Childhood Undernutrition and Its Predictors in a Rural Health and Demographic Surveillance System Site in South Africa
| Autor: | Perpetua Modjadji, Sphiwe Madiba |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Male
Rural Population Cross-sectional study Health Toxicology and Mutagenesis lcsh:Medicine Rural Health Overweight Body Mass Index rural context South Africa 0302 clinical medicine underweight Risk Factors Surveys and Questionnaires Prevalence 030212 general & internal medicine Child Growth Disorders Family Characteristics Schools Rural health stunting schoolchildren Female medicine.symptom Underweight Adult Adolescent Mothers Nutritional Status 030209 endocrinology & metabolism Article 03 medical and health sciences Environmental health medicine Humans maternal overweight/obesity business.industry Body Weight Malnutrition lcsh:R Public Health Environmental and Occupational Health nutritional and metabolic diseases Anthropometry medicine.disease Obesity undernutrition Cross-Sectional Studies business Body mass index |
| Zdroj: | International Journal of Environmental Research and Public Health Volume 16 Issue 17 International Journal of Environmental Research and Public Health, Vol 16, Iss 17, p 3021 (2019) |
| ISSN: | 1660-4601 |
| DOI: | 10.3390/ijerph16173021 |
| Popis: | Background: Overweight and obesity are increasing at an alarming rate in South Africa, while childhood undernutrition remains persistently high. This study determined the magnitude and predictors of stunting and underweight among schoolchildren in the Dikgale and Health Demographic Surveillance System Site, a rural site in South Africa. Methods: A cross sectional study using multistage sampling was conducted among 508 schoolchildren and their mothers. Anthropometric measurements were taken from children and their mothers, while sociodemographic information was obtained from mothers using a questionnaire. The World Health Organization Anthro Plus was used to generate height-for-age and weight-for-age z-scores to indicate stunting and underweight, respectively, among the children. Maternal overweight and obesity were assessed using body mass index. Bivariate and multivariate logistic regression analyses were used to evaluate the predictors of stunting and underweight among schoolchildren. Results: Twenty-two percent (22%) of children were stunted and 27% were underweight, while 27.4% of the mothers were overweight and 42.3% were obese. The odds of being stunted were lower in younger children, whereas having a mother who was overweight/obese and had a short stature increased the odds of stunting. Access to water, having a refrigerator, and having a young mother were protective against being underweight. Having a mother who was overweight/obese increased the odds of being underweight. Conclusions: The study showed a high prevalence of stunting and underweight among children, and overweight and obesity among mothers, indicating a household double burden of malnutrition. The age of the child and maternal overweight/obesity and short stature were predictors of stunting and underweight, while having a younger mother and access to water and a refrigerator were protective against being underweight. The need for an evidence-based and feasible nutrition program for schoolchildren, especially those in rural schools, cannot be over-emphasized. |
| Databáze: | OpenAIRE |
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