Deciphering the concurrent phenomenon of childhood malnutrition by using the extended composite index of anthropometric failure (ECIAF): facts from the BESLEN project
Abstract Objective: To investigate the co-existence of single and multiple anthropometric failures among children using an extended composite index of anthropometric failure (ECIAF). This study aims to elucidate the complex interplay between child-specific and maternal factors, highlighting the mu...
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2025-01-01
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| Series: | Public Health Nutrition |
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| Online Access: | https://www.cambridge.org/core/product/identifier/S1368980024002520/type/journal_article |
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| author | Gözde Dumlu Bilgin İrem Kaya Cebioğlu Hasan Kaan Kavsara Aybüke Sarioğlu Melis Keküllüoğlu Tan Sema Aydin Pınar Usta Binnur Okan Bakir |
| author_facet | Gözde Dumlu Bilgin İrem Kaya Cebioğlu Hasan Kaan Kavsara Aybüke Sarioğlu Melis Keküllüoğlu Tan Sema Aydin Pınar Usta Binnur Okan Bakir |
| author_sort | Gözde Dumlu Bilgin |
| collection | DOAJ |
| description |
Abstract
Objective:
To investigate the co-existence of single and multiple anthropometric failures among children using an extended composite index of anthropometric failure (ECIAF). This study aims to elucidate the complex interplay between child-specific and maternal factors, highlighting the multifaceted nature of childhood malnutrition.
Design:
A multicentre cross-sectional study as part of the BESLEN project
Setting:
Mother-Child Education Centre in the Pendik district of Istanbul, Türkiye
Participants:
1283 children (preschool children, n 822, school-aged children, n 462) and 1044 mothers
Results:
Almost 1/3 of the children included in the study had an anthropometric failure as determined by ECIAF. Weight excess was the leading cause of the total anthropometric failures, most of which were observed to be slightly higher in boys, except for stunting only and co-occurrence of stunting and underweight. Among the mother-related factors, including higher BMI and waist circumference, low maternal age at delivery, low number of children in the household and being a single parent may be considered predisposing factors to any phenomenon of childhood malnutrition. Among child-related factors, birth weight being ≥ 3500 g had a higher risk for ECIAF failure, and children aged ≥ 60 months were more likely to experience stunting and underweight, while those < 60 months had a higher prevalence of weight excess.
Conclusions:
The co-existence of stunting and overweight, the occurrence of weight excess in one in three stunted children and the high risk of central obesity are public health concerns. Also, ECIAF can better assess all aspects of childhood malnutrition than conventional measures.
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| format | Article |
| id | doaj-art-2f6bcefa56974910a08d328b1be0aaa6 |
| institution | Kabale University |
| issn | 1368-9800 1475-2727 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | Public Health Nutrition |
| spelling | doaj-art-2f6bcefa56974910a08d328b1be0aaa62025-01-16T21:48:24ZengCambridge University PressPublic Health Nutrition1368-98001475-27272025-01-012810.1017/S1368980024002520Deciphering the concurrent phenomenon of childhood malnutrition by using the extended composite index of anthropometric failure (ECIAF): facts from the BESLEN projectGözde Dumlu Bilgin0https://orcid.org/0000-0001-6385-0190İrem Kaya Cebioğlu1https://orcid.org/0000-0002-0135-2011Hasan Kaan Kavsara2https://orcid.org/0000-0002-0322-0397Aybüke Sarioğlu3https://orcid.org/0000-0002-0700-3744Melis Keküllüoğlu Tan4https://orcid.org/0000-0002-2007-650XSema Aydin5https://orcid.org/0000-0003-4262-7007Pınar Usta6https://orcid.org/0000-0001-8760-0233Binnur Okan Bakir7https://orcid.org/0000-0002-0448-4300Yeditepe University, Faculty of Health Sciences, Department of Nutrition and Dietetics, İnönü Mah. Kayışdağı Cad. 34755 İstanbul, TurkeyYeditepe University, Faculty of Health Sciences, Department of Nutrition and Dietetics, İnönü Mah. Kayışdağı Cad. 34755 İstanbul, TurkeyYeditepe University, Faculty of Health Sciences, Department of Nutrition and Dietetics, İnönü Mah. Kayışdağı Cad. 34755 İstanbul, Turkey Istanbul