scholarly journals Nutritional status of Tunisian adolescents: associated gender, environmental and socio-economic factors

2008 ◽  
Vol 11 (12) ◽  
pp. 1306-1317 ◽  
Author(s):  
Hajer Aounallah-Skhiri ◽  
Habiba Ben Romdhane ◽  
Pierre Traissac ◽  
Sabrina Eymard-Duvernay ◽  
Francis Delpeuch ◽  
...  

AbstractObjectiveTo assess the nutritional status of Tunisian adolescents and associated factors.DesignA cross-sectional study based on a national stratified random cluster sample.Subjects and methodsIn all, 1295 boys and 1577 girls aged 15–19 years, of whom 28·4 % had already left school. Socio-economic characteristics of the parents, anthropometric measurements, food behaviours and physical activity of the adolescents were recorded during home visits.ResultsPrevalence of underweight, overweight and obesity (WHO/National Center for Health Statistics reference) were, respectively, 8·1 %, 17·4 % and 4·1 % among boys and 1·3 %, 20·7 % and 4·4 % among girls; abdominal obesity was highly prevalent among both sexes. Prevalence of overweight differed by region (from 11·5 % to 22·2 %) and was higher in urban v. rural areas for males (21·7 % v. 10·4 %) but not for females (21·7 % v. 19·2 %). These differences were partially mediated by socio-economic and lifestyle factors for males. For females, influence of cultural factors is hypothesised. In rural areas, overweight was more prevalent among boys of higher economic level households, having a working mother or a sedentary lifestyle; for girls, prevalence increased with the level of education of the mother. In urban areas, prevalence of overweight was related to eating habits: it was higher for boys with irregular snacking habits and for girls skipping daily meals. Urban girls having left school were also more overweight.ConclusionOverweight and abdominal obesity in late adolescence have become a true public health problem in Tunisia with the combined effects of cultural tradition for girls in rural areas, and of rapid economic development for boys and girls in cities.

2015 ◽  
Vol 2015 ◽  
pp. 1-6 ◽  
Author(s):  
S. M. Seck ◽  
D. G. Dia ◽  
D. Doupa ◽  
A. Diop-Dia ◽  
I. Thiam ◽  
...  

Diabetes represents a challenging global health issue in the 21st century. Data from sub-Saharan African populations are scarce and are usually restricted to urban settings. The objective of this study was to compare prevalence and risk factors of diabetes in rural and urban areas in Senegal.Methods.In a community-based survey between January and May 2012, we included 1027 adults aged≥18 years living in northern Senegal. Sociodemographic, clinical, and biological data were collected during household visits. Multivariate logistic regression was performed to identify factors associated with diabetes.Results.Mean age of participants was48.0±16.9years and 65.7% were female. Participants from urban area represented 55.7%. The age-standardized prevalence of diabetes was 7.6% (6.0% in men versus 9.0% in women). Prevalence of diabetes was higher in urban areas (8.1%) compared to rural areas (4.6%). Disease awareness rate was 43%. After multivariate analysis, age (OR = 1.63,p=0.001), familial history of diabetes (OR = 1.42,p=0.001), and abdominal obesity (OR = 1.17,p=0.05) were associated with diabetes.Conclusion.Diabetes is frequent in urban and rural areas in Senegal. Awareness rate is very low among populations. Age, family history of diabetes, and abdominal obesity are the main risk factors identified.


2019 ◽  
Vol 16 (1) ◽  
pp. 19-26 ◽  
Author(s):  
Prajjwal Pyakurel ◽  
Deepak Kumar Yadav ◽  
Jeevan Thapa ◽  
Nishant Thakur ◽  
Pramita Sharma ◽  
...  

