Magnitude of Overweight and Obesity and Associated Factors Among Public and Private Secondary School Adolescent Students in Mekelle City, Tigray Region, Ethiopia, 2019: Comparative Cross-Sectional Study

Andargie, Malede; Gebremariam, Kidanu; Hailu, Tesfay; Addisu, Alefech; Zereabruk, Kidane

doi:10.2147/dmso.s262480

Cited by 3 publications

(5 citation statements)

References 27 publications

(38 reference statements)

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“…The magnitude of this study is comparable with the studies conducted in Nigeria (9.6%), [23] Addis Ababa 9.4%, [24] and Mekelle 7.9%. [25] It was found to be lower than studies conducted in the US 20.6%, [26] Kenya 12%, [20] Hawassa 15.6%, [27] and Bahirdar 12.5%. [28] However, it is higher than studies done in Gondar [29] and Chiro [30] which got a prevalence of 5.9% and 4.1%, respectively.…”

Section: Discussionmentioning

confidence: 91%

“…This finding is comparable to studies from Nigeria [23] and Mekelle. [25] This could be explained by the higher socioeconomic status of private school students' families, which allows them access to surplus, processed and energy-dense foods; engage in less strenuous physical activity and work, which results in less energy expenditure; and the use of vehicles for transportation. [22] The current study found a significant association between being female and overweight/obesity among public schools and overall participants of the study.…”

Section: Discussionmentioning

confidence: 99%

“…This result is in line with a study conducted in Mekelle city. [25] Similar to skipping breakfast, omitting dinner might also cause cravings for sugary foods and slow metabolism, both of which contribute to being overweight and obese. [53] This study demonstrated that among adolescents in public schools, walking/using a bicycle for at least 10 minutes continuously is a protective factor against overweight and obesity.…”

Section: Discussionmentioning

confidence: 99%

“…This is consistent with studies conducted in Tanzania, [32] Bahirdar, [33] and Mekelle. [25] On the contrary, a study conducted in Pakistan [34] and Vietnam [35] showed that girls had a lower risk of being overweight and obese than boys did. The variance in overweight and obesity status between males and females might be driven by the biological difference in body fat composition.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Overweight and obesity and associated factors among public and private secondary school adolescent students in Harar city, Eastern Ethiopia: A comparative cross-sectional study

Mandefro,

Shore,

Hailu

et al. 2024

Medicine

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Adolescent overweight and obesity are growing public health concerns in developing nations like Ethiopia. They are closely linked to an increased risk of non-communicable diseases, a deterioration in health-related quality of life, subpar academic performance, and a decline in social and emotional well-being. There is, however, little research in this field. Thus, this study aimed to assess overweight and obesity and associated factors among public and private secondary school adolescent students in Harar city, Eastern Ethiopia. A school-based comparative cross-sectional study was conducted among 781 secondary school adolescents in Harar city from February to March 2022. Multi-stage sampling was used to identify 781 study participants (586 in public and 195 in private schools). Anthropometric measures and self-administered structured questionnaires were used to obtain the data. Bivariate and multivariate logistic regression were used to determine the association between independent variables and overweight and obesity. Statistical significance was declared at P < .05. The overall magnitude of overweight and obesity was 9.3% [95% confidence interval (CI) = 7.2–11.4%] with 16.2% in private schools. Being female [adjusted odd ratio (AOR) = 2.04, 95% CI: 1.17–3.55], late adolescent age [AOR = 0.53, 95% CI: 0.31–0.90], bigger family size [AOR = 0.55, 95% CI: 0.31–0.97], high paternal education level [AOR = 2.03, 95% CI: 1.08–3.81], eating meat [AOR = 3.41, 95% CI: 1.27–9.17] and not consuming breakfast daily [AOR = 2.13, 95% CI: 1.24–3.67] were factors associated with overweight and obesity among all secondary school adolescents. A high maternal educational level, not eating breakfast and dinner daily in private secondary school adolescents and having a feminine gender, eating eggs, and not walking or riding a bicycle for at least 10 minutes continuously in public secondary school adolescents were factors associated with overweight and obesity. The extent of overweight and obesity was notably higher in the study area. Communities and educational institutions should work together to promote healthy lifestyle choices among adolescents, with a special emphasis on girls and students enrolled in private schools.

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Section: Discussionmentioning

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Overweight and obesity and associated factors among public and private secondary school adolescent students in Harar city, Eastern Ethiopia: A comparative cross-sectional study

Mandefro,

Shore,

Hailu

et al. 2024

Medicine

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Epidemiology, risk factors, social determinants of health, and current management for non-alcoholic fatty liver disease in sub-Saharan Africa

Spearman

Afihene

Betiku

et al. 2021

The Lancet Gastroenterology & Hepatology

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A systematic review and meta-analysis of adolescent nutrition in Ethiopia: Transforming adolescent lives through nutrition (TALENT) initiative

et al. 2023

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Background Ethiopia has undergone rapid economic growth over the last two decades that could influence the diets and nutrition of young people. This work systematically reviewed primary studies on adolescent nutrition from Ethiopia, to inform future interventions to guide policies and programs for this age group. Method A systematic search of electronic databases for published studies on the prevalence of and interventions for adolescent malnutrition in Ethiopia in the English language since the year 2000 was performed using a three-step search strategy. The results were checked for quality using the Joanna Bridge Institute (JBI) checklist, and synthesized and presented as a narrative description. Results Seventy six articles and two national surveys were reviewed. These documented nutritional status in terms of anthropometry, micronutrient status, dietary diversity, food-insecurity, and eating habits. In the meta-analysis the pooled prevalence of stunting, thinness and overweight/obesity was 22.4% (95% CI: 18.9, 25.9), 17.7% (95% CI: 14.6, 20.8) and 10.6% (7.9, 13.3), respectively. The prevalence of undernutrition ranged from 4% to 54% for stunting and from 5% to 29% for thinness. Overweight/obesity ranged from 1% to 17%. Prevalence of stunting and thinness were higher in boys and rural adolescents, whereas overweight/obesity was higher in girls and urban adolescents. The prevalence of anemia ranged from 9% to 33%. Approximately 40%-52% of adolescents have iodine deficiency and associated risk of goiter. Frequent micronutrient deficiencies are vitamin D (42%), zinc (38%), folate (15%), and vitamin A (6.3%). Conclusions The adolescent population in Ethiopia is facing multiple micronutrient deficiencies and a double-burden of malnutrition, although undernutrition is predominant. The magnitude of nutritional problems varies by gender and setting. Context-relevant interventions are required to effectively improve the nutrition and health of adolescents in Ethiopia.

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Magnitude of Overweight and Obesity and Associated Factors Among Public and Private Secondary School Adolescent Students in Mekelle City, Tigray Region, Ethiopia, 2019: Comparative Cross-Sectional Study

Cited by 3 publications

References 27 publications

Overweight and obesity and associated factors among public and private secondary school adolescent students in Harar city, Eastern Ethiopia: A comparative cross-sectional study

Overweight and obesity and associated factors among public and private secondary school adolescent students in Harar city, Eastern Ethiopia: A comparative cross-sectional study

Epidemiology, risk factors, social determinants of health, and current management for non-alcoholic fatty liver disease in sub-Saharan Africa

A systematic review and meta-analysis of adolescent nutrition in Ethiopia: Transforming adolescent lives through nutrition (TALENT) initiative

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