Trends in undernutrition mortality among children under five years of age and adults over 60
Abstract
Introduction: Children under five years of age living in poor areas and with low availability of healthy food have a higher risk of undernutrition-related mortality. However, this relationship has not been well established among older adults.
Objective: To analyse socioeconomic inequality trends related to undernutrition mortality in children under five years of age and adults over 60 in Colombian municipalities during 2003-2009 and 2010-2016.
Materials and methods: We conducted an ecological study of trends between 2003 and 2016. The study population consisted of children under five years of age and adults over 60 residing in the Colombian municipalities during the study period. We estimated smoothed and standardized mortality rates by fitting a hierarchical Bayesian model and explored their relationship with five socioeconomic area-level variables.
Results: In most of the municipalities, undernutrition-related mortality was three times higher in older adults compared to children. Moreover, the difference in the risk of undernutrition-related mortality between municipalities showed a marked reduction. Finally, the poor and less developed municipalities had higher rates of undernutrition-related mortality in children; conversely, wealthier territories had higher rates in older adults.
Conclusions: Although in most of the municipalities the mortality rates due to undernutrition in children under five and older adults have decreased, their socioeconomic conditions influence in different ways the risk of mortality for these two populations so there is the need to develop age-specific strategies to close social gaps considering the structural conditions of the areas.
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References
Morley JE. Undernutrition in older adults. Fam Pract. 2012;29:i89-93. https://doi.org/10.1093/fampra/cmr054
van Bokhorst-de van der Schueren MAE, Lonterman-Monasch S, de Vries OJ, Danner SA, Kramer MHH, Muller M. Prevalence and determinants for malnutrition in geriatric outpatients. Clin Nutr. 2013;32:1007-11. https://doi.org/10.1016/j.clnu.2013.05.007
Hong R. Effect of economic inequality on chronic childhood undernutrition in Ghana. Public Health Nutr. 2007;10:371-8. https://doi.org/10.1017/S1368980007226035
Ministerio de Salud y Protección Social. Análisis de Situación de Salud (ASIS) Colombia. Bogotá D.C.: Imprenta Nacional de Colombia; 2016.
Cardona-Arango D, Segura-Cardona ÁM, Espinosa-López A. Mortalidad de adultos mayores por deficiencias nutricionales en los departamentos de Colombia. Rev Salud Pública. 2012;14:584-97.
Chowdhury MRK, Rahman MS, Khan MMH, Mondal MNI, Rahman MM, Billah B. Risk factors for child malnutrition in Bangladesh: A multilevel analysis of a nationwide population-based survey. J Pediatr. 2016;172:194-201.e1. https://doi.org/10.1016/j.jpeds.2016.01.023
Flanagan D, Fisher T, Murray M, Visvanathan R, Charlton K, Thesing C, et al. Managing undernutrition in the elderly: Prevention is better than cure. Aust Fam Physician. 2012;41:695-9.
Brown VS. The elderly in poor urban neighborhoods. New York: Routledge; 2017. https://doi.org/10.4324/9781315179544
Hamamatsu Y, Goto C, Nishitani M, Shimadate R, Ueno J, Kusakari Y, et al. Associations between neighborhood food environments and deficient protein intake among elderly people in a metropolitan suburb: A case study in Kisarazu city, Japan. Am J Hum Biol. 2017;29. https://doi.org/10.1002/ajhb.23043
Barros FC, Victora CG, Scherpbier R, Gwatkin D. Socioeconomic inequities in the health and nutrition of children in low/middle income countries. Rev Saúde Pública. 2010;44:1-16. https://doi.org/10.1590/s0034-89102010000100001
Ruiz-Ruiz NJ. Mortalidad por desnutrición en menores de cinco años. Pobreza y desarrollos regionales. Colombia. 2003-2012. Econ Soc Territ. 2018;18:35-75. https://doi.org/10.22136/est20181077
Machado-Duque M, Calderón-Flórez V. Determinantes socioeconómicos, inseguridad alimentaria y desnutrición crónica en población desplazada de primera infancia, Pereira, Colombia. Rev Médica Risaralda. 2014;20:3-8. https://doi.org/10.22517/25395203.8533
Departamento Administrativo Nacional de Estadística. Geoportal DANE 2021. Consulted: September 4, 2021. Available from: https://geoportal.dane.gov.co/
Departamento Administrativo Nacional de Estadística. Necesidades básicas insatisfechas (NBI) 2021. Consulted: September 4, 2021. Available from: https://www.dane.gov.co/index.php/estadisticas-por-tema/pobreza-y-condiciones-de-vida/necesidades-basicasinsatisfechas-nbi
Programa de las Naciones Unidas para el Desarrollo. Hacia una Colombia equitativa e incluyente. Informe de Colombia Objetivos de Desarrollo del Milenio 2005. p. 17-8. Consulted: September 4, 2021. Available from: https://colaboracion.dnp.gov.co/CDT/Desarrollo%20Social/Informe%20Hacia%20una%20Colombia%20Equitativa.pdf
Departamento Administrativo Nacional de Estadística. Boletín Técnico Pobreza Monetaria en Colombia Pobreza Monetaria y Multidimensional en Colombia 2017:41. Consulted: September 4, 2021. Available from: https://www.dane.gov.co/files/investigaciones/condiciones_vida/pobreza/bol_pobreza_16.pdf
Departamento Nacional de Planeación. Medición del Desempeño Municipal 2010. Consulted: September 4, 2021. Available from: https://portalterritorial.dnp.gov.co/AdmInfoTerritorial/MenuInfoTerrEstMDM
Ministerio de Salud y Protección Social. Informe nacional calidad de agua para consumo humano , Julio 2007-Diciembre 2011. Bogotá D.C.: Publicaciones Instituto Nacional de Salud; 2013.
