Concurrent stunting and overweight or obesity among under-five children in sub-Saharan Africa: a multilevel analysis
Abstract Background Globally, the co-occurrence of stunting and overweight or obesity (CSO) in the same individual is becoming an emerging layer of malnutrition and there is a paucity of information in low- and middle-income countries, particularly in sub-Saharan Africa. Hence, this study aimed to d...
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| Format: | Article |
| Language: | English |
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BMC
2023-06-01
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| Series: | Archives of Public Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13690-023-01138-8 |
| _version_ | 1827910936368775168 |
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| author | Melkamu Aderajew Zemene Denekew Tenaw Anley Natnael Atnafu Gebeyehu Getachew Asmare Adella Gizachew Ambaw Kassie Misganaw Asmamaw Mengstie Mohammed Abdu Seid Endeshaw Chekol Abebe Molalegn Mesele Gesese Natnael Amare Tesfa Yenealem Solomon Kebede Berihun Bantie Sefineh Fenta Feleke Tadesse Asmamaw Dejenie Wubet Alebachew Bayeh Anteneh Mengist Dessie |
| author_facet | Melkamu Aderajew Zemene Denekew Tenaw Anley Natnael Atnafu Gebeyehu Getachew Asmare Adella Gizachew Ambaw Kassie Misganaw Asmamaw Mengstie Mohammed Abdu Seid Endeshaw Chekol Abebe Molalegn Mesele Gesese Natnael Amare Tesfa Yenealem Solomon Kebede Berihun Bantie Sefineh Fenta Feleke Tadesse Asmamaw Dejenie Wubet Alebachew Bayeh Anteneh Mengist Dessie |
| author_sort | Melkamu Aderajew Zemene |
| collection | DOAJ |
| description | Abstract Background Globally, the co-occurrence of stunting and overweight or obesity (CSO) in the same individual is becoming an emerging layer of malnutrition and there is a paucity of information in low- and middle-income countries, particularly in sub-Saharan Africa. Hence, this study aimed to determine the pooled prevalence and determinants of concurrent stunting and overweight or obesity among under-five children in SSA. Methods Secondary data analysis was conducted from a recent nationally representative Demographic and Health Survey dataset of 35 SSA countries. A total weighted sample of 210,565 under-five children was included in the study. A multivariable multilevel mixed effect model was employed to identify the determinant of the prevalence of under-5 CSO. The Intra-class Correlation Coefficient (ICC) and Likelihood Ratio (LR) test were used to assess the presence of the clustering effect. A p-value of p < 0.05 was used to declare statistical significance. Result The pooled prevalence of concurrent stunting and overweight/obesity among under-five children was 1.82% (95% CI: 1.76, 1.87) in SSA. Across the SSA regions, the highest prevalence of CSO was reported in Southern Africa (2.64%, 95% CI: 2.17, 3.17) followed by the Central Africa region (2.21%, 95% CI: 2.06, 2.37). Under five children aged 12–23 months (AOR = 0.45, 95% CI: 0.34, 0.59), 24–35 months (AOR = 0.41, 95% CI: 0.32, 0.52), 36–59 months (AOR = 055, 95% CI: 0.43, 0.70), ever had no vaccination (AOR = 1.25, 95% CI: 1.09, 1.54), under-five children born from 25 to 34 years mother (AOR = 0.75, 95% CI: 0.61, 0.91), under-five children born from overweight/obese mothers (AOR = 1.63, 95% CI: 1.14, 2.34), and under-five children living in West Africa (AOR = 0.77, 95% CI: 0.61, 0.96) were significant determinants for under-five CSO. Conclusion Concurrent stunting and overweight or obesity is becoming an emerging layer of malnutrition. Under five children born in the SSA region had almost a 2% overall risk of developing CSO. Age of the children, vaccination status, maternal age, maternal obesity, and region of SSA were significantly associated with under-five CSO. Therefore, nutrition policies and programs should base on the identified factors and promote a quality and nutritious diet to limit the risk of developing CSO in early life. |
| first_indexed | 2024-03-13T01:57:20Z |
| format | Article |
| id | doaj.art-553c3519135b437d9e7ef65e9830c73b |
| institution | Directory Open Access Journal |
| issn | 2049-3258 |
| language | English |
| last_indexed | 2024-03-13T01:57:20Z |
| publishDate | 2023-06-01 |
| publisher | BMC |
| record_format | Article |
| series | Archives of Public Health |
| spelling | doaj.art-553c3519135b437d9e7ef65e9830c73b2023-07-02T11:08:29ZengBMCArchives of Public Health2049-32582023-06-0181111010.1186/s13690-023-01138-8Concurrent stunting and overweight or obesity among under-five children in sub-Saharan Africa: a multilevel analysisMelkamu Aderajew Zemene0Denekew Tenaw Anley1Natnael Atnafu Gebeyehu2Getachew Asmare Adella3Gizachew Ambaw Kassie4Misganaw Asmamaw Mengstie5Mohammed Abdu Seid6Endeshaw Chekol Abebe7Molalegn Mesele Gesese8Natnael Amare Tesfa9Yenealem Solomon Kebede10Berihun Bantie11Sefineh Fenta Feleke12Tadesse Asmamaw Dejenie13Wubet Alebachew Bayeh14Anteneh Mengist Dessie15Department of Public Health, College of Health Sciences, Debre Tabor UniversityDepartment of Public Health, College of Health Sciences, Debre Tabor UniversityDepartment of Midwifery, College of Medicine and Health Science, Wolaita