Background: Hypertension is one of the major risk factors for the rising burden of cardiovascular diseases (CVDs) in developing region. It has also been recognized as one of the major public health problems in the developing countries since the early seventies and the rate is increasing not only in urban areas but in rural areas with low socio-economic condition.  Methods: A cross sectional study was conducted in Jogidaha Village Development Comittee(VDC) and Triyuga Municipality of Udaypur district of South-Eastern Nepal. A total of 430 participants of age 18-59 years were selected. Semi-structured questionnaire (WHO NCD STEPS instrument) was used to collect information on demographic variables and associated risk factors with use of show cards. Clinical and anthropometric measurement were done. Primary outcome was prevalence of hypertension. Bivariate and multivariate analysis were performed to show strength of association among various risk factors with hypertension.  Results: The prevalence of hypertension was found to be 25.1%. Prevalence of overweight and obesity was found to be 49.8%. Hypertension was significantly associated with age (AOR=1.09, CI=1.05-1.10) and gender (male >female; AOR= 2.12,CI =1.22-3.68). Similarly, increased waist-hip ratio(7.12; CI 2.87-17.67),alcohol consumption(OR=2.82,CI=1.77-4.52), and use of tobacco products (OR =1.8,CI=1.02-3.20) showed significant association with hypertension. Conclusion: There is high prevalence of hypertension in rural districts of South-Eastern Nepal. A community-based preventive approach with early detection and treatment and life-style modification is needed to reduce the burden of disease and make sustainable changes. 


Author(s):  
Sufyan Anwar ◽  
Maiza Duana ◽  
. Marniati

Aims: The study aims to prove the correlation between demographic factors and the eating habits of the elderly in Aceh, Indonesia. Study Design:  A cross-sectional study. Place and Duration of Study: The study was conducted in Aceh Barat district, Aceh province-Indonesia between June and October 2019. Methodology: This cross-sectional study was carried out by involving the elderly (age of 60 years or above) in 483 participants. Bivariate analysis was conducted through a chi-square test using SPSS version 21 to answer the research hypothesis. Results: Four hundred and eighty three (483) elderly people with mean age of 69.76 years were enrolled, of these, 68.9% were women and 58.2% were unemployed. Fifty-nine percent of respondents live in rural areas and 64.39% had good eating habits. Finding unveiled that age had a significant correlation with eating habits (P=0,05), gender did not correlate with eating habits (P>0,05). Occupation correlated with eating habits (P=0.05), and area of residence correlated with eating habits (P=0,05).. Conclusion: The study concluded that younger age (60-69 years old), employed, and living in urban areas positively contribute to establishing healthy eating habits in the elderly in Aceh. Furthermore, it is necessary to conduct intervention studies in the occupation variable as a modifiable variable.


2019 ◽  
Vol 22 (17) ◽  
pp. 3118-3126 ◽  
Author(s):  
Filipa Fontes ◽  
Albertino Damasceno ◽  
Neusa Jessen ◽  
António Prista ◽  
Carla Silva-Matos ◽  
...  

AbstractObjective:The ongoing demographic, nutritional and epidemiological transitions in sub-Saharan Africa highlight the importance of monitoring overweight and obesity. We aimed to assess the prevalence of overweight and obesity in Mozambique in 2014/2015 and compare the estimates with those obtained in 2005.Design:Cross-sectional study conducted in 2014/2015, following the WHO Stepwise Approach to Chronic Disease Risk Factor Surveillance (STEPS). Prevalence estimates with 95 % CI were computed for different categories of BMI and abdominal obesity, along with age-, education- and income-adjusted OR. The age-standardized prevalence in the age group 25–64 years was compared with results from a STEPS survey conducted in 2005.Setting:Mozambique.Participants:Representative sample of the population aged 18–64 years (n 2595).Results:Between 2005 and 2014/2015, the prevalence of overweight and obesity increased from 18·3 to 30·5 % (P < 0·001) in women and from 11·7 to 18·2 % (P < 0·001) in men. Abdominal obesity increased among women (from 9·4 to 20·4 %, P < 0·001), but there was no significant difference among men (1·5 v. 2·1 %, P = 0·395). In 2014/2015, the prevalence of overweight and obesity was more than twofold higher in urban areas and in women; in the age group 18–24 years, it was highest in urban women and lowest in rural men.Conclusions:In Mozambique, there was a steep increase in the prevalence of overweight and obesity among adults between 2005 and 2014/2015. Overweight and obesity are more prevalent in urban areas and among women, already affecting one in five urban women aged 18–24 years.


