Cross‐sectional and longitudinal analysis of nutritional status of school‐children from Bumbire Island (United Republic of Tanzania)

Comandini, Ornella; Carmignani, Gabriele; Cipriano, Alessandro; Carmignani, Giovanni; Tiba, Deodatus; Marini, Elisabetta

doi:10.1002/ajhb.23098

Cited by 3 publications

(5 citation statements)

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“…The increasing trend of stunting was significantly affected by age, with older children more affected. These findings are consistent with the results of other longitudinal studies on the nutritional status of older children and early adolescents in SSA (Comandini et al, ; Friedman et al, ).…”

Section: Discussionsupporting

confidence: 93%

“…Such results remained unchanged when considering environmental variability, that is, despite schools' differences in terms of organization, environment, and social context. This finding is in agreement with the literature on school‐aged children in sub‐Saharan Africa, that consistently report an accruing of nutritional status with age (Acham, Kikafunda, Tylleskar, & Malde, [for underweight and thinness, but not for stunting]; Chesire, Orago, Oteba, & Echoka, ; Comandini, Carmignani, Cipriano, Carmignani, Tiba & Marini, ; Fiorentino et al, ; Friedman et al, ; Lwanga, Kirunda, & Orach, ; Saltzman et al, ; Turyashemererwa et al, ). Indeed, school‐children, especially the older ones, may not assume a sufficient intake of micronutrients or macronutrients to satisfy the greatest demands during the adolescent growth spurt, or to experience a catch‐up (Fink & Rockers, ; Fiorentino et al, ).…”

Section: Discussionsupporting

confidence: 91%

“…Further, Uganda's national data on children under five reported a slightly poorer nutritional status among males (UBOS & ICF, ). Considering studies on school‐children in other SSA, a similar inconsistent scenario of sex differences has been reported, with males showing lower (Comandini et al, ; Chesire et al, , relative to wasting), similar (Fiorentino et al, ), or higher risk of malnutrition (Chesire et al, , relative to stunting; Saltzman et al, ).…”

Section: Discussionmentioning

confidence: 76%

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Nutritional status of Ugandan school‐children: The effect of age imprecision

Comandini

Cabras

Ssensamba

et al. 2019

American J Phys Anthropol

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Objectives: To analyze the nutritional status of Ugandan school-children in a crosssectional and longitudinal perspective, considering the effect of age imprecision.Materials and methods: Anthropometric measurements of 831 school-children (381 males and 450 females) were analyzed. A subsample of 246 children was measured in July 2014 and 2015. Stunting (based on height-for-age Z-scores), underweight (weight-for-age), and thinness (body mass index-for-age) prevalence were calculated. Three different ages were used: declared (from schools registers), attributed (based on multiple information sources), and bootstrap (from 10,000 replicates).Significant differences among malnutrition prevalence calculated with different ages and in different groups were assessed by means of bootstrap analysis. Longitudinal analysis was conducted using a paired t test.Results: The mean prevalence of malnutrition calculated with declared, attributed, or bootstrap ages were very similar: stunting (11.9-12.7); underweight (5.4-5.9); thinness (3.3-3.7); and obesity (0.7). Undernutrition was more prevalent among older children, while obesity was mostly associated with young age. Obesity was equally distributed among sexes, while undernutrition was more prevalent among females of up to 10 years of age and males above 10 years.The longitudinal analysis indicated a reduction in underweight and thinness, and an increase in stunting, especially among older children.Discussion: Age imprecision did not significantly affect malnutrition estimates.Despite the decline in the prevalence of thinness and underweight observed over a 1-year period, undernutrition persists, with an observed rise in stunting. On the other hand, obesity is starting to appear. Public health efforts are required to eliminate stunting and address the emerging burden of obesity. K E Y W O R D Sage error, malnutrition, school-children, Uganda

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Section: Discussionsupporting

confidence: 93%

Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 76%

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Nutritional status of Ugandan school‐children: The effect of age imprecision

Comandini

Cabras

Ssensamba

et al. 2019

American J Phys Anthropol

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“…A (2014)(2015) cross-sectional and longitudinal study of nutrition status among 437 schoolchildren in Bumbire archipelago, Muleba district, reported high prevalence of malnutrition: 30.7% stunting, 12.9% underweight, 4.5% thinness, while overweight was rare (2.4%) [19]. The researchers attributed malnutrition affecting Bumbire Island children to micronutrient deficiencies.…”

