ArticleInternational journal of environmental research and public health2019
Childhood Undernutrition and Its Predictors in a Rural Health and Demographic Surveillance System Site in South Africa.
Article in International journal of environmental research and public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.
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Who cites it
30 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Anthropometric nutritional status of children (0-18 years) in South Africa 1997-2022: a systematic review and meta-analysis.Public health nutrition · 2023Pooled it
- Prevalence of Malnutrition and Associated Factors Among School Children in Hawella Tula Rural District, Hawassa, Sidama Regional State, Ethiopia: A Cross-Sectional Study.Health science reports · 2026Article
- Water-Energy-Food Security and Health in South Africa: A Scoping Review.JAMA network open · 2026Article
- Socio-Demographic and Anthropometric Findings of Women Caregivers in Qwa-Qwa, Free State Province, South Africa.Nutrients · 2026Article
- Triple burden of malnutrition in children and mothers from Ceará, brazil: a cross sectional study.Journal of health, population, and nutrition · 2025Article
- Acute Malnutrition in Under-Five Children in KwaZulu-Natal, South Africa: Risk Factors and Implications for Dietary Quality.Nutrients · 2025Article
- Article
- Growth Patterns of HIV-Exposed and -Unexposed Infants in African Countries: A Systematic Review and Meta-Analysis.Children (Basel, Switzerland) · 2025Review
- Mitigating the Impact of Intergenerational Risk Factors on Stunting: Insights From Seven of the Most Food Insecure Districts in South Africa.Maternal & child nutrition · 2025Article
- Iron and Vitamin A Status of Children Aged 0 to 36 Months in Thulamela Municipality, Vhembe District, South Africa.Children (Basel, Switzerland) · 2024Article
- Article
- Changing paradigm of malnutrition among Bangladeshi women of reproductive age and gaps in national Nutrition Policies and Action Plans to tackle the emerging challenge.Frontiers in public health · 2024Article
- Article
- Comparison of Malnutrition Indicators and Associated Socio-Demographic Factors among Children in Rural and Urban Public Primary Schools in South Africa.Children (Basel, Switzerland) · 2023Article
- Gender-specific disaggregated analysis of childhood undernutrition in Ethiopia: evidence from 2000-2016 nationwide survey.BMC public health · 2023Article
- Association of Stunting with Socio-Demographic Factors and Feeding Practices among Children under Two Years in Informal Settlements in Gauteng, South Africa.Children (Basel, Switzerland) · 2023Article
- Attitudes of Caregivers of Children under Five Years Regarding Growth Monitoring and Promotion in Polokwane, Limpopo Province.Children (Basel, Switzerland) · 2022Article
- The Multidimension of Malnutrition among School Children in a Rural Area, South Africa: A Mixed Methods Approach.Nutrients · 2022Article
- Evidence of Concurrent Stunting and Obesity among Children under 2 Years from Socio-Economically Disadvantaged Backgrounds in the Era of the Integrated Nutrition Programme in South Africa.International journal of environmental research and public health · 2022Article
- Determinants of underweight among children aged 0-23 months in Tanzania.Food science & nutrition · 2022Article
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Abstract
backgroundOverweight and obesity are increasing at an alarming rate in South Africa, while childhood undernutrition remains persistently high. This study determined the magnitude and predictors of stunting and underweight among schoolchildren in the Dikgale and Health Demographic Surveillance System Site, a rural site in South Africa.
methodsA cross sectional study using multistage sampling was conducted among 508 schoolchildren and their mothers. Anthropometric measurements were taken from children and their mothers, while sociodemographic information was obtained from mothers using a questionnaire. The World Health Organization Anthro Plus was used to generate height-for-age and weight-for-age z-scores to indicate stunting and underweight, respectively, among the children. Maternal overweight and obesity were assessed using body mass index. Bivariate and multivariate logistic regression analyses were used to evaluate the predictors of stunting and underweight among schoolchildren.
resultsTwenty-two percent (22%) of children were stunted and 27% were underweight, while 27.4% of the mothers were overweight and 42.3% were obese. The odds of being stunted were lower in younger children, whereas having a mother who was overweight/obese and had a short stature increased the odds of stunting. Access to water, having a refrigerator, and having a young mother were protective against being underweight. Having a mother who was overweight/obese increased the odds of being underweight.
conclusionsThe study showed a high prevalence of stunting and underweight among children, and overweight and obesity among mothers, indicating a household double burden of malnutrition. The age of the child and maternal overweight/obesity and short stature were predictors of stunting and underweight, while having a younger mother and access to water and a refrigerator were protective against being underweight. The need for an evidence-based and feasible nutrition program for schoolchildren, especially those in rural schools, cannot be over-emphasized.
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