Over the past few decades, the prevalence of overweight and obesity has significantly increased among adolescents of developed countries and becoming an emerging problem in countries undergoing socioeconomic transition. The adverse health outcomes resulting from overweight and obesity include short-term psychosocial problems and long-term non-psychological problems such as high blood pressure and type-2 diabetes. The objective of this study was to assess the prevalence and associated factors of overweight and obesity among high school adolescent in urban communities of Hawassa city. A cross-sectional study was conducted from February 20 to March 9/ 2012 among 559 secondary school students aged 10 to 19 years old in Hawassa city. A self-administered questionnaire was used to collect demographic, socio-economic, dietary and physical activity data. All anthropometric measurements of weight, height and TSFT were performed by using calibrated equipments and standardized techniques. The data was analyzed using SPSS for windows version 16 and WHO Anthro-Plus programs. Statistical tests for significance were performed at 5% level of significance. The results showed that the prevalence of overweight in the study participants was 12.9% and the prevalence of obesity was 2.7% based on age and sex specific BMI classification while based on TSFT, the prevalence of overweight and obesity was 11.0% and 3.8% respectively. Statistically significant agreement was observed between the tools (k= 0.841; p <0.001). The present study also found that there were a statistically significant association between sex, total physical activity, socio economic index, consumption frequency of meat, fruit, fast food and time spent watching TV/using computer with overweight and obesity prevalence (p<0.05). The present study revealed that more than one tenth of adolescents were overweight, making it a hidden problem of Hawassa city. The causes of overweight and obesity among adolescents aged 10-19 years in the study area may be many and complex but it might stem basically from the life style of adolescents. This information is useful for the planning of health and nutrition programs as well as intervention strategies to combat adolescent overweight and obesity.
Diet is one of the prime determinants of health and nutritional status. An inadequate diet, poor in both quality and quantity, is one of the major reasons for high levels of malnutrition in women. A cross-sectional survey was conducted to assess dietary practices and to identify factors associated with sub-optimal dietary practices of pregnant women in Wondo Genet District, Southern Ethiopiain. A two-stage cluster sampling technique was used to select a representative sample of 153 pregnant women aged 19-49 years from three rural villages ("Kebeles"). About 43.8% of study participants commonly skipped lunch and 24.2% skipped breakfast. About 21% of the pregnant mothers restricted their food intake. Majority (75.2 %) of study participants did not take any additional meal during pregnancy. Factors like not growing enset, eating no legumes and no additional meal have a significant association with food restriction habit of the respondents. Taking no additional meal was significantly associated with family size, growing khat, not growing vegetables and fruits, and no consumption of white vegetables and roots. Skipping meal was significantly associated with family size and number of pregnancy. The dietary practice of the pregnant women in study area was suboptimal. Pregnant women in the study area suffered from suboptimal dietary practices such as taking no additional meal during pregnancy, skipping meals, food restriction and taking less diversified diet.
Inadequate quality and quantity diet is one of the major reasons for high levels of malnutrition in pregnant women. A cross-sectional survey was conducted in Wondo Genet District, Southern Ethiopia. A two-stage cluster sampling technique was used to select a representative sample of 153 pregnant women aged 19-49 years from three rural villages ("Kebeles"). Energy and nutrient intakes from foods were calculated from one-day weighed food records on a sub-sample (n = 77). The result of the study showed that the intakes of most nutrients were lower than the recommended intake. The energy intake of the study participants both in 2nd and 3rd trimesters of pregnancy were 2,308 kcal and 1,420.5 kcal compared to the recommended 2,340 kcal and 2,452 kcal, respectively. Except iron, almost all micronutrient intakes were lower than the recommended intake. Vitamin A intake was 3 µg compared with the recommended 800 µg, while protein intake of the study respondents in 2nd and 3rd trimester of pregnancy was 45.9 g and 31.5 g, respectively, compared with the recommended 71 g. Risk factors for undernutrition were multiple pregnancy and no consumption of cereal-based foods. This study revealed that the energy and nutrient intake of the pregnant women in study area was below the recommended intakes. Furthermore, the situation might be aggravated by high phytate content food consumption reported. Nutritional status of pregnant women in study area was not adequate to support the increased energy and nutrient requirement of the participants.
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