Abstract
Objectives This study investigated the association of the familial coexistence of child stunting and maternal overweight with indigenous women in Guatemala. Methods We selected 2388 child–mother pairs from the data set of the Living Standards Measurement Study conducted in Guatemala in 2000. This study examined the association between maternal and household characteristics and the nutritional status of children aged 6–60 months and mothers aged 18–49 years by using multivariable logistic regression models. Results Compared with non-indigenous households, a significantly higher percentage of indigenous households exhibited stunted child and overweight mother (SCOM) pairs (15.9 vs. 22.2%). Compared with normal-weight mothers, overweight mothers were less likely to have stunted children [adjusted odds ratio (AOR) 0.66, 95% confidence interval (CI) 0.50–0.88]. However, compared with mothers who were not short and overweight, short and overweight mothers were significantly more likely to have stunted children (AOR 1.80, 95% CI 1.19–2.73) and were more likely to be indigenous women living in urban areas (AOR 3.01, 95% CI 1.19–7.60) or rural areas (AOR 3.02, 95% CI 1.28–7.14). The order of observed prevalence of SCOM pairs in different types of households was as follows: urban indigenous (25.0%), rural indigenous (21.2%), rural non-indigenous (19.8%), and urban non-indigenous households (10.7%). Conclusions for Practice Urban indigenous households were more likely to have SCOM pairs. This study provided useful information for identifying the most vulnerable groups and areas with a high prevalence of the familial coexistence of child stunting and maternal overweight.
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Barquera, S., Peterson, K. E., Must, A., Rogers, B. L., Flores, M., Houser, R., Monterrubio, E., & Rivera-Dommarco, J. A. (2007). Coexistence of maternal central adiposity and child stunting in Mexico. International Journal of Obesity, 31(4), 601–607.
Beare-Rogers, J., Ghafoorunissa, A., Korver, O., Rocquelin, G., Sundram, K., & Uauy, R. (1998). Dietary fat in developing countries. Food and Nutrition Bulletin, 19(3), 251–267.
Bloss, E., Wainaina, F., & Bailey, R. C. (2004). Prevalence and predictors of underweight, stunting, and wasting among children aged 5 and under in western Kenya. Journal of Tropical Pediatrics, 50(5), 260–270.
Blossner, M., Siyam, A., Borghi, E., De Onis, M., Onyango, A., & Yang, H. (2007). WHO Anthro for personal computers, version 2, 2007: Software for assessing growth and development of the world’s children. Geneva: WHO. Retrieved from http://www.who.int/childgrowth/software/en/.
Byers, T. (1992). The epidemic of obesity in American Indians. American Journal of Diseases of Children, 146(3), 285–286.
Caballero, B. (2001). Symposium: Obesity in developing countries: Biological and ecological factors. Journal of Nutrition, 131(3), 866S–870S.
Cairney, J., & Ostbye, T. (1999). Time since immigration and excess body weight. Canadian Journal of Public Health, 90(2), 120.
Casas, J. A., Dachs, J., & Bambas, A. (2001). Health disparities in Latin America and the Caribbean: The role of so-cial and economic determinants. Equity and Health, 8, 22–49.
Ferreira, H. S., Moura, F. A., Cabral, C. R. Jr., Florêncio, T. M., Vieira, R. C., & de Assunção, M. L. (2009). Short stature of moth-ers from an area endemic for undernutrition is associated with obesity, hypertension and stunted children: A population-based study in the semi-arid region of Alagoas, Northeast Brazil. British Journal of Nutrition. doi:10.1017/s0007114508059357.
Garrett, J. L., & Ruel, M. T. (2005). Stunted child–overweight mother pairs: Prevalence and association with economic development and urbanization. Food and Nutrition Bulletin, 26(2), 209–221.
Goel, M. S., McCarthy, E. P., Phillips, R. S., & Wee, C. C. (2004). Obesity among US immigrant subgroups by duration of residence. JAMA, 292(23), 2860–2867.
Grosh, M., & Glewwe, P. (1995). A guide to living standards surveys and their data sets. Washington, DC: The World Bank.
Hall, G., & Patrinos, H. A. (2006). Indigenous peoples, poverty, and human development in Latin America. New York: Palgrave Macmillan.
Hernandez-Diaz, S., Peterson, K. E., Dixit, S., Hernandez, B., Parra, S., Barquera, S., Sepulveda, J., & Rivera, J. A. (1999). Association of maternal short stature with stunting in Mexican children: Common genes vs common environment. European Journal of Clinical Nutrition, 53(12), 938–945.
Jehn, M., & Brewis, A. (2009). Paradoxical malnutrition in mother-child pairs: Untangling the phenomenon of over- and under-nutrition in underdeveloped economies. Economics & Human Biology. doi:10.1016/j.ehb.2009.01.007.
