Bibliographic Details
| Title: |
Dual burden of malnutrition in US Affiliated Pacific jurisdictions in the Children’s Healthy Living Program |
| Authors: |
Rachel Novotny, Fenfang Li, Rachael Leon Guerrero, Patricia Coleman, Aifili J. Tufa, Andrea Bersamin, Jonathan Deenik, Lynne R Wilkens |
| Source: |
BMC Public Health, Vol 17, Iss 1, Pp 1-7 (2017) |
| Publisher Information: |
BMC, 2017. |
| Publication Year: |
2017 |
| Collection: |
LCC:Public aspects of medicine |
| Subject Terms: |
Pacific, Race, Income, Obesity, Stunting, Country, Public aspects of medicine, RA1-1270 |
| More Details: |
Abstract Background Few data are available on dual burden of under and over nutrition of children in the Pacific region. The objective was to examine prevalence of stunting at birth and current stunting and their relationship to obesity in US Affiliated Pacific (USAP) jurisdictions. Methods Cross sectional survey with cluster sampling by community. 5558, 2–8 years olds were measured in 51 communities in 11 USAP jurisdictions. The main outcome measures were stunting at birth, current stunting and obesity by body mass index. Prevalences of stunting at birth, current stunting and obesity were determined, adjusting for age distribution and community clustering. Differences by among age, sex, race and jurisdiction income levels were evaluated by chi-square analysis. Relationships of stunting at birth and current stunting with obesity were examined using a hierarchical model accounting for the study design. Results Prevalences were stunting at birth 6.8% (Standard Error, SE = 0.9%), current stunting 1.4% (SE = 0.2%) and obesity 14.03.8% (SE = 0.9%). Obesity was highest in upper middle income jurisdictions (UMIJ) at 17.5%. Stunting at birth differed by race (p = 0.0001) with highest prevalence among Native Hawaiian/Pacific Islanders (10.7%). Prevalence of stunting at birth was different by jurisdiction income level with 27.5% in lower middle income jurisdictions (LMIJ), and 22.2% in UMIJ, and 5.5% in higher than high income jurisdictions (HIJ) at 5.5% (p |
| Document Type: |
article |
| File Description: |
electronic resource |
| Language: |
English |
| ISSN: |
1471-2458 |
| Relation: |
http://link.springer.com/article/10.1186/s12889-017-4377-6; https://doaj.org/toc/1471-2458 |
| DOI: |
10.1186/s12889-017-4377-6 |
| Access URL: |
https://doaj.org/article/83dab067d31444f795bd63372c4ac6e0 |
| Accession Number: |
edsdoj.83dab067d31444f795bd63372c4ac6e0 |
| Database: |
Directory of Open Access Journals |
