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Social Stratification, Diet Diversity and Malnutrition among Preschoolers : A Survey of Addis Ababa, Ethiopia

Berhane, Hanna Y ; Jirström, Magnus LU ; Abdelmenan, Semira ; Berhane, Yemane ; Alsanius, Beatrix ; Trenholm, Jill and Ekström, Eva-Charlotte LU (2020) In Nutrients 12(3).
Abstract

In Sub-Saharan Africa, being overweight in childhood is rapidly rising while stunting is still remaining at unacceptable levels. A key contributor to this double burden of malnutrition is dietary changes associated with nutrition transition. Although the importance of socio-economic drivers is known, there is limited knowledge about their stratification and relative importance to diet and to different forms of malnutrition. The aim of this study was to assess diet diversity and malnutrition in preschoolers and evaluate the relative importance of socioeconomic resources. Households with children under five (5467) were enrolled using a multi-stage sampling procedure. Standardized tools and procedures were used to collect data on diet,... (More)

In Sub-Saharan Africa, being overweight in childhood is rapidly rising while stunting is still remaining at unacceptable levels. A key contributor to this double burden of malnutrition is dietary changes associated with nutrition transition. Although the importance of socio-economic drivers is known, there is limited knowledge about their stratification and relative importance to diet and to different forms of malnutrition. The aim of this study was to assess diet diversity and malnutrition in preschoolers and evaluate the relative importance of socioeconomic resources. Households with children under five (5467) were enrolled using a multi-stage sampling procedure. Standardized tools and procedures were used to collect data on diet, anthropometry and socio-economic factors. Multivariable analysis with cluster adjustment was performed. The prevalence of stunting was 19.6% (18.5-20.6), wasting 3.2% (2.8-3.7), and overweight/obesity 11.4% (10.6-12.2). Stunting, overweight, wasting and limited diet diversity was present in all social strata. Low maternal education was associated with an increased risk of stunting (Adjusted odds ratio (AOR): 1.8; 1.4-2.2), limited diet diversity (AOR: 0.33; 0.26-0.42) and reduced odds of being overweight (AOR: 0.61; 0.44-0.84). Preschoolers in Addis Ababa have limited quality diets and suffer from both under- and over-nutrition. Maternal education was an important explanatory factor for stunting and being overweight. Interventions that promote diet quality for the undernourished whilst also addressing the burgeoning problem of being overweight are needed.

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author
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organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Nutrients
volume
12
issue
3
article number
712
publisher
MDPI AG
external identifiers
  • pmid:32156006
  • scopus:85081255764
ISSN
2072-6643
DOI
10.3390/nu12030712
language
English
LU publication?
yes
id
ae1b0fe4-11e8-4420-9629-b6bbcbeb2211
date added to LUP
2020-03-16 12:25:59
date last changed
2020-09-23 08:07:37
@article{ae1b0fe4-11e8-4420-9629-b6bbcbeb2211,
  abstract     = {<p>In Sub-Saharan Africa, being overweight in childhood is rapidly rising while stunting is still remaining at unacceptable levels. A key contributor to this double burden of malnutrition is dietary changes associated with nutrition transition. Although the importance of socio-economic drivers is known, there is limited knowledge about their stratification and relative importance to diet and to different forms of malnutrition. The aim of this study was to assess diet diversity and malnutrition in preschoolers and evaluate the relative importance of socioeconomic resources. Households with children under five (5467) were enrolled using a multi-stage sampling procedure. Standardized tools and procedures were used to collect data on diet, anthropometry and socio-economic factors. Multivariable analysis with cluster adjustment was performed. The prevalence of stunting was 19.6% (18.5-20.6), wasting 3.2% (2.8-3.7), and overweight/obesity 11.4% (10.6-12.2). Stunting, overweight, wasting and limited diet diversity was present in all social strata. Low maternal education was associated with an increased risk of stunting (Adjusted odds ratio (AOR): 1.8; 1.4-2.2), limited diet diversity (AOR: 0.33; 0.26-0.42) and reduced odds of being overweight (AOR: 0.61; 0.44-0.84). Preschoolers in Addis Ababa have limited quality diets and suffer from both under- and over-nutrition. Maternal education was an important explanatory factor for stunting and being overweight. Interventions that promote diet quality for the undernourished whilst also addressing the burgeoning problem of being overweight are needed.</p>},
  author       = {Berhane, Hanna Y and Jirström, Magnus and Abdelmenan, Semira and Berhane, Yemane and Alsanius, Beatrix and Trenholm, Jill and Ekström, Eva-Charlotte},
  issn         = {2072-6643},
  language     = {eng},
  month        = {03},
  number       = {3},
  publisher    = {MDPI AG},
  series       = {Nutrients},
  title        = {Social Stratification, Diet Diversity and Malnutrition among Preschoolers : A Survey of Addis Ababa, Ethiopia},
  url          = {http://dx.doi.org/10.3390/nu12030712},
  doi          = {10.3390/nu12030712},
  volume       = {12},
  year         = {2020},
}