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Association of Food insecurity and the nutritional status of Mexican mother‐child pairs
Author(s) -
ShamahLevy Teresa,
MundoRosas Verónica,
MoralesRuan Carmen,
CuevasNasu Lucia,
Gómez–Humarán Ignacio Méndez,
PérezEscamilla Rafael
Publication year - 2017
Publication title -
the faseb journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.709
H-Index - 277
eISSN - 1530-6860
pISSN - 0892-6638
DOI - 10.1096/fasebj.31.1_supplement.791.6
Subject(s) - underweight , overweight , obesity , malnutrition , medicine , food insecurity , environmental health , logistic regression , demography , food security , pediatrics , geography , agriculture , archaeology , pathology , sociology
Background Household Food Insecurity (HFI) has been associated with overweight mothers and underweight children living in the same households. Adult obesity has been linked to both obesity and undernutrition in children. Objective to examine the association between HFI and child stunting risk and to determine if maternal‐child overweight/obesity modifies the relationship between HFI and stunting risk. Methods We assessed the association of HFI with the nutritional status of mothers and their <11‐year‐old children based on data from the Mexican National Health and Nutrition Survey in (ENSANUT 2012). The study included 5,087 mother‐preschool child pairs and 7,181 mother‐school aged child pairs. HFI was measured with the Latin American and Caribbean Food Security Scale (ELCSA). A multiple logistic regressions were used to examine the associations of interest adjusting for pertinent covariates. Results There was a higher prevalence of stunting among preschool children with moderate HFI (16.2%) or severe (16.8%) (p=0.036 and p=0.007, respectively), compared with mild or no HFI (13.2 and 10.7%). A significant interaction was found between maternal obesity status and HFI on stunting among preschoolers (p<0.05). Specifically, HFI severity increased the risk of child stunting among non‐obese mothers but not among obese mothers. Among school aged children. Conclusion A novel interaction between HFI and maternal obesity status on child stunting risk was uncovered. However this was not the case if their mothers were obese. Food security government policies and programs need to take into account these complex relationships in the context of an advanced nutrition transition. Support or Funding Information Support by The Ministery Of Health in Mexico