Overnutrition and Associated Factors Among High School Adolescents in Mid COVID-19 Pandemic in Ethiopia: Neglected Public Health Concern.
Overnutrition and Associated Factors Among High School Adolescents in Mid COVID-19 Pandemic in Ethiopia: Neglected Public Health Concern.
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DOI：
10.2147/ahmt.s349189
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发表时间：
2022
期刊：
影响因子：
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通讯作者：
Ale A
中科院分区：
文献类型：
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作者：
Belay M;Oumer A;Abdureshid N;Ale A
青少年营养过剩正在成为一个全球公共卫生问题，在发展中国家以惊人的速度增长。营养过剩会增加患与饮食相关的严重慢性疾病的风险，包括 2 型糖尿病、高血压、心血管疾病和中风。然而，关于研究区域营养过剩的严重程度和危险因素的证据有限。确定埃塞俄比亚东部德雷达瓦学校青少年营养过剩的程度和相关因素。 2021 年 5 月至 6 月，通过多阶段抽样程序对 498 名青少年学生进行了一项横断面研究。采用了系统随机抽样技术。使用自填问卷（包括食物频率和人体测量）来收集数据。年龄别 BMI Z 评分是使用 WHO Anthro-Plus 计算的。二元逻辑回归模型拟合了比值比和 95% 的置信水平。 p 值低于 0.05 时具有统计显着性。共有 498 人 (98.4%) 被纳入，营养过剩的总体患病率为 26.1% (95% CI: 22.3–29.9)，其中超重和肥胖分别为 23.7% 和 2.4%。女性（AOR = 3.32；95% CI：1.65–6.63）、就读私立学校（AOR = 4.97；95% CI：1.72–14.35）、喜欢甜食（AOR = 6.26；95% CI：3.14–12.5）、吃零食（AOR = 3.05；95% CI： 1.11–8.36），久坐行为（AOR = 3.20； 95% CI: 1.67–6.09) 和边看电视边吃东西 (AOR= 2.95; 95% CI: 1.47–5.95) 与营养过剩显着相关。营养过剩是埃塞俄比亚东部一个新出现的重大公共卫生问题。学校类型、性别、甜食偏好、吃零食的习惯、久坐行为和边看电视边吃东西与营养过剩显着相关。因此，迫切需要制定遏制高中青少年超重和肥胖的公共卫生策略，以减少其患病率及其不良并发症。
Adolescent overnutrition is becoming a global public health problem, increasing at an alarming rate in developing countries. Overnutrition increases the risks of serious diet-related chronic diseases, including type 2 diabetes, hypertension, cardiovascular disease, and stroke. However, there is limited evidence on the magnitude and risk factors of overnutrition in the study area. To determine the magnitude of overnutrition and associated factors among school adolescents in Dire Dawa, Eastern Ethiopia. A cross-sectional study was conducted from May to June 2021 among 498 adolescent students selected using a multi-stage sampling procedure. A systematic random sampling technique was employed. Self-administered questionnaires, including food frequency and anthropometric measurement, were used to collect the data. The BMI-for-age Z score was calculated using the WHO Anthro-Plus. A binary logistic regression model was fitted with an odds ratio, and 95% confidence levels. Statistical significance is declared at a p-value below 0.05. A total of 498 (98.4%) were included with the overall prevalence of overnutrition of 26.1% (95% CI: 22.3–29.9), where 23.7% and 2.4% had overweight and obesity, respectively. Being female (AOR = 3.32; 95% CI: 1.65–6.63), attending at private school (AOR = 4.97; 95% CI: 1.72–14.35), having sweet food preferences (AOR = 6.26; 95% CI: 3.14–12.5), snacking (AOR = 3.05; 95% CI: 1.11–8.36), sedentary behavior (AOR = 3.20; 95% CI: 1.67–6.09), and eating while watching TV (AOR= 2.95; 95% CI: 1.47–5.95) were significantly associated with overnutrition. Overnutrition is a major emerging public health problem in eastern Ethiopia. School type, sex, sweet food preferences, habits of snacking, sedentary behaviors, and eating while watching TV were significantly associated with overnutrition. Therefore, public health strategies to curb overweight and obesity among high school adolescents are urgently needed in order to reduce the prevalence and its adverse complications.