Patterns and trends in underweight prevalence were very similar to those observed for stunting, with a reduction in overall levels and in inequalities related with skin colour and income (Table 4). The summary indices showed important reductions in inequality (Table 2). Overweight prevalence increased by 88% between 1982 and 2015, with a particularly fast upsurge after 2004 (Table 5). There was no statistical evidence of interactions between cohort year and either sex (P = 0.17) or skin colour (P = 0.10). In the pooled analyses, overweight was 1.2 (95% CI 1.1; 1.4) times more common among boys than girls, and the prevalence ratio for brown and black maternal skin colour relative to white was 0.9 (95% CI 0.8; 1.0) (Supplementary Table 1, available as Supplementary data at IJE online). Overweight was more prevalent among children from wealthy than from poor families in 1982 (prevalences of 9.5 in the richest quintile and 4.6 in the poorest quintile, Table 5), but the income gradient disappeared thereafter; there was no evidence of an interaction with cohort year (P = 0.43) (Supplementary Table 1, available as Supplementary data at IJE online). Over time, prevalence among the poorest showed a 2.7-fold increase, compared with a 1.3-fold increase in the richest quintile. The slope and concentration indices showed marked declines over time, confirming the reduction of inequalities (Table 2).

Table 4.

Prevalence of underweight (Z score <2 SD for weight-for-age) at age 12 months according sex, maternal skin colour and family income in the 1982, 1993, 2004 and 2015 cohorts

1982
1993
2004
2015
%95% CI%95% CI%95% CI%95% CIPa
SexP = 0.700bP = 0.070bP = 0.200bP = 0.360b
 Males4.12.7; 5.82.61.7; 4.02.51.9; 3.31.71.2; 2.4<0.001
 Females3.62.4; 5.31.40.9; 2.41.91.3; 2.61.30.9; 2.0<0.001
Maternal skin colourP <0.001bP = 0.014bP = 0.918b
 White2.92.0; 3.91.50.9; 2.31.81.4; 2.41.61.2; 2.10.001
 Brown8.6c5.4; 12.72.00.7; 5.51.90.6; 4.31.60.7; 3.0<0.001
 Black4.52.6; 7.83.82.5; 5.41.30.6; 2.6
Family income (quintiles)bP <0.001bP <0.001bP <0.001bP = 0.058b
 Q1 (poorest)10.56.7; 15.35.33.2; 8.64.53.2; 6.22.71.7; 4.2<0.001
 Q25.33.0; 8.41.80.8; 4.02.91.8; 4.31.30.6; 2.4<0.001
 Q33.82.0; 6.51.30.7; 2.51.70.9; 2.91.20.5; 2.30.001
 Q41.30.4; 3.01.00.4; 1.90.90.3; 1.81.20.6; 2.20.440
 Q5 (richest)0.30.0; 1.80.00.0; 0.91.20.5; 2.21.20.5; 2.40.102
All children3.92.9; 5.02.11.5; 2.82.21.8; 2.71.53.3; 4.6<0.001
1982
1993
2004
2015
%95% CI%95% CI%95% CI%95% CIPa
SexP = 0.700bP = 0.070bP = 0.200bP = 0.360b
 Males4.12.7; 5.82.61.7; 4.02.51.9; 3.31.71.2; 2.4<0.001
 Females3.62.4; 5.31.40.9; 2.41.91.3; 2.61.30.9; 2.0<0.001
Maternal skin colourP <0.001bP = 0.014bP = 0.918b
 White2.92.0; 3.91.50.9; 2.31.81.4; 2.41.61.2; 2.10.001
 Brown8.6c5.4; 12.72.00.7; 5.51.90.6; 4.31.60.7; 3.0<0.001
 Black4.52.6; 7.83.82.5; 5.41.30.6; 2.6
Family income (quintiles)bP <0.001bP <0.001bP <0.001bP = 0.058b
 Q1 (poorest)10.56.7; 15.35.33.2; 8.64.53.2; 6.22.71.7; 4.2<0.001
 Q25.33.0; 8.41.80.8; 4.02.91.8; 4.31.30.6; 2.4<0.001
 Q33.82.0; 6.51.30.7; 2.51.70.9; 2.91.20.5; 2.30.001
 Q41.30.4; 3.01.00.4; 1.90.90.3; 1.81.20.6; 2.20.440
 Q5 (richest)0.30.0; 1.80.00.0; 0.91.20.5; 2.21.20.5; 2.40.102
All children3.92.9; 5.02.11.5; 2.82.21.8; 2.71.53.3; 4.6<0.001
a

P-values are displayed from intercohorts chi square test.

b

P-values are displayed from intracohort chi square test.

c

Black and brown colours were combined.

Table 4.

