Pradeilles, Rebecca, Irache, Ana, Norris, Tom, Chitekwe, Stanley, Laillou, Arnaud and Baye, Kaleab (2022) Magnitude, trends and drivers of the coexistence of maternal overweight/obesity and childhood undernutrition in Ethiopia : evidence from Demographic and Health Surveys (2005–2016). Maternal & Child Nutrition . doi:10.1111/mcn.13372 (In Press)

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Abstract

Ethiopia faces a rising problem of overweight and obesity alongside a high prevalence of undernutrition; a double burden of malnutrition (DBM). This study aimed to quantify the magnitude and trends of household-level DBM—defined as the coexistence of maternal overweight/obesity and child undernutrition (i.e., stunting or anaemia)—in Ethiopia between 2005, 2011 and 2016 and understand the potential drivers influencing DBM and the change in DBM over time. Data come from the Ethiopian Demographic and Health Surveys. National and regional prevalence estimates of the DBM were calculated (n = 13,107). Equiplots were produced to display inequalities in the distribution of DBM. Factors associated with DBM were explored using pooled multivariable logistic regression analyses for 2005, 2011 and 2016 (n = 9358). These were also included in a logistic regression decomposition analysis to understand their contribution to the change in DBM between 2005 and 2016 (n = 5285). The prevalence of household-level DBM at the national level was low, with a modest increase from 2.4% in 2005% to 3.5% in 2016. This masks important within-country variability, with substantially higher prevalence in Addis Ababa (22.8%). Factors positively associated with DBM were maternal age (odds ratio [OR] = 1.04 [1.02, 1.06]), urban residence (OR = 3.12 [2.24, 4.36]), wealth (OR = 1.14 [1.06, 1.24]) and the number of children <5 in the household (OR = 1.30 [1.12, 1.49]). Overall, 70.5% of the increase in DBM between 2005 and 2016 was attributed to increased wealth, urban residence and region. Double-duty actions that address multiple forms of malnutrition are urgently needed in urban settings.

Item Type:	Journal Item
Subjects:	R Medicine > RC Internal medicine R Medicine > RJ Pediatrics
Divisions:	Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH):	Anemia in children, Anemia, Malnutrition -- Ethiopia, Women -- Nutrition -- Ethiopia, Obesity in women -- Ethiopia, Obesity in children -- Prevention -- Ethiopia, Obesity in children -- Ethiopia, Health surveys -- Ethiopia
Journal or Publication Title:	Maternal & Child Nutrition
Publisher:	Wiley-Blackwell Publishing Ltd.
ISSN:	1740-8695
Official Date:	2022
Dates:	Date Event 2022 Published 25 May 2022 Available 26 April 2022 Accepted 9 September 2021 Submitted
Number of Pages:	14
DOI:	10.1111/mcn.13372
Status:	Peer Reviewed
Publication Status:	In Press
Access rights to Published version:	Open Access
RIOXX Funder/Project Grant:	Project/Grant ID RIOXX Funder Name Funder ID UNSPECIFIED UNICEF http://dx.doi.org/10.13039/100006641

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