ABSTRACT
Introduction: Low-and middle-income countries are undergoing nutrition transition wherein presence of under and over-nutrition in the same household is increasing. Aims & Objectives: This study explored the coexistence of under and over-nutrition among mother-child dyads in an urban poor setting in India. Material & Methods: Data was collected from 225 dyads in urban poor settings of Delhi. Anthropometric measurements (weight, height, waist-circumference, hip circumference in mothers and weight, height, MUAC in children) were taken from a random sample of mothers aged >18 years with children aged 3-5 years. Prevalence of underweight, stunting, wasting and overweight/obesity were determined in children, while corresponding proportions of underweight and overweight/obesity were determined in mothers, based on BMI and waist circumference. Results: Of the 225 children, 19% were stunted, 12% were underweight, 4.8% were wasted, while 20% were overweight/obese. Among their mothers, 8.4% were underweight, 20% were overweight/obese and 23% had waist circumference > 88cm. A large proportion of overweight and obese mothers (33% and 30% respectively) had stunted, wasted or underweight children. Among the overweight/obese children, 12% had underweight, and 22% had overweight/obese parentage. Among, all dual burden households, the nutritional status of child correlates with that of mother. Conclusion: One-third mother-child dyads revealed the existence of double burden of malnutrition characterized by high prevalence of undernutrition, stunting and wasting in children, and overweight/obesity in mothers within the same household. It is crucial to understand the pathways to this coexistence, and to test effectiveness of context-specific interventions to curb associated future health risks
ABSTRACT
La respuesta sensible es una competencia materna ampliamente estudiada por su influencia en el desarrollo infantil y su asociación con las características de la madre, pero en menor medida se ha investigado su relación con las dificultades durante la gestación y el parto. El presente estudio busca identificar la influencia de las complicaciones perinatales sobre la sensibilidad materna en 90 diadas madre-hijo/a entre diez y catorce meses de edad de nivel socioeconómico alto, medio y bajo, residentes en Santiago de Chile. Se aplicó un cuestionario sociodemográfico y las diadas fueron filmadas en una situación de juego libre, la cual fue codificada con la Escala de Sensibilidad del adulto (E.S.A.). Los resultados muestran que la ausencia de complicaciones en el embarazo de la madre y la presencia de complicaciones en el parto, explican una mayor sensibilidad materna un año después. Se observa, además, una influencia significativa del nivel socioeconómico sobre la sensibilidad materna. Se discuten estos resultados y sus implicancias.
Sensitive response is a maternal competence widely studied for its influence in child development, and for its relationship with mother features, however, there is fewer research on its relationship to the difficulties of pregnancy and childbirth. This study seeks to identify the influence of adverse pregnancy outcome on maternal sensitivity in 90 dyads mother-child between ten and fourteen months age, of high, medium and low socioeconomic status, residents in Santiago, Chile. A sociodemographic questionnaire was taken to mothers, and dyads were filmed in a free play situation, which was coded with the Sensitivity Adult Scale (ESA). Results show that absence of difficulties during pregnancy on the mother, as well as presence of them during labor, explain a higher maternal sensitivity one year later. In addition, a significant influence of socioeconomic status on maternal sensitivity had been observed. These results and their implications are discussed.