Pilot project of the Nutrition-Friendly School Initiative (NFSI) in Ouagadougou, Burkina Faso and Cotonou, Benin, in West Africa

Delisle, Hélène; Receveur, Olivier; Aguèh, Victoire; Nishida, Chizuru

doi:10.1177/1757975913476907

Cited by 25 publications

(37 citation statements)

References 15 publications

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“…Despite significant variation in the prevalence of unhealthy weights, results of this study are comparable to previous studies [14, 16, 49] showing the existence of the double burden of malnutrition in the seven African countries. Generally, the prevalence of overweight and obesity follow similar downward trends in all countries with the exception of Malawi where the trend seems to increase significantly after age 15.…”

Section: Discussionsupporting

confidence: 85%

The prevalence of underweight, overweight, obesity and associated risk factors among school-going adolescents in seven African countries

et al. 2014

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BackgroundThe burden caused by the coexistence of obesity and underweight in Low and Middle Income Countries is a challenge to public health. While prevalence of underweight among youth has been well documented in these countries, overweight, obesity and their associated risk factors are not well understood unlike in high income countries.MethodsCross-sectional data from the Global School-based Student Health Survey (GSHS) conducted in seven African countries were used for this study. The survey used a clustered design to obtain a representative sample (n = 23496) from randomly selected schools. 53.6% of the sample was male, and participants ranged in age from 11-17 years old. Body Mass Index (BMI) was calculated using age and sex adjusted self-reported heights and weights. Classification of weight status was based on the 2007 World Health Organization growth charts (BMI-for-age and sex). Multivariable Logistic Regression reporting Odds Ratios was used to assess potential risk factors on BMI, adjusting for age, sex, and country. Statistical analyses were performed with Stata with an alpha of 0.05 and reporting 95% confidence intervals.ResultsUnadjusted rates of being underweight varied from 12.6% (Egypt) to 31.9% (Djibouti), while being overweight ranged from 8.7% (Ghana) to 31.4% (Egypt). Obesity rates ranged from 0.6% (Benin) to 9.3% (Egypt). Females had a higher overweight prevalence for every age group in five of the countries, exceptions being Egypt and Malawi. Overall, being overweight was more prevalent among younger (≤12) adolescents and decreased with age. Males had a higher prevalence of being underweight than females for every country. There was a tendency for the prevalence of being underweight to increase starting in the early teens and decrease between ages 15 and 16. Most of the potential risk factors captured by the GSHS were not significantly associated with weight status.ConclusionsThe prevalence of both overweight and underweight was relatively high, demonstrating the existence of the double burden of malnutrition among adolescents in developing countries. Several factors were not associated with weight status suggesting the need to explore other potential risk factors for overweight and underweight, including genetic factors and socioeconomic status.

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Section: Discussionsupporting

confidence: 85%

The prevalence of underweight, overweight, obesity and associated risk factors among school-going adolescents in seven African countries

et al. 2014

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“…School-based nutrition programs, consisting of multi-component interventions including promoting healthy eating, less sedentary behaviour, and more physical activity have been increasingly implemented worldwide since WHO launched the Nutrition-Friendly School Initiative (NFSI) in 2006 to address the double burden of nutrition-related ill health among school-aged children [14]. Edde and coworkers [15] undertook a baseline study to explore the impact of a NFSI intervention in Burkina Faso comparing six intervened schools and six control schools matched at baseline, with a total sample of 699 and 651 pupils in 2009 and 2014, respectively.…”

Section: School-based Interventionsmentioning

confidence: 99%

Actions Targeting the Double Burden of Malnutrition: A Scoping Review

Menon

Peñalvo

2019

Nutrients

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Background: In many developing countries, nutritional and epidemiological transitions are contributing to continuous undernutrition and escalating overnutrition, resulting in coexisting forms of malnutrition often referred as the “double burden of malnutrition” (DBM). This complex phenomenon constitutes an unprecedented challenge to global public health and has been prioritized by international health organizations, prompting governments to swift action. Specifically, five years ago the World Health Organization (WHO) proposed a roadmap to tackle the DBM though so-called “double-duty actions”. The objective of this review was to synthesize the literature on interventions which address the DBM. Methods: We developed a scoping review to identify interventions addressing the DBM. We searched PUBMED for papers reporting interventions until December 2019. Articles examining interventions, government policies, or tools at the individual, household, or community level to address the DBM were included. Results: Seven articles met the inclusion criteria. Three were from sub-Saharan Africa, one was from Southeast Asia, and one was from Central America. Two were modelling studies, with one covering 24 low-income countries and the other focusing on Ghana. Conclusion: Notwithstanding the pressing issue of the DBM, there is a paucity of studies examining double-duty actions despite the attention that it has garnered within the global nutrition community. Whilst nutrient deficiencies may be curbed by poverty reduction measures, for obesity prevention nutrition, education and promotion of physical activity, along with the encouragement of local food production, may be instrumental.

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“…The School Nutrition Committee is responsible for meeting these five conditions and for monitoring and evaluation of the programme: (i) a written school policy on nutrition; (ii) building awareness and capacity of the surrounding community as they relate to nutrition; (iii) school curriculum adaptation to include nutrition; (iv) school environment that supports optimal nutrition and health; and (v) school nutrition and health services ( 66 ) . In Ouagadougou, sensitizing communities to nutrition was identified as a priority for half of the schools ( 67 ) , and many involved in the initiative felt that these policies should be implemented at the national level rather than the school level ( 67 ) . Piloting the Nutrition-Friendly School Initiative in 2007 in New Delhi, India, an initial assessment found no written nutrition policies in the four participating schools and no integration of nutrition and health into the school curriculum ( 68 ) .…”

Section: Entry Points For Overweight and Obesity Programming Within Ementioning

confidence: 99%

Programming maternal and child overweight and obesity in the context of undernutrition: current evidence and key considerations for low- and middle-income countries

Jaacks

Kavle

Perry

et al. 2017

Public Health Nutr.

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The goals of the present targeted review on maternal and child overweight and obesity were to: (i) understand the current situation in low- and middle-income countries (LMIC) with regard to recent trends and context-specific risk factors; and (ii) building off this, identify entry points for leveraging existing undernutrition programmes to address overweight and obesity in LMIC. Trends reveal that overweight and obesity are a growing problem among women and children in LMIC; as in Ghana, Kenya, Niger, Sierra Leone, Tanzania and Zimbabwe, where the prevalence among urban women is approaching 50 %. Four promising entry points were identified: (i) the integration of overweight and obesity into national nutrition plans; (ii) food systems (integration of food and beverage marketing regulations into existing polices on the marketing of breast-milk substitutes and adoption of policies to promote healthy diets); (iii) education systems (integration of nutrition into school curricula with provision of high-quality foods through school feeding programmes); and (iv) health systems (counselling and social and behaviour change communication to improve maternal diet, appropriate gestational weight gain, and optimal infant and young child feeding practices). We conclude by presenting a step-by-step guide for programme officers and policy makers in LMIC with actionable objectives to address overweight and obesity.

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Pilot project of the Nutrition-Friendly School Initiative (NFSI) in Ouagadougou, Burkina Faso and Cotonou, Benin, in West Africa

Cited by 25 publications

References 15 publications

The prevalence of underweight, overweight, obesity and associated risk factors among school-going adolescents in seven African countries

The prevalence of underweight, overweight, obesity and associated risk factors among school-going adolescents in seven African countries

Actions Targeting the Double Burden of Malnutrition: A Scoping Review

Programming maternal and child overweight and obesity in the context of undernutrition: current evidence and key considerations for low- and middle-income countries

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