The Emerging Nutritional Problems of School Adolescents: Overweight/Obesity and Associated Factors in Jimma Town, Ethiopia

Gali, Nurezeman; Tamiru, Dessalegn; Tamrat, Meseret

doi:10.1016/j.pedn.2017.03.002

Cited by 41 publications

(64 citation statements)

References 11 publications

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“…In urban women, it was reported (6.2–25.3%) in Ethiopia, Bengal district in India (5.4%), and Nepal (6.3–24.8%) [44,47,48,49,50,51,52]. This might be because we attributed this finding to rural people [10], where most could engage in heavy physical activities and walking over long distances to access services due to the mountainous topography [53,54].…”

Section: Discussionmentioning

confidence: 99%

Ethiopian Orthodox Fasting and Lactating Mothers: Longitudinal Study on Dietary Pattern and Nutritional Status in Rural Tigray, Ethiopia

Desalegn

Lambert

Riedel

et al. 2018

IJERPH

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About half of Ethiopians belong to the Orthodox Tewahedo religion. Annually, more than 200 days are dedicated to religious fasting, which includes abstaining from all types of food, animal source foods, and water. However, the association of fasting with undernutrition remains unknown in Ethiopia. Therefore, dietary pattern and nutritional status of lactating women during lent fasting and non-fasting periods were studied, and predictor variables for maternal underweight were identified. To achieve this, lactating mothers in lent fasting (N = 572) and non-fasting (N = 522) periods participated from rural Tigray, Northern Ethiopia. Average minimum diet diversity (MDD-W) was computed from two 24-h recalls, and nutritional status was assessed using body mass index (BMI). Binary logistic regression was used to identify potential predictors of maternal underweight. Wilcoxon signed-rank (WSRT) and McNemar’s tests were used for comparison of the two periods. The prevalence of underweight in fasting mothers was 50.6%. In the multivariate logistic regression model, younger age, sickness in the last four weeks preceding the survey, fasting during pregnancy, lactation periods, grandfathers’ as household decision makers, previous aid experience, non-improved water source, and not owning chicken were positively associated with maternal underweight. In WSRT, there was no significant (p > 0.05) difference on maternal body weight and BMI between periods. The average number of meals, diet diversity, and animal source foods (ASFs), consumption scores were significantly increased in non-fasting compared to fasting periods in both fasting and non-fasting mothers (p < 0.001, p < 0.05, and p < 0.001, respectively). Consumption of dark green leafy vegetables was higher in the fasting period (11%) than non-fasting (3.6%), in the study population. As a conclusion, Ethiopian Orthodox fasting negatively affected maternal nutritional status and dietary pattern in rural Tigray, Northern Ethiopia. To reduce maternal malnutrition in Ethiopia, existing multi-sectoral nutrition intervention strategies, should include religious institutions in a sustainable manner.

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Section: Discussionmentioning

confidence: 99%

Ethiopian Orthodox Fasting and Lactating Mothers: Longitudinal Study on Dietary Pattern and Nutritional Status in Rural Tigray, Ethiopia

Desalegn

Lambert

Riedel

et al. 2018

IJERPH

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“…The result of multivariable logistic regression analysis revealed that students from urban residence and in a family rich wealth index tertile had a more adequately diversified diet compared to their counterparts, which is consistent with the report of a study from Jimma, Southwest Ethiopia. [53][54][55] This could be related to more affordability of a variety of food constituents among rich wealth families. The limitation of this study was the failure to collect information on variables like seasonal variation of food availability, food taboos, and carrying food to schools.…”

Section: Discussionmentioning

confidence: 99%

<p>Predictors of thinness and improved dietary diversity among School Aged Children in Southern Ethiopia</p>

