Objective: To examine trends in stunting and overweight in Peruvian children,\nusing 2006 WHO Multicentre Growth Reference Study criteria.\nDesign: Trend analyses using nationally representative cross-sectional surveys\nfrom Demographic and Health Surveys (1991ââ?¬â??2011). We performed logistic\nregression analyses of stunting and overweight trends in sociodemographic\ngroups (sex, age, urbanââ?¬â??rural residence, region, maternal education and\nhousehold wealth), adjusted for sampling design effects (strata, clusters and\nsampling weights).\nSetting: Peru.\nSubjects: Children aged 0ââ?¬â??59 months surveyed in 1991ââ?¬â??92 (n 7999), 1996 (n 14 877),\n2000 (n 11 754), 2007ââ?¬â??08 (n 8232) and 2011 (n 8186).\nResults: Child stunting declined (F (1, 5149)5174?8, P#0?00) and child overweight\nwas stable in the period 1991ââ?¬â??2011 (F (1, 5147)50?4, P#0?54). Over the\nstudy period, levels of stunting were highest in rural compared with urban areas,\nthe Andean and Amazon regions compared with the Coast, among children of\nlow-educated mothers and among children living in households in the poorest\nwealth quintile. The trend in overweight rose among males in coastal areas\n(F (1, 2250)54?779, P#0?029) and among males in the richest wealth quintile\n(F (1, 1730)55?458, P#0?020).\nConclusions: The 2011 levels of stunting and overweight were eight times and\nthree and a half times higher, respectively, than the expected levels from the 2006\nWHO growth standards. The trend over the study period in stunting declined in\nmost sociodemographic subgroups. The trend in overweight was stable in most\nsociodemographic subgroups.
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