Determinants of nutritional status during the first 1000 days of life in Lebanon: Sex of the child matters.
Paediatr Perinat Epidemiol
; 35(4): 501-510, 2021 07.
Article
em En
| MEDLINE
| ID: mdl-33428236
ABSTRACT
BACKGROUND:
The first 1000 days of life support child growth and long-term health, but few studies address this period in Lebanon and the Eastern Mediterranean Region.OBJECTIVE:
To examine the determinants of nutritional status among Lebanese children ≤2 years old by child's sex.METHODS:
We analysed data from a nationally representative cross-sectional survey of 466 mother-child dyads. We classified socio-economic, maternal, and child characteristics using a hierarchical conceptual framework into distal, intermediate, and proximal levels, respectively. Sex-stratified weighted multiple linear regression was computed to identify the determinants of length-for-age z-scores (LAZ) and weight-for-length z-scores (WLZ).RESULTS:
The mean (standard deviation) of LAZ and WLZ was -0.3 (1.6) and 0.5 (1.5) among boys and -0.1 (1.4) and 0.5 (1.0) among girls, respectively. At the distal level, maternal intermediate or high school education was associated with higher boys' LAZ (ß 1.0, 95% confidence interval (CI) 0.2, 1.8), and less crowded households were associated with higher girls' LAZ (ß 0.8, 95% CI 0.3, 1.4). At the intermediate level, maternal obesity was associated with lower girls' LAZ (ß -0.9, 95% CI -1.4, -0.4). At the proximal level, birth length directly (ß 0.1, 95% CI 0.0, 0.2) and breast-feeding duration inversely (ß -0.1, 95% CI -0.1, -0.0) associated with girls' LAZ. For WLZ, paternal attainment of university degree or technical diploma was associated with lower boys' WLZ (ß -0.9, 95% CI -1.8, -0.1). Among the proximal determinants, birthweight was directly associated with boys' WLZ (ß 1.2, 95% CI 0.6, 1.8), while being a third or later child was associated with lower girls' WLZ (ß -0.5, 95% CI -0.8, -0.2). Child age was directly associated with WLZ among boys and girls (ß 0.1, 95% CI 0.0, 0.1).CONCLUSIONS:
Nutritional status determinants differed by child's sex in Lebanon. These findings may help inform interventions to improve child growth.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Características da Família
/
Estado Nutricional
Tipo de estudo:
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Child, preschool
/
Female
/
Humans
/
Infant
/
Male
/
Pregnancy
País/Região como assunto:
Asia
Idioma:
En
Revista:
Paediatr Perinat Epidemiol
Assunto da revista:
EPIDEMIOLOGIA
/
PEDIATRIA
/
PERINATOLOGIA
Ano de publicação:
2021
Tipo de documento:
Article
País de afiliação:
Estados Unidos