Doak Colleen M, Campos Ponce Maiza, Vossenaar Marieke, Solomons Noel W
a Health Sciences, VU University , Amsterdam , The Netherlands and.
b Center for Studies of Sensory Impairment, Aging and Metabolism (CeSSIAM) , Guatemala City , Guatemala.
Ann Hum Biol. 2016;43(2):122-30. doi: 10.3109/03014460.2015.1136356. Epub 2016 Feb 10.
Overweight and obesity are emerging at alarming rates in low income women in many countries. Guatemala has the additional burden of a high prevalence of chronic under-nutrition (stunting) in children.
The purpose of this paper is to explore the dual burden of infant and child (5-23 months) under-nutrition and maternal over-weight and obesity in the Western Highlands of Guatemala.
Anthropometric measures were collected in 446 mother-infant dyads in a metropolitan population of mixed indigenous (Maya) and non-indigenous descent in the Western Highlands of Guatemala. Children were identified as stunted based on a height for age <-2 below the WHO reference median and maternal overweight/obesity defined as a BMI ≥25. Stunted children with an overweight/obese mother were compared to other children who were not stunted and/or who did not have an overweight/obese mother.
The prevalences of stunting (38%) and maternal overweight/obesity (45%) were high, but just 17% of the mother and child pairs were dual burden. The socio-demographic characteristics of stunted children were not influenced by maternal overweight or obesity.
Policies are needed to address under-nutrition as well as preventing obesity and obesity-related chronic disease risks of stunted children and their mothers.
在许多国家，低收入女性中超重和肥胖的发生率正以惊人的速度上升。危地马拉还面临着儿童慢性营养不良（发育迟缓）高患病率的额外负担。
本文旨在探讨危地马拉西部高地婴儿和儿童（5 - 23个月）营养不良以及母亲超重和肥胖的双重负担。
在危地马拉西部高地一个由土著（玛雅）和非土著血统混合组成的大都市人口中，收集了446对母婴的人体测量数据。根据年龄别身高低于世界卫生组织参考中位数2个标准差将儿童确定为发育迟缓，母亲超重/肥胖定义为体重指数（BMI）≥25。将母亲超重/肥胖的发育迟缓儿童与其他未发育迟缓的儿童和/或母亲未超重/肥胖的儿童进行比较。
发育迟缓（38%）和母亲超重/肥胖（45%）的患病率很高，但只有17%的母婴对存在双重负担。发育迟缓儿童的社会人口学特征不受母亲超重或肥胖的影响。
需要制定政策来解决营养不良问题，并预防发育迟缓儿童及其母亲的肥胖和与肥胖相关的慢性病风险。
