Undernutrition in older children and adolescents in peri-urban Zambia.

Autor:	Sridhar S; Division of Global Health Equity, Department of Medicine, Brigham and Women's Hospital, Boston, MA, United States., Kang JS; Department of Child, Youth, and Family Studies, College of Education and Human Sciences, University of Nebraska - Lincoln, Lincoln, NE, United States., Madzorera I; Division of Community Health Sciences, School of Public Health, University of California, Berkeley, Berkeley, CA, United States., Zulu E; Right to Care, Lusaka, Zambia., Makasa J; I4life, Lusaka, Zambia., Cross SB; I4life, Lusaka, Zambia., Hamer DH; Department of Global Health, Boston University School of Public Health, Boston, MA, United States.; Section of Infectious Diseases, Department of Medicine, Boston University Chobanian and Avedisian School of Medicine, Boston, MA, United States.; Friedman School of Nutrition Science and Policy, Tufts University, Boston, MA, United States.
Jazyk:	angličtina
Zdroj:	Frontiers in public health [Front Public Health] 2023 Sep 25; Vol. 11, pp. 1251768. Date of Electronic Publication: 2023 Sep 25 (Print Publication: 2023).
DOI:	10.3389/fpubh.2023.1251768
Abstrakt:	Background: Adolescents make up roughly a quarter of the population in Zambia; however, most nutrition-related programming is targeted at the under-five population. Understanding the scale of undernutrition in older children and adolescents is fundamental to alleviating food insecurity and addressing undernutrition across all age groups. Methods: A cross-sectional survey was performed in four low-income, peri-urban compounds in Chilanga District which included anthropometric measurements of children between ages 6 months-19 years and a household-level diet diversity and food security questionnaire. Wasting was used for children under 5 and thinness for children 5-19 years. Descriptive analysis and multivariate logistic regression were conducted to quantify the prevalence and distribution of malnutrition and understand the impact of food security. Results: We surveyed 393 households and 1,004 children between the ages of 6 months and 19 years. Children aged 6-9 years had the highest prevalence of severe thinness (5.2%) and adolescents (10-19 years) had the highest rates of moderate thinness (6.5%). Across all age groups, more than 75% of children were in households that worried about running out of food in the previous month. 24.9% of adolescents and 28.4% of older children were in households were more likely to go a whole day without eating compared to 16.9% of children under 5. Conclusion: Our survey indicated that malnutrition in adolescents and older children living in Chilanga district was comparable to those under 5. Interventions to address undernutrition must be targeted at older children and adolescents in order to ameliorate this burden. Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. (Copyright © 2023 Sridhar, Kang, Madzorera, Zulu, Makasa, Cross and Hamer.)
Databáze:	MEDLINE
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