2020 ◽  
Vol 2020 ◽  
pp. 1-12
Author(s):  
Katiya Ivanovitch ◽  
Sonemany Keolangsy ◽  
Nontiya Homkham

Introduction. In recent decades, the developing countries of Southeast Asia, including the Lao People’s Democratic Republic (Lao PDR), have experienced a rapid growth of their urban population. Partly as a result of that, issues of undernutrition and overnutrition became a significant public health problem. Objective. To examine the prevalence of overweight and obesity and their related factors, among the school-attending adolescents in the Lao capital of Vientiane. Methods. A cross-sectional data on 300 adolescents aged 15–19 were collected during the months of March, April, and May 2018 by means of a self-administrated questionnaire. Anthropometric measurements were used to obtain data on height and weight. Pearson’s chi-squared test, Fisher exact tests, and univariable and multivariable logistic regressions were applied in the course of the statistical analysis. Results. The study found a high prevalence of overweight/obesity (23.3%) and thinness (10.3%). Poor eating habits were noted in 67.0% of adolescents, even though 78.0% of them had a good knowledge of nutrition. Factors significantly associated with the overweight/obesity were low physical activities (aOR = 18.3; 95% CI: 5.51–60.66) and adolescents living with their guardians (aOR = 0.25; 95% CI: 0.08–0.79). Results also indicated that, in 47.3% of the cases, teachers, acting as a source of health and nutrition information, can prevent the risk of adolescents’ overweight/obesity (aOR = 2.05, 95% CI = 1.11–3.80) but not their thinness (aOR = 0.4, 95% CI = 0.17–0.88). Conclusions. Laotian adolescents are facing the spectrum of malnutrition in urban areas. To improve adolescents’ nutritional status, there is a need for a collaborative approach of public health agencies that would address the issues of an effective food and nutrition policy. The school curricula should also include programs on nutrition and physical education.


2013 ◽  
Vol 12 (1) ◽  
Author(s):  
Maryam Rafraf

Introduction: Obesity is a growing public health problem in both developed and developing societies. The aim of this cross-sectional study was to estimate the prevalence of overall obesity determined by body mass index (BMI) and abdominal obesity identified by waist circumference(WC) percentiles, waist to hip ratio(WHR) and waist to height ratio (WHtR), in adolescent girls attending high school in Tabriz, Iran. Methods: A sample of 985 girls was selected by stepwise random sampling from five districts of Tabriz. Weight, height, WC and hip circumferences ( HiC) of the subjects were measured and BMI, WHR and WHtR were calculated. Overweight and obesity were defined according to International BMI Cut-Off Points for adolescents. WC >90th percentile, WHR>0.80 and WHtR≥0.50 were categorized as abdominal obesity. Results: The prevalence rates of obesity and overweight were 2.8% and 16.4%, respectively. Abdominal obesity defined by WC percentiles, WHR, and WHtR were seen in 3.2%, 4.0%, and 18.2% of subjects, respectively. WHtR determined the highest prevalence of abdominal obesity in subjects compared to WC and WHR. WC, WHR, and WHtR were significantly related to BMI. Conclusions: Overall obesity and abdominal obesity are substantially prevalent in the studied adolescent girls. Further studies are needed to identify risk factors for the obesity in our studied population. Findings emphasize the importance of establishing community–based interventions in order to prevent the development of adolescent obesity and its complications in adulthood.


2020 ◽  
Vol 2020 ◽  
pp. 1-6 ◽  
Author(s):  
Tewodros Yosef ◽  
Biruk Bogale ◽  
Alemnew Destaw ◽  
Angesom Weldu

Background. Abnormal body mass index (BMI ≥ 25 kg/m2) has become a major global public health problem which is rising at a faster rate in urban areas of low- and middle-income countries. In Ethiopia, the prevalence gradually increases. Long-distance truckers are at a high risk of developing overweight or obesity due to the sedentary nature of their job. Despite these populations at a high risk of developing overweight/obesity such as drivers elsewhere, pieces of data that showed the prevalence and contributing factors of overweight and obesity among long-distance truckers in Ethiopia are not yet available. Objective. To assess the prevalence and contributing factors of overweight and obesity among long-distance truckers in Ethiopia. Methods. A cross-sectional study was conducted among 400 systematically selected truckers at Modjo dry port in Ethiopia from February to March, 2018. Data were collected through face-to-face interviews using a structured questionnaire. The final results were presented in tables and numerical summary measures such as mean and standard deviation (SD). Results. Of the 400 truckers interviewed, the prevalence of overweight and obesity was 56.5%, 95% CI (51.6%–61.4%). The study also found that a monthly income ≥220 USD (AOR = 1.83, 95% CI (1.05–3.18)), having 3 or more family sizes (AOR = 2.24, 95% CI (1.15–4.36)), less than 6 hours of sleep at night (AOR = 3.34, 95% CI (1.99–5.78)), driving for 9 or more hours daily (AOR = 2.29, 95% CI (1.09–4.81)), and a truck driving experience of 10 or more years (AOR = 2.13, 95% CI (1.29–4.18)) were significantly associated with overweight and obesity. Conclusion. The prevalence of overweight and obesity was substantially high. The study also found that sociodemographic and occupational factors are mainly associated with overweight and obesity. Therefore, a health education program should be designed for awareness creation on the importance of reducing a sedentary lifestyle, consuming healthy foods or drinks, and having regular physical exercise to mitigate the problem.


