Addressing the double-burden of malnutrition among children and adolescents in sub-Saharan Africa

Giancola, Amanda; Hauerslev, Marie; Ndinda, Catherine; Farmer, Mychelle; Musah, Labram; Msengi, George; Bhutta, Zulfiqar A

doi:10.29392/001c.36904

Cited by 6 publications

(6 citation statements)

References 3 publications

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“…Most undernourished people in Africa are in sub-Saharan region where hunger has been rising since 2014 [15]. As of 2019, a signi cant rise in undernutrition has been in Africa's eastern and middle subregions, reaching 27% and 29% of the total population, respectively [16].…”

Section: Introductionmentioning

confidence: 99%

A Double Burden of Malnutrition Among Women in the Reproductive Age (15-49 years) in Sierra Leone: A Secondary Data Analysis of the Demographic Health Survey of 2019 (SLDH-2019)

Ikoona

Toure

Njenga

et al. 2023

Preprint

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Background: A double burden of malnutrition is rising globally but particularly in sub-Saharan Africa. Recently in Sierra Leone, the incidence of overweight, obesity, and overnutrition among women have sharply increased. This study aimed to determine the prevalence of different malnutrition categories (underweight, overweight, obesity, and overnutrition) and associated factors among women of reproductive age in Sierra Leone using Demographic Health Survey of 2019. Methods: We conducted data analysis of 7,514 women aged 15 to 49 years. Data was collected using validated questionnaires. Participants were selected using a multistage stratified sampling approach. A multivariable regression analysis was used to determine factors associated with different malnutrition categories. Results: The prevalence of underweight was, 6.7%(95%CI:4.5%-8.9%); overweight, 19.7%(95%CI:17.7%-21.7%); obesity, 7.4% (95% CI:5.2%-9.6%); and overnutrition, 27.1%(95%CI:25.2%-29.0%). Underweight was more likely in 25-34 years (AOR=1.670, 95%CI:1.254-2.224;p<0.001) than 15-24 years; unlikely among single women (AOR=0.594,95%CI:0.467-0.755;p<0.001) than married. Unlikely in the north (AOR=0.734,95%CI:0.559-0.963;p=0.026) compared to east, and unlikely among those who did not listen to radios (AOR=0.673;95%CI:0.549-0.826;p<0.001) compared to those who did. Overweight was unlikely among 25-34 years (AOR=0.609,95%CI:0.514-0.722;p<0.001) and 35-49 years (AOR=0.480,95%CI:0.403-0.571;p<0.001) than 15-24 years; likely among single women (AOR=1.470,95%CI:1.249-1.730;p<0.001) compared to married; unlikely among working-class (AOR=0.840,95%CI:0.720-0.980;p=0.026) compared to not working-class; most likely in the north (AOR=1.325,95%CI:1.096-1.602;p=0.004), and unlikely in the south (AOR=0.755,95%CI:0.631-0.903;p=0.002) compared to east; unlikely among middle-wealth-index (AOR=0.656,95%CI:0.535-0.804;p<0.001), richer-wealth-index (AOR=0.400,95%CI:0.309-0.517;p<0.001), and richest-wealth-index (AOR=0.317,95%CI:0.234-0.431;p<0.001) compared to poorest-wealth-index respectively, and likely among women who did not listen to radios (AOR=1.149; 95%CI:1.002-1.317;p=0.047) compared to those who did. Determinants of obesity and overnutrition were the same with overweight, except they were unlikely in female-headed-households (AOR=0.717,95%CI:0.578-0.889;p<0.001). Conclusion: The prevalence of different types of malnutrition among women 15-49 years in Sierra Leone were high; affirming a double burden of malnutrition. It was likely to be underweight among 25-34 years. The predictors of overweight, obesity, and overnutrition were single women, from the north and not listening to radios. There is an urgent need for policies on healthy lifestyles and the dangers of malnutrition.

