RESEARCH JOURNAL OF FOOD SCIENCE AND NUTRITION
Integrity Research Journals
ISSN: 2536-7080
Model: Open Access/Peer Reviewed
DOI: 10.31248/RJFSN
Start Year: 2016
Email: rjfsn@integrityresjournals.org
Prevalence and associated factors of double burden of malnutrition among school adolescence 10-19 years in Burayu town Oromia Special Zone, Ethiopia
https://doi.org/10.31248/RJFSN2019.078 | Article Number: D5D7A8172 | Vol.4 (6) - December 2019
Received Date: 28 August 2019 | Accepted Date: 19 November 2019 | Published Date: 30 December 2019
Authors: Abebe Haile and Gemechu Eba
Keywords: malnutrition, Adolescent, children, double burden, overweight, stunting.
The double burden of malnutrition is an emerging nutritional problem of the coexistence of underweight and overweight. Obesity affects adolescents from both affluent and poor countries and nutritional status of adolescents in Ethiopia is not well documented, and they are the neglected segment of the population. The study aimed to assess prevalence and associated factors of double burden of malnutrition among adolescents in Burayu town, Ethiopia. A school-based cross-sectional study was conducted. A Stratified sampling was used to select a random sample of 627 adolescents from selected schools. Data on economic characteristics and socio-demographic information were collected by using an interviewer-administered questionnaire, and anthropometric measurements were made by using a digital Seca scale and height measuring board by trained data collectors. Data was entered into Epi-Data version 3.1 software and exported to SPSS version 24. World Health Organization Anthro-plus software was used to analyze anthropometric data. Both binary and multinomial logistic regression analyses was done to identify factors associated with the malnutrition of adolescents. Prevalence of stunting, thinness and overweight was 11.1, 3.9 and 12.1%, respectively. Having small number of children [AOR = 2.069, (95%CI: 1.161, 3.686)] significantly associated with stunting. Sex of adolescents [AOR = 4.454, (95%CI: 1.616, 12.278)], primary school adolescents [AOR = 0.233, (95%CI: 0.066, 0.821)] and secondary school adolescents [AOR = 0.229(95%CI: 0.056, 0.931)] and food sources [AOR = 3.750, (95%CI: 1.446, 9.728)] were significantly associated thinness. Sex of adolescents [AOR = 0.536, (95%CI: 0.318, 0.901)], school type [AOR = 0.326, (95%CI: 0.186, 0.571)] and number of children [AOR = 1.855, (95%CI: 1.086, 3.166)] were significantly associated overweight/obese. The study revealed the coexistence of double burden of malnutrition among in-school adolescents. There is an increasing trend in the level of stunting and overweight/obesity. Number of children that family had being associated with stunting and overweight/obesity. Food source and school level was positive association with thinness. School type and sex of adolescents associated with overweight/obesity.
| A Global Community Investment Initiative (2014). Non-Communicable Diseases and Adolescents an Opportunity for Action. | ||||
| Ahmed, Y., &Tomas, B. (2015). Nutritional Status and Associated Risk Factors Among Adolescent Girls in Agarfa High School, Bale Zone, Oromia Region, South East Ethiopia. International Journal of Nutrition and Food Sciences, 4(4), 445-452. Crossref |
||||
| Ani, P. N, Uvere, P., & Ene-Obong H. (2014). Prevalence of overweight, Obesity and thinness among adolescents in rural and urban areas of Enugu State, Nigeria. International Journal of Basic and Applied Sciences, 3(1), 1-7. Crossref |
||||
| Berbada, D. A., Haidar, J., Gebremichael, G., & Haftu, D. (2017). Magnitude of double burden of malnutrition and its associated factors among selected in-school adolescents: Evidence from South Ethiopia. International Journal of Nutrition and Metabolism, 9(4), 30-37. Crossref |
||||
| Bloom, D. E., Cafiero, E. T., Jané-Llopis, E., Abrahams-Gessel, S., Bloom, L. R., Fathima, S., Feigl, A. B., Gaziano, T., Mowafi, M., Pandya, A., Prettner, K., Rosenberg, L., Seligman, B., Stein, A. Z., & Weinstein, C. (2011). The Global Economic Burden of Noncommunicable Diseases. Geneva: World Economic Forum. Link |
||||
| Chukwuma, B. D., Anthony, C. I., Kenechi, A. U., Kevin, C. D., Chinomnso, C. N., Irene, A. M., Kinsley, A., & Henry, N.C. (2014). Prevalence and determinants of adolescent malnutrition in Owerri, Imo State, Nigeria. International Journal of Science and Healthcare Research, 1(3) 2455-2477. | ||||
| Darnton-Hill, I., Nishida, C., & James, W. P. T. (2004). A life course approach to diet, nutrition and the prevention of chronic diseases. Public Health Nutrition, 7(1a), 101-121. Crossref |
||||
| Delisle, H., Chandra-Mouli, V., & de Benoist, B. (2001). Should adolescents be specifically targeted for nutrition in developing countries? To address which problems, and how. Bull World Health Organ, Pp. 1-26. | ||||
| EDHS (2016). Central Statistical Agency of Ethiopia, Addis Ababa, Ethiopia, The DHS Program ICF, Rockville, Maryland, USA. | ||||
