The nutrition transition in Colombia over a decade: a novel household classification system of anthropometric measures
Abstract
Background: Overweight and underweight increase the risk of metabolic impairments and chronic disease. Interventions at the household level require the diagnosis of nutritional status among family members. The aim of this study was to describe the prevalence and patterns of various anthropometric typologies over a decade in Colombia using a novel approach that considers all children in the household as well as the mother. This approach also allows identifying a dual burden of malnutrition within a household, where one child may be overweight and another one undernourished. Methods: This study used data from the Demographic and Health Survey and the Colombian National Nutrition Survey [2000 n = 2,876, 2005 n = 8,598, and 2010 n = 11,349]. Four mutually exclusive household (HH) anthropometric typologies - normal, undernourished, overweight/obese, and dual burden - were created. Anthropometric information of height-for-age Z-scores (HAZ) and body-mass-index-forage Z-scores (BMIz) in children under the age of 5 y, and on body mass index (BMI) in mothers, 18–49 y was used. Results: Prevalence of overweight/obese HHs increased between 2000 (38.2%) and 2010 (43.1%) (p < 0.05), while undernourished and dual burden HHs significantly decreased between 2005 (13.7% and 10.6%, respectively) and 2010 (3.5% and 5.1%, respectively) (pmore »
- Authors:
-
- Washington Univ., St. Louis, MO (United States). School of Medicine. Program in Physical Therapy
- Washington Univ., St. Louis, MO (United States). Inst. of Public Health. George Warren Brown School of Social Work
- Pontificia Universidad Javeriana, Bogotá (Colombia). Facultad de Medicina. Departamento de Medicina Preventiva y Social
- Emory Univ., Atlanta, GA (United States). Rollins School of Public Health. Hubert Dept. of Global Health. Food Fortification Initiative
- Washington Univ., St. Louis, MO (United States). Center for Obesity Prevention & Policy Research. Center for Diabetes Translation Research
- Universidad de los Andes, Bogotá (Colombia). School of Medicine. Dept. of Public Health
- Washington Univ., St. Louis, MO (United States). Brown School. Prevention Research Center in St. Louis; Washington Univ., St. Louis, MO (United States). Alvin J. Siteman Cancer Center. Division of Public Health Sciences
- Publication Date:
- Research Org.:
- Oak Ridge Institute for Science and Education (ORISE), Oak Ridge, TN (United States)
- Sponsoring Org.:
- USDOE Office of Science (SC), Biological and Environmental Research (BER). Biological Systems Science Division
- OSTI Identifier:
- 1630049
- Grant/Contract Number:
- SC0014664
- Resource Type:
- Accepted Manuscript
- Journal Name:
- Archives of Public Health
- Additional Journal Information:
- Journal Volume: 73; Journal Issue: 1; Journal ID: ISSN 2049-3258
- Publisher:
- BioMed Central
- Country of Publication:
- United States
- Language:
- English
- Subject:
- 59 BASIC BIOLOGICAL SCIENCES; Overweight; Obesity; Nutrition transition; Stunting; Dual burden; Malnutrition; Colombia
Citation Formats
Parra, Diana C., Iannotti, Lora, Gomez, Luis F., Pachón, Helena, Haire-Joshu, Debra, Sarmiento, Olga L., Kuhlmann, Anne Sebert, and Brownson, Ross C. The nutrition transition in Colombia over a decade: a novel household classification system of anthropometric measures. United States: N. p., 2015.
Web. doi:10.1186/s13690-014-0057-5.
Parra, Diana C., Iannotti, Lora, Gomez, Luis F., Pachón, Helena, Haire-Joshu, Debra, Sarmiento, Olga L., Kuhlmann, Anne Sebert, & Brownson, Ross C. The nutrition transition in Colombia over a decade: a novel household classification system of anthropometric measures. United States. https://doi.org/10.1186/s13690-014-0057-5
Parra, Diana C., Iannotti, Lora, Gomez, Luis F., Pachón, Helena, Haire-Joshu, Debra, Sarmiento, Olga L., Kuhlmann, Anne Sebert, and Brownson, Ross C. Mon .
"The nutrition transition in Colombia over a decade: a novel household classification system of anthropometric measures". United States. https://doi.org/10.1186/s13690-014-0057-5. https://www.osti.gov/servlets/purl/1630049.
@article{osti_1630049,
title = {The nutrition transition in Colombia over a decade: a novel household classification system of anthropometric measures},
author = {Parra, Diana C. and Iannotti, Lora and Gomez, Luis F. and Pachón, Helena and Haire-Joshu, Debra and Sarmiento, Olga L. and Kuhlmann, Anne Sebert and Brownson, Ross C.},
abstractNote = {Background: Overweight and underweight increase the risk of metabolic impairments and chronic disease. Interventions at the household level require the diagnosis of nutritional status among family members. The aim of this study was to describe the prevalence and patterns of various anthropometric typologies over a decade in Colombia using a novel approach that considers all children in the household as well as the mother. This approach also allows identifying a dual burden of malnutrition within a household, where one child may be overweight and another one undernourished. Methods: This study used data from the Demographic and Health Survey and the Colombian National Nutrition Survey [2000 n = 2,876, 2005 n = 8,598, and 2010 n = 11,349]. Four mutually exclusive household (HH) anthropometric typologies - normal, undernourished, overweight/obese, and dual burden - were created. Anthropometric information of height-for-age Z-scores (HAZ) and body-mass-index-forage Z-scores (BMIz) in children under the age of 5 y, and on body mass index (BMI) in mothers, 18–49 y was used. Results: Prevalence of overweight/obese HHs increased between 2000 (38.2%) and 2010 (43.1%) (p < 0.05), while undernourished and dual burden HHs significantly decreased between 2005 (13.7% and 10.6%, respectively) and 2010 (3.5% and 5.1%, respectively) (p < 0.05). A greater increase of overweight/obesity was observed for the lowest quintile of wealth index (WI), with an increase of almost 10% between 2000 and 2010, compared to 2% and 4% for the fourth and highest WI, respectively. Although in 2010 there is still a higher prevalence of overweight/obesity HHs in urban areas (43.7%), the prevalence of overweight/obesity HHs in rural areas increased sharply between 2000 (34.3%) and 2010 (41.6%) (p < 0.05). Conclusion: The observed prevalence of dual burden households was not different from the expected prevalence. Results from this study indicate that although overweight/obesity continues to be more prevalent among high-income Colombian households, it is growing at a faster pace among the most economically disadvantaged.},
doi = {10.1186/s13690-014-0057-5},
journal = {Archives of Public Health},
number = 1,
volume = 73,
place = {United States},
year = {Mon Feb 16 00:00:00 EST 2015},
month = {Mon Feb 16 00:00:00 EST 2015}
}
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