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Concurrent anemia and stunting in young children: prevalence, dietary and non-dietary associated factors
Authors: Shimels Hussien Mohammed, Bagher Larijani, and Ahmad Esmaillzadeh
Source: Nutrition Journal , 18(1): 1-10; DOI: 10.1186/s12937-019-0436-4
Topic(s): Anemia
Child health
Country: Africa
Published: FEB 2019
Abstract: Background The existing evidence is limited and contradicting on the co-occurrence of anemia and stunting (CAS) at individual level, despite a great overlap in their risk factors. We aimed to determine the prevalence of CAS, and the dietary and non-dietary factors associated with it, among infants and young children in Ethiopia. Method We used a nationally representative sample of 2902 children aged 6–23?months from the Ethiopian demographic and health survey, conducted in 2016. The study was cross-sectional in design. Samples were selected by two-stage clustering sampling method. CAS prevalence was estimated by various sociodemographic factors. To identify the dietary and non-dietary factors associated with CAS, we conducted hierarchical logistic regression analyses. Result The overall prevalence of CAS was 23.9%. The dietary factors found significantly linked to lower odds of CAS were use of vitamin A supplement [adjusted odds ratio (AOR)?=?1.19, 95%CI?=?1.06–1.33, P =?0.003], consumption of vitamin A rich fruit and vegetables (AOR?=?1.15, 95%CI?=?1.04–1.27, P =?0.006), meat (AOR?=?1.55, 95%CI?=?1.17–2.05, P =?0.002), legumes (AOR?=?1.38, 95%CI?=?1.05–1.81, P =?0.021), and meal frequency?>?3 (AOR?=?1.22, 95%CI?=?1.04–1.37, P =?0.020). The non-dietary household and child factors found significantly linked to higher odds of CAS were rural residence (AOR?=?1.29, 95%CI?=?1.18–1.41, P?