Overweight and/or obesity and its determinants among under-five children in East African countries: A multilevel analysis using Bayesian approach
Introduction: Childhood overweight and/or obesity become a significant public health problem in the 21st century. It is a double burden next to undernutrition and has a dramatic rise in low- and middle-income countries. This study aimed to determine the prevalence of overweight and/or obesity and it...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2021-12-01
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| Series: | Heliyon |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2405844021027468 |
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| author | Sofonyas Abebaw Tiruneh Alemayehu Digssie Gebremariam Melaku Tadege Engidaw Desalegn Tesfa Fentaw Teshome Dagnaw Edgeit Abebe Zewde Melkalem Mamuye Azanaw |
| author_facet | Sofonyas Abebaw Tiruneh Alemayehu Digssie Gebremariam Melaku Tadege Engidaw Desalegn Tesfa Fentaw Teshome Dagnaw Edgeit Abebe Zewde Melkalem Mamuye Azanaw |
| author_sort | Sofonyas Abebaw Tiruneh |
| collection | DOAJ |
| description | Introduction: Childhood overweight and/or obesity become a significant public health problem in the 21st century. It is a double burden next to undernutrition and has a dramatic rise in low- and middle-income countries. This study aimed to determine the prevalence of overweight and/or obesity and its determinants among under-five children in East African Countries. Methods: Data were retrieved from the recent nationally representative demographic and health survey datasets from eleven East African Countries. A total of 89,091 weighted numbers of under-five children participated. Statistical analysis was performed using the R (Brms R-package) software. Multivariable mixed-effects logistic regression analysis using the Bayesian approach was employed to identify the factors affecting overweight and/or obesity among under-five children. Results: Overall, 4.59% (95% CI, 4.45–4.73) of under-five children in East African Countries were overweight and/or obese. Under-five children overweight and/or obesity was highest in Comoros and lowest in Burundi. Under-five children aged older than two years (Adjusted odds ratio (AOR) = 0.65, 95% credible interval (CrI), 0.57–0.73), females (AOR = 0.84, 95% CrI:, 0.75–0.94), under-five children live from rich household wealth status (AOR = 1.25, 95% CrI, 1.06–1.49), under-five children living in Malawi (AOR = 2.60, 95% CrI, 1.49–4.51), Mozambique (AOR = 5.26, 95% CrI, 3.52–7.79), Rwanda (AOR = 5.63, 95% CrI, 3.46–9.08), Tanzania (AOR = 2.15, 95% CrI, 1.47–3.12), and Uganda (AOR = 2.62, 95% CrI, 1.71–3.99) were a significant determinant for under-five overweight and/or obesity. Conclusion: Overweight and/or obesity among under-five children become a problem in low and middle-income countries. Older under-five children, male sex, children who live in rich household wealth, and children who live in a country in Malawi, Mozambique, Ruanda, Tanzania, and Uganda were significantly affected by overweight and/or obesity. Therefore, in these countries, responsible stakeholders shall give primary attention to curve the alarming increase in overweight and/or obesity among under-five children. |
| first_indexed | 2024-12-22T21:00:57Z |
| format | Article |
| id | doaj.art-736aa2bd7da347d0bb607c27422d1ccc |
| institution | Directory Open Access Journal |
| issn | 2405-8440 |
| language | English |
| last_indexed | 2024-12-22T21:00:57Z |
| publishDate | 2021-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Heliyon |
| spelling | doaj.art-736aa2bd7da347d0bb607c27422d1ccc2022-12-21T18:12:50ZengElsevierHeliyon2405-84402021-12-01712e08643Overweight and/or obesity and its determinants among under-five children in East African countries: A multilevel analysis using Bayesian approachSofonyas Abebaw Tiruneh0Alemayehu Digssie Gebremariam1Melaku Tadege Engidaw2Desalegn Tesfa3Fentaw Teshome Dagnaw4Edgeit Abebe Zewde5Melkalem Mamuye Azanaw6Department of Public Health (Epidemiology), College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia; Corresponding author.Department of Public Health (Human Nutrition), College of Health Sciences, Debre Tabor University, Debre Tabor, EthiopiaDepartment of Public Health (Human Nutrition), College of Health Sciences, Debre