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Published on: July 29, 2020
[Considerations on family dynamics and the malnutrition syndrome in Mexican children]
Edgar Manuel Vásquez-Garibay1,2, José Luis González-Rico1, Enrique Romero-Velarde1,2
1Instituto de Nutrición Humana de la Universidad de Guadalajara, Guadalajara, Jal., México.
Insights
Family dysfunction is linked to malnutrition in children, affecting feeding habits and increasing risks of chronic malnutrition, overweight, and obesity. Parental education and income also play significant roles in family dysfunction and nutritional outcomes.
Area of Science:
- Pediatrics
- Public Health
- Family Studies
Background:
- Family dysfunction has been observed more frequently in children with severe primary malnutrition since the early 1990s.
- Defects in infant feeding habits, such as early weaning and inadequate complementary feeding, are more prevalent in dysfunctional families.
Purpose of the Study:
- To investigate the association between family dysfunction and various forms of malnutrition in children.
- To explore the impact of parental education, income, and food purchasing power on family dysfunction and nutritional status.
Main Methods:
- Observational study comparing children with and without malnutrition.
- Analysis of feeding habits, family dynamics, parental education, income, and food purchasing power.
- Statistical analysis including odds ratios (OR) and confidence intervals (CI).
Main Results:
- Family dysfunction is associated with chronic malnutrition in preschoolers and overweight/obesity in schoolchildren.
- Low parental education significantly increases the likelihood of family dysfunction (OR: 2.06-2.47).
- Low income and reduced food purchasing power are linked to family dysfunction (p<0.05).
Conclusions:
- Family dysfunction is a significant factor associated with malnutrition and obesity in children.
- Addressing family dynamics, parental education, and socioeconomic factors is crucial for improving child nutrition.
- Further research is needed to assess family dysfunction in diverse family structures and its impact on malnutrition syndromes.
Abstract:
Since the early 1990s we noted that family dysfunction was more common in children with severe primary malnutrition than in children admitted to the hospital without malnutrition. Defects on feeding habits during the first year of life, especially early weaning and inadequate complementary feeding were more common in dysfunctional families. We also observed that chronic malnutrition in preschool children, and overweight and obesity in schoolchildren were more common in children from dysfunctional families. Once the association between dysfunctional family dynamics and obesity in schoolchildren was demonstrated, it was observed that low education of fathers and mothers increased twofold the possibility of family dysfunction: OR: 2.06; 95% CI: 1.37-3.10 and OR: 2.47; 95% CI: 1.57-3.89, respectively. In addition, the low-income and the lower purchasing power of foods were associated to family dysfunction (p<0.05). A remaining task is to explore how to assess family dysfunction in composite, extended, single-parent families where there exist other persons vulnerable to the different entities of malnutrition syndrome and indeed depend on adults for their care, food and nutrition.
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