Sodo UniversityDepartment of Reproductive Health and Nutrition, School of Public Health, Woliata Sodo UniversityDepartment of Epidemiology and Biostatistics, School of Public Health, Woliata Sodo UniversityDepartment of Biochemistry, College of Health Sciences, Debre Tabor UniversityUnit of Physiology, Department of Biomedical Science, College of Health Science, Debre Tabor UniversityDepartment of Biochemistry, College of Health Sciences, Debre Tabor UniversityDepartment of Midwifery, College of Medicine and Health Science, Wolaita Sodo UniversitySchool of Medicine, College of Health Science, Woldia UniversityDepartment of Medical Laboratory Science, College of Health Sciences, Debre Tabor UniversityDepartment of Comprehensive Nursing, College of Health Sciences, Debre Tabor UniversityDepartment of Public Health, College of Health Sciences, Woldia UniversityDepartment of Medical Biochemistry, College of Medicine and Health Sciences, University of GondarDepartment of Maternal and neonatal health Nursing, College of Health Sciences, Debre Tabor UniversityDepartment of Public Health, College of Health Sciences, Debre Tabor UniversityAbstract Background Globally, the co-occurrence of stunting and overweight or obesity (CSO) in the same individual is becoming an emerging layer of malnutrition and there is a paucity of information in low- and middle-income countries, particularly in sub-Saharan Africa. Hence, this study aimed to determine the pooled prevalence and determinants of concurrent stunting and overweight or obesity among under-five children in SSA. Methods Secondary data analysis was conducted from a recent nationally representative Demographic and Health Survey dataset of 35 SSA countries. A total weighted sample of 210,565 under-five children was included in the study. A multivariable multilevel mixed effect model was employed to identify the determinant of the prevalence of under-5 CSO. The Intra-class Correlation Coefficient (ICC) and Likelihood Ratio (LR) test were used to assess the presence of the clustering effect. A p-value of p < 0.05 was used to declare statistical significance. Result The pooled prevalence of concurrent stunting and overweight/obesity among under-five children was 1.82% (95% CI: 1.76, 1.87) in SSA. Across the SSA regions, the highest prevalence of CSO was reported in Southern Africa (2.64%, 95% CI: 2.17, 3.17) followed by the Central Africa region (2.21%, 95% CI: 2.06, 2.37). Under five children aged 12–23 months (AOR = 0.45, 95% CI: 0.34, 0.59), 24–35 months (AOR = 0.41, 95% CI: 0.32, 0.52), 36–59 months (AOR = 055, 95% CI: 0.43, 0.70), ever had no vaccination (AOR = 1.25, 95% CI: 1.09, 1.54), under-five children born from 25 to 34 years mother (AOR = 0.75, 95% CI: 0.61, 0.91), under-five children born from overweight/obese mothers (AOR = 1.63, 95% CI: 1.14, 2.34), and under-five children living in West Africa (AOR = 0.77, 95% CI: 0.61, 0.96) were significant determinants for under-five CSO. Conclusion Concurrent stunting and overweight or obesity is becoming an emerging layer of malnutrition. Under five children born in the SSA region had almost a 2% overall risk of developing CSO. Age of the children, vaccination status, maternal age, maternal obesity, and region of SSA were significantly associated with under-five CSO. Therefore, nutrition policies and programs should base on the identified factors and promote a quality and nutritious diet to limit the risk of developing CSO in early life.https://doi.org/10.1186/s13690-023-01138-8Concurrent stunting and overweight or obesityThe double burden of malnutrition |
| spellingShingle | Melkamu Aderajew Zemene Denekew Tenaw Anley Natnael Atnafu Gebeyehu Getachew Asmare Adella Gizachew Ambaw Kassie Misganaw Asmamaw Mengstie Mohammed Abdu Seid Endeshaw Chekol Abebe Molalegn Mesele Gesese Natnael Amare Tesfa Yenealem Solomon Kebede Berihun Bantie Sefineh Fenta Feleke Tadesse Asmamaw Dejenie Wubet Alebachew Bayeh Anteneh Mengist Dessie Concurrent stunting and overweight or obesity among under-five children in sub-Saharan Africa: a multilevel analysis Archives of Public Health Concurrent stunting and overweight or obesity The double burden of malnutrition |
| title | Concurrent stunting and overweight or obesity among under-five children in sub-Saharan Africa: a multilevel analysis |
| title_full | Concurrent stunting and overweight or obesity among under-five children in sub-Saharan Africa: a multilevel analysis |
| title_fullStr | Concurrent stunting and overweight or obesity among under-five children in sub-Saharan Africa: a multilevel analysis |
| title_full_unstemmed | Concurrent stunting and overweight or obesity among under-five children in sub-Saharan Africa: a multilevel analysis |
| title_short | Concurrent stunting and overweight or obesity among under-five children in sub-Saharan Africa: a multilevel analysis |
| title_sort | concurrent stunting and overweight or obesity among under five children in sub saharan africa a multilevel analysis |
| topic | Concurrent stunting and overweight or obesity The double burden of malnutrition |
| url | https://doi.org/10.1186/s13690-023-01138-8 |
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