scholarly journals Maternal/Child Social Support and Food Security in Relation to Child Height and Bmi in Four Low- and Middle- Income Countries: Mediation Analysis of Young Lives Data

2021 ◽  
Author(s):  
Hwa-Young Lee ◽  
In Han Song ◽  
Ichiro Kawachi
Keyword(s):  
Social Support ◽  
Social Capital ◽  
Food Security ◽  
Nutritional Status ◽  
Financial Support ◽  
Positive Association ◽  
Middle Income ◽  
Child Height ◽  
Child Nutritional Status ◽  
Low And Middle Income

Abstract BackgroundPoor nutritional status in childhood is associated with an elevated risk of mortality and morbidity later in life. Previous studies showed a positive association between specific types of social capital and child nutritional status. Our study examined whether improved food security mediates the impact of maternal and child social support on child height and body mass index (BMI) in four low- and middle-income countries.Methods We used data from the Young Lives cohort study comprising roughly 1,000 children at age 8 and 12 in Vietnam, Ethiopia, India, and Peru. Outcome variables were z-score for height (HAZ) and BMI (BAZ). Results Belonging to the top half of maternal financial support and child financial support was positively associated with child HAZ at age 12 in Peru. Belonging to top half of overall maternal support among children aged 8 in Vietnam, and maternal financial support among children aged 12 in India were also positively associated with child BAZ. A positive association of food security was only found with maternal financial support among children aged 12 in Peru. However, food security did not play a significant role in mediating the effect of maternal financial support on child HAZ at age 12. ConclusionsStrengthening social support to improve child nutritional status may not be a sufficient intervention in resource-poor settings because sources of supports may lack sufficient food resources to share. Considering between-country heterogeneity, a “one size fits all” approach for enhancing social capital may not be appropriate.

scholarly journals Maternal/Child Social Support and Food Security in Relation to Child Height and BMI in Four Lmics: Mediation Analysis of Young Lives Data

2021 ◽  
Author(s):  
Hwa-Young Lee ◽  
In Han Song ◽  
Ichiro Kawachi
Keyword(s):  
Social Support ◽  
Social Capital ◽  
Food Security ◽  
Nutritional Status ◽  
Financial Support ◽  
Positive Association ◽  
Child Height ◽  
Child Nutritional Status ◽  
The Impact ◽  
Young Lives

Abstract BackgroundPoor nutritional status in childhood is associated with an elevated risk of mortality and morbidity later in life. Previous studies showed a positive association between specific types of social capital and child nutritional status. Our study examined whether improved food security mediates the impact of maternal and child social support on child height and body mass index (BMI) in four low- and middle-income countries.Methods We used data from the Young Lives cohort study comprising roughly 1,000 children at age 8 and 12 in Vietnam, Ethiopia, India, and Peru. Outcome variables were z-score for height (HAZ) and BMI (BAZ). Results Belonging to the top half of maternal financial support and child financial support was positively associated with child HAZ at age 12 in Peru. Belonging to top half of overall maternal support among children aged 8 in Vietnam, and maternal financial support among children aged 12 in India were also positively associated with child BAZ. A positive association of food security was only found with maternal financial support among children aged 12 in Peru. However, food security did not play a significant role in mediating the effect of maternal financial support on child HAZ at age 12. ConclusionsStrengthening social support to improve child nutritional status may not be a sufficient intervention in resource-poor settings because sources of supports may lack sufficient food resources to share. Considering between-country heterogeneity, a “one size fits all” approach for enhancing social capital may not be appropriate.

scholarly journals Impact of maternal mental health interventions on child-related outcomes in low- and middle-income countries: a systematic review and meta-analysis

2020 ◽  
Vol 29 ◽  
Author(s):  
W. A. Tol ◽  
M. C. Greene ◽  
M. E. Lasater ◽  
K. Le Roch ◽  
C. Bizouerne ◽  
...  
Keyword(s):  
Mental Health ◽  
Exclusive Breastfeeding ◽  
Home Visiting ◽  
Health Workers ◽  
Maternal Mental Health ◽  
Meta Analysis ◽  
Middle Income ◽  
Middle Income Countries ◽  
Child Height ◽  
Low And Middle Income

Abstract Aims Observational studies have shown a relationship between maternal mental health (MMH) and child development, but few studies have evaluated whether MMH interventions improve child-related outcomes, particularly in low- and middle-income countries. The objective of this review is to synthesise findings on the effectiveness of MMH interventions to improve child-related outcomes in low- and middle-income countries (LMICs). Methods We searched for randomised controlled trials conducted in LMICs evaluating interventions with a MMH component and reporting children's outcomes. Meta-analysis was performed on outcomes included in at least two trials. Results We identified 21 trials with 28 284 mother–child dyads. Most trials were conducted in middle-income countries, evaluating home visiting interventions delivered by general health workers, starting in the third trimester of pregnancy. Only ten trials described acceptable methods for blinding outcome assessors. Four trials showed high risk of bias in at least two of the seven domains assessed in this review. Narrative synthesis showed promising but inconclusive findings for child-related outcomes. Meta-analysis identified a sizeable impact of interventions on exclusive breastfeeding (risk ratio = 1.39, 95% confidence interval (CI): 1.13–1.71, ten trials, N = 4749 mother–child dyads, I2 = 61%) and a small effect on child height-for-age at 6-months (std. mean difference = 0.13, 95% CI: 0.02–0.24, three trials, N = 1388, I2 = 0%). Meta-analyses did not identify intervention benefits for child cognitive and other growth outcomes; however, few trials measured these outcomes. Conclusions These findings support the importance of MMH to improve child-related outcomes in LMICs, particularly exclusive breastfeeding. Given, the small number of trials and methodological limitations, more rigorous trials should be conducted.

192. Pubertal Timing in Relation to Nutritional Status Among Adolescents Living in Low- and Middle-Income Countries: A Systematic Review and Meta-Analysis

2020 ◽  
Vol 66 (2) ◽  
pp. S97
Author(s):  
Jenna L. Moodie ◽  
Kristen Salena ◽  
Megan Wheatley ◽  
Ashley Vandermorris ◽  
Susan Campisi ◽  
...  
Keyword(s):  
Systematic Review ◽  
Nutritional Status ◽  
Pubertal Timing ◽  
Meta Analysis ◽  
Middle Income ◽  
Middle Income Countries ◽  
Low And Middle Income

scholarly journals What are the impacts of urban agriculture programs on food security in low and middle-income countries: a systematic review

2014 ◽  
Vol 3 (1) ◽  
pp. 21 ◽  
Author(s):  
Marcel Korth ◽  
Ruth Stewart ◽  
Laurenz Langer ◽  
Nolizwe Madinga ◽  
Natalie Rebelo Da Silva ◽  
...  
Keyword(s):  
Systematic Review ◽  
Food Security ◽  
Urban Agriculture ◽  
Middle Income ◽  
Middle Income Countries ◽  
Agriculture Programs ◽  
Low And Middle Income
Sign in / Sign up

Export Citation Format

Share Document