Evidence map›Paper›PMID 31828957›Full record

ArticleMaternal & child nutrition2020

Child-level double burden of malnutrition in the MENA and LAC regions: Prevalence and social determinants.

Hala Ghattas, Yubraj Acharya, Zeina Jamaluddine, Moubadda Assi, Khalil El Asmar, Andrew D Jones

Abstract read
In one paragraph

Article in Maternal & child nutrition, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

20 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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

6 authors.

Hala GhattasFaculty of Health SciencesAmerican University of Beirut, Beirut, Lebanon.ORCID 0000-0001-8864-3374
Yubraj AcharyaDepartment of Health Policy and Administration, The Pennsylvania State University, Pennsylvania.ORCID 0000-0002-9003-636X
Zeina JamaluddineFaculty of Health SciencesAmerican University of Beirut, Beirut, Lebanon.ORCID 0000-0003-2074-9329
Moubadda AssiFaculty of Health SciencesAmerican University of Beirut, Beirut, Lebanon.
Khalil El AsmarFaculty of Health SciencesAmerican University of Beirut, Beirut, Lebanon.
Andrew D JonesDepartment of Nutritional Sciences, School of Public Health, University of Michigan, Ann Arbor, Michigan.ORCID 0000-0002-9265-3935

Funding

The Population Research Institute: Development CoreP2CHD041025 · NICHD · PENNSYLVANIA STATE UNIVERSITY, THE · PI Sarah Damaske · 2016 to 2026
$9.0M
NICHD NIH HHS P2C HD041025
6 · The paper itself

Abstract

Although the prevalence of obesity has rapidly increased in the low- and middle-income countries of the Middle East and North Africa (MENA) and Latin America and the Caribbean (LAC) regions, child undernutrition remains a public-health challenge. We examined region-specific sociodemographic determinants of this double burden of malnutrition, specifically, the co-occurrence of child stunting and overweight, using Demographic and Health Survey and Multiple Indicator Cluster Survey data (2003-2016) from 11 countries in the MENA (n = 118,585) and 13 countries in the LAC (n = 77,824) regions. We used multiple logistic regressions to model region-specific associations of maternal education and household wealth with child nutritional outcomes (6-59 months). The prevalence of stunting, overweight, and their co-occurrence was 24%, 10%, and 4.3% in children in the MENA region, respectively, and 19%, 5%, and 0.5% in children in the LAC region, respectively. In both regions, higher maternal education and household wealth were significantly associated with lower odds of stunting and higher odds of overweight. As compared with the poorest wealth quintiles, decreased odds of co-occurring stunting and overweight were observed among children from the second, third, and fourth wealth quintiles in the LAC region. In the MENA region, this association was only statistically significant for the second wealth quintile. In both regions, double burden was not statistically significantly associated with maternal education. The social patterning of co-occurring stunting and overweight in children varied across the two regions, indicating potential differences in the underlying aetiology of the double burden across regions and stages of the nutrition transition.

Indexed as

Africa, NorthernCaribbean RegionChild Nutrition DisordersChild, PreschoolCluster AnalysisCost of IllnessGrowth DisordersHumansInfantLatin AmericaMiddle EastOverweightPovertyPrevalenceSocial Determinants of HealthSocioeconomic Factorschildrendouble burdenLACMENAoverweightstunting

Identifiers

PMID31828957
PMCPMC7083402

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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.