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Stunting coexisting with overweight in 2.0-4.9-year-old Indonesian children: prevalence, trends and associated risk factors from repeated cross-sectional surveys

The persistence of undernutrition, along with overweight and obesity, constitute the double burden of malnutrition. The present study aimed to: (i) describe the prevalence and trends of concurrent stunting and overweight in Indonesian children; (ii) identify potentially associated risk factors; and...

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Bibliographic Details
Published in:Public health nutrition 2016-10, Vol.19 (15), p.2698-2707
Main Authors: Rachmi, Cut Novianti, Agho, Kingsley Emwinyore, Li, Mu, Baur, Louise Alison
Format: Article
Language:English
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Summary:The persistence of undernutrition, along with overweight and obesity, constitute the double burden of malnutrition. The present study aimed to: (i) describe the prevalence and trends of concurrent stunting and overweight in Indonesian children; (ii) identify potentially associated risk factors; and (iii) determine whether stunted children are at greater risk of overweight compared with those of healthy height. A secondary data analysis of children aged 2.0-4.9 years in four cross-sectional studies of the Indonesian Family Life Survey. Children's height and BMI Z-scores were calculated based on the WHO Child Growth Standards (2006). We defined 'concurrent stunting and overweight' as height-for-age Z-score +1. Multivariate generalised linear latent and mixed models were used to determine associated risk factors. Thirteen out of twenty-seven provinces in Indonesia. Children (n 4101) from four waves of the Indonesian Family Life Survey (1993-2007). There were inconsistent trends in the prevalence of concurrent stunting and overweight from waves 1 to 4. Children were more likely to be stunted and overweight when they were in the youngest age group (2.0-2.9 years), were weaned after the age of 6 months, had short-statured mothers or lived in rural areas. Stunted children were significantly more likely to be overweight than healthy-height children (OR>1) but did not differ significantly different across each wave (OR=1.34-2.01). Concurrent stunting and overweight occurs in Indonesian children aged 2.0-4.9 years. Current policies and programmes need to be tailored for the management of this phenomenon.
ISSN:1368-9800
1475-2727
DOI:10.1017/S1368980016000926