Double burden of malnutrition among mothers and their under five children in rural areas of Oyo State, Nigeria

4区医学

World review of nutrition and dietetics Pub Date : 2022-12-31 DOI:10.26596/wn.202213421-28

Ope Zacchaeus Adeyanju, G. Fadupin

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引用次数: 1

Abstract

Background/Objective: Double burden of malnutrition, characterized by undernutrition among poor children and overnutrition among disadvantaged adults coexisting in the same population group or household, is a serious global problem. The objective of this study was to assess double burden of malnutrition among mothers and their under-five children in rural communities of Ibadan, Nigeria. Methods: This cross-sectional and descriptive study adopted a two-stage random sampling to recruit 217 mother-child pairs from 18 rural communities in Ido and Akinyele Local Government Areas of Ibadan. A semi-structured, interviewer-administered questionnaire was used to obtain information on socio-demographic characteristics and personal characteristics of mothers and their under-five children respectively. Anthropometric characteristics of mothers was obtained and their Body Mass Index (BMI) was determined using WHO classification. Children anthropometry was measured and expressed as stunting (height-for-age), wasting (weight-for-height) and underweight (weight-for-age) using WHO Anthro. Data were analyzed using descriptive statistics, Chi-square test, and correlation at 0.05 level of significance. Results: Age of mothers and under-five children were 32.3±6.2 years and 35.3±14.1 months respectively. Household size was 6.3±1.7 and 62.2% had no formal education. Underweight, overweight and obesity among mothers were 9.2%, 15.2% and 3.2%, respectively. Among children, underweight, stunting and wasting were 30.4%, 40.6% and 7.8%, respectively. Household size was significantly associated with stunting. Mothers’ BMI was positively and significantly correlated with height-for-age (r=0.173), weight-for-height (r=0.150) and weight-for-age (r=0.250) in children. Conclusion: This study confirms coexistence of double burden of malnutrition at household level in this rural areas of Ibadan, Nigeria. That is the concurrence of child undernutrition and maternal under and overnutrition in the same household surveyed, which was characterized by a high prevalence of undernutrition particularly stunting early in life. Therefore, a comprehensive nutritional programme that is context-specific targeted at rural women and their children should be implemented. Keywords: Overnutrition, Rural women, Under-five children, Nutritional status, undernutrition

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尼日利亚奥约州农村地区母亲及其五岁以下儿童营养不良的双重负担

背景/目的:营养不良的双重负担是一个严重的全球性问题，其特征是同一人口群体或家庭中同时存在贫困儿童营养不足和弱势成人营养过剩。本研究的目的是评估尼日利亚伊巴丹农村社区母亲及其五岁以下儿童营养不良的双重负担。方法:采用横断面和描述性研究，采用两阶段随机抽样的方法，从伊巴丹州伊多和阿金耶勒地方政府区18个农村社区招募217对母子。采用半结构化、由访谈者填写的问卷，分别获取母亲及其五岁以下子女的社会人口特征和个人特征信息。获得母亲的人体测量特征，并使用WHO分类确定其身体质量指数(BMI)。使用世卫组织人体测量系统测量并表示为发育迟缓(身高比年龄)、消瘦(体重比身高)和体重不足(体重比年龄)。资料分析采用描述性统计、卡方检验，相关性在0.05显著水平。结果:母亲年龄32.3±6.2岁，5岁以下儿童年龄35.3±14.1个月。家庭人口为6.3±1.7人，未接受过正规教育的占62.2%。母亲中体重不足、超重和肥胖的比例分别为9.2%、15.2%和3.2%。儿童中体重不足、发育迟缓和消瘦的比例分别为30.4%、40.6%和7.8%。家庭规模与发育迟缓显著相关。母亲BMI与儿童身高年龄比(r=0.173)、身高体重年龄比(r=0.150)、体重年龄比(r=0.250)呈显著正相关。结论:本研究证实了尼日利亚伊巴丹农村地区家庭层面存在双重营养不良负担。也就是说，在同一调查家庭中，儿童营养不足和母亲营养不足和营养过剩同时发生，其特点是营养不足的发生率很高，特别是在生命早期发育迟缓。因此，应执行一项针对农村妇女及其子女的具体情况的综合营养方案。关键词:营养过剩，农村妇女，五岁以下儿童，营养状况，营养不良

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来源期刊

World review of nutrition and dietetics Nursing-Nutrition and Dietetics

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0.00%

发文量

114

期刊介绍： Volumes in this series consist of exceptionally thorough reviews on topics selected as either fundamental to improved understanding of human and animal nutrition, useful in resolving present controversies, or relevant to problems of social and preventive medicine that depend for their solution on progress in nutrition. Many of the individual articles have been judged as among the most comprehensive reviews ever published on the given topic. Since the first volume appeared in 1959, the series has earned repeated praise for the quality of its scholarship and the reputation of its authors.