Details

Autor(en) / Beteiligte

• Ghosh, Shibani
• Liang, Lichen
• Kabunga, Nassul
• Agaba, Edgar
• Griffiths, Jeffrey
• Duggan, Christopher
• Webb, Patrick
• Bashaasha, Bernard

Titel

STUNTING AND OVERWEIGHT IN RURAL HOUSEHOLDS OF SOUTHWEST AND NORTHERN UGANDA

Ist Teil von

• Annals of nutrition and metabolism, 2017-10, Vol.71 (Suppl. 2), p.552

Ort / Verlag

Basel: S. Karger AG

Erscheinungsjahr

2017

Quelle

Alma/SFX Local Collection

Beschreibungen/Notizen

• Background and objectives: Rates of overweight have been increasing in Uganda women of reproductive age while stunting rates in children under five remain high. The objective of this analysis is to assess the association of being a stunted child in a household with an underweight versus overweight female caregiver within the context of the changing profile of the nutrition burden in Uganda. Methods: This analysis utilizes data from two rounds of data collected on the households in 2012 and 2014 on a female caregiver and all children under five years of age in 3 North and 3 South West Ugandan districts (random self weighting sample, n= 8589 women and children). Anthropometric data were collected on both female caregivers and all children under five. Data were collected on socio-demographics, household food security, agricultural production, individual health and dietary pattern (caregiver and children under five). Mixed effects logistic regressions, accounting for repeated measures, were conducted using STATA 14. Results: Stunting prevalence in children under five in the pooled sample was 28.2% and in households with underweight, normal and overweight caregivers 27.2%, 28.3% and 29%, respectively. Controlling for confounders and survey year, children with an overweight caregiver were less likely to be stunted than children with underweight caregivers (OR=0.68, CI=0.50-0.93, p=0.016). Being stunted was also significantly strongly associated with being boy (OR=1.47 CI=1.29-1.68, p=0.000), older age group (13- 24 months, OR 5.10, CI 4.06- 6.40, p=0.000, 25-59 months, OR=5.18 CI 4.26- 6.30, p=0.000) and geographical location with children from the South West more likely to be stunted than children from the North. (OR 4.45 CI 3.75-5.27, p=0.000). Other important factors include caregiver age (OR =0.98, CI=0.97-0.99, p=-0.003), caregiver education (OR=0.95, CI=0.93-0.98,p=0.000) and household wealth (OR=0.83, CI=0.76-0.89, p=0.000). Conclusions: Stunting in children under five and overweight in women co-exist in the same rural Ugandan households. But nature of this relationship is confounded by factors such as gender of the child, age, geographical location, caregiver's age and education and household wealth. Particular emphasis needs to be given to future analysis to determine the extent of the difference in the association by geographical location.