Overweight and obesity among children under five in Ethiopia: further analysis of 2016 national demographic health survey: a case control study

Weldearegay, Haftom Gebrehiwot; Gebrehiwot, Tesfay Gebregzabher; Abrha, Mulugeta Woldu; Mulugeta, Afework

doi:10.1186/s13104-019-4752-8

Cited by 12 publications

(10 citation statements)

References 18 publications

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“…This could be due to the rampant suboptimal feeding practices in Ethiopia and high number of children are not meeting the minimum acceptable diet [ 42 ]. Conversely, higher odds of overweight and CSO was found in children younger than 12 months of age which is in agreement with studies conducted in Ethiopia [ 63 ], Cameroon [ 64 ] and Malaysia [ 65 ]. After literature search, previous studies did not investigate association between overweight/obesity and different age groups and as why younger children are at higher risk of overweight/obese.…”

Section: Discussionsupporting

confidence: 91%

“…After literature search, previous studies did not investigate association between overweight/obesity and different age groups and as why younger children are at higher risk of overweight/obese. Though one study related to increase of physical activity as the age increase which will lead to high metabolic activity and energy requirement [ 63 ]. Feeding pattern among these particular age group is one of the factors that might need to be explored to better understand such association.…”

Section: Discussionmentioning

confidence: 99%

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Concurrence of stunting and overweight/obesity among children: Evidence from Ethiopia

et al. 2021

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Background Nutrition transition in many low- and middle-income countries (LMICs) has led to shift in childhood nutritional outcomes from a predominance of undernutrition to a double burden of under- and overnutrition. Yet, policies that address undernutrition often times do not include overnutrition nor do policies on overweight, obesity reflect the challenges of undernutrition. It is therefore crucial to assess the prevalence and determinants of concurrence stunting and overweight/obesity to better inform nutrition programs in Ethiopia and beyond. Methods We analyzed anthropometric, sociodemographic and dietary data of children under five years of age from 2016 Ethiopian Demographic and Health Survey (EDHS). A total of 8,714 children were included in the current study. Concurrence of stunting and overweight/obesity (CSO) prevalence was estimated by basic, underlying and immediate factors. To identify factors associated with CSO, we conducted hierarchical logistic regression analyses. Results The overall prevalence of CSO was 1.99% (95% CI, 1.57–2.53). The odds of CSO was significantly higher in children in agrarian region compared to their counter parts in the pastoralist region (AOR = 1.51). Other significant factors included; not having improved toilet facility (AOR = 1.94), being younger than 12 months (AOR = 4.22), not having history of infection (AOR = 1.83) and not having taken deworming tablet within the previous six months (AOR = 1.49). Conclusion Our study provided evidence on the co-existence of stunting and overweight/obesity among infants and young children in Ethiopia. Therefore, identifying children at risk of growth flattering and excess weight gain provides nutrition policies and programs in Ethiopia and beyond with an opportunity of earlier interventions through improving sanitation, dietary quality by targeting children under five years of age and those living in Agrarian regions of Ethiopia.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Concurrence of stunting and overweight/obesity among children: Evidence from Ethiopia

et al. 2021

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“…Children from male-headed households and reside in Dessie [ 50 ] were negatively related to child BAZ score, but child age had a positive relationship with BAZ score [ 50 ]. Even though there is no clear justification with the above relationships, in areas where maternal empowerment was less emphasized and decision-making power left only for males, maternal autonomies for child’s feedings are affected.…”

Section: Discussionmentioning

confidence: 99%

Child dietary diversity and food (in)security as a potential correlate of child anthropometric indices in the context of urban food system in the cases of north-central Ethiopia

