- Child Nutrition and Water Access
- Food Security and Health in Diverse Populations
- Global Maternal and Child Health
- Breastfeeding Practices and Influences
- Obesity, Physical Activity, Diet
- Child Nutrition and Feeding Issues
- Birth, Development, and Health
- Global Public Health Policies and Epidemiology
- Indigenous Health and Education
- Maternal and Neonatal Healthcare
- Folate and B Vitamins Research
- Poverty, Education, and Child Welfare
- Nutritional Studies and Diet
- Public Health and Nutrition
- Pregnancy and preeclampsia studies
- Consumer Attitudes and Food Labeling
- Migration, Health and Trauma
- Iron Metabolism and Disorders
- Infant Nutrition and Health
- Educational methodologies and cognitive development
- Healthcare Systems and Reforms
- Health and Lifestyle Studies
- Child and Adolescent Health
- Demographic Trends and Gender Preferences
World Health Organization
2022-2024
Universidade Federal de Pelotas
2018-2023
Institute of Nutrition of Central America and Panama
2023
Instituto Nacional de Salud Pública
2018-2021
Background Low birthweight (LBW; <2500 g) is an important predictor of health outcomes throughout the life course. We aimed to update country, regional, and global estimates LBW prevalence for 2020, with trends from 2000, assess progress towards targets reduce by 30% 2030. Methods For this systematic analysis, we searched population-based, nationally representative data on Jan 1, Dec 31, 2020. Using 2042 administrative survey datapoints 158 countries areas, developed a Bayesian hierarchical...
BackgroundLatin American and Caribbean populations include three main ethnic groups: indigenous people, people of African descent, European descent. We investigated inequalities among these groups in population coverage with reproductive, maternal, newborn, child health interventions.MethodsWe analysed 16 standardised, nationally representative surveys carried out from 2004 to 2015 Latin America the that provided information on ethnicity or a proxy indicator (household language skin colour)...
Adequate complementary feeding practices in early childhood contribute to better food preferences and health outcomes throughout the life course. The aim of this study was describe patterns socioeconomic inequalities among children aged 6–23 mo 80 low- middle-income countries. We analyzed national surveys carried out since 2010. Complementary indicators for included minimum dietary diversity (MDD), meal frequency (MMF), accepTable diet (MAD). Between- within-country were documented using...
Abstract Background In low- and middle-income countries (LMICs), low levels of formal maternal educational are positively associated with breastfeeding whereas the reverse is true among women higher education. As such, has helped to reduce health equity gaps between rich poor children. Our paper examines trends in formula consumption by LMICs over nearly two decades. Methods We used 319 nationally representative surveys from 81 countries. WHO definitions for indicators categorized education...
In contrast with the ample literature on within- and between-country inequalities in breastfeeding practices, there are no multi-country analyses of socioeconomic disparities breastmilk substitute (BMS) consumption low- middle-income countries (LMICs).This study aimed to investigate between- within-country BMS LMICs.We examined data from Demographic Health Surveys Multiple Indicator Cluster conducted 90 LMICs since 2010 calculate Pearson correlation coefficients between infant feeding...
Guatemala has the highest prevalence of stunting among under-five children in Latin America. We aimed to compare indigenous and non-indigenous child populations relation stunting, as well explore intersectionality ethnicity by wealth place residence. also studied how ethnic inequalities changed over time, using five ENSMI surveys from 1995 2014.
Abstract Background Although the prevalence of child stunting is falling in Latin America, socioeconomic inequalities persist. However, there limited evidence on ethnic disparities. We aimed to describe and feeding practices thirteen American countries using recent nationally representative surveys. Methods analyzed national surveys carried out since 2006. Based self-reported ethnicity, skin color or language, children were classified into three categories: indigenous/...
Introduction Evidence on the rate at which double burden of malnutrition unfolds is limited. We quantified trends and inequalities in nutritional status adolescent girls adult women sub-Saharan Africa. Methods analysed 102 Demographic Health Surveys between 1993 2017 from 35 countries. assessed regional through cross-sectional series analyses ran multilevel linear regression models to estimate average annual change (AARC) prevalence underweight, anaemia, anaemia during pregnancy, overweight...
Poor nutrition contributes substantially to global disease, diminishing the wellbeing of women and children in low middle income countries, better must be part universal health coverage agenda, say <b>Rebecca Heidkamp colleagues</b>
Abstract Inadequate pre-pregnancy BMI and gestational weight gain (GWG) have been associated with sub-optimal child development. We used data from the 2015 Pelotas (Brazil) Birth Cohort Study. Maternal anthropometry was extracted antenatal/hospital records. (kg/m 2 ) GWG (kg) adequacy were classified according to WHO IOM, respectively. Development evaluated using INTER-NDA assessment tool for 3,776 children aged 24 months. Suspected developmental delay (SDD) defined as <10th percentile....
