ArticlePloS one2019
Double burden of maternal and child malnutrition and socioeconomic status in urban Sri Lanka.
Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 22 papers, 1 of them a synthesis that pooled it.
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Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.
- Pooled it
- The double burden of malnutrition: coexistence of stunted children and overweight and obese mothers in Sri Lanka.Public health nutrition · 2026Article
- Double Burden of Malnutrition in Mother and Child Pairs in an Urban Resettlement Colony of East Delhi: A Cross-sectional Study.Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine · 2026Article
- Caracterización y factores asociados a la malnutrición en menores de 5 años en el municipio de Neiva, Colombia.Global health promotion · 2025Article
- Surviving the first five years: the economic and healthcare determinants of child mortality in Sri Lanka.Journal of health, population, and nutrition · 2025Article
- Prevalence, Trends, and Determinants of Double Burden of Malnutrition Among the Mother-Child Dyads of Pakistan.International journal of pediatrics · 2025Article
- Income and education disparities in childhood malnutrition: a multi-country decomposition analysis.BMC public health · 2024Article
- Nutritional status of school-age children (5-19 years) in South Asia: A scoping review.Maternal & child nutrition · 2024Article
- Association between maternal stature and household-level double burden of malnutrition: findings from a comprehensive analysis of Ethiopian Demographic and Health Survey.Journal of health, population, and nutrition · 2023Article
- Understanding the associations between maternal high-risk fertility behaviour and child nutrition levels in India: evidence from the National Family Health Survey 2015-2016.Scientific reports · 2022Article
- Nutritional inequalities among under-five children: a geospatial analysis of hotspots and cold spots in 73 low- and middle-income countries.International journal for equity in health · 2022Article
- Coexistence and correlates of forms of malnutrition among mothers and under-five child pairs in Tanzania.Journal of nutritional science · 2022Article
- Determinants of Gender Disparity in Nutritional Intake among Children in Pakistan: Evidence from PDHS.Children (Basel, Switzerland) · 2021Article
- Prevalence, Trends, and Socioeconomic Determinants of Coexisting Forms of Malnutrition Amongst Children under Five Years of Age in Pakistan.Nutrients · 2021Article
- Estimating the Burden of Child Undernutrition for Smaller Electoral Units in India.JAMA network open · 2021Article
- Associations of Emotional Behavior with Nutritional Status and Lifestyle Habits among Schoolchildren Aged 5-10 Years in Sri Lanka.International journal of environmental research and public health · 2021Article
- Nutritional status of school children living in Northern part of Sri Lanka.BMC pediatrics · 2021Article
- A Review of Selected Studies on the Factors Associated with the Nutrition Status of Children Under the Age of Five Years in South Africa.International journal of environmental research and public health · 2020Review
- The double burden of overnutrition and undernutrition in mother-child dyads in Kenya: demographic and health survey data, 2014.Journal of nutritional science · 2020Article
- Use of Mid-Upper Arm Circumference (MUAC) to Predict Malnutrition among Sri Lankan Schoolchildren.Nutrients · 2020Article
Corrections and comments
- Erratum issued
Authors and funding
7 authors at 5 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Child malnutrition and maternal obesity are serious public health issues in Sri Lanka. This study explores the associations between socioeconomic status and the double burden of malnutrition among school-aged children and within their household. A total of 543 primary school children aged 5-10 years (204 boys and 339 girls) in Gampaha District, Sri Lanka, were included in the analysis. The nutritional statuses of thinness, normal, overweight, and obesity for children and mothers were defined according to WHO growth references and body mass index. Maternal education, household equivalent income, and maternal employment were used as socioeconomic status indicators. The proportion of child thinness and overweight was 19.3% and 13.4%, respectively, and that of maternal overweight (body mass index ≥ 25 kg/m2) was 36.5%. A positive correlation was found between maternal body mass index and the child's body mass index for age z-score in older boys and younger girls. A multivariate stepwise logistic regression analysis showed that lower education of mothers posed a higher association with child thinness (adjusted odds ratio = 2.33, 95% confidence interval: 1.08-5.00). Mothers with overweight and obesity were less likely to have a child with thinness (adjusted odds ratio = 0.30, 95% confidence interval: 0.16-0.58). Maternal employment status and household equivalent income were not significantly, but marginally, associated with child overweight and obesity. Socioeconomic inequality combined with maternal nutritional status affected child malnutrition. These findings suggest that the underlying circumstances within households should be considered to improve child malnutrition.
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