Background This study aimed to assess the prevalence of malnutrition and associated factors among school adolescents in Wolaita Sodo town, Southern Ethiopia. Methods A school-based cross-sectional study was conducted from May 18–June 10, 2015. A multistage sampling was used to select a random sample of 690 adolescents from selected schools. Data on sociodemographic information were collected by using an interviewer-administered questionnaire, and anthropometric measurements were made by using a digital Seca scale and height measuring board by trained data collectors. Data were entered into Epi-Data version 3.1 software and exported to SPSS version 20. World Health Organization (WHO) Anthro-plus software was used to analyze anthropometric data. Both binary and multinomial logistic regression analyses were done to identify factors associated with the malnutrition of adolescents. Result The overall prevalence of thinness, stunting, and overweight/obesity among school adolescents was 4.7% (95% CI: 3%–6.4%); 5.2% (95% CI: 3.4%–7%); and 5.0% (95% CI: 3.4%–6.7%), respectively. Being male (AOR = 4.07; 95% CI: 2.35–7.02), learning at a government school (AOR = 0.37; 95% CI: 0.20–0.65), mothers with no formal education (AOR = 4.03; 95% CI: 1.82–8.92), owning no cattle (AOR = 4.92; 95% CI: 2.08–11.64), skipping meals (AOR = 1.70; 95% CI: 1.05–2.74), and illness in 2 weeks prior to survey (AOR = 2.67; 95% CI: 1.49–4.78) were significantly associated with thinness. However, males, students who had their house, and no cattle were more likely to develop overweight/obesity. Maternal education of secondary school (AOR = 0.214; 95% CI: 0.054–0.846) was significantly associated with the stunting. Conclusion The study showed the coexistence of undernutrition and overnutrition among school adolescents in the study area. There needs to implement evidence-based school nutrition education and health policies and programs to improve nutritional status of adolescents and timely taking action to limit obesity-related health problems.
This study aimed to determine the prevalence of malnutrition and its association with wound healing and length of hospitalization among patients undergoing abdominal surgery admitted to hospitals in the Wolaita zone in southern Ethiopia. Methods. An institution-based prospective observational study was conducted in three hospitals in the Wolaita zone from August to October 2016. All eligible individuals aged between 19 and 55 years were recruited in this study. Anthropometric and biochemical analyses, such as serum albumin (Alb) and total lymphocyte count (TLC), were taken for nutritional assessment during the preoperative period. Quantitative variables were compared using Student’s t test. Cox’s regression was employed to determine which variables were possible risk factors for poor wound healing. Results. A total of 105 patients aged 19 to 55 with a mean age (±SD) of 34 ± 9.6 years were included, and the prevalence of preoperative malnutrition was 27.6%, 87%, according to BMI and nutritional risk index, respectively. Poor wound healing was significantly associated with underweight patients (BMI < 18.5 kg/m2) (AHR: 6.5 : 95%CI: 3.312.9), postoperative weight loss (AHR: 4.9; 95%CI: 2.8–8.5), and nutritional risk index (NRI) less than 97.5 (AHR 1.8; 95% CI: 1.09–3.1). Conclusion. The prevalence of malnutrition is high in our study setup; this is associated with an increased risk of adverse postoperative outcomes. Therefore, our results emphasize the need of routine preoperative nutritional assessment, optimizing nutritional status of patients and postoperative nutritional support.
Background: HIV/AIDS and under nutrition commonly manifested as body weight loss are both highly prevalent in many parts of the world. Their effects are interrelated and act in a vicious cycle. Both HIV and under nutrition can independently cause progressive damage to the immune system and increased susceptibility to infection. Ethiopia is one of the countries affected by both epidemics, despite, study done on acute under nutrition among HIV/AIDS adults in particular were found inadequate. Thus the main aim of this study is to assess the magnitude of acute under nutrition (weight loss within 3 months) and associated factors among people living with HIV/AIDS adults on ART in Shashemane referral Hospital. Methods: Facility based cross-sectional study conducted in shashemane referral Hospital Oromia region, Ethiopia from August 3 to September 4.2016. Systematic random sampling technique employed and 402 study participants were included. Data was collected by interview patients using pre-tested structured questionnaire, review of patients register, weight and height measurements were taken. The data were entered into Epi Info version 3.5.1 and analyzed using version 20 SPSS statistical package and percentages of body weight loss were calculated. Logistic regression analyses were carried out to identify factors associated with body weight loss of > 5% within three months. Strength of association determined using P< 0.05 and odd ratio (95% CI). Result: The magnitude body weight loss > 5% were 15.9% (95% CI; 12.4-19.7). Low CD4 level of less than 200mm3/ml (AOR=8.41,95% CI:3.46-20.44), inability to consume high protein diets like meat, egg & fish per week (AOR=2.97, 95% CI;1.39-6.35), low meal frequency of 2 or less per day (AOR=3.09,95% CI: 1.25-7.68) and low average income of 1000 birr per month (AOR=9.07,95% CI: 3.71-22.14) were significantly associated with Body weight loss of > 5% within 3 months with P<0.05. Conclusion: Body weight loss >5% within 3 months(acute under nutrition) is still a problem in people living with HIV/AIDS adults on ART, specifically among advanced immune compromised, low income, consumes less meal frequently per day and fewer or no consumption of animal product.
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