ArticlePublic health nutrition2021
Shifts towards overweight and double burden of malnutrition among socio-economically vulnerable children: a longitudinal ecological analysis of Brazilian municipalities.
Article in Public health nutrition, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed, 16 citations in OpenAlex.
- Brazil's Bolsa Família conditional cash transfer and child malnutrition: a nationwide birth cohort study.BMJ global health · 2025Article
- Double burden of malnutrition in 115 Latin American cities: An ecological analysis.Reproductive, female and child health · 2024Article
- The global diet quality score as an indicator of adequate nutrient intake and dietary quality - a nation-wide representative study.Nutrition journal · 2024Article
- Quality of child anthropometric data from SISVAN, Brazil, 2008-2017.Revista de saude publica · 2023Article
- Evaluating the effect of Bolsa Familia, Brazil's conditional cash transfer programme, on maternal and child health: A study protocol.PloS one · 2022Article
- Double burden of malnutrition as a risk factor for overweight and obesity.Revista de saude publica · 2022Article
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 2 countries.
Funding
Abstract
objectiveTo investigate the shifts and factors associated with different scenarios resulting from the prevalence of child stunting and overweight in Brazilian municipalities.
designThis is an ecological study using municipality-level panel data of stunting and overweight prevalence and socio-economic characteristics from 2008 to 2014. The municipalities were classified according to the WHO-UNICEF prevalence thresholds for stunting and overweight and were categorised into four nutritional scenarios: no burden (prevalence of stunting < 20 % and overweight < 10 %), stunting burden (prevalence of stunting ≥ 20 % and overweight < 10 %), overweight burden (prevalence of stunting < 20 % and overweight ≥ 10 %) and double burden (prevalence of stunting ≥ 20 % and overweight ≥ 10 %).
settingTotally, 4443 Brazilian municipalities.
participantsAggregated data of children under 5 years old enrolled in the Brazil's conditional cash transfer programme (Bolsa Família).
resultsA mean reduction from 14·2 % to 12·7 % in the prevalence of stunting and an increase from 17·2 % to 18·4 % in the prevalence of overweight were observed. The predominant scenarios were overweight burden and double burden. The odds of both scenarios increased with higher gross domestic product (GDP) per capita and decreased with higher unemployment rates. Stunting and double burden decreased with higher expected years of schooling, and stunting burden increased with household crowding.
conclusionOur findings indicate an advanced nutrition transition stage in Brazil, associated mainly with municipal GDP per capita growth, which has contributed to increasing the burden of overweight alone or coexisting with stunting (double burden) among children in the most socio-economically vulnerable strata of the population.
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