Food insecurity and the double burden of malnutrition in Colombian rural households

Abstract

Objective: This study aimed to examine in Colombian rural households the association between different severity levels of household food insecurity and the presence of the double burden of malnutrition (SCOWT), defined as the coexistence of a stunted child under five years and an overweight or obese (OWOB) mother. Design: A secondary data analysis was conducted using cross-sectional data from the Colombian National Nutritional Survey (ENSIN) 2015. Household food insecurity status was assessed by using the Latin-American and Caribbean Food Security Scale (ELCSA). The household SCOWT status (child stunting and OWOB mother) was determined using anthropometric data from a mother and her child. Setting: Rural Colombia Participants: 2.350 mother-child pairs living in the same household Results: Sixty-two percent of the households were food insecure and SCOWT was present in 7.8% of the households. Moderate (OR: 2.39 – CI: 1.36 - 4.21) and severe (OR: 1.86 – CI: 1.10 - 3.15) food insecurity was associated with SCOWT in an unadjusted logistic regression. Only moderate food insecurity remained significantly associated with SCOWT in a multivariate logistic regression (aOR: 2.41 - IC: 1.24 – 4.68). Conclusions: Colombian rural areas are not exempt from the worldwide concern of increasing OWOB rates while stunting is still persistent. These results highlight the need of implementing double duty rural actions targeting most vulnerable households to SCOWT, particularly in terms of overcoming food insecurity beyond hunger satisfaction to prevent all forms of malnutrition.

Prevalence of household food insecurity among a healthy Iranian population: A systematic review and meta-analysis

“…Another study conducted by Sims et al found that there was FI and malnutrition among Indian rural women ( 137 ). In addition, Sansón-Rosas et al found high rates of FI in Colombian rural households ( 138 ). It is accepted that poverty is significantly linked to FI ( 139 ) and it is often considered the most common determinant of FI across the globe ( 139 ).…”

Epidemiology of Child Malnutrition in Colombia

“…While Forero [15] explains that residence in rural areas doubles the prevalence of chronic malnutrition and developmental delay compared to urban areas, being 4.7% compared to 2.9%. In accordance with the first approach, Agudelo [3] agrees that at least half of the nutritional alterations occur in rural areas, while Sanson-Rosas et al [8] show in their study that in rural areas there is a greater coexistence of overweight mothers and malnourished children, exceeding the national prevalence [16]. In the study by Neufeld et.al.…”

“…Among the associated factors, it has been possible to identify that the level of maternal education, underdevelopment, displacement conditions, food insecurity are risk factors for child malnutrition [7]. Despite the fact that rural areas are where food is produced, they are the ones that are most food insecure [8]. Another important factor when talking about child malnutrition in the Colombian context is the presence of ethnic communities, which live in regions far from each other and far from health care centers; In these communities, multiparity increases the risk of forced weaning, competition for nutrition and inadequate complementary feeding, accumulating factors that influence food insecurity in the region [9][10][11].…”

Hubungan Tingkat Ketahanan Pangan dengan Kejadian Beban Gizi Ganda di Rumah Tangga di Kota Surakarta

“…Rumah tangga yang tidak tahan pangan berisiko terjadi peningkatan asupan pangan yang padat kandungan energi dan rendahnya kualitas makanan yang ditandai dengan rendahnya variasi pangan. Selain itu juga, ketidaktahanan pangan di rumah tangga berdampak pada ketidakseimbangan distribusi pangan antar anggota keluarga yang disebabkan oleh keterbatasan akses dan jumlah pangan di rumah tangga (5,20). Sehingga wanita yang mengalami ketidaktahanan pangan berisiko mengalami kelebihan berat badan yang lebih tinggi.…”