Prevalence of underweight (Z score <2 SD for weight-for-age) at age 12 months according sex, maternal skin colour and family income in the 1982, 1993, 2004 and 2015 cohorts

1982
1993
2004
2015
%95% CI%95% CI%95% CI%95% CIPa
SexP = 0.700bP = 0.070bP = 0.200bP = 0.360b
 Males4.12.7; 5.82.61.7; 4.02.51.9; 3.31.71.2; 2.4<0.001
 Females3.62.4; 5.31.40.9; 2.41.91.3; 2.61.30.9; 2.0<0.001
Maternal skin colourP <0.001bP = 0.014bP = 0.918b
 White2.92.0; 3.91.50.9; 2.31.81.4; 2.41.61.2; 2.10.001
 Brown8.6c5.4; 12.72.00.7; 5.51.90.6; 4.31.60.7; 3.0<0.001
 Black4.52.6; 7.83.82.5; 5.41.30.6; 2.6
Family income (quintiles)bP <0.001bP <0.001bP <0.001bP = 0.058b
 Q1 (poorest)10.56.7; 15.35.33.2; 8.64.53.2; 6.22.71.7; 4.2<0.001
 Q25.33.0; 8.41.80.8; 4.02.91.8; 4.31.30.6; 2.4<0.001
 Q33.82.0; 6.51.30.7; 2.51.70.9; 2.91.20.5; 2.30.001
 Q41.30.4; 3.01.00.4; 1.90.90.3; 1.81.20.6; 2.20.440
 Q5 (richest)0.30.0; 1.80.00.0; 0.91.20.5; 2.21.20.5; 2.40.102
All children3.92.9; 5.02.11.5; 2.82.21.8; 2.71.53.3; 4.6<0.001
1982
1993
2004
2015
%95% CI%95% CI%95% CI%95% CIPa
SexP = 0.700bP = 0.070bP = 0.200bP = 0.360b
 Males4.12.7; 5.82.61.7; 4.02.51.9; 3.31.71.2; 2.4<0.001
 Females3.62.4; 5.31.40.9; 2.41.91.3; 2.61.30.9; 2.0<0.001
Maternal skin colourP <0.001bP = 0.014bP = 0.918b
 White2.92.0; 3.91.50.9; 2.31.81.4; 2.41.61.2; 2.10.001
 Brown8.6c5.4; 12.72.00.7; 5.51.90.6; 4.31.60.7; 3.0<0.001
 Black4.52.6; 7.83.82.5; 5.41.30.6; 2.6
Family income (quintiles)bP <0.001bP <0.001bP <0.001bP = 0.058b
 Q1 (poorest)10.56.7; 15.35.33.2; 8.64.53.2; 6.22.71.7; 4.2<0.001
 Q25.33.0; 8.41.80.8; 4.02.91.8; 4.31.30.6; 2.4<0.001
 Q33.82.0; 6.51.30.7; 2.51.70.9; 2.91.20.5; 2.30.001
 Q41.30.4; 3.01.00.4; 1.90.90.3; 1.81.20.6; 2.20.440
 Q5 (richest)0.30.0; 1.80.00.0; 0.91.20.5; 2.21.20.5; 2.40.102
All children3.92.9; 5.02.11.5; 2.82.21.8; 2.71.53.3; 4.6<0.001
a

P-values are displayed from intercohorts chi square test.

b

P-values are displayed from intracohort chi square test.

c

Black and brown colours were combined.

Table 5.

Prevalence of overweight (>2 Z scores of weight-for-length) at age 12 months according sex, maternal skin colour and family income in the 1982, 1993, 2004 and 2015 cohorts

1982
1993
2004
2015
%95% CI%95% CI%95% CI%95% CIPa
SexP = 0.005bP = 0.100bP = 0.400bP = 0.016b
 Males8.36.4; 10.610.78.5; 13.78.67.4; 12.013.512.0; 15.0<0.001
 Females4.73.3; 6.58.16.0; 10.67.86.7; 9.110.99.5; 12.3<0.001
Maternal skin colourP = 0.865bP = 0.144bP = 0.099bP = 0.742b
 White6.65.2; 8.110.08.2; 12.28.87.8; 9.912.010.8; 13.3<0.001
 Brown6.3c3.6; 10.01.92.6; 13.15.93.4; 9.411.99.2; 15.0<0.001
 Black8.75.4; 13.97.05.3; 9.113.110.5; 16.1
Family income (quintiles)bP = 0.021bP = 0.804bP = 0.446bP = 0.353b
 Q1 (poorest)4.62.2; 8.29.25.9; 14.08.46.5; 10.612.410.1; 15.0<0.001
 Q26.64.1; 10.08.05.3; 12.17.55.8; 9.610.88.7; 13.30.027
 Q33.51.8; 6.18.95.6; 13.87.45.6; 9.513.911.5; 16.6<0.001
 Q47.85.1; 11.411.67.8; 16.89.77.8; 12.012.510.3; 14.90.018
 Q5 (richest)9.56.5; 13.49.46.1; 14.38.16.2; 10.312.29.8; 15.00.148
All children6.55.3; 7.99.47.8; 11.38.27.4; 9.212.211.2; 13.2<0.001
1982
1993
2004
2015
%95% CI%95% CI%95% CI%95% CIPa
SexP = 0.005bP = 0.100bP = 0.400bP = 0.016b
 Males8.36.4; 10.610.78.5; 13.78.67.4; 12.013.512.0; 15.0<0.001
 Females4.73.3; 6.58.16.0; 10.67.86.7; 9.110.99.5; 12.3<0.001
Maternal skin colourP = 0.865bP = 0.144bP = 0.099bP = 0.742b
 White6.65.2; 8.110.08.2; 12.28.87.8; 9.912.010.8; 13.3<0.001
 Brown6.3c3.6; 10.01.92.6; 13.15.93.4; 9.411.99.2; 15.0<0.001
 Black8.75.4; 13.97.05.3; 9.113.110.5; 16.1
Family income (quintiles)bP = 0.021bP = 0.804bP = 0.446bP = 0.353b
 Q1 (poorest)4.62.2; 8.29.25.9; 14.08.46.5; 10.612.410.1; 15.0<0.001
 Q26.64.1; 10.08.05.3; 12.17.55.8; 9.610.88.7; 13.30.027
 Q33.51.8; 6.18.95.6; 13.87.45.6; 9.513.911.5; 16.6<0.001
 Q47.85.1; 11.411.67.8; 16.89.77.8; 12.012.510.3; 14.90.018
 Q5 (richest)9.56.5; 13.49.46.1; 14.38.16.2; 10.312.29.8; 15.00.148
All children6.55.3; 7.99.47.8; 11.38.27.4; 9.212.211.2; 13.2<0.001
a