Tabor University, Debre Tabor, EthiopiaDepartment of Public Health (Reproductive Health), College of Health Sciences, Debre Tabor University, Debre Tabor, EthiopiaDepartment of Public Health (Health Service Management), College of Health Sciences, Debre Tabor University, Debre Tabor, EthiopiaDepartment of Biomedical Science (Medical Physiology), College of Health Sciences, Debre Tabor University, Debre Tabor, EthiopiaDepartment of Public Health (Epidemiology), College of Health Sciences, Debre Tabor University, Debre Tabor, EthiopiaIntroduction: Childhood overweight and/or obesity become a significant public health problem in the 21st century. It is a double burden next to undernutrition and has a dramatic rise in low- and middle-income countries. This study aimed to determine the prevalence of overweight and/or obesity and its determinants among under-five children in East African Countries. Methods: Data were retrieved from the recent nationally representative demographic and health survey datasets from eleven East African Countries. A total of 89,091 weighted numbers of under-five children participated. Statistical analysis was performed using the R (Brms R-package) software. Multivariable mixed-effects logistic regression analysis using the Bayesian approach was employed to identify the factors affecting overweight and/or obesity among under-five children. Results: Overall, 4.59% (95% CI, 4.45–4.73) of under-five children in East African Countries were overweight and/or obese. Under-five children overweight and/or obesity was highest in Comoros and lowest in Burundi. Under-five children aged older than two years (Adjusted odds ratio (AOR) = 0.65, 95% credible interval (CrI), 0.57–0.73), females (AOR = 0.84, 95% CrI:, 0.75–0.94), under-five children live from rich household wealth status (AOR = 1.25, 95% CrI, 1.06–1.49), under-five children living in Malawi (AOR = 2.60, 95% CrI, 1.49–4.51), Mozambique (AOR = 5.26, 95% CrI, 3.52–7.79), Rwanda (AOR = 5.63, 95% CrI, 3.46–9.08), Tanzania (AOR = 2.15, 95% CrI, 1.47–3.12), and Uganda (AOR = 2.62, 95% CrI, 1.71–3.99) were a significant determinant for under-five overweight and/or obesity. Conclusion: Overweight and/or obesity among under-five children become a problem in low and middle-income countries. Older under-five children, male sex, children who live in rich household wealth, and children who live in a country in Malawi, Mozambique, Ruanda, Tanzania, and Uganda were significantly affected by overweight and/or obesity. Therefore, in these countries, responsible stakeholders shall give primary attention to curve the alarming increase in overweight and/or obesity among under-five children.http://www.sciencedirect.com/science/article/pii/S2405844021027468OverweightObesityUnder-five childrenEast Africa |
| spellingShingle | Sofonyas Abebaw Tiruneh Alemayehu Digssie Gebremariam Melaku Tadege Engidaw Desalegn Tesfa Fentaw Teshome Dagnaw Edgeit Abebe Zewde Melkalem Mamuye Azanaw Overweight and/or obesity and its determinants among under-five children in East African countries: A multilevel analysis using Bayesian approach Heliyon Overweight Obesity Under-five children East Africa |
| title | Overweight and/or obesity and its determinants among under-five children in East African countries: A multilevel analysis using Bayesian approach |
| title_full | Overweight and/or obesity and its determinants among under-five children in East African countries: A multilevel analysis using Bayesian approach |
| title_fullStr | Overweight and/or obesity and its determinants among under-five children in East African countries: A multilevel analysis using Bayesian approach |
| title_full_unstemmed | Overweight and/or obesity and its determinants among under-five children in East African countries: A multilevel analysis using Bayesian approach |
| title_short | Overweight and/or obesity and its determinants among under-five children in East African countries: A multilevel analysis using Bayesian approach |
| title_sort | overweight and or obesity and its determinants among under five children in east african countries a multilevel analysis using bayesian approach |
| topic | Overweight Obesity Under-five children East Africa |
| url | http://www.sciencedirect.com/science/article/pii/S2405844021027468 |
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