Double burden of maternal and child malnutrition and socioeconomic status in urban Sri Lanka

Autoři: Chisa Shinsugi aff001;  Deepa Gunasekara aff003;  N. K. Gunawardena aff004;  Wasanthi Subasinghe aff003;  Miki Miyoshi aff005;  Satoshi Kaneko aff006;  Hidemi Takimoto aff001
Působiště autorů: National Institute of Health and Nutrition, National Institutes of Biomedical Innovation, Health and Nutrition, Tokyo, Japan aff001;  Department of Global Health Promotion, Tokyo Medical and Dental University, Tokyo, Japan aff002;  Department of Biochemistry and Clinical Chemistry, Faculty of Medicine, University of Kelaniya, Ragama, Sri Lanka aff003;  Department of Parasitology, Faculty of Medicine, University of Kelaniya, Ragama, Sri Lanka aff004;  Department of Nutrition, Aomori University of Health and Welfare, Aomori, Japan aff005;  Department of Eco-epidemiology, Institute of Tropical Medicine, Nagasaki University, Nagasaki, Japan aff006
Vyšlo v časopise: PLoS ONE 14(10)
Kategorie: Research Article


Child malnutrition and maternal obesity are serious public health issues in Sri Lanka. This study explores the associations between socioeconomic status and the double burden of malnutrition among school-aged children and within their household. A total of 543 primary school children aged 5–10 years (204 boys and 339 girls) in Gampaha District, Sri Lanka, were included in the analysis. The nutritional statuses of thinness, normal, overweight, and obesity for children and mothers were defined according to WHO growth references and body mass index. Maternal education, household equivalent income, and maternal employment were used as socioeconomic status indicators. The proportion of child thinness and overweight was 19.3% and 13.4%, respectively, and that of maternal overweight (body mass index ≥ 25 kg/m2) was 36.5%. A positive correlation was found between maternal body mass index and the child’s body mass index for age z-score in older boys and younger girls. A multivariate stepwise logistic regression analysis showed that lower education of mothers posed a higher association with child thinness (adjusted odds ratio = 2.33, 95% confidence interval: 1.08–5.00). Mothers with overweight and obesity were less likely to have a child with thinness (adjusted odds ratio = 0.30, 95% confidence interval: 0.16–0.58). Maternal employment status and household equivalent income were not significantly, but marginally, associated with child overweight and obesity. Socioeconomic inequality combined with maternal nutritional status affected child malnutrition. These findings suggest that the underlying circumstances within households should be considered to improve child malnutrition.

Klíčová slova:

Body Mass Index – Employment – Childhood obesity – Children – Malnutrition – Mothers – Schools


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2019 Číslo 10
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