Schulich School of Medicine & Dentistry, Western University, London, ON, Canada.
ASEAN Institute for Health Development, Mahidol University, 25/25 Phuttamonthon 4Rd, Salaya, Phutthamonthon, Nakhon Pathom73170, Thailand.
Public Health Nutr. 2021 Jul;24(10):3058-3065. doi: 10.1017/S1368980020003304. Epub 2020 Oct 15.
This study examined the prevalence of stunting-overweight and socio-demographic determinants among children under-five years of age, as well as associations with infant and young child feeding (IYCF) among children aged 6-23 months.
Secondary data analysis based on the Thailand Multiple Indicator Cluster Survey 2015-2016.
Cross-national study.
Nationally representative sample of children under-five years of age (n 12 313).
The prevalence of wasting, stunting, overweight and stunting-overweight was 5·3, 10·5, 10·1 and 1·6 %, respectively. In multivariate analyses, children under 6 months, children from low and middle wealth tertiles, and children living in rural areas were prone to being wasted. Male children, low wealth tertile and a non-Thai speaking household head were positively and children aged 48-59 months and a one-child household were inversely associated with stunting. Children from a low wealth tertile were less likely to be overweight, while older age, male children and children from a one-child household were more likely to be overweight. Stunting-overweight was associated with children aged 24-47 months, male children, mothers having secondary education, a one-child household, a non-Thai speaking household head and an urban area. In terms of IYCF indicators, despite no association with stunting and stunted-overweight children, current breast-feeding and inadequate meal frequency were associated with being wasting, while current breast-feeding and dietary diversity were inversely associated with being overweight.
This study revealed the double burden of malnutrition at the individual and population levels among Thai children under-five, which calls for concrete integrated interventions to tackle all forms of malnutrition.
本研究调查了五岁以下儿童中发育迟缓-超重的流行情况以及与 6-23 个月儿童婴儿和幼儿喂养（IYCF）的关联。
基于 2015-2016 年泰国多指标类集调查的二次数据分析。
跨国研究。
全国代表性的五岁以下儿童样本（n 12 313）。
消瘦、发育迟缓、超重和发育迟缓-超重的流行率分别为 5.3%、10.5%、10.1%和 1.6%。在多变量分析中，6 个月以下的儿童、中低财富三分位数的儿童和农村地区的儿童更容易消瘦。男童、中低财富三分位数和非泰语家庭户主的儿童易发生发育迟缓，而 48-59 个月的儿童和独生子家庭的儿童则相反。低财富三分位数的儿童不太可能超重，而年龄较大、男童和独生子家庭的儿童更可能超重。发育迟缓-超重与 24-47 个月的儿童、男童、母亲接受过中等教育、独生子家庭、非泰语家庭户主和城市地区有关。就 IYCF 指标而言，尽管与发育迟缓及发育迟缓-超重儿童无关联，但目前的母乳喂养和膳食频率不足与消瘦有关，而目前的母乳喂养和饮食多样性与超重呈负相关。
本研究揭示了泰国五岁以下儿童在个体和人群层面上存在营养不良的双重负担，这需要采取具体的综合干预措施来解决所有形式的营养不良。