P-values are displayed from intercohorts chi square test.

b

P-values are displayed from intracohort chi square test.

c

Black and brown colours were combined.

Table 5.

Prevalence of overweight (>2 Z scores of weight-for-length) at age 12 months according sex, maternal skin colour and family income in the 1982, 1993, 2004 and 2015 cohorts

1982
1993
2004
2015
%95% CI%95% CI%95% CI%95% CIPa
SexP = 0.005bP = 0.100bP = 0.400bP = 0.016b
 Males8.36.4; 10.610.78.5; 13.78.67.4; 12.013.512.0; 15.0<0.001
 Females4.73.3; 6.58.16.0; 10.67.86.7; 9.110.99.5; 12.3<0.001
Maternal skin colourP = 0.865bP = 0.144bP = 0.099bP = 0.742b
 White6.65.2; 8.110.08.2; 12.28.87.8; 9.912.010.8; 13.3<0.001
 Brown6.3c3.6; 10.01.92.6; 13.15.93.4; 9.411.99.2; 15.0<0.001
 Black8.75.4; 13.97.05.3; 9.113.110.5; 16.1
Family income (quintiles)bP = 0.021bP = 0.804bP = 0.446bP = 0.353b
 Q1 (poorest)4.62.2; 8.29.25.9; 14.08.46.5; 10.612.410.1; 15.0<0.001
 Q26.64.1; 10.08.05.3; 12.17.55.8; 9.610.88.7; 13.30.027
 Q33.51.8; 6.18.95.6; 13.87.45.6; 9.513.911.5; 16.6<0.001
 Q47.85.1; 11.411.67.8; 16.89.77.8; 12.012.510.3; 14.90.018
 Q5 (richest)9.56.5; 13.49.46.1; 14.38.16.2; 10.312.29.8; 15.00.148
All children6.55.3; 7.99.47.8; 11.38.27.4; 9.212.211.2; 13.2<0.001
1982
1993
2004
2015
%95% CI%95% CI%95% CI%95% CIPa
SexP = 0.005bP = 0.100bP = 0.400bP = 0.016b
 Males8.36.4; 10.610.78.5; 13.78.67.4; 12.013.512.0; 15.0<0.001
 Females4.73.3; 6.58.16.0; 10.67.86.7; 9.110.99.5; 12.3<0.001
Maternal skin colourP = 0.865bP = 0.144bP = 0.099bP = 0.742b
 White6.65.2; 8.110.08.2; 12.28.87.8; 9.912.010.8; 13.3<0.001
 Brown6.3c3.6; 10.01.92.6; 13.15.93.4; 9.411.99.2; 15.0<0.001
 Black8.75.4; 13.97.05.3; 9.113.110.5; 16.1
Family income (quintiles)bP = 0.021bP = 0.804bP = 0.446bP = 0.353b
 Q1 (poorest)4.62.2; 8.29.25.9; 14.08.46.5; 10.612.410.1; 15.0<0.001
 Q26.64.1; 10.08.05.3; 12.17.55.8; 9.610.88.7; 13.30.027
 Q33.51.8; 6.18.95.6; 13.87.45.6; 9.513.911.5; 16.6<0.001
 Q47.85.1; 11.411.67.8; 16.89.77.8; 12.012.510.3; 14.90.018
 Q5 (richest)9.56.5; 13.49.46.1; 14.38.16.2; 10.312.29.8; 15.00.148
All children6.55.3; 7.99.47.8; 11.38.27.4; 9.212.211.2; 13.2<0.001
a

P-values are displayed from intercohorts chi square test.

b

P-values are displayed from intracohort chi square test.

c

Black and brown colours were combined.

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