Author(s):  
Susana Moreira ◽  
Luzia Gonçalves

In Portugal, the majority of immigrants come from Portuguese-speaking countries. Among children, overweight and obesity are serious public health concerns, but a few studies include children with immigrant background. This study aimed to estimate the prevalence of overweight and obesity and risk of abdominal obesity in school-age children and to explore potential determinants, considering the origin of the children’s parents (both mother and father are non-Portuguese, only one Portuguese, and both are Portuguese). A cross-sectional study included a random sample of 789 children (5–11 years old, 49.2% of males and 50.8% female) attending public primary schools in Barreiro, district of Setubal, Portugal. Fieldwork occurred from 20th April to 3rd July 2009. Data concerning socioeconomic, eating habits, and sports outside school were obtained through a questionnaire applied to the children’s person in charge. Anthropometric measures were collected by certified technicians. One-third of the children presented overweight and obesity (33.7%, 95% CI [30.0; 37.7]) and risk of abdominal obesity (16.4%, 95% CI [13.6; 19.7]) without differences according to parents’ origin. Children with immigrant background presented higher consumption of low-priced, high-sugar, and high-fat foods, with a worse situation for girls. Females from both non-Portuguese parents also practiced less sports outside school than those where one or two parents are Portuguese. Thus, promoting and monitoring a healthy diet and physical activity in this group should be prioritized in this local setting.


2019 ◽  
Vol 6 (3) ◽  
pp. 1143
Author(s):  
Prashant M. Modi ◽  
Sunil Pathak ◽  
Sagar Patel ◽  
Ritika Srivastva ◽  
Reya Thomas ◽  
...  

Background: Abnormal nutritional status i.e. underweight, overweight and obesity is increasing rapidly amongst adolescents irrespective of socioeconomic status and geography. This study was carried out to assess prevalence of abnormal nutritional status and common associated morbidities among school going adolescent of rural areas of Vadodara, Gujarat, India.Methods: A cross sectional observational study was done among school going adolescents of rural areas of Vadodara, Gujarat. A predesigned and pretested semi-structured proforma was used to get relevant clinical details of study participants. Total 474 students aged 12-17 years participated in our study.Results: Out of 474 enrolled adolescents, 16.67% were underweight, where as 3.8% and 2.95% were obese and overweight respectively. The prevalence of overweight and obesity were almost similar in both genders. Out of total 16.24% were stunted with predominance in boys compared to girls (p value: 0.039). Hypertension was found in 5.0% of participants with 3 times more prevalent in girls than boys (p value 0.011). Similarly, anemia was affecting both genders equally.Conclusions: Although underweight is a known nutritional problem of adolescents from rural areas, overweight and obesity are also rapidly growing health issues among them now a days. With keeping in mind this increasing burden of abnormal nutritional status and associated morbidities, regular health check-up, education of parents and adolescents on healthy lifestyle and inclusion of adolescents in existing government programmes are essential measures to reduce these problems.


Author(s):  
Raghavendra A. H. ◽  
Monika Singh ◽  
Pragti Chabra ◽  
Arun Kumar Sharma

Background: Hypertension is the major public health problem both in developing and developed nations. There is disparity in prevalence of hypertension in rural and urban areas. Data is available on the prevalence of hypertension in both urban and rural areas but studies on migratory population are limited. Methods: A community based cross sectional study conducted in urbanized village of east Delhi.  WHO STEPS questionnaire was used collect the data. Total of 451 persons were interviewed by stratified random sampling method.  Data analysis was done using SPSS version 16. Results: Prevalence of hypertension was 16.4%, high age group, high income, body mass index more than 23 and duration of stay in urban area were significantly associated with prevalence of hypertension. Conclusions: Older age group, higher BMI and longer duration of stay in urban area have significant associations with the higher prevalence of hypertension. 


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