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Double burden of malnutrition and its association with infant and young child feeding practices among children under-five in Thailand

Published online by Cambridge University Press:  15 October 2020

Leshawn Benedict
Affiliation:
Schulich School of Medicine & Dentistry, Western University, London, ON, Canada ASEAN Institute for Health Development, Mahidol University, 25/25 Phuttamonthon 4Rd, Salaya, Phutthamonthon, Nakhon Pathom 73170, Thailand
Seo Ah Hong*
Affiliation:
ASEAN Institute for Health Development, Mahidol University, 25/25 Phuttamonthon 4Rd, Salaya, Phutthamonthon, Nakhon Pathom 73170, Thailand Institute for Health and Society, Hanyang University, Seoul, Republic of Korea
Pattanee Winichagoon
Affiliation:
Institute of Nutrition, Mahidol University, Salaya, Thailand
Phudit Tejativaddhana
Affiliation:
ASEAN Institute for Health Development, Mahidol University, 25/25 Phuttamonthon 4Rd, Salaya, Phutthamonthon, Nakhon Pathom 73170, Thailand
Vijj Kasemsup
Affiliation:
ASEAN Institute for Health Development, Mahidol University, 25/25 Phuttamonthon 4Rd, Salaya, Phutthamonthon, Nakhon Pathom 73170, Thailand
*
*Corresponding author: Email seoah.hon@mahidol.ac.th

Abstract

Objective:

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.

Design:

Secondary data analysis based on the Thailand Multiple Indicator Cluster Survey 2015–2016.

Setting:

Cross-national study.

Participants:

Nationally representative sample of children under-five years of age (n 12 313).

Results:

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.

Conclusions:

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.

Type
Research paper
Copyright
© The Author(s), 2020. Published by Cambridge University Press on behalf of The Nutrition Society

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