Dinku

Mekonnen

Adilu

2020

J Health Popul Nutr

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Objective To investigate the relation of child dietary diversity and household food insecurity along with other socio-demographic with child anthropometric indices in north-central Ethiopia, an area with a high level of food insecurity and inadequate diet quality. Design A community-based cross-sectional study was used. Settings The study was conducted in Dessie and Combolcha towns of north-central Ethiopia from April to May 2018. Participants Randomly selected 512 mother-child pairs with child’s age range of 6–59 months. Results The mean (± SD) scores of weight-for-height/length, height/length-for-age, weight-for-age, and BMI-for-age Z-scores were 1.35 (± 2.03), − 1.89 (± 1.79), 0.05 (± 1.54), and 1.39 (± 2.06), respectively. From all anthropometric indicators, stunting and overweight/obesity remained the severe public issues hitting 43% and 42% of the children, respectively. In the model, mothers’ age and education and child’s age, sex, and dietary diversity were significantly related with child height-for-age Z-score while place of residence, sex of household head, child’s age, and dietary diversity score were the predictors of child BMI-for-age Z-score in the urban contexts of the study area. Nevertheless, food insecurity was not related to any of the child anthropometric indices. Conclusion The double burden of malnutrition epidemics (stunting and obesity) coexisted as severe public health concerns in urban settings. Anthropometric statuses of children were affected by multidimensional factors and seek strong integration and immediate intervention of multiple sectors.

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“…However, the problem of under nutrition particularly stunting remains as a major public health problem in Ethiopia and simultaneously the magnitude of overweight and obesity is increasing rapidly especially in urban areas [19][20][21]. The problem of childhood obesity in Ethiopia is not recognized as a serious problem and lacks adequate attention [22].…”

Section: Introductionmentioning

confidence: 99%

Co-existence of overweight/obesity and stunting: it’s prevalence and associated factors among under - five children in Addis Ababa, Ethiopia

2022

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Background Double burden of malnutrition is a global problem posing a serious public health challenge especially in low- and middle-income countries including Ethiopia, where a high prevalence of under-nutrition continues to exist and overweight is increasing at an alarming rate. Although both under-nutrition and over-nutrition are investigated extensively in Ethiopia, evidence about the double burden of malnutrition especially at the individual level is very limited. Objective To assess the prevalence of the co-existence of overweight/obesity and stunting and associated factors among under-five children in Addis Ababa, Ethiopia at an individual level. Methods Institution-based cross-sectional study was conducted from May to June 2021 among 422 mothers to child pairs in Addis Ababa. Twenty-nine (30%) of the health centers in Addis Ababa were selected to take part in the study using a simple random sampling technique. The total sample size was allocated proportionally to each of the selected health centers based on their performances within 6 months prior to the study. A systematic random sampling method was used to select the study participants. An interviewer-administered structured questionnaire was used to collect data. Descriptive statistics and a hierarchical logistic regression model were used to characterize the study population and to identify factors that are associated with the outcome variable respectively. Odds ratio along with 95% CI were estimated to measure the strength of the association. The level of statistical significance was declared at a p-value less than 0.05. Results The prevalence of the co-existence of overweight/obesity and stunting was 5.1% with 95% CI (2.9–7.1%). The hierarchical logistic regression analysis revealed that child age (6–23 months) [(AOR = 2.86, 95% CI: (1.02–8.04)], maternal education status (non-educated) [(AOR = 4.98, 95% CI: (1.33–18.66)], maternal age during birth (≥ 28 years) [(AOR = 0.22, 95% CI: (0.06–0.79)] and childbirth order (3+) [(AOR = 6.38, 95% CI: (1.03–39.7)] were significantly associated with the co-existence of overweight /obesity and stunting. Conclusion and recommendations: The study revealed that the prevalence of the co-existence of overweight/obesity and stunting is low in Ethiopia. However, local and national nutrition policies and programs should be tailored and implemented to simultaneously address both under-nutrition and over-nutrition.

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Overweight and obesity among children under five in Ethiopia: further analysis of 2016 national demographic health survey: a case control study

Cited by 12 publications

References 18 publications

Concurrence of stunting and overweight/obesity among children: Evidence from Ethiopia

Concurrence of stunting and overweight/obesity among children: Evidence from Ethiopia

Child dietary diversity and food (in)security as a potential correlate of child anthropometric indices in the context of urban food system in the cases of north-central Ethiopia

Co-existence of overweight/obesity and stunting: it’s prevalence and associated factors among under - five children in Addis Ababa, Ethiopia

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