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Section: Introductionmentioning

confidence: 99%

A Double Burden of Malnutrition Among Women in the Reproductive Age (15-49 years) in Sierra Leone: A Secondary Data Analysis of the Demographic Health Survey of 2019 (SLDH-2019)

Ikoona

Toure

Njenga

et al. 2023

Preprint

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“…Despite experiencing economic growth in recent times, India still reports high rates of child malnutrition with 35%, 33% and 17% of children under 5 years being stunted, underweight and wasted, respectively [ 11 ]. As of 2019, the number of malnourished people was reported to be around 27% and 29% of the total population for Eastern and Middle sub-regions of Sub-Saharan Africa [ 12 ]. These rates were projected to grow, with Sub-Saharan Africa unlikely to achieve the Sustainable Development Goals of ending hunger and all forms of malnutrition by 2030 [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

“…As of 2019, the number of malnourished people was reported to be around 27% and 29% of the total population for Eastern and Middle sub-regions of Sub-Saharan Africa [ 12 ]. These rates were projected to grow, with Sub-Saharan Africa unlikely to achieve the Sustainable Development Goals of ending hunger and all forms of malnutrition by 2030 [ 12 ]. The Food and Agriculture Organization (FAO) reported 161 million children under 5 to be stunted as of 2020 [ 13 ].…”

Section: Introductionmentioning

confidence: 99%

“…Nutrition in children is heavily reliant on socio-economic factors [ 24 ]. Studies have found that children from higher socio-economic status are more likely to have healthier food habits than those from low socio-economic background who display unhealthier food habits that will contribute to malnutrition and have dietary profiles consistent with nutritional guidelines [ 12 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 ].…”

Section: Introductionmentioning

confidence: 99%

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Socio-Economic Inequalities in the Double Burden of Malnutrition among under-Five Children: Evidence from 10 Selected Sub-Saharan African Countries

Alaba

Chiwire

Siya

et al. 2023

IJERPH

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Background: Africa is unlikely to end hunger and all forms of malnutrition by 2030 due to public health problems such as the double burden of malnutrition (DBM). Thus, the aim of this study is to determine the prevalence of DBM and degree of socio-economic inequality in double burden of malnutrition among children under 5 years in sub-Saharan Africa. Methods: This study used multi-country data collected by the Demographic and Health Surveys (DHS) Program. Data for this analysis were drawn from the DHS women’s questionnaire focusing on children under 5 years. The outcome variable for this study was the double burden of malnutrition (DBM). This variable was computed from four indicators: stunting, wasting, underweight and overweight. Inequalities in DBM among children under 5 years were measured using concentration indices (CI). Results: The total number of children included in this analysis was 55,285. DBM was highest in Burundi (26.74%) and lowest in Senegal (8.80%). The computed adjusted Erreygers Concentration Indices showed pro-poor socio-economic child health inequalities relative to the double burden of malnutrition. The DBM pro-poor inequalities were most intense in Zimbabwe (−0.0294) and least intense in Burundi (−0.2206). Conclusions: This study has shown that across SSA, among under-five children, the poor suffer more from the DBM relative to the wealthy. If we are not to leave any child behind, we must address these socio-economic inequalities in sub-Saharan Africa.

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“…An additional motivation for this article on Africa rests in its higher degree of double nutrition burden compared to most other parts of the world. Statistics show that undernutrition and micronutrient deficiencies are not only the main concerns; rather, the state of overweight is also alarming, especially among adolescents and young women [9]. This-together with the data challenge, which affects the literature's richness-rationalizes our motive to undertake this topic in Africa.…”

Section: Introductionmentioning

confidence: 99%

Women’s Empowerment, Food Security, and Nutrition Transition in Africa

Lufuke

Bai

Fan

et al. 2022

IJERPH

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Despite mounting recognition of the essential role of women’s empowerment in household dietary and nutrition changes, the diversity of culture across African countries presents ambiguity as to whether its impact is experienced homogeneously across the continent. This article presents a systematic review of whether women’s empowerment changes household dietary patterns, contributes to nutrition improvement, and consequently affects diet-related health outcomes in Africa. We find that whilst more research needs to be conducted, particularly with improved methodologies that can establish cause–effect relationships, there is consensus among the literature on the link between women’s empowerment and some domains of food security and dietary improvement. Meanwhile, studies on women’s empowerment and the additional demand pressure on some food categories are quite limited. This exacerbates the challenge of setting production plans that aim to address the continent’s question of food.

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Addressing the double-burden of malnutrition among children and adolescents in sub-Saharan Africa

Cited by 6 publications

References 3 publications

A Double Burden of Malnutrition Among Women in the Reproductive Age (15-49 years) in Sierra Leone: A Secondary Data Analysis of the Demographic Health Survey of 2019 (SLDH-2019)

A Double Burden of Malnutrition Among Women in the Reproductive Age (15-49 years) in Sierra Leone: A Secondary Data Analysis of the Demographic Health Survey of 2019 (SLDH-2019)

Socio-Economic Inequalities in the Double Burden of Malnutrition among under-Five Children: Evidence from 10 Selected Sub-Saharan African Countries

Women’s Empowerment, Food Security, and Nutrition Transition in Africa

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