 2002 to 18.8% in 2006. Coinciding with India's escalating food prices, wasting increased significantly to 28.0% in 2009. These increases were concentrated among low- (χ(2): 21.6, P < 0.001) and middle- (χ(2): 25.9, P < 0.001) income groups, but not among high-income groups (χ(2): 3.08, P = 0.079). Each 10.0 rupee ($0.170) increase in the price of rice/kg was associated with a drop in child-level rice consumption of 73.0 g/d (β: -7.30; 95% CI: -10.5, -3.90). Correspondingly, lower rice consumption was significantly associated with lower weight-for-height z scores (i.e., wasting) by 0.005 (95% CI: 0.001, 0.008), as seen with most other food categories.

conclusionRising food prices were associated with an increased risk of malnutrition among children in India. Policies to help ensure the affordability of food in the context of economic growth are likely critical for promoting children's nutrition.

Indexed as

ChildChild Nutrition DisordersChild, PreschoolCohort StudiesFemaleFoodFood SupplyHumansIndiaInfantLongitudinal StudiesMaleTime FactorsWeight Losschild nutritionfood consumptionfood price spikesIndiaweight-for-height z scores

Identifiers

PMID26136589
PMCPMC4516769
OpenAlexW2152863039

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.