Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on medication adherence

LIVE: Thursday 27th June 2024, 18:00-19:30 (CEST)
Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.
ADVANCED SEARCH
Log in
Top
BMC Public Health
Published in: BMC Public Health 1/2021

Open Access 01-12-2021 | Obesity | Research article

Prevalence and factors associated with triple burden of malnutrition among mother-child pairs in India: a study based on National Family Health Survey 2015–16

Authors: Pradeep Kumar, Shekhar Chauhan, Ratna Patel, Shobhit Srivastava, Dhananjay W. Bansod

Published in: BMC Public Health | Issue 1/2021

Login to get access

Abstract

Background

Malnutrition in mothers as well as in children is a significant public health challenge in most of the developing countries. The triple burden of malnutrition is a relatively new issue on the horizon of health debate and is less explored among scholars widely. The present study examines the prevalence of the triple burden of malnutrition (TBM) and explored various factors associated with the TBM among mother-child pairs in India.

Methods

Data used in this study were drawn from the fourth round of the National Family Health Survey (NFHS-IV) conducted in 2015–16 (N = 168,784). Bivariate and binary logistic regression analysis was used to quantify the results. About 5.7% of mother-child pairs were suffering from TBM.

Results

Age of mother, educational status of the mother, cesarean section delivery, birth size of baby, wealth status of a household, and place of residence were the most important correlates for the triple burden of malnutrition among mother-child pairs in India. Further, it was noted that mothers with secondary education level (AOR: 1.15, CI 1.08–1.23) were having a higher probability of suffering from TBM, and interestingly the probability shattered down for mothers having a higher educational level (AOR: 0.90, CI 0.84–0.95). Additionally, mother-child pairs from rich wealth status (AOR: 1.93, CI 1.8–2.07) had a higher probability of suffering from TBM.