Section: Introductionmentioning

confidence: 99%

“…Multi-factorial causes for malnutrition in Tanzania, and in Kagera Region in particular, are known [9], [10], [19], [20], [22]. Factors include, poverty, household food insecurity (in form of availability, access, consumption, and stability), poor care practices (poor initiation of breastfeeding, low rates of exclusive breast feeding, inappropriate introduction of complementary foods and poor child feeding practices), poor Water, Sanitation and Hygiene (WASH) services, situation health status of mothers and children, insufficient access to health services and poor access to adequate health environment.…”

Section: Introductionmentioning

confidence: 99%

“Don’t Distribute Free Food … Improve Our Dietary Diversification Knowledge and Skills”: Borderlanders’ Perceived Root Causes of Malnutrition in Kagera Border Region, Tanzania

Kamazima

Kazaura

Mlimbila

2020

EJMED

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Nutrition is a very important component for the growth and development of any society, specifically for the prevention and control of a range of diseases. In Tanzania, despite a great variability of nutrition status by different characteristics, generally the majority of the populations have poor nutrition. Kagera is among the 26 regions of mainland Tanzania with a total projected population of about 2.5 million. The nutrition status among residents is poor with multifactorial determinants. In this paper, we present qualitative data collected using in-depth interviews with key adult men and women informants in the four Tanzania-Uganda border districts. The main objective was to establish possible causes of the reported low nutrition in Kagera Region. Majority of study participants were affirmative of the availability and plenty of food; the main problem being poor dietary diversification knowledge, attitudes, skills, and practices. They recommend various measures that could improve the current nutrition status. These measures include nutrition education at primary, secondary and tertiary levels; health education at health facility level that will include nutrition topics and peer education at community level; introduction of nutrition bylaws in the community and vitalizing peer education social groups among males and females about the importance of dietary diversification. Therefore, future nutrition research should include culture, religion, and traditional indicators to inform food and nutrition interventions and policy in similar populations to the Tanzania-Uganda borderlanders.

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Nutritional status of school-age children and adolescents in eastern and southern Africa: A scoping review

Menezes

Deeney

Wrottesley

et al. 2022

Nor. Afr. J. Food Nutr. Res.

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Aims: This review aims to summarize available literature on the nutritional status of school-age children (SAC) and adolescents aged 5-19 years in Eastern and Southern Africa (ESA) and interventions aiming to tackle malnutrition in this age group. Methods: We searched Pubmed, Cochrane Database of Systematic Reviews, Web of Science, Africa Wide Information, ArticleFirst, Biomed Central, BioOne, BIOSIS, CINAHL, EBSCOHost, JSTOR, ProQuest, Google Scholar, SAGE Reference Online, Scopus, ScienceDirect, SpringerLink, Taylor & Francis, and Wiley Online for articles published between 2005 and 2020 according to eligibility criteria. Results: A total of 129 articles were included, with the majority of studies presenting data from Ethiopia (N = 46) and South Africa (N=38). The prevalence of overweight and obesity ranged between 9.1 – 32.3 % and 0.8 – 21.7 % respectively across countries in ESA. Prevalence of thinness, stunting and underweight ranged as follows: 3.0 – 36.8 %; 6.6 – 57.0 %; 5.8 – 27.1 %. Prevalence of anemia was between 13.0 – 76.9 % across the region. There was a dearth of data on other micronutrient deficiencies. There was limited evidence from intervention studies (N = 6), with half of the interventions targeting anemia or iron deficiency using iron supplementation or fortification methods and reporting no significant effect on anemia prevalence. Interventions targeting stunting and thinness (N = 3) reported beneficial effects of providing vitamin A fortified maize, iron supplementation and nutrition education. Conclusions: A triple burden of malnutrition underlines the need to prioritize implementation of double-duty interventions for SAC and adolescents in ESA. Key data gaps included either limited or a lack of data for the majority of countries, especially on micronutrient deficiencies and a scarcity of intervention studies. Greater investment in nutrition research amongst this population is needed to strengthen the evidence base and inform policies and programs to improve nutritional status amongst SAC and adolescents in ESA. Keywords. Adolescence, overnutrition, undernutrition, micronutrient deficiencies, Interventions.

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Cross‐sectional and longitudinal analysis of nutritional status of school‐children from Bumbire Island (United Republic of Tanzania)

Abstract: Undernutrition is affecting Bumbire Island children, likely due to micronutrient deficiencies. The effects of linear growth deficit continue to accumulate throughout childhood and adolescent years.

Cited by 3 publications

References 15 publications

Nutritional status of Ugandan school‐children: The effect of age imprecision

Nutritional status of Ugandan school‐children: The effect of age imprecision

“Don’t Distribute Free Food … Improve Our Dietary Diversification Knowledge and Skills”: Borderlanders’ Perceived Root Causes of Malnutrition in Kagera Border Region, Tanzania

Nutritional status of school-age children and adolescents in eastern and southern Africa: A scoping review

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