Maternal height and double-burden of malnutrition households in Mexico: stunted children with overweight or obese mothers

Abstract

AbstractObjective:To assess the association between short maternal height and four types of mother–child nutritional status groupings within Mexican households.Design:We classified mother–child dyads into four groups: stunted child and a non-overweight/non-obese mother (stunting-only), non-stunted child and an overweight/obese mother (overweight-only), stunted child with an overweight/obese mother (double-burden) and households with neither child stunting nor overweight/obese mothers (neither-condition). We assessed the association between maternal height and mother–child nutrition status using multinomial logistic regression, controlling for socio-economic covariates.Setting:Nationally representative cross-section of households from the 2012 Mexican National Health and Nutrition Survey.Participants:Children <5 years of age were matched to their mothers, resulting in a sample of 4706 mother–child dyads.Results:We found that among children with stunting, 53·3% have an overweight/obese mother. Double-burden was observed in 8·1% of Mexican households. Maternal short stature increased the probability of stunting-only by 3·5% points (p.p.) and double-burden by 9·7 p.p. (P < 0·05). The inverse association was observed for overweight-only and neither-condition households, where the probability of these outcomes decreased by 7·2 and 6 p.p. in households with short-statured mothers (P < 0·05), respectively.Conclusions:Women with short stature are more likely to develop overweight and simultaneously have a stunted child than those who are not short-statured. Our findings underline the challenges faced by public health systems, which have to balance the provision of services for both an undernourished and increasingly overweight/obese population.