Conclusion

From the policy perspective, it is important to promote public health programs to create awareness about the harmful effects of sedentary lifestyles. At the same time, this study recommends an effective implementation of nutrition programs targeting undernutrition and anemia among children and obesity among women.
Literature
1.
FAO, IFAD, UNICEF, WFP W. The state of food security and nutrition in the world 2017. Rome FAO: Building resilience for peace and food security; 2017.
2.
Pal A, Pari AK, Sinha A, Dhara PC. Prevalence of undernutrition and associated factors: a cross-sectional study among rural adolescents in West Bengal, India. Int J Pediatr Adolesc Med. 2017;4(1):9-18.
3.
Lahariya C. State of the world’s children 2008. Indian Pediatr:2008.
4.
5.
Pathak S, Modi P, Labana U, Khimyani P, Joshi A, Jadeja R, et al. Prevalence of obesity among urban and rural school going adolescents of Vadodara, India: a comparative study. Int J Contemp Pediatr [Internet]. 2018;5(4):1355 Available from: http://​www.​ijpediatrics.​com, [cited 2020 Dec 21].CrossRef
6.
Jomi J, Sushama B, Vijayaraghavan R. Dietary pattern and prevalence of overweight & obesity among children aged 6–11 years in southern part of Kerala, India-a pilot study. Int J Nurs Educ. 2018;10(4):68-72.
7.
Malik R, Puri S, Adhikari T. Double burden of malnutrition among mother-child DYADS in urban poor settings in India. Indian J Community Health. 2018;30(2).
8.
Kulkarni VS, Kulkarni VS, Gaiha R. “Double Burden of Malnutrition” Reexamining the Coexistence of Undernutrition and Overweight Among Women in India. Int J Health Serv. 2017;47(1):108-133.
9.
Sengupta A, Angeli F, Syamala TS, Van Schayck CP, Dagnelie P. State-wise dynamics of the double burden of malnutrition among 15–49 year-old women in India: how much does the scenario change considering Asian population-specific BMI cut-off values? Ecol Food Nutr. 2014;53(6):618-38.
10.
Mondal N, Basumatary B, Kropi J, Bose K. Prevalence of double burden of malnutrition among urban school going bodo children aged 5–11 years of Assam, Northeast India. Epidemiol Biostat Public Health. 2015;12(4).
11.
Bisai S, Khongsdier R, Bose K, Mahalanabis D. Double burden of malnutrition among urban Bengalee adolescent boys in Midnapore, West Bengal, India. Nat Preced. 2012;1-1.
12.
Darling AM, Fawzi WW, Barik A, Chowdhury A, Rai RK. Double burden of malnutrition among adolescents in rural West Bengal, India. Nutrition. 2020;110809.
13.
Ahmad S, Shukla N, Singh J, Shukla R, Shukla M. Double burden of malnutrition among school-going adolescent girls in North India: a cross-sectional study. J Fam Med Prim Care. 2018;7(6):1417.
14.
Awasthi S, Reddy NU, Mitra M, Singh S, Ganguly S, Jankovic I, Ghosh A. Micronutrient-fortified infant cereal improves hemoglobin status and reduces iron deficiency anemia in Indian infants: an effectiveness study.. Br J Nutr. 2020;1-26.
15.
Sharma H, Singh SK, Srivastava S. Socio-economic inequality and spatial heterogeneity in anaemia among children in India: Evidence from NFHS-4 (2015–16). Clin Epidemiol Glob Heal [Internet]. 2020.
16.
Khanal V, Karkee R, Adhikari M, Gavidia T. Moderate-to-severe anaemia among children aged 6-59 months in Nepal: An analysis from Nepal Demographic and Health Survey, 2011. Clin Epidemiol Glob Heal. 2016;4(2):57-62.
17.
Headey D, Menon P, Nguyen P. The timing of growth faltering in India has changed significantly over 1992–2016, with variations in prenatal and postnatal improvement (P10-005-19). Curr Dev Nutr. 2019;3(Supplement_1):nzz034-P10.
18.
Bharati S, Pal M, Bharati P. Prevalence of anaemia among 6- to 59-month-old children in India: the latest picture through the NFHS-4. J Biosoc Sci. 2020;52(1):97-107.
19.
Jain A, Agnihotri SB. Assessing inequalities and regional disparities in child nutrition outcomes in India using MANUSH - a more sensitive yardstick. Int J Equity Health. 2020.
20.
Sunuwar DR, Singh DR, Pradhan PMS. Prevalence and factors associated with double and triple burden of malnutrition among mothers and children in Nepal: Evidence from 2016 Nepal demographic and health survey. BMC Public Health. 2020;20:1-11.
21.
Kadiyala S, Aurino E, Cirillo C, Srinivasan C, Zanello G. Rural transformation and the double burden of malnutrition among rural youth in low and middle-income countries. 2019.
22.
Prentice AM. The double burden of malnutrition in countries passing through the economic transition. Ann Nutr Metab. 2018;72(3):47-54.
23.
Constantinides S, Blake C, Frongillo E, Avula R, Thow AM. Double burden of malnutrition: the role of framing in development of political priority in the context of rising diet-related non-communicable diseases in Tamil Nadu, India (P22-005-19). Curr Dev Nutr. 2019;3(Supplement_1):nzz042-P22.
24.
International Institute for Population Sciences (IIPS) & ICF. National Family Health Survey (NFHS-4), 2015-16: India. Mumbai: IIPS. 2017.
25.
Anik AI, Rahman MM, Rahman MM, Tareque MI, Khan MN, Alam MM. Double burden of malnutrition at household level: a comparative study among Bangladesh, Nepal, Pakistan, and Myanmar. PLoS One. 2019;14(8).
26.
Oddo VM, Rah JH, Semba RD, Sun K, Akhter N, Sari M, Kraemer K. Predictors of maternal and child double burden of malnutrition in rural Indonesia and Bangladesh. Am J Clin Nutr. 2012;95(4):951-8.
27.
Das S, Fahim SM, Islam MS, Biswas T, Mahfuz M, Ahmed T. Prevalence and sociodemographic determinants of household-level double burden of malnutrition in Bangladesh. Public Health Nutr. 2019;22(8):1425-32.
28.
Onyeji GN, Sanusi RA. Prevalence of stunted child overweight mother pair in some communities south-East Nigeria. Niger J Nutr Sci. 2019;40(2):94-8.
29.
Chaurasiya D, Gupta A, Chauhan S, Patel R, Chaurasia V. Age, period and birth cohort effects on prevalence of obesity among reproductive-age women in India. SSM - Popul Heal. 2019;9.
30.
Gouda J, Prusty RK. Overweight and obesity among women by economic stratum in urban India. J Health Popul Nutr. 2014;32(1):79–88.
31.
