Coexistence of under and over nutrition among the same population group is referred to as the double burden of malnutrition. The objective of this study was to assess double burden of malnutrition among undergraduate students in Ogun State Nigeria. A cross-sectional study involving 1,115 (37.8%) males and 1,835 (62.2%) females was conducted.  Body mass index (BMI) was derived from weight and a height measurement, waist circumference (WC) measurement was taken to assess abdominal obesity. SPSS version 16 was used for data analysis. Mean age, height, weight and BMI were 23±0.05years, 1.63±0.001m, 60.99±0.22kg and 22.80±0.08kgm respectively. Mean WC was 82.21±0.32cm and 80.55±0.49cm among males and females respectively. Based on BMI, the Prevalence of underweight, overweight and obesity were 13.4%, 16.9% and 7.5% respectively. BMI did not relate significantly with both age (p=0.464) and gender (P=0.115). About fifty percent (50.64%) of females and 12.36% males who were overweight and obese also had excess abdominal fat. Prevalence of abdominal obesity was significantly higher among females (16.9%) than males (2.5%), (p=0.001). Respondents in this study were faced with problems of both under-nutrition and over-nutrition.

Abstract:Background: This study aims to assess breastfeeding pattern among mothers and nutritional status of children under two years. Methodology: The cross sectional study was carried out in Oshogbo Local Government Area, Osun State. A total of 350 nursing mothers and their children undertwo years were randomly selected systematically. A structured questionnaire was used to obtain information on the bio-data and socioeconomic characteristics of the mothers. Breast feeding knowledge and pattern was assessed and anthropometric measurements taken. Data was subjected to descriptive and inferential statistics using SPSS version 20. Results: One-third(32.6%) of the mothers were between 26-30years of age and 40% of the children were between 7-12 months old. Only 2.6% of the mothers earned >$400 per month. Most mothers (85.7%) had adequate knowledge about optimal breastfeeding, 72% initiated breastfeeding more than 1hr after birth and about 72% gave prelacteal meal. About 16.4% breastfed exclusively. Only 16.6% express breast-milk and the median duration for continued breastfeeding in this study was 18months. Complementary foods given to the children are mostly home prepared cereals, solids and semi-solid foods. About 30.4% of the children were stunted, 25.4% were underweight and 15.3% were wasted. However 4.3% mothers were underweight, 29.1% were overweight and 2.6% were obese. Maternal age, family structure, parity and monthly income were significantly related to their knowledge of and the pattern of breastfeeding. Conclusion:The practice of exclusive breastfeeding and use of expressed breast milk is poor among the mothers. Stunting was also high among the children.

Purpose There is a global increase in the prevalence of metabolic syndrome (MetS) with relative paucity of data on the burden of this syndrome in developing countries like Nigeria. This study evaluated the prevalence of MetS among apparently healthy subjects in Nigeria. Design/methodology/approach A population-based cross-sectional study was conducted with 550 (249 men, 301 women) healthy subjects recruited using multi-stage technique. Anthropometric measurements were taken using standard procedures and instruments. Systolic and diastolic blood pressure was measured in all the subjects. Blood samples were collected from selected subjects and analyzed for hematological variables. Findings The prevalence of MetS was 36.8 per cent using the IDF criteria and 34.6 per cent using the NCEP-ATP III criteria. In all, 1.64 per cent (9) of respondents were underweight, 22.55 per cent (124) were of normal body mass index, 49.64 per cent (273) were overweight and 26.17 per cent (144) were obese. The mean waist circumference and waist to hip ratio for male and female were 83.27 ± 2.6 cm and 0.84 ± 0.1 and 86.22 ± 13.9 cm and 0.84 ± 0.1, respectively. Total cholesterol was elevated in 16.04 per cent of the respondents, low high-density lipoprotein cholesterol was observed in 41.83 per cent of the respondents. High values of triglycerides were observed in 5.79 per cent of respondents. Elevated low-density lipoprotein cholesterol was observed in 40.85 per cent of the respondents. This study showed that a huge burden of MetS exists among the study population. Research limitations/implications The cross-sectional design of this study limits inference regarding causality and effects. Also, there was no controlled case in the study. Practical implications There is the need for accurate knowledge of the MetS of the population to inform public health policy for mitigation. Social implications MetS has been described as a global time bomb, with a quarter of the world’s adults estimated to be having the condition. It will place a burden on social services if a lot of working population are forced to retire early due to MetS. Originality/value The findings are pointers to the probable magnitude of the co-morbid factors of cardiovascular diseases as encapsulated in the MetS in our environment.

