Association of Human Capital with Physical Growth from Birth to Adulthood : Evidence from the New Delhi Birth Cohort, India

Undernutrition begins early in life and has lifelong consequences. The cost of undernutrition both for the individual and the economy are substantial. Analyzing data from an Indian cohort, the New Delhi Birth Cohort, formed between 1969 and 1972, t...

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Main Authors: Sachdev, Harshpal Singh, Kathuria, Ashi Kohli, Sinha, Sikha, Anand, Deepika, Bhargava, Santosh K.
Format: Working Paper
Language:English
Published: World Bank, Washington, DC 2020
Subjects:
Online Access:http://documents.worldbank.org/curated/en/212721596523665354/Association-of-Human-Capital-with-Physical-Growth-from-Birth-to-Adulthood-Evidence-from-the-New-Delhi-Birth-Cohort-India
http://hdl.handle.net/10986/34362
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spelling okr-10986-343622021-05-25T09:51:28Z Association of Human Capital with Physical Growth from Birth to Adulthood : Evidence from the New Delhi Birth Cohort, India Sachdev, Harshpal Singh Kathuria, Ashi Kohli Sinha, Sikha Anand, Deepika Bhargava, Santosh K. HUMAN CAPITAL STUNTING NUTRITION INTERGENERATIONAL Undernutrition begins early in life and has lifelong consequences. The cost of undernutrition both for the individual and the economy are substantial. Analyzing data from an Indian cohort, the New Delhi Birth Cohort, formed between 1969 and 1972, this paper provides evidence on the associations between attained human capital in the third and fourth decade of life and measures of growth from birth to adulthood. For the purpose of this paper, attained human capital is defined through three metrics: educational status, male occupation, and material possession score. Growth measures (height, weight, body mass index (BMI)) during five age intervals (0 to 6 months, 6 to 24 months, 2 to 5 years, 5 to 11 years, and 11 years to adulthood) were related to human capital metrics using multivariate regression models. Sensitivity analyses were also performed to assess the stability of associations. All three human capital metrics had a significant positive association with birth size and measures of physical growth in children under-five years of age, in particular for children under two years. Length at birth and height gain from 6 to 24 months were consistently associated with all metrics. Faster weight and BMI gain from five years onward significantly predicted material possession scores. Among socioeconomic and behavioral characteristics at birth, maternal and paternal education, and paternal occupation also had a consistent positive association with all three human capital metrics. The findings reinforce the focus on interventions during the first 1,000 days of life to promote larger birth size and linear growth and suggest an additional window of opportunity between 2 to 5 years to improve human capital. The benefits can be enhanced by simultaneous investments in parental (especially maternal) literacy, livelihoods, safe water supply and sanitation, access to health care, and enhancing incomes. These interventions also have a nutrition-sensitive effect to promote early life growth. 2020-08-13T21:08:58Z 2020-08-13T21:08:58Z 2020-06 Working Paper http://documents.worldbank.org/curated/en/212721596523665354/Association-of-Human-Capital-with-Physical-Growth-from-Birth-to-Adulthood-Evidence-from-the-New-Delhi-Birth-Cohort-India http://hdl.handle.net/10986/34362 English Health, Nutrition and Population Discussion Paper; CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo World Bank World Bank, Washington, DC Publications & Research Publications & Research :: Working Paper South Asia India
repository_type Digital Repository
institution_category Foreign Institution
institution Digital Repositories
building World Bank Open Knowledge Repository
collection World Bank
language English
topic HUMAN CAPITAL
STUNTING
NUTRITION
INTERGENERATIONAL
spellingShingle HUMAN CAPITAL
STUNTING
NUTRITION
INTERGENERATIONAL
Sachdev, Harshpal Singh
Kathuria, Ashi Kohli
Sinha, Sikha
Anand, Deepika
Bhargava, Santosh K.
Association of Human Capital with Physical Growth from Birth to Adulthood : Evidence from the New Delhi Birth Cohort, India
geographic_facet South Asia
India
relation Health, Nutrition and Population Discussion Paper;
description Undernutrition begins early in life and has lifelong consequences. The cost of undernutrition both for the individual and the economy are substantial. Analyzing data from an Indian cohort, the New Delhi Birth Cohort, formed between 1969 and 1972, this paper provides evidence on the associations between attained human capital in the third and fourth decade of life and measures of growth from birth to adulthood. For the purpose of this paper, attained human capital is defined through three metrics: educational status, male occupation, and material possession score. Growth measures (height, weight, body mass index (BMI)) during five age intervals (0 to 6 months, 6 to 24 months, 2 to 5 years, 5 to 11 years, and 11 years to adulthood) were related to human capital metrics using multivariate regression models. Sensitivity analyses were also performed to assess the stability of associations. All three human capital metrics had a significant positive association with birth size and measures of physical growth in children under-five years of age, in particular for children under two years. Length at birth and height gain from 6 to 24 months were consistently associated with all metrics. Faster weight and BMI gain from five years onward significantly predicted material possession scores. Among socioeconomic and behavioral characteristics at birth, maternal and paternal education, and paternal occupation also had a consistent positive association with all three human capital metrics. The findings reinforce the focus on interventions during the first 1,000 days of life to promote larger birth size and linear growth and suggest an additional window of opportunity between 2 to 5 years to improve human capital. The benefits can be enhanced by simultaneous investments in parental (especially maternal) literacy, livelihoods, safe water supply and sanitation, access to health care, and enhancing incomes. These interventions also have a nutrition-sensitive effect to promote early life growth.
format Working Paper
author Sachdev, Harshpal Singh
Kathuria, Ashi Kohli
Sinha, Sikha
Anand, Deepika
Bhargava, Santosh K.
author_facet Sachdev, Harshpal Singh
Kathuria, Ashi Kohli
Sinha, Sikha
Anand, Deepika
Bhargava, Santosh K.
author_sort Sachdev, Harshpal Singh
title Association of Human Capital with Physical Growth from Birth to Adulthood : Evidence from the New Delhi Birth Cohort, India
title_short Association of Human Capital with Physical Growth from Birth to Adulthood : Evidence from the New Delhi Birth Cohort, India
title_full Association of Human Capital with Physical Growth from Birth to Adulthood : Evidence from the New Delhi Birth Cohort, India
title_fullStr Association of Human Capital with Physical Growth from Birth to Adulthood : Evidence from the New Delhi Birth Cohort, India
title_full_unstemmed Association of Human Capital with Physical Growth from Birth to Adulthood : Evidence from the New Delhi Birth Cohort, India
title_sort association of human capital with physical growth from birth to adulthood : evidence from the new delhi birth cohort, india
publisher World Bank, Washington, DC
publishDate 2020
url http://documents.worldbank.org/curated/en/212721596523665354/Association-of-Human-Capital-with-Physical-Growth-from-Birth-to-Adulthood-Evidence-from-the-New-Delhi-Birth-Cohort-India
http://hdl.handle.net/10986/34362
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