Evidence map›Paper›PMID 32434581›Full record

ArticleBMC public health2020

Stunting and overweight among children in Northeast Brazil: prevalence, trends (1992-2005-2015) and associated risk factors from repeated cross-sectional surveys.

Haroldo da Silva Ferreira, Gabriela Tenório Albuquerque, Tamara Rodrigues Dos Santos, Rosália de Lima Barbosa, Andressa Lima Cavalcante, Luísa Elvira Cavazzani Duarte, Monica Lopes de Assunção

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Article in BMC public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–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

13 citing papers in PubMed.

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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

7 authors.

Haroldo da Silva FerreiraFaculty of Nutrition, Federal University of Alagoas, Campus A.C. Simões, BR 104 Norte - Km 96.7 - Tabuleiro do Martins, CEP, Maceió, AL, 57072-970, Brazil. haroldo.ufal@gmail.com.ORCID https://orcid.org/0000-0002-1789-3138
Gabriela Tenório AlbuquerquePost-graduate Program in Nutrition, Federal University of Alagoas, Maceió, AL, Brazil.ORCID https://orcid.org/0000-0002-9850-0278
Tamara Rodrigues Dos SantosPost-graduate Program in Health Sciences, Federal University of Alagoas, Maceió, AL, Brazil.ORCID https://orcid.org/0000-0001-5439-7910
Rosália de Lima BarbosaPost-graduate Program in Health Sciences, Federal University of Alagoas, Maceió, AL, Brazil.ORCID https://orcid.org/0000-0002-2891-8943
Andressa Lima CavalcantePost-graduate Program in Nutrition, Federal University of Alagoas, Maceió, AL, Brazil.ORCID https://orcid.org/0000-0002-1931-7695
Luísa Elvira Cavazzani DuartePost-graduate Program in Nutrition, Federal University of Alagoas, Maceió, AL, Brazil.ORCID https://orcid.org/0000-0003-1964-7915
Monica Lopes de AssunçãoFaculty of Nutrition, Federal University of Alagoas, Campus A.C. Simões, BR 104 Norte - Km 96.7 - Tabuleiro do Martins, CEP, Maceió, AL, 57072-970, Brazil.ORCID https://orcid.org/0000-0003-2985-9890

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA study involving children from Alagoas (Northeast Brazil) revealed that, as a consequence of a drastic reduction in the prevalence of stunting between 1992 to 2005, (22.5 to 11.4%) combined with an increase in overweight prevalence (6.7 to 9.3%), the prevalence of these two conditions in 2005 was very close. If these trends were maintained, it is very likely that, at this time, the childhood overweight prevalence has already exceeded that of the stunting. However, no study is available to confirm this hypothesis. The identification of these changes is relevant to the planning and evaluation of public policies. This study aimed to investigate the prevalence, time trends and associated factors with stunting and overweight in children from Alagoas.

methodsIndependent cross-sectional household surveys were conducted in 1992 (n = 1231), 2005 (n = 1381) and 2015 (n = 988). Data were collected from probabilistic samples of children aged 0-60 months. Stunting was defined by stature-for-age < - 2 sd and overweight by weight-for-stature > 2 sd.

resultsBetween 1992, 2005 and 2015, the stunting prevalence was 22.6, 11.2 and 3.2% (reduction of 85.8%), while the overweight prevalence was 6.9, 7.5 and 14.9% (increase of 115.9%), respectively. After multivariate analysis, the following positive associations with stunting were observed in 1992: age group > 24 months (28.3% vs 14.5%), mother with ≥2 children (28.8% vs 12.8%), low birth weight (28.3% vs 15.7%) and mother with low schooling (29.3% vs 7.2%). In 2015 there was a higher prevalence of stunting in males (4.2% vs 2.2%), in children < 24 months (4.6% vs 2.2%), with low birth weight (8.6% vs 3.0%) and in those who had mothers with low schooling (7.0% vs 2.6%). Regarding overweight, in 1992 there was higher prevalence for male (9.1% vs 4.7%) and in children whose mothers had ≤2 children (8.9% vs 5.8%), while in 2015 only birth weight >  4 kg was associated to overweight (27.3% vs 14.2%).

conclusionsDuring the analyzed period, there was a significant decrease in stunting prevalence. At the same time, a substantial increase was observed in the overweight prevalence. Currently, stunting is a problem of low magnitude, while overweight has become a worrying public health problem.

Indexed as

Birth WeightBody HeightBody WeightBrazilChild, PreschoolCross-Sectional StudiesEducational StatusFamily CharacteristicsFemaleGrowth DisordersHumansInfantInfant, Low Birth WeightInfant, NewbornMaleMothersChild nutrition disordersNutrition surveysObesityPreschool childProtein-energy malnutrition

Identifiers

PMID32434581
PMCPMC7238646

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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.