Individual and contextual factors associated with under- and over-nutrition among school-aged children and adolescents in two Nigerian states: a multi-level analysis

被引：4

作者：

Adeomi, Adeleye Abiodun ^{[1
,2
]}

Fatusi, Adesegun ^{[1
,3
]}

Klipstein-Grobusch, Kerstin ^{[2
,4
]}

机构：

[1] Obafemi Awolowo Univ, Coll Hlth Sci, Dept Community Hlth, Ife, Osun, Nigeria

[2] Univ Witwatersrand, Fac Hlth Sci, Sch Publ Hlth, Div Epidemiol & Biostat, Johannesburg, South Africa

[3] Univ Med Sci, Ctr Adolescent Hlth & Dev, Sch Publ Hlth, Ondo, Nigeria

[4] Univ Utrecht, Univ Med Ctr Utrecht, Julius Ctr Hlth Sci & Primary Care, Julius Global Hlth, Utrecht, Netherlands

来源：

PUBLIC HEALTH NUTRITION | 2022年 / 25卷 / 08期

基金：

英国惠康基金;

关键词：

Thinness; Overweight; Obesity; Double burden of malnutrition; Nutritional status; Contextual factors; Multi-level analysis; BODY-MASS INDEX; OVERWEIGHT; MALNUTRITION; OBESITY; BURDEN;

D O I：

10.1017/S1368980022000258

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Objective: This study aimed to identify individual and contextual factors that are associated with under- and over-nutrition among school-aged children and adolescents in two Nigerian states. Design: Community-based cross-sectional study. Setting: The study was carried out in rural and urban communities of Osun and Gombe States in Nigeria. Participants: A total of 1200 school-aged children and adolescents. Results: Multi-level analysis showed that the full models accounted for about 82 % and 39 % of the odds of thinness or overweight/obese across the communities, respectively. Household size (adjusted OR (aOR) 1 center dot 10; P = 0 center dot 001; 95 % CI (1 center dot 04, 1 center dot 16)) increased the odds, while the upper wealth index (aOR 0 center dot 43; P = 0 center dot 016; 95 % CI (0 center dot 22, 0 center dot 86)) decreased the odds of thinness. Age (aOR 0 center dot 86; P < 0 center dot 001; 95 % CI (1 center dot 26, 8 center dot 70)), exclusive breastfeeding (aOR 0 center dot 46; P = 0 center dot 010; 95 % CI (0 center dot 25, 0 center dot 83)), physical activity (aOR 0 center dot 55; P = 0 center dot 001; 95 % CI (0 center dot 39, 0 center dot 78)) and the upper wealth index (aOR 0 center dot 47; P = 0 center dot 018; 95 % CI (0 center dot 25, 0 center dot 88)) were inversely related with overweight/obesity, while residing in Osun State (aOR 3 center dot 32; P = 0 center dot 015; 95 % CI (1 center dot 26, 1 center dot 70)), female gender (aOR 1 center dot 73; P = 0 center dot 015; 95 % CI (1 center dot 11, 2 center dot 69)) and screen time > 2 h/d (aOR 2 center dot 33; P = 0 center dot 005; 95 % CI (1 center dot 29, 4 center dot 19)) were positively associated with overweight/obesity. Conclusions: The study shows that selected community and individual-level factors are strongly associated with thinness and overweight/obesity among school-aged children and adolescents.

引用

页码：2339 / 2351

页数：13

共 49 条

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