Kaplan, M. S., Huguet, N., Newsom, J. T., & McFarland, B. H. (2004). The association between length of residence and obesity among Hispanic immigrants. American Journal of Preventive Medicine, 27(4), 323–326.
Lee, J., Houser, R. F., Must, A., De Fulladolsa, P. P., & Dermudez, O. I. (2012). Socioeconomic disparities and the familial coexistence of child stunting and maternal overweight in Guatemala. Economics Human Biology, 10(3), 232–241.
Marini, A., & Gragnolati, M. (2003). Policy research working paper 2967: Malnutrition and poverty in Guatemala. Washington, DC: The World Bank.
McEwan, P. J., & Trowbridge, M. (2007). The achievement of indigenous students in Guatemalan primary schools. International Journal of Educational Development, 27(1), 61–76.
Montenegro, R. A., & Stephens, C. (2006). Indigenous health in Latin America and the Caribbean. Lancet, 367(9525), 1859–1869.
O’Donnell, O., van Doorslaer, E., Wagstaff, A., & Lindelow, M. (2007). Analyzing Health Equity Using Household Survey Data. A guide to techniques and their implementation. Washington, DC: World Bank.
Oddo, V. M., Rah, J. H., Semba, R. D., Sun, K., Akhter, N., Sari, M., et al. (2012). Predictors of maternal and child double burden of malnutrition in rural Indonesia and Bangladesh. The American Journal of Clinical Nutrition, 95(4), 951–958.
Popkin, B. M. (1998). The nutrition transition and its health implications in lower-income countries. Public health nutrition, 1(1), 5–21.
Popkin, B. M., & Doak, C. M. (1998). The obesity epidemic is a worldwide phenomenon. Nutrition Reviews, 56(4), 106–114.
Ramirez-Zea, M., Kroker-Lobos, M. F., Close-Fernandez, R., & Kanter, R. (2014). The double burden of malnutrition in indigenous and nonindigenous Guatemalan populations. The American Journal of Clinical Nutrition, 100(6), 1644S–1651S.
Reurings, M., Vossenaar, M., Doak, C. M., & Solomons, N. W. (2013). Stunting rates in infants and toddlers born in metropolitan Quetzaltenango, Guatemala. Nutrition, 29(4), 655–660.
Rivera, J. A., Barquera, S., Gonzalez-Cossio, T., Olaiz, G., & Sepulveda, J. (2004). Nutrition transition in Mexico and in other Latin American countries. Nutrition Reviews, 62(7), S149–S157.
Schroeder, D. G., Martorell, R., & Flores, R. (1999). Infant and child growth and fatness and fat distribution in Guatemalan adults. American Journal of Epidemiology, 149(2), 177–185.
Solomons, N. W., Vossenaar, M., Chomat, A.-M., Doak, C. M., Koski, K. G., & Scott, M. E. (2014). Stunting at birth: Recognition of early-life linear growth failure in the western highlands of Guatemala. Public Health Nutrition, 18(10), 1737–1745.
Terborgh, A., Rosen, J. E., Gálvez, R. S., Terceros, W., Bertrand, J. T., & Bull, S. E. (1995). Family planning among indigenous populations in Latin America. International Family Planning Perspectives, 21(4), 143–166.
United Nations Administrative Committee on Coordination—Subcommittee on Nutrition (ACC/SCN). (1993). 2nd Report on the World Nutrition Situation. Washington, D. C.: United Nations.
World Bank. (2003). Household questionnaire (Round II) for the 2000 Guatemala ENCOVI survey. Retrieved from: http://web.worldbank.org/archive/website00002/WEB/PDF/SECOND_R.PDF.
World Bank. (2003). Project document for the 2000 Guatemala ENCOVI survey. Retrieved from: http://web.worldbank.org/archive/website00002/WEB/PDF/INTROD-3.PDF.
World Bank. (2012). International bank for reconstruction and development and international finance corporation country partnership strategy for the republic of Guatemala for the period FY 2013–2016. Washington, DC: The World Bank.
World Health Organization. (1998). Obesity: Preventing and managing the global epidemic. Geneva: WHO.
World Health Organization. (2006). WHO child growth standards: Length/height-for-age, weight-for-age, weight-for-length, weight-for-height and body mass index-for-age. Geneva: WHO.
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Lee, J., Houser, R., Must, A. et al. Association of the Familial Coexistence of Child Stunting and Maternal Overweight with Indigenous Women in Guatemala. Matern Child Health J 21, 2102–2113 (2017). https://doi.org/10.1007/s10995-017-2325-9
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DOI: https://doi.org/10.1007/s10995-017-2325-9