{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T06:29:26Z","timestamp":1792650566278,"version":"4.5.0"},"reference-count":41,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2011,5,31]],"date-time":"2011-05-31T00:00:00Z","timestamp":1306800000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Maternal &amp; Child Nutrition"],"published-print":{"date-parts":[[2012,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>High levels of food insecurity and human immunodeficiency virus (HIV) infection place most breastfeeding mothers in Kenya at high risk of malnutrition. We examined the role of selected socio\u2010economic, demographic and health factors as determinants of nutritional status among HIV\u2010infected and HIV\u2010uninfected mothers in rural Kenya and further examined the interrelationship between maternal nutritional and child nutritional status within this population. A cross\u2010sectional design was used to collect data from non\u2010pregnant mothers with children ages 4\u201324 months in Kisumu District, Kenya. Over 80% of the mothers were breastfeeding at the time of the study. Mean maternal body mass index (BMI) (21.60\u2003\u00b1\u20033.15) and percent body fat (22.29\u2003\u00b1\u20034.86) values were lower than among lactating mothers in other Sub\u2010Sahara African countries. Maternal HIV status was not significantly associated with any of the maternal nutritional indicators assessed in the study. Breastfeeding, recent severe illness and having multiple children below 2 years of age were negatively associated with maternal nutritional status, while higher maternal age, socio\u2010economic status and household food security were each positively associated with maternal nutritional status. Significant positive association was reported between maternal weight, height, BMI, mid\u2010upper arm circumference (MUAC), body fat and fat\u2010free mass estimates, and children's height\u2010for\u2010age, weight\u2010for\u2010age, weight\u2010for\u2010height and MUAC\u2010for\u2010age<jats:italic>z<\/jats:italic>\u2010score. This analysis identifies determinants of maternal nutritional status in rural Kenya and highlights the importance of interventions that address malnutrition in both HIV\u2010infected and HIV\u2010uninfected mothers in rural Kenya. Significant association between maternal and child nutritional status stresses the importance of addressing maternal and young child nutritional status as interrelated factors.<\/jats:p>","DOI":"10.1111\/j.1740-8709.2011.00322.x","type":"journal-article","created":{"date-parts":[[2011,5,31]],"date-time":"2011-05-31T08:49:35Z","timestamp":1306831775000},"page":"275-286","source":"Crossref","is-referenced-by-count":30,"title":["Maternal nutrition in rural Kenya: health and socio\u2010demographic determinants and its association with child nutrition"],"prefix":"10.1111","volume":"8","author":[{"given":"Constance A.","family":"Gewa","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monica","family":"Oguttu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nanette S.","family":"Yandell","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2011,5,31]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/jn\/122.8.1643"},{"key":"e_1_2_9_3_1","first-page":"S68","article-title":"Maternal body mass index and pregnancy outcome in the nutrition collaborative research support program","volume":"48","author":"Allen L.H.","year":"1994","journal-title":"European Journal of Clinical Nutrition"},{"key":"e_1_2_9_4_1","doi-asserted-by":"crossref","first-page":"909","DOI":"10.1542\/peds.78.5.909","article-title":"Lactational capacity of marginally nourished mothers: relationships between maternal nutritional status and quantity and proximate composition of milk","volume":"78","author":"Brown K.H.","year":"1986","journal-title":"Pediatrics"},{"key":"e_1_2_9_5_1","volume-title":"Complementary Feeding of Young Children in Developing Countries: A Review of Current Scientific Knowledge","author":"Brown K.H.","year":"1998"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/jn\/128.2.381S"},{"key":"e_1_2_9_7_1","volume-title":"Household Food Insecurity Scale (HFIAS) for Measurement of Food Access: Indicator Guide","author":"Coates J.","year":"2007"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1740-8709.2007.00092.x"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0271-5317(96)00266-7"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1079\/BJN19740060"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1590\/S0102-311X1999000300013"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1159\/000072400"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1159\/000084744"},{"key":"e_1_2_9_14_1","doi-asserted-by":"crossref","DOI":"10.1093\/oso\/9780195171693.001.0001","volume-title":"Principles of Nutritional Assessment","author":"Gibson R.S.","year":"2005"},{"key":"e_1_2_9_15_1","volume-title":"Determinants of Nutritional Status of Women and Children in Ethiopia","author":"Girma W.","year":"2002"},{"key":"e_1_2_9_16_1","unstructured":"International Food Policy Research Institute (IFPRI)(2010)Kenya Food Security Portal. 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