| FAO, IFAD & WFP (2014). The state of food insecurity in the world: strengthening the enabling environment for food security and nutrition. Rome, Italy: Food and Agriculture Organization of the United Nations; International Fund for Agricultural Development; World Food Programme. | ||||
| Gebreyohannes, Y., Shiferaw, S., Demtsu, B., & Bugssa, G. (2014). Nutritional status of adolescents in selected government and private secondary schools of Addis Ababa, Ethiopia. Adolescence, International Journal of Nutrition and Food Sciences, 3(6) 504-514. Crossref |
||||
| Gopalan, C. (1989). Growth of affluent Indian girls during adolescence. NFI Scientific paper New Delhi: Nutrition Foundation of India, 198(10), 22-23. | ||||
| Hrimpton R., & Rokx C. (2012). Health, nutrition & population (HNP) discussion paper: The double burden of malnutrition: a review of global evidence. Washington (DC), USA: The World Bank. Crossref |
||||
| James, P. H., Norum, K., Smitasiri, S., Swaminathan, M., Tagwireyi, J., & Uauy, R. (2000). Ending malnutrition by 2020: An Agenda for change in the millennium: Final report to the ACC/SCN by the Commission on the Nutrition Challenges of the 21st Century. | ||||
| Kassa, Z. Y., Behailu, T., Mekonnen, A., Teshome, M., & Yeshitila, S. (2017). Malnutrition and associated factors among under five children (6-59 Months) at Shashemene Referral Hospital, West Arsi Zone, Oromia, Ethiopia. Current Pediatric Research. 21(1), 172-180. | ||||
| Kramer, M. S. (1987). Determination of low birth weight: methodology assessment &meta-analysis. Bulletin of the World Health Organization, 65(5), 663-673. | ||||
| Kurz, K. M. (1996). Adolescent nutritional status in developing countries. Proceedings of the Nutrition Society, 55(1B), 319-331. Crossref |
||||
| Ma'alin, A., Birhanu, D., Melaku, S., Tolossa, D., Mohammed, Y., & Gebremicheal, K. (2016). Magnitude and factors associated with malnutrition in children 6-59 months of age in Shinille Woreda, Ethiopian Somali regional state: a cross-sectional study. BMC Nutrition, 2(1), Article number 44. Crossref |
||||
| Maket, K. K., &Tan, S. H. (2012). Underweight problems in Asian children andadolescents. European Journal of Pediatrics, 171(5), 779-785. Crossref |
||||
| Ministry of Agriculture (2004). Ethiopian agricultural sample survey report on livestock and livestock characteristics, Ministry of Agriculture, Addis Ababa. | ||||
| Neufeld, L. M., & Osendarp, S. J. (2013). Global regional and country trends in underweight and stunting as indicators of nutrition and health of populations. Nestle Nutrition Inst Workshop Ser., 78(1), 11-19. Crossref |
||||
| Ng, M., Fleming, T., Robinson, M., Thomson, B., Graetz, N., Margono, C., Mullany, E.C., Biryukov, S., Abbafati, C., Abera, S. F., & Abraham, J. P. (2014). Global, regional, and national prevalence of overweight and obesity in children and adults during 1980-2013: A systematic analysis for the Global Burden of Disease Study 2013. The lancet, 384(9945), 766-781. | ||||
| Onis, M. D., Onyango, A. W., Borghi, E., Siyam, A, Nishida C., & Siekmann J. (2007). Development of a WHO growth reference for school-aged children and adolescents. Bull World Health Organization, 85(9), 660-667. Crossref |
||||
| Popkin, B. M., & Slining, M. M. (2013). New dynamics in global obesity facing low‐and middle‐income countries. Obesity reviews, 14(1), 11-20. Crossref |
||||
| Teferi, D. Y., Atomssa, G. E., & Mekonnen, T. C. (2018). Overweight and Undernutrition in the Cases of School-Going Adolescents in Wolaita Sodo Town, Southern Ethiopia: Cross-sectional study. Journal of Nutrition and Metabolism, vol. 2018, Article ID 8678561, 10p. Crossref |
||||
| Teshome, T., Singh, P., & Moges, D. (2013). Prevalence and associated factors of overweight and obesity among high school adolescents in urban communities of Hawassa, Southern Ethiopia. Current Research in Nutrition and Food Science Journal, 1(1), 23-36. Crossref |
||||
| WHO (2003). Nutrition in transition: globalization and its impact on nutrition patterns and diet-related diseases. | ||||
| WHO (2005). Reviews analyses; use and interpretation of anthropometric indicators of nutritional status: Bulletin of the World Health Organization, 64(1), 6-15. | ||||
| WHO (2006). Adolescent Nutrition: A Review of the situation in selected South-East Asian countries, WorldHealth Organization, New Delhi. | ||||
| WHO (2007). Anthro pus for personal computers manual. Software for assessing growth of the world's children and adolescents, World Health Organization, Geneva, Switzerland. | ||||
| WHO (2011). Global status report on non-communicable diseases 2010. | ||||
| WHO (2017). Regional atlas on adolescent and youth monitor the health status and trend of adolescent and youth in Africa. | ||||
| Wise, J. (2014). Obesity rates rise substantially worldwide. BMJ. 348:g3582. Crossref |
||||
Copyright © 2025 Integrity Research Journals. All rights reserved.