Maternal and child under-nutrition in rural and urban communities of Lagos state, Nigeria: the relationship and risk factors

Senbanjo, Idowu O; Olayiwola, Ibiyemi; Afolabi, W.A.O.; Senbanjo, Olayinka Comfort

doi:10.1186/1756-0500-6-286

Cited by 62 publications

(68 citation statements)

References 11 publications

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“…Undernutritio (underweight, stunting and wasting) was prominent among primary school children in Lagos State, Nigeria, especially in the rural area. This was in agreement to the report of similar studies in Nigeria and other developing countries (Oninla et al, 2007;Abdul Azzez & Devi, 2012Senbanjo et al, 2013Duru et al, 2015;Tadesse and Alemu, 2015). This could be as a result of degenerating living conditions and poor socioeconomic standards in the rural area.…”

Section: Discussionsupporting

confidence: 92%

Dietary pattern and nutritional status of primary school pupils in a South Western Nigerian state: A rural urban Comparison

Bello¹,

Ekekezie²,

Afolabi³

2016

Afr. J. Food Sci.

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Nutrition may be defined as the process, act, or study of how living things use nutrients for energy, growth, and maintenance. Contrary to widely held notions, malnutrition may be caused by people choosing to eat the wrong types of food, rather than a lack of what to eat. The objectives of the study were to describe the dietary pattern of primary school pupils in an urban and rural local government area of Lagos State, Nigeria and to examine the relationship between dietary pattern and prevalence of malnutrition. This cross-sectional comparative study adopted a multistage random sampling which included all children aged between six and twelve years in primary schools in randomly selected urban and rural local government areas (LGAs) in Lagos State. Using interviewer-administered questionnaire, information on socio-demographics, dietary history/pattern, food frequency and anthropometric measurements of selected pupils was obtained. Obtained data were analysed with standardized nutritional indices, and treatment means were compared with bivariate analysis at 95% level of significance. While underweight (49.6% v 15%) and wasting (24.2% v 13.6%) pupils were more prevalent in the rural areas, overweight (15.1% v 13.2%) pupils were more prevalent in the urban areas. Eating patterns among pupils living in the rural areas were significantly different from those living in urban areas, especially with respect to vegetable, snack and fizzy drink consumption. Comprehensive nutritional education programme for pupils, their parents and teachers should be introduced to promote nutritional health.

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Section: Discussionsupporting

confidence: 92%

Dietary pattern and nutritional status of primary school pupils in a South Western Nigerian state: A rural urban Comparison

Bello¹,

Ekekezie²,

Afolabi³

2016

Afr. J. Food Sci.

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“…The national prevalence of undernutrition among Nigerian children has remained largely stable between the year 2003 and 2009 with the prevalence of underweight, wasting, and stunting been 23%, 18%, and 37%, respectively 22. In this study, the values from rural areas were similar to these national figures while the values from urban area were lower than the national figures except prevalence of wasting.…”

Section: Discussionsupporting

confidence: 53%

Dietary practices and nutritional status of under-five children in rural and urban communities of Lagos State, Nigeria

2016

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Background:Evidence shows that urban children generally have a better nutritional status than their rural counterparts. However, data establishing whether this difference in prevalence of undernutrition could be ascribed to difference in dietary practices are few.Objective:The aim of this study was to compare dietary practices and nutritional status of children in rural and urban communities of Lagos State, Nigeria.Methods:This was a comparative-analytical study conducted using the multistage sampling technique to select the study cases. A total of 300 mother–child pairs were studied, including 150 each from rural and urban communities. Data collected include demographics, socioeconomic characteristics, feeding practices and anthropometric measurements of the participants. Food intake data were collected using 24-h dietary recall. Malnutrition in children was determined by calculating the prevalence of low height-for-age (stunting), low weight-for-age (underweight), and low weight-for-height (wasting) using the World Health Organization cutoff points.Results:The prevalence of exclusive breastfeeding for 6 months (25.3% vs. 28.7%; P = 0.516), use of formula feeds (48.7% vs. 44%; P = 0.077), and mean age of child at introduction of semisolid foods (7.54 ± 4.0 months vs. 8.51 ± 7.3 months; P = 0.117) were not significantly different between urban and rural communities. The diversity of food choices and frequencies of consumption were similar between urban and rural communities. However, prevalence levels of underweight and stunted children were significantly higher in rural than that of urban communities (19.4% vs. 9.3%, P < 0.001 and 43.3% vs. 12.6%, P < 0.001, respectively).Conclusions:Other risk factors besides inappropriate feeding practices need to be considered for higher prevalence of undernutrition among children in rural communities.

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“…This study investigated the prevalence and factors associated with both underweight and stunting among Ugandan women of reproductive age. The prevalence of underweight was low compared to studies conducted in Nigeria (6.7%) (30) Kenya (9%) (31), and Tanzania (10%) (32). This prevalence is also within the range of 5 to 20% reported for African women (30).…”

Section: Discussionmentioning

confidence: 55%

Factors Associated With Undernutrition Among 20 to 49 Year Old Women in Uganda: A Secondary Analysis of the Uganda Demographic Health Survey 2016

Sserwanja

Mukunya

Habumugisha

et al. 2020

Preprint

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Background Women are at risk of undernutrition due to biological, socio-economic, and cultural factors. Undernourished women have higher risk of poor obstetric outcomes. We aimed to determine the prevalence and factors associated with undernutrition among women of reproductive age in Uganda.Methods We used Uganda Demographic and Health Survey (UDHS) 2016 data of 4,640 women aged 20 to 49 years excluding pregnant and post-menopausal women. Multistage stratified sampling was used to select study participants and data were collected using validated questionnaires. We used multivariable logistic regression to determine factors associated with underweight and stunting among 20 to 49 year old women in Uganda.Results The prevalence of underweight and stunting were 6.9% (n = 4640) and 1.3% (n = 4640) respectively. Women who belonged to the poorest wealth quintile (Adjusted Odds Ratio (AOR) 3.60, 95% CI 1.85–7.00) were more likely to be underweight compared to those who belonged to the richest wealth quintile. Women residing in rural areas were less likely to be underweight (AOR 0.63, 95%CI 0.41–0.96) compared to women in urban areas. Women in Western (AOR 0.30, 95% CI 0.20–0.44), Eastern (AOR 0.42, 95% CI 0.28–0.63) and Central regions (AOR 0.42, 95% CI 0.25–0.72) were less likely to be underweight compared to those in the Northern region. Women belonging to Central (AOR 4.37, 95% CI 1.44–13.20) and Western (AOR 4.77, 95% CI 1.28–17.78) regions were more likely to be stunted compared to those in the Northern region.Conclusion The present study showed wealth index, place of residence and region to be associated with undernutrition among 20 to 49 year old women in Uganda. There is need to address socio-economic determinants of maternal undernutrition mainly poverty and regional inequalities.

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Maternal and child under-nutrition in rural and urban communities of Lagos state, Nigeria: the relationship and risk factors

Cited by 62 publications

References 11 publications

Dietary pattern and nutritional status of primary school pupils in a South Western Nigerian state: A rural urban Comparison

Dietary pattern and nutritional status of primary school pupils in a South Western Nigerian state: A rural urban Comparison

Dietary practices and nutritional status of under-five children in rural and urban communities of Lagos State, Nigeria

Factors Associated With Undernutrition Among 20 to 49 Year Old Women in Uganda: A Secondary Analysis of the Uganda Demographic Health Survey 2016

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