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Mother–child dyads double burden of malnutrition and associated factors in Burkina Faso

delete2026-04-22
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H
Hermann Lanou *
A
Aristide Marie Arsène Koumbem
J
Jérôme W. Somé
B
Boubacar Savadogo
A
Aristide Romaric Bado
S
Séni Kouanda
DOI:10.1017/S1368980026102389delete
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Abstract

Abstract

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Objective:This study aimed to determine the prevalence of mother–child double burden of malnutrition (DBM) based on anthropometric indices and its associated factors in Burkina Faso.Design:This cross-sectional study used nationally representative data from the 2021 Burkina Faso Demographic and Health Survey (BFDHS-V). DBM was defined as follows: overweight mother with stunted child (OM/SC); overweight mother with wasted child (OM/WC); overweight mother with underweight child (OM/UC); overweight mother with stunted or wasted or underweight child (OM/SC-WC-UC). Generalised linear model of regression using R programming was performed to identify factors associated with DBM.Setting:Burkina FasoParticipants:5286 mother–child dyads living in the same household.Results:The prevalence of DBM in mother–child dyads was 4·9 % for OM/SC-WC-UC. Urban residence was inversely associated with 3 forms of dyads DBM. OM/SC-WC-UC: aOR = 0·60; 95 % CI (0·37; 0·96); OM/WC: aOR = 0·23; 95 % CI (0·11; 0·45); and OM/UC: aOR = 0·51; 95 % CI (0·29; 0·89). Higher child birth order was associated with increased odds of OM/WC: aOR = 3·82; 95 % CI (1·21; 12·10) and OM/UC: aOR = 4·75; 95 % CI (1·65–13·62). Older maternal age was associated with OM/SC: aOR = 3·17; 95 % CI (1·44; 7·00) and belonging to a wealthier household was associated with OM/SC-WC-UC: aOR = 3·43; 95 % CI (1·61; 7·30).Conclusions:The finding suggests that household-level DBM is an emerging problem in Burkina Faso. The most prevalent form of DBM includes an overweight mother with a stunted child; and common associated factors include urban residence and high socio-economic status. Urgent strategies and actions need to be put in place in order to avert this trend.
Keywords:
Double burden of malnutrition
Overweight
Underweight
Dyad
Burkina Faso
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Public Health Nutrition cover
Public Health Nutrition
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