Background: Studies have linked genetic susceptibility to prostate cancer (CaP) to African heritage and familial disease. Also, lifestyle factors, general and central obesity have been identified as risk factors for CaP. Aim: To assess the behavioral risk factors associated with CaP among West-African men and US West African immigrants. Methods: The cross-sectional study was conducted among 480 respondents recruited from Nigeria, Cameroon and the United States. The CaPTC Familial Project study instrument was used to collect data on the background information of respondents, country specific residence information, physical activity level, smoking and alcohol consumption pattern, family and personal history of cancer and other types of cancers and knowledge of CaP. Anthropometric measurements were taken. Data were analyzed using SPSS version 20. Results: Majority (85.6%) were recruited from Nigeria, 5.5% from Cameroon and 8.9% from the USA and the mean age is 48.2±9.9. About three quarters (74.4%) have been married only once while 10.8% have been married for about 2-5 times. Few (3.3%) of the respondent's wives had cancer and 0.2% had cervical cancer. Less than 1% of respondent's daughters had cancer, 4.6% of their uncles had cancer. Among the respondent's full brothers and sisters, 0.4% had cancer and 1.5% of their birth mothers had cancer. Also a few (2.3%) of respondent's fathers had cancer and 11.9% of their paternal grandparents had one type of cancer. About 17.2% of respondents have been diagnosed of a prostate condition and 5.9% were diagnosed of CaP with 47.1% of those with CaP are from Nigeria, 49.6% from the USA and 3.3% from Cameroon. One-quarter (25.6%) have smoked at least once in their lifetime, 2.5% smoke daily and the mean age at which smoking commenced is 26.6±19.4. More than half (55.4%) had consumed alcohol at least once in their lifetime and the mean age at which alcohol consumption started is 9.9±11.9. Only 9.8% had adequate knowledge about CaP and 61.0% poor knowledge. About a quarter (25.5%) were obese with 3.3% being morbidly obese. One-third (32.3%) are involved in moderate physical activity and 17.9% in rigorous physical activity. No significant difference ( P = 0.492) was observed in the physical activity level from the different locations. However, a significant relationship was observed between alcohol consumption, smoking, body mass index and country of residence ( P = 0.001, 0.035 and 0.001 respectively). Cigarette smoking and alcohol consumption (frequency and quantity) was significantly higher among respondents from the USA. Obesity was also significantly higher among the respondents from Nigeria and the USA. Although not statistically significant, family history of cancer was more among respondents from Nigeria and the USA. Conclusion: Obesity, smoking, alcohol consumption seems to be a common practice among respondents from Nigeria and USA.

Two years after SARS-CoV-2 (COVID-19) was declared a global public health emergency, the restoration, at least, to the pre-pandemic level of early diagnostic services for prostate cancer has remained enormously challenging for many health systems, worldwide. This is particularly true of West Africa as the region grapples also with the broader impacts of changing demographics and overly stretched healthcare systems. With the lingering COVID-19 crisis, it is likely that the current trend of late prostate cancer diagnosis in the region will worsen with a concomitant increase in the burden of the disease. There is, therefore, a compelling need for innovative and evidence-based solutions to deescalate the current situation and forestall the collapse of existing structures supporting early prostate cancer diagnosis in the region. In this viewpoint, we make a case for the operationalization of the World Health Organization (WHO) guide to early cancer diagnosis to strengthen the capacity for early prostate cancer diagnosis in West Africa using a realist approach, drawing on participatory health research and evidence-based co-creation. Ultimately, we demonstrate the potential for developing COVID-19 responsive and context-specific models to optimize patient navigation/journey along the essential steps of the World Health Organization guide to early cancer diagnosis.