Medipol University, Graduate School of Health Sciences, Nutrition and Dietetics, Istanbul, TürkiyeYeditepe University, Faculty of Health Sciences, Department of Nutrition and Dietetics, İnönü Mah. Kayışdağı Cad. 34755 İstanbul, TurkeyYeditepe University, Faculty of Health Sciences, Department of Nutrition and Dietetics, İnönü Mah. Kayışdağı Cad. 34755 İstanbul, TurkeyYeditepe University, Faculty of Health Sciences, Department of Nutrition and Dietetics, İnönü Mah. Kayışdağı Cad. 34755 İstanbul, TurkeyYeditepe University, Faculty of Health Sciences, Department of Nutrition and Dietetics, İnönü Mah. Kayışdağı Cad. 34755 İstanbul, TurkeyYeditepe University, Faculty of Health Sciences, Department of Nutrition and Dietetics, İnönü Mah. Kayışdağı Cad. 34755 İstanbul, Turkey Abstract Objective: To investigate the co-existence of single and multiple anthropometric failures among children using an extended composite index of anthropometric failure (ECIAF). This study aims to elucidate the complex interplay between child-specific and maternal factors, highlighting the multifaceted nature of childhood malnutrition. Design: A multicentre cross-sectional study as part of the BESLEN project Setting: Mother-Child Education Centre in the Pendik district of Istanbul, Türkiye Participants: 1283 children (preschool children, n 822, school-aged children, n 462) and 1044 mothers Results: Almost 1/3 of the children included in the study had an anthropometric failure as determined by ECIAF. Weight excess was the leading cause of the total anthropometric failures, most of which were observed to be slightly higher in boys, except for stunting only and co-occurrence of stunting and underweight. Among the mother-related factors, including higher BMI and waist circumference, low maternal age at delivery, low number of children in the household and being a single parent may be considered predisposing factors to any phenomenon of childhood malnutrition. Among child-related factors, birth weight being ≥ 3500 g had a higher risk for ECIAF failure, and children aged ≥ 60 months were more likely to experience stunting and underweight, while those < 60 months had a higher prevalence of weight excess. Conclusions: The co-existence of stunting and overweight, the occurrence of weight excess in one in three stunted children and the high risk of central obesity are public health concerns. Also, ECIAF can better assess all aspects of childhood malnutrition than conventional measures. https://www.cambridge.org/core/product/identifier/S1368980024002520/type/journal_articleChildhood malnutritionECIAFObesityMaternal factorsAnthropometry |
| spellingShingle | Gözde Dumlu Bilgin İrem Kaya Cebioğlu Hasan Kaan Kavsara Aybüke Sarioğlu Melis Keküllüoğlu Tan Sema Aydin Pınar Usta Binnur Okan Bakir Deciphering the concurrent phenomenon of childhood malnutrition by using the extended composite index of anthropometric failure (ECIAF): facts from the BESLEN project Public Health Nutrition Childhood malnutrition ECIAF Obesity Maternal factors Anthropometry |
| title | Deciphering the concurrent phenomenon of childhood malnutrition by using the extended composite index of anthropometric failure (ECIAF): facts from the BESLEN project |
| title_full | Deciphering the concurrent phenomenon of childhood malnutrition by using the extended composite index of anthropometric failure (ECIAF): facts from the BESLEN project |
| title_fullStr | Deciphering the concurrent phenomenon of childhood malnutrition by using the extended composite index of anthropometric failure (ECIAF): facts from the BESLEN project |
| title_full_unstemmed | Deciphering the concurrent phenomenon of childhood malnutrition by using the extended composite index of anthropometric failure (ECIAF): facts from the BESLEN project |
| title_short | Deciphering the concurrent phenomenon of childhood malnutrition by using the extended composite index of anthropometric failure (ECIAF): facts from the BESLEN project |
| title_sort | deciphering the concurrent phenomenon of childhood malnutrition by using the extended composite index of anthropometric failure eciaf facts from the beslen project |
| topic | Childhood malnutrition ECIAF Obesity Maternal factors Anthropometry |
| url | https://www.cambridge.org/core/product/identifier/S1368980024002520/type/journal_article |
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