Evidence map›Paper›PMID 38806645›Full record

ArticleEuropean journal of clinical nutrition2024

Birth weight mediates the association of maternal undernutrition with child undernutrition prevalence in West Africa.

A Kofi Amegah, Roland Ayinemi, Christian Sewor, Haile Mekonnen Fenta, Kelvin Yeboah, Seidu Awal Mohammed, Duah Dwomoh, Samuel K Annim, Saverio Stranges, Ngianga-Bakwin Kandala

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Article in European journal of clinical nutrition, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

What it found

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3 · Its place in the literature

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2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

A Kofi AmegahPublic Health Research Group, Department of Biomedical Sciences, University of Cape Coast, Cape Coast, Ghana. aamegah@ucc.edu.gh.ORCID http://orcid.org/0000-0001-5868-6402
Roland AyinemiPublic Health Research Group, Department of Biomedical Sciences, University of Cape Coast, Cape Coast, Ghana.
Christian SeworDepartment of Environmental and Radiological Health Sciences, Colorado State University, Fort Collins, CO, USA.ORCID http://orcid.org/0000-0003-1155-4730
Haile Mekonnen FentaDepartment of Statistics, Bahir Dar University, Bahir Dar, Ethiopia.
Kelvin YeboahPublic Health Research Group, Department of Biomedical Sciences, University of Cape Coast, Cape Coast, Ghana.
Seidu Awal MohammedDepartment of Clinical Nutrition and Dietetics, University of Cape Coast, Cape Coast, Ghana.
Duah DwomohDepartment of Biostatistics, School of Public Health, University of Ghana, Legon, Accra, Ghana.
Samuel K AnnimDepartment of Applied Economics, School of Economics, University of Cape Coast, Cape Coast, Ghana.
Saverio StrangesDepartment of Epidemiology and Biostatistics, Western University, London, ON, Canada.
Ngianga-Bakwin KandalaDepartment of Epidemiology and Biostatistics, Western University, London, ON, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMaternal nutritional status before and during pregnancy is an important determinant of foetal health. In West Africa, maternal and child undernutrition remains a major public health problem and it is important to establish the mechanistic pathway linking the two disorders to help address the problem. We therefore assessed the mediating role of low birth weight (LBW) in the relationship of maternal undernutrition with child undernutrition in West Africa.

methodsWe included recent (2010-2019) DHS data from thirteen West African countries. Poisson regression model with robust standard errors was used to assess the relationship between maternal undernutrition (body mass index and anaemia) and child undernutrition (stunting, wasting, underweight, and anaemia). Structural equation modelling was used to conduct the mediation analysis.

resultsPrevalence of stunting, wasting, underweight, and anaemia among under-five children in West Africa was found to be 32.4%, 8.1%, 20.1%, and 71.5%, respectively. We found children of underweight mothers to be more likely to be undernourished (stunted, wasted, and underweight) and anaemic compared to children of normal-weight mothers. Also, children of anaemic mothers were more likely to be stunted and anaemic but not wasted compared with children of non-anaemic mothers. LBW mediated the observed relationships between maternal BMI and childhood stunting (22.6%), and maternal anaemia and childhood stunting (24.9%), wasting (11.7), and anaemia (6.6%).

conclusionWe found maternal undernutrition to be associated with child undernutrition in West Africa with LBW noted to be a mediator of the observed relationship. We recommend that, to address the child undernutrition problem in West Africa, governments and policymakers must integrate measures to address the burden of LBW.

Indexed as

Birth WeightMalnutritionAdolescentAdultAfrica, WesternAnemiaChild Nutrition DisordersChild, PreschoolFemaleGrowth DisordersHumansInfantInfant, Low Birth WeightInfant, NewbornMaleMaternal Nutritional Physiological Phenomena

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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.