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

Author:

Adeomi Adeleye AbiodunORCID,Fatusi Adesegun,Klipstein-Grobusch Kerstin

Abstract

AbstractObjective: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) 1·10; P = 0·001; 95 % CI (1·04, 1·16)) increased the odds, while the upper wealth index (aOR 0·43; P = 0·016; 95 % CI (0·22, 0·86)) decreased the odds of thinness. Age (aOR 0·86; P < 0·001; 95 % CI (1·26, 8·70)), exclusive breastfeeding (aOR 0·46; P = 0·010; 95 % CI (0·25, 0·83)), physical activity (aOR 0·55; P = 0·001; 95 % CI (0·39, 0·78)) and the upper wealth index (aOR 0·47; P = 0·018; 95 % CI (0·25, 0·88)) were inversely related with overweight/obesity, while residing in Osun State (aOR 3·32; P = 0·015; 95 % CI (1·26, 1·70)), female gender (aOR 1·73; P = 0·015; 95 % CI (1·11, 2·69)) and screen time > 2 h/d (aOR 2·33; P = 0·005; 95 % CI (1·29, 4·19)) 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.

Publisher

Cambridge University Press (CUP)

Subject

Public Health, Environmental and Occupational Health,Nutrition and Dietetics,Medicine (miscellaneous)

Reference50 articles.

1. 42. World Health Organization (2014) Exclusive Breastfeeding to Reduce the Risk of Childhood Overweight and Obesity. https://www.who.int/elena/bbc/breastfeeding_childhood_obesity/en/ (accessed April 2021).

2. The dual burden household and the nutrition transition paradox

3. 31. National Population Commission & Federal Republic of Abuja Nigeria (2018) Nigeria Demographic and Health Survey. https://dhsprogram.com/publications/publication-fr359-dhs-final-reports.cfm (accessed October 2020).

4. Growth status and menarcheal age among adolescent school girls in Wannune, Benue state, Nigeria;Goon;BMC Pediatr,2017

5. Pattern and determinants of the weight status of school-age children from rural and urban communities of Osun state, Nigeria: a comparative study;Adeomi;J Med Nutr Nutraceut,2015

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