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Updated: Jun 26, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Secondary malnutrition and overweight in a pediatric referral hospital: associated factors
Rocío Macías-Rosales1, Edgar M Vásquez-Garibay, Alfredo Larrosa-Haro
1Unidad Médica de Alta Especialidad Hospital de Pediatría, Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara Jalisco, México.
Insights
This study found that malnutrition and overweight affect children in a pediatric hospital. Factors like clinical condition, age, family size, and illness duration influence malnutrition, while overweight is linked to age, sex, and paternal education.
Area of Science:
- Pediatric Nutrition
- Public Health
- Clinical Epidemiology
Background:
- Malnutrition and overweight are significant global health concerns in children.
- Understanding the factors contributing to these conditions is crucial for effective intervention.
- Pediatric referral hospitals serve a vulnerable population requiring specific nutritional assessment.
Purpose of the Study:
- To determine the prevalence of malnutrition and overweight in a pediatric referral hospital.
- To identify clinical and sociodemographic factors associated with malnutrition and overweight.
- To inform nutritional strategies in pediatric care settings.
Main Methods:
- A cross-sectional study was conducted on a random sample of 641 pediatric patients.
- Malnutrition was defined using z-scores for weight/height and height/age.
- Overweight and overweight risk were defined based on body mass index percentiles.
Main Results:
- Prevalence rates: acute malnutrition (8%), chronic malnutrition (17.0%), overweight risk (15.4%), and overweight (12.2%).
- Malnutrition was associated with hospitalization, non-surgical care, number of siblings, age, and illness duration.
- Overweight was associated with age, sex (boys), and father's educational level.
Conclusions:
- Overweight is as prevalent as malnutrition in this pediatric population.
- Clinical and sociodemographic factors significantly influence nutritional status.
- Overweight represents a novel nutritional challenge in Mexican pediatric referral hospitals.
Objectives:
To establish the prevalence and identify the clinical and sociodemographic factors associated with malnutrition and overweight in a pediatric referral hospital.
Patients And Methods:
We studied a cross-sectional, random sample from a pediatric hospital. Malnutrition was defined as acute when the z score of weight/height was less than -2.0 and as chronic if in addition the height/age z score was less than -2.0. Overweight risk was defined as a body mass index percentile between 85 and 94, and overweight as a body mass index percentile of 95 or higher.
Results:
The study included 641 patients, with mean age 7.1 +/- 4.9 years (56% male). The overall prevalence of acute malnutrition was 8% and chronic malnutrition 17.0%. Overweight risk was present in 15.4% and overweight in 12.2%. Acute malnutrition was predicted by conditions on admission (hospitalization: odds ratio [OR] 2.3, confidence interval [CI] 1.3-4.3; nonsurgical subspecialty: OR 2.1, CI 1.0-4.3) and number of siblings (1 child, single mother: OR 2.6, CI 1.3-5.0). Chronic malnutrition was predicted by age (infants vs preschoolers: OR 2.0, CI 1.1-3.6; infants vs school children: OR 3.1, CI 1.8-5.5) and illness duration (>30 days: OR 2, CI 1.1-3.7). Overweight risk was associated with age (>36 months: OR 2.0, CI 1.6-3.4) and the father's educational level (college and university: OR 2.3, CI 1.3-4.3). Overweight was predicted by sex (boys: OR 2.0, CI 1.0-3.6) and age (>36 months: OR 1.7, CI 1.0-2.8).
Conclusions:
Overweight was as prevalent as malnutrition. Malnutrition was associated with clinical condition, age, family size, and illness duration, whereas overweight was related to age, sex, and father's education. Overweight appears as a novel finding in the nutritional profile of pediatric referral hospitals in Mexico.
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