A comparative study of the anthropometric status of adults and children in urban and rural communities of the North West Region of Cameroon

Abstract Background Cameroon, like many other developing countries, is experiencing a double burden of malnutrition. With increasing urbanization, communities are exposed to high calorie diets and sedentary lifestyles, which contribute to overnutrition. However, the nutritional status of the communi...

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Main Authors: Faith Asangha Akob, Kirthee Pillay, Nicola Wiles, Muthulisi Siwela
Format: Article
Language:English
Published: BMC 2023-07-01
Series:BMC Nutrition
Subjects:
Online Access:https://doi.org/10.1186/s40795-023-00734-9
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author Faith Asangha Akob
Kirthee Pillay
Nicola Wiles
Muthulisi Siwela
author_facet Faith Asangha Akob
Kirthee Pillay
Nicola Wiles
Muthulisi Siwela
author_sort Faith Asangha Akob
collection DOAJ
description Abstract Background Cameroon, like many other developing countries, is experiencing a double burden of malnutrition. With increasing urbanization, communities are exposed to high calorie diets and sedentary lifestyles, which contribute to overnutrition. However, the nutritional status of the communities may vary with geographic location. The aim of the current study was to investigate the prevalence of underweight, overweight and abdominal obesity among adults as well as overweight, underweight, stunting and wasting among children in selected urban and rural communities of the North West Region (NWR) of Cameroon. The study also compared these parameters between selected urban and rural areas. Methods Cross-sectional study design was used to investigate the anthropometric status of adults (18–65 years) and children (1–5 years) from two rural (Mankon and Mendakwe) and two urban (Mankon and Nkwen) communities in the NWR of Cameroon. The study included 156 adults and 156 children per study site from different households. A multistage sampling technique was used to select the participants and study sites Anthropometric measurements were taken using standardised methods for selected indices: weight, height, waist circumference and mid-upper arm circumference (MUAC). Data were analyzed using Statistical Package for the Social Sciences (SPSS) version 25 and a p-value of < 0.05 was considered statistically significant. Results Adults from Nkwen (urban) were either overweight (n = 74; 47.4%) or obese (n = 44; 28.2%) with 43.6% (n = 68) from urban Mankon obese, whilst adults from rural Mankon were normal weight (49.4%; n = 77), 2.6% (n = 4) from Mendakwe (rural) were underweight and 64.1% (n = 100) were normal weight. Children in the rural areas were severely underweight (n = 45; 14.4%), while children in the urban areas were either normal (n = 158; 50.6) or overweight (n = 43; 13.8%). More females in the urban sites (n = 39; 53.4% in Nkwen and n = 43; 69.4% in urban Mankon) had a large waist circumference (WC) compared to those in the rural sites (n = 17; 22.1% in Mendakwe and n = 24; 38.1% in rural Mankon). Males in the urban areas had large WC compared to those in the rural sites (n = 19; 24.4% in Nkwen; n = 23; 24.7% in urban Mankon; n = 15; 16.1% in rural Mankon and n = 2; 2.6% in Mendakwe). Mid-upper arm circumference (MUAC) values indicated that most children in both urban (n = 147; 94.2% in Nkwen; n = 152; 97.4% in urban Mankon) and rural areas (n = 142; 91.0% in rural Mankon; n = 154; 98.7% in Mendakwe) were not acutely malnourished. Conclusions This study found a higher prevalence of overweight and obesity among adults and children in the urban areas of Nkwen and Mankon, compared to rural Mankon and Mendakwe. Thus, there is a need to investigate and address the causes of the high prevalence of overweight and obesity in these urban areas.
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spelling doaj.art-d953e39380174298be105eebde39e07b2023-07-09T11:08:32ZengBMCBMC Nutrition2055-09282023-07-019111010.1186/s40795-023-00734-9A comparative study of the anthropometric status of adults and children in urban and rural communities of the North West Region of CameroonFaith Asangha Akob0Kirthee Pillay1Nicola Wiles2Muthulisi Siwela3Dietetics and Human Nutrition, School of Agricultural, Earth and Environmental Sciences, University of KwaZulu-NatalDietetics and Human Nutrition, School of Agricultural, Earth and Environmental Sciences, University of KwaZulu-NatalDietetics and Human Nutrition, School of Agricultural, Earth and Environmental Sciences, University of KwaZulu-NatalDietetics and Human Nutrition, School of Agricultural, Earth and Environmental Sciences, University of KwaZulu-NatalAbstract Background Cameroon, like many other developing countries, is experiencing a double burden of malnutrition. With increasing urbanization, communities are exposed to high calorie diets and sedentary lifestyles, which contribute to overnutrition. However, the nutritional status of the communities may vary with geographic location. The aim of the current study was to investigate the prevalence of underweight, overweight and abdominal obesity among adults as well as overweight, underweight, stunting and wasting among children in selected urban and rural communities of the North West Region (NWR) of Cameroon. The study also compared these parameters between selected urban and rural areas. Methods Cross-sectional study design was used to investigate the anthropometric status of adults (18–65 years) and children (1–5 years) from two rural (Mankon and Mendakwe) and two urban (Mankon and Nkwen) communities in the NWR of Cameroon. The study included 156 adults and 156 children per study site from different households. A multistage sampling technique was used to select the participants and study sites Anthropometric measurements were taken using standardised methods for selected indices: weight, height, waist circumference and mid-upper arm circumference (MUAC). Data were analyzed using Statistical Package for the Social Sciences (SPSS) version 25 and a p-value of < 0.05 was considered statistically significant. Results Adults from Nkwen (urban) were either overweight (n = 74; 47.4%) or obese (n = 44; 28.2%) with 43.6% (n = 68) from urban Mankon obese, whilst adults from rural Mankon were normal weight (49.4%; n = 77), 2.6% (n = 4) from Mendakwe (rural) were underweight and 64.1% (n = 100) were normal weight. Children in the rural areas were severely underweight (n = 45; 14.4%), while children in the urban areas were either normal (n = 158; 50.6) or overweight (n = 43; 13.8%). More females in the urban sites (n = 39; 53.4% in Nkwen and n = 43; 69.4% in urban Mankon) had a large waist circumference (WC) compared to those in the rural sites (n = 17; 22.1% in Mendakwe and n = 24; 38.1% in rural Mankon). Males in the urban areas had large WC compared to those in the rural sites (n = 19; 24.4% in Nkwen; n = 23; 24.7% in urban Mankon; n = 15; 16.1% in rural Mankon and n = 2; 2.6% in Mendakwe). Mid-upper arm circumference (MUAC) values indicated that most children in both urban (n = 147; 94.2% in Nkwen; n = 152; 97.4% in urban Mankon) and rural areas (n = 142; 91.0% in rural Mankon; n = 154; 98.7% in Mendakwe) were not acutely malnourished. Conclusions This study found a higher prevalence of overweