ArticleBMJ open2023
Triple burden of malnutrition among mother-child pairs in low-income and middle-income countries: a cross-sectional study.
Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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8 citing papers in PubMed, 14 citations in OpenAlex.
- Global and regional inequalities in dairy recommendations: a natural language processing analysis of food-based dietary guidelines across income groups.Lancet regional health. Americas · 2026Article
- Development of a Novel Dietary Assessment Method Using Gamification Concepts: Exploratory and Application Study.JMIR serious games · 2026Article
- Coexisting maternal and child undernutrition in Ethiopia: Spatial modeling and multilevel analysis of consecutive EDHS data.PloS one · 2026Article
- Social Protection Programs and Their Support for Promoting Access to Nutrient-Dense Foods for Vulnerable Communities in South Africa.Current developments in nutrition · 2025Review
- Reflections of adolescent motherhood on infant and young child feeding practices: the case of Uganda.BMC public health · 2025Article
- Trends and determinants of the triple burden of malnutrition in Ghana; Analyses of two decades of demographic and health survey datasets.PLOS global public health · 2025Article
- Determining the minimum data elements to develop a child malnutrition registry system.BMC medical informatics and decision making · 2024Article
- Prevalence and determinants of double and triple burden of malnutrition among mother-child pairs in Malawi: a mapping and multilevel modelling study.Public health nutrition · 2024Article
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Authors and funding
8 authors at 1 institution in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
objectiveThis study aimed to assess the prevalence and determinants of the triple burden of malnutrition among mother-child pairs in low-income and middle-income countries.
designCross-sectional study.
settingLow-income and middle-income countries.
participantsWomen and children. PRIMARY OUTCOME: Triple burden of malnutrition (overweight/obese mother with undernourished and anaemic under 5 years child).
methodsData for this study were drawn from recent 22 low-income and middle-income countries Demographic and Health Surveys. A total weighted sample of 116 795 mother-child pairs was included in the study. STATA V.14.2 was used to clean, code and analyse the data. Multilevel logistic regression was employed to identify factors associated with the problem. Adjusted OR (AOR) with 95% CI and a p<0.05 was reported to indicate statistical association. Model fitness and comparison were done using intraclass correlation coefficient, median OR, proportional change in variance and deviance.
resultThe pooled prevalence of the triple burden of malnutrition among mother-child pairs was 11.39%. It showed statistically significant positive associations with mothers aged ≥35 years (AOR 2.25, 95% CI 2.08 to 2.44), family size >10 (AOR 1.17, 95% CI 1.08 to 1.26), delivery by caesarean section (AOR 1.93, 95% CI 1.83 to 2.03), the richest household (AOR 1.72, 95% CI 1.56 to 1.88), grand multiparous (AOR 1.62, 95% CI 1.46 to 1.81), age of child 36-47 months (AOR 1.77, 95% CI 1.64 to 1.90), at a p<0.05. Whereas breast feeding (AOR 0.94, 95% CI 0.89 to 0.99), married mothers (AOR 0.87, 95% CI 0.78 to 0.96), female children (AOR 0.88, 95% CI 0.84 to 0.92), improved toilet (AOR 0.23, 95% CI 0.17 to 0.29), improved source of drinking water (AOR 0.28, 95% CI 0.21 to 0.35), rural residents (AOR 0.66, 95% CI 0.62 to 0.69) had a contrasting relationship with the triple burden of malnutrition.
conclusionAbout 1 out of 10 households suffer from the triple burden of malnutrition in low-income and middle-income countries. This study revealed that several maternal, child, household and community-level factors have a significant impact on the triple burden of malnutrition among mother-child pairs.
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