Introduction No multi-country analysis described patterns and inequalities for the brand-new feeding indicators proposed by WHO/UNICEF: zero consumption of vegetables fruits (ZVF) eggs and/or flesh (EFF). Our aim was to describe in prevalence social ZVF EFF among children aged 6–23 months low-and middle-income countries. Methods Data from nationally representative surveys (2010–2019) 91 countries were used investigate within-country disparities place residence, wealth quintiles, child sex...
Abstract Objective: To investigate the prevalence and socio-economic inequalities in breast milk, milk substitutes (BMS) other non-human consumption, by children under 2 years low- middle-income countries (LMIC). Design: We analysed of continued breast-feeding at 1 frequency formula consumption age months. Indicators were estimated through 24-h dietary recall. Absolute relative wealth indicators used to describe within- between-country inequalities. Setting: Nationally representative surveys...
Abstract Background Latin America (LA) has experienced constant economic and political crises that coincide with periods of greater inequality. Between 1996 2007 Ecuador went through one the greatest socio-economic in America, a product neo-liberal growth strategies. 2012 it regained stability, promoted redistributive policies, initiated social spending. To understand possible influence on context, we analyzed coverage inequalities five Reproductive, Maternal, Child Health (RMNCH) two water...
To describe the factors associated to stunting in <5-year-old Yanomami Brazilian children, and evaluate association of short maternal stature their offspring’s stunting. A cross-sectional study carried out three villages territory. We performed a census, which all households with children < 5-years-old were included. The length/height-for-age z-score <−2 standard deviations was used classify as stunted. Short height defined <145 cm for adult women, height-for-age adolescent...
Background Reducing low birthweight (LBW, weight at birth less than 2,500g) prevalence by least 30% between 2012 and 2025 is a target endorsed the World Health Assembly that can contribute to achieving Sustainable Development Goal 2 (Zero Hunger) 2030. The 2019 LBW estimates indicated global of 14.6% (20.5 million newborns) in 2015. We aim develop updated global, regional, national levels for up 202 countries period 2000 2020. Methods Two types sources data will be sought: administrative...
Abstract Objectives To describe how overweight and wasting prevalence varies with age among children under 5 years in low- middle-income countries (LMICs). Methods We used data from nationally representative Demographic Health Surveys Multiple Indicator Cluster Surveys. Overweight were defined as the proportions of presenting mean weight for length/height (WHZ) more than 2 standard deviations above or below median value 2006 WHO standards, respectively. Descriptive analyses include national...
Abstract Objective: The current study aimed to characterise the food profile of Yanomami indigenous children according degree processing and its associated factors. Design: This is a cross-sectional with aged 6 59 months. Socio-demographic, maternal infant data were collected through standardised questionnaire. was obtained by using list thirty-four foods verify child’s consumption these on day preceding interview. Foods classified based NOVA system (in natura or minimally processed,...
Analysis of health inequalities by ethnicity is critical to achieving the Sustainable Development Goals. In Ecuador, similar other Latin American countries, indigenous and afro-descendant populations have long been subject racism, discrimination, inequitable treatment. Although in recent years, Ecuador has made progress indicators, particularly those related coverage Reproductive, Maternal, Neonatal Child Health (RMNCH) interventions, little known as whether persist.Analysis was based on two...
Afrodescendants are systematically affected by discrimination in the Americas and few multi-country studies addressed ethnic inequalities health wellbeing region. We aimed to investigate gaps coverage of key outcomes socioeconomic between non-Afrodescendants populations Latin American Caribbean countries. Using national household surveys (2011–2019) from ten countries, we analyzed absolute a comparison group that includes non-Indigenous individuals (henceforth non-Afrodescendants) across 17...
Abstract Complementary feeding (CF) and overweight relationships during early childhood are inconsistent in the literature. We described association of CF first year life with risk at 24 months age population-based 2004 2015 Pelotas (Brazil) Birth Cohorts (2004c 2015c). introduction was evaluated 3 12 months’ follow-ups by asking mothers using a list foods. Risk BMI-for-age z -score above +1 sd from median WHO 2006 growth standards. Our analyses included 3823 (2004c) 3689 (2015c) children....
To assess coverage and inequalities in maternal child health interventions among Haitians, Haitian migrants the Dominican Republic Dominicans.Cross-sectional study using data from nationally representative surveys carried out Haiti 2012 2014. Nine indicators were compared: demand for family planning satisfied with modern methods, antenatal care, delivery care (skilled birth attendance), vaccination (BCG, measles DPT3), case management (oral rehydration salts diarrhea careseeking suspected...