Socioeconomic Patterning of Stunting and Overweight Among Iranian Children Aged 2–5 Years: A National Cross-Sectional Analysis.

Background/Objectives: Evidence indicates a high prevalence of stunting and overweight among Iranian children. This study explores their socioeconomic patterning and the mediating role of nutrition adequacy. Methods: The data were derived from the most recent 2017 Demography and Health Survey and th...

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Publicado en:Nutrients Vol. 17; no. 10; pp. 1631 - 1647
Autores principales: Kasaii, Maryam Sadat, Rodrigues, Sara, Abdollahi, Morteza, Houshiar-Rad, Anahita, Perelman, Julian
Formato: research tables/charts Journal Article
Publicado: MDPI May2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: May2025
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      pub: MDPI
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        10.3390/nu17101631
        185472913
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        atl: Socioeconomic Patterning of Stunting and Overweight Among Iranian Children Aged 2–5 Years: A National Cross-Sectional Analysis.
      aug:
        au:
          Kasaii, Maryam Sadat
          Rodrigues, Sara
          Abdollahi, Morteza
          Houshiar-Rad, Anahita
          Perelman, Julian
        affil: Faculty of Nutrition and Food Sciences, University of Porto, 4150-180 Porto, Portugal
      sug:
        subj:
          Growth Disorders Epidemiology
          Pediatric Obesity Epidemiology
          Growth Disorders Risk Factors
          Pediatric Obesity Risk Factors
          Socioeconomic Factors
          Child Nutritional Physiology
          Nutritional Status
          Human
          Male
          Female
          Child, Preschool
          Iran
          Cross Sectional Studies
          Interviews
          Questionnaires
          Multiple Logistic Regression
          Odds Ratio
          Confidence Intervals
          Descriptive Statistics
          Data Analysis Software
          Mediation Analysis
          Random Sample
          Probability
          Parents
          Educational Status
          Employment Status
          Residence Characteristics
          Age Factors
          Sex Factors
          Low Socioeconomic Status
          Child, Preschool: 2-5 years
          Male
          Female
      ab: Background/Objectives: Evidence indicates a high prevalence of stunting and overweight among Iranian children. This study explores their socioeconomic patterning and the mediating role of nutrition adequacy. Methods: The data were derived from the most recent 2017 Demography and Health Survey and the Multiple Indicator Cluster Survey, which were conducted in Iran. Children aged between 2 and 5 years were selected for the study through a two-stage random sampling process (n = 11,147). The probability of stunting and overweight was modeled using logistic regression. Parental education, occupation, and living conditions (areas, rooms, and assets of the household) were explanatory variables, with the diet diversity score (DDS) as a mediator. Analyses were adjusted for age and sex. Results: Children had over 1.7 times higher odds of stunting with a primary-educated father [95% CI: 1.13–2.62] and twice the odds with an illiterate mother [95% CI: 1.30–3.30]. The risk of stunting was almost 1.5 higher in children living in smaller houses [95% CI: 1.12–2.04]. Finally, a significant association was observed between low asset ownership and stunting [OR = 2.01; 95% CI: 1.23–3.27]. The results showed no significant relationship between socioeconomic factors and children's overweight, indicating that overweight was less socially patterned. Higher DDS was associated with lower stunting and higher overweight prevalence but did not mediate the effects of socioeconomic status. Conclusions: Stunting disproportionately affects children from households with a lower socioeconomic background in Iran. Parental education, area, and assets were key factors, highlighting the need for targeted nutrition education programs.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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