Besag J, York J, Mollié A. Bayesian image restoration, with two applications in spatial statistics. Ann Inst Stat Math. 1991;43:1-20. https://doi.org/10.1007/BF00116466
Gelman A. Prior distributions for variance parameters in hierarchical models (Comment on article by Browne and Draper). Bayesian Anal. 2006;1:515-34. https://doi.org/10.1214/06-BA117A
R Core Team. R: A language and environment for ## statistical computing. R Foundation for Statistical Computing 2017. Consulted: September 4, 2021. Available from: https://www.r-project.org/
Rue H, Martino S, Lindgren F, Simpson D, Riebler A, Krainski E. INLA: Functions which allow to perform full bayesian analysis of latent Gaussian models using integrated nested Laplace approximaxion. R Packag Version 00-1389624686. 2014. Consulted: September 4, 2021. Available from: https://cran.r-project.org/INLA
Instituto Colombiano de Bienestar Familiar. Estrategia de Atención y Prevención de la Desnutrición Infantil | Portal ICBF - Instituto Colombiano de Bienestar Familiar ICBF 2021. Consulted: September 4, 2021. Available from: https://www.icbf.gov.co/bienestar/nutricion/estrategia-atencion-prevencion-desnutricion-infantil
Ministerio de Salud y Protección Social. Perfil epidemiológico de pueblos indígenas de Colombia 2010. Consulted: September 4, 2021. Available from: https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/VS/ED/perfil-epidemiologico-indigenas-parte2.pdf
Instituto Colombiano de Bienestar Familiar. Estudio nacional de la situación alimentaria y nutricional de los pueblos indígenas de Colombia 2017. Consulted: September 4, 2021. Available from: https://www.icbf.gov.co/publicaciones/estudio-nacional-de-la-situacionalimentaria-y-nutricional-de-los-pueblos-indigenas-de
Fotso JC, Kuate-Defo B. Socioeconomic inequalities in early childhood malnutrition and morbidity: Modification of the household-level effects by the community SES. Health Place. 2005;11:205-25. https://doi.org/10.1016/j.healthplace.2004.06.004
Agudelo-Ibáñez DR. Mortalidad por desnutrición infantil en menores de 5 años y sus determinantes a nivel municipal en Colombia 1998 - 2016 [thesis]. Bogotá, D.C.: Universidad Nacional de Colombia; 2019. p. 128. Consulted: September 6, 2021. Available from: https://repositorio.unal.edu.co/handle/unal/78082
Donini LM, Scardella P, Piombo L, Neri B, Asprino R, Proietti AR, et al. Malnutrition in elderly: Social and economic determinants. J Nutr Heal Aging. 2013;17:9-15. https://doi.org/10.1007/s12603-012-0374-8
Lee MR, Berthelot ER. Community covariates of malnutrition based mortality among older adults. Ann Epidemiol. 2010;20:371-9. https://doi.org/10.1016/j.annepidem.2010.01.008
Boulos C, Salameh P, Barberger-Gateau P. Social isolation and risk for malnutrition among older people. Geriatr Gerontol Int. 2017;17:286-94. https://doi.org/10.1111/GGI.12711
Restrepo SL, Morales RM, Ramírez MC, López MV, Varela LE. Los hábitos alimentarios en el adulto mayor y su relación con los procesos protectores y deteriorantes en salud. Rev Chil Nutr. 2006;33:500-10. https://doi.org/10.4067/s0717-75182006000500006
Clegg ME, Williams EA. Optimizing nutrition in older people. Maturitas. 2018;112:34-8. https://doi.org/10.1016/j.maturitas.2018.04.001
Ministerio de Salud y Protección Social. Estudio Nacional de Salud, Bienestar y Envejecimiento (SABE, 2015). Bogotá D.C.: Ministerio de Salud y Protección Social; 2015.
Cendales R, Pardo C. Colombia death certificate quality. Colomb Med. 2018;49:121-7. https://doi.org/10.25100/cm.v49i1.3155
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Funding data
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Universidad de Antioquia
Grant numbers INV 589 -17
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