Wolde¹,

Belachew²

2019

NDS

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Introduction: Thinness and lack of diversified foods are common nutritional problems among children in developing countries. There is limited evidence on the level of thinness, and dietary among school aged children in Ethiopia. Therefore, the aim of this study was to determine the prevalence of thinness and adequate dietary diversity and their predictors among primary schools. Methods: A cross-sectional study was conducted in Meskan District of Southern Ethiopia, from October 11 to November 3, 2016. A simple random sampling technique was used to select 408 school age children. Data on sociodemographic, and anthropometric variables were collected using structured and trained interviewer administered questionnaires and anthropometrists, respectively. Body-mass-index-forage z-scores for thinness were computed using WHO AnthroPlus, and dietary diversity score was generated using 24-hour recall dietary data. Both bivariate and multivariable logistic regression analyses were done to identify factors associated with thinness and dietary diversity. A p-value <0.05 was used to declare the significance of association. Results: The prevalence of thinness was 10.1% (95% CI=7.1-13). Children who lived in urban areas were 65% less likely to be thin (AOR=0.35; 95% CI=0.13-0.93) compared to those who lived in rural areas after controlling for other variables. The proportion of children who met minimum dietary diversity was 27.5% (95% CI=23-32). Children living in households with rich wealth index Terciles (AOR=1.88; 95% CI=1.09-3.21) and children living in urban areas (AOR=2.38; 95% CI=1.28-4.39) were twice more likely to have adequate dietary diversity compared to their counter parts. Discussion: The prevalence of thinnessn is less common in the study area when compared to the prevalence reported by other studies in developing countries. Residence of children was associated with thinness. The practice of having diversified diet was low among children. Rich family wealth status and place of residence were significantly associated with adequate dietary diversity. Hence, targeted interventions that focus on rural children and household socioeconomic status are needed to improve dietary diversity and nutritional status.

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“…This finding correlates with other studies from South-western Nigeria (76.5%), Ethiopia (99.6%) (97.6%) and India (50%) where rice and pastries were commonly consumed by adolescents compared with other foods. 4,37,38 Refined cereals like processed rice and pastries have little or no fiber and contribute to the prevalence of obesity. They contribute significantly to the higher intakes of Advanced Glycation End-products (AGEs) which is associated with marginally greater weight gain.…”

Section: Discussionmentioning

confidence: 99%

“…4,20 Females had higher prevalence of overweight (13.9) and obesity (8.4%) compared with males (6.6% and 4.3%) similar to the reports from Sokoto and Ethiopia studies. 27,37 The higher prevalence of obesity among the girls may be related to weight gain that results from developmental changes and hormonal influences which necessitates beginning of menarche in females. In addition to the hormonal influences, gender roles particularly those requiring higher physical exertion can also affect weight.…”

Section: Discussionmentioning

confidence: 99%

Dietary Patterns, Nutritional Knowledge and Status of Adolescents in Lagos, Nigeria.

Olatona

Ogide

Abikoye

et al. 2020

Preprint

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Background Adolescents in low-and middle-income countries, such as Nigeria, are at increased risk of under-nutrition and overnutrition. This study assessed this risk by examining the dietary patterns, nutritional knowledge and status of adolescents in Lagos state of Nigeria. Methods A descriptive cross-sectional study in which six hundred and eighty-two (682) adolescents were selected from their communities using multistage sampling technique. Nutritional knowledge and dietary patterns were ascertained using structured, self-administered questionnaires and anthropometric measurements were taken to determine nutritional status. Data was analyzed using Epi-Info version 7.2.3.1 computer software. Chi-square was used to test for association between categorical variables and p-values ≤ 0.05 were considered statistically significant. WHO Anthro-Plus was used to evaluate nutritional status. ResultsThe mean age of the adolescents was 13.6±2.3 years. Only 12.0% of them had good level of nutritional knowledge with the males having significantly higher levels. Dietary pattern and diversity were poor with the majority consuming refined cereals (73.5%), salty snacks/high fat foods (69.6%) and carbonated soft drinks (46.8%) while only 9.7% took adequate amount of fruits and vegetables daily. Prevalence of undernutrition was 5.4% while that of overweight and obesity were 10.7% and 5.3% respectively. More females were obese compared with the males. Sex, age, educational status, source of information, daily consumption of snacks, infrequent intake of fruits and vegetables, nutritional knowledge, food habits and dietary diversity were statistically significantly associated with nutritional status of adolescents in the positive direction (p≤0.05).Conclusions Nutritional knowledge and dietary patterns were poor while overweight and obesity are higher than previously reported in the region; especially among the females. Adolescent nutrition intervention programmes addressing weight control especially among females is needed in Lagos.

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The Emerging Nutritional Problems of School Adolescents: Overweight/Obesity and Associated Factors in Jimma Town, Ethiopia

Cited by 41 publications

References 11 publications

Ethiopian Orthodox Fasting and Lactating Mothers: Longitudinal Study on Dietary Pattern and Nutritional Status in Rural Tigray, Ethiopia

Ethiopian Orthodox Fasting and Lactating Mothers: Longitudinal Study on Dietary Pattern and Nutritional Status in Rural Tigray, Ethiopia

<p>Predictors of thinness and improved dietary diversity among School Aged Children in Southern Ethiopia</p>

Dietary Patterns, Nutritional Knowledge and Status of Adolescents in Lagos, Nigeria.

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