Sinha RK, Dua R, Bijalwan V, Rohatgi S, Kumar P. Determinants of stunting, wasting, and underweight in five high-burden pockets of four Indian states. Indian journal of community medicine: official publication of Indian Association of Preventive & Social Medicine. 2018;43(4):279.
32.
Li W, Wang Y, Shen L, Song L, Li H, Liu B, et al. Association between parity and obesity patterns in a middle-aged and older Chinese population: a cross-sectional analysis in the Tongji-Dongfeng cohort study. Nutr Metab (Lond). 2016;13:72. https://​doi.​org/​10.​1186/​s12986-016-0133-7.
33.
Bhavadharini B, Anjana RM, Deepa M, Jayashree G, Nrutya S, Shobana M, Rekha K. Gestational weight gain and pregnancy outcomes in relation to body mass index in Asian Indian women. Indian J Endocrinol Metab. 2017;21(4):588.
34.
35.
Hanly M, Falster K, Banks E, Lynch J, Chambers GM, Brownell M, Jorm L. Role of maternal age at birth in child development among indigenous and non-indigenous Australian children in their first school year: a population-based cohort study. Lancet Child Adolesc Heal. 2020;4(1):46-57.
36.
Ziaei S, Contreras M, Zelaya Blandón E, Persson LÅ, Hjern A, Ekström EC. Women’s autonomy and social support and their associations with infant and young child feeding and nutritional status: community-based survey in rural Nicaragua. Public Health Nutr. 2015;18(11):1979-90. https://​doi.​org/​10.​1017/​S136898001400246​8.
37.
Cunningham K, Ruel M, Ferguson E, et al. Women’s empowerment and child nutritional status in South Asia: a synthesis of the literature. Matern Child Nutri. 2015;11:1–19.
38.
Shroff MR, Griffiths PL, Suchindran C, et al. Does maternal autonomy influence feeding practices and infant growth in rural India? Soc Sci Med. 2011;73:447–55.
39.
McKenna CG, Bartels SA, Pablo LA, Walker M. Women’s decision-making power and undernutrition in their children under age five in the Democratic Republic of the Congo: a cross-sectional study. PLoS One. 2019;14(12).
40.
Agu N, Emechebe N, Yusuf K, Falope O, Kirby RS. Predictors of early childhood undernutrition in Nigeria: the role of maternal autonomy. Public Health Nutr. 2019;22(12):2279-89.
41.
Rai RK, Jaacks LM, Bromage S, Barik A, Fawzi WW, Chowdhury A. Prospective cohort study of overweight and obesity among rural Indian adults: Sociodemographic predictors of prevalence, incidence and remission. BMJ Open. 2018;8(8):e021363.
42.
Luhar S, PAC M, Clarke L, Kinra S. Trends in the socioeconomic patterning of overweight/obesity in India: A repeated cross-sectional study using nationally representative data. BMJ Open [Internet]. 2018;8(10):23935 Available from: http://​bmjopen.​bmj.​com/​, [cited 2020 Dec 21].
43.
Bloomberg L, Meyers J, Braverman MT. The Importance of Social Interaction: A New Perspective on Social Epidemiology, Social Risk Factors, and Health. Health Educ Quarterly. 1994;21(4):447-63.
44.
Belachew A. Timely initiation of breastfeeding and associated factors among mothers of infants age 0-6 months old in Bahir Dar City, Northwest, Ethiopia, 2017: A community based cross-sectional study. Int Breastfeed J. 2019;14(1):5.
45.
46.
Chehab R, Nasreddine L, Zgheib R, Forman M. C-section delivery is a barrier to and demographic-maternal-child factors have mixed effects on the length of exclusive breastfeeding under nutrition transition in Lebanon (P11-058-19). Curr Dev Nutr. 2019;3(Supplement_1):nzz048-P11.
47.
Islam MS, Biswas T. Prevalence and correlates of the composite index of anthropometric failure among children under 5 years old in Bangladesh. Matern Child Nutr. 2019;e12930.
48.
Turner D, Monthé-Drèze C, Cherkerzian S, Gregory K, Sen S. Maternal obesity and cesarean section delivery: additional risk factors for neonatal hypoglycemia? J Perinatol. 2019;39(8):1057-64.
49.
50.
51.
Aryastami NK, Shankar A, Kusumawardani N, Besral B, Jahari AB, Achadi E. Low birth weight was the most dominant predictor associated with stunting among children aged 12-23 months in Indonesia. BMC Nutr. 2017;3(1):16.
52.
Black RE, Victora CG, Walker SP, Bhutta ZA, Christian P, de Onis M, Ezzati M, Grantham-McGregor S, Katz J, Martorell R, Uauy R, Maternal and Child Nutrition Study Group. Maternal and child undernutrition and overweight in low-income and middle-income countries. Lancet. 2013;382(9890):427-51. https://​doi.​org/​10.​1016/​S0140-6736(13)60937-X.
53.
54.
Al Kibria GM, Swasey K, Hasan MZ, Sharmeen A, Day B. Prevalence and factors associated with underweight, overweight and obesity among women of reproductive age in India. Glob Heal Res Policy. 2019;4(1):24.
55.
Neupane S, Prakash KC, Doku DT. Overweight and obesity among women: analysis of demographic and health survey data from 32 sub-Saharan African countries. BMC Public Health. 2015;16(1):30.
56.
Singh S, Srivastava S, Upadhyay AK. Socio-economic inequality in malnutrition among children in India: an analysis of 640 districts from National Family Health Survey (2015-16). Int J Equity Health. 2019;18(1):203.
57.
58.
59.
60.
61.
62.
63.
64.
Metadata
Title
Prevalence and factors associated with triple burden of malnutrition among mother-child pairs in India: a study based on National Family Health Survey 2015–16
Authors
Pradeep Kumar
Shekhar Chauhan
Ratna Patel
Shobhit Srivastava
Dhananjay W. Bansod
Publication date
01-12-2021
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2021
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-021-10411-w

Other articles of this Issue 1/2021

BMC Public Health 1/2021 Go to the issue

Research article

Preventing and controlling water pipe smoking: a systematic review of management interventions

Research article

Correlates of psychological intimate partner violence with HIV care outcomes on patients in HIV care

Research

Exploring condom use decision-making among adolescents: the synergistic role of affective and rational processes

Research article

Brazilian National Policy of Comprehensive Women’s Health Care and mortality during climacteric period: has anything changed?

Research

Trends in socioeconomic inequalities in smoking in Turkey from 2008 to 2016

Research article

Free Time For Wellness: a co-designed intervention utilizing social networks to encourage physical activity for cancer prevention among low resourced mothers