@article{fdi:010074877,
  title = {{I}ntra-household double burden of malnutrition in a {N}orth {A}frican nutrition transition context : magnitude and associated factors of child anaemia with mother excess adiposity},
  author = {{S}assi, {S}. and {A}bassi, {M}. {M}. and {T}raissac, {P}ierre and {B}en {G}harbia, {H}. and {G}artner, {A}gn{\`e}s and {D}elpeuch, {F}rancis and {E}l {A}ti, {J}.},
  editor = {},
  language = {{ENG}},
  abstract = {{O}bjective: {I}n the {M}iddle {E}ast and {N}orth {A}frica region, the nutrition transition has resulted in drastic increases in excess adiposity, particularly among women, while some types of undernutrition remain prevalent, especially among pre-school children. {W}e assessed the magnitude, nature and associated factors of the within-household co-occurrence of anaemia in children and excess adiposity in mothers. {D}esign: {C}ross-sectional survey using stratified two-stage random cluster sampling to survey households with women aged 20-49 years. {BMI} >= 25.0 kg/m(2) defined overweight and {BMI} >= 30.0 kg/m(2) obesity, while anaemia for children was defined as {H}b < 110 g/l. {T}he associations between child anaemia and mother excess adiposity, and sociodemographic and lifestyle factors were estimated by multinomial regression. {S}etting: {G}reater {T}unis area, {T}unisia, in 2009-2010. {S}ubjects: {C}hildren aged 6-59 months living with their 20-49-year-old mothers (437 child-mother pairs). {R}esults: {T}he most prevalent double burden of malnutrition in child-mother pairs by far was the anaemic child and overweight mother (24.4 %; 95% {CI} 20.1, 29.3%). {A} significant proportion of pairs were anaemic child and obese mother (14.4%; 95% {CI} 11.0, 18.5 %). {T}he co-occurrence of anaemia in child and excess adiposity in mother was neither synergetic nor antagonistic ({P}=0.59 and 0.40 for anaemia-overweight and anaemia-obesity, respectively). {T}his double burden was more frequent among child-mother pairs with younger children, with mothers of higher parity and higher energy intakes. {C}onclusions: {T}he high prevalence of anaemic child and overweight or obese mother requires special attention e.g. through interventions which simultaneously target both types of malnutrition within the same household.},
  keywords = {{O}verweight ; {A}naemia ; {D}ouble burden of malnutrition ; {M}other-child pairs ; {M}iddle {E}ast and {N}orth {A}frica ; {TUNISIE}},
  booktitle = {},
  journal = {{P}ublic {H}ealth {N}utrition},
  volume = {22},
  numero = {1},
  pages = {44--54},
  ISSN = {1368-9800},
  year = {2019},
  DOI = {10.1017/s1368980018002495},
  URL = {https://www.documentation.ird.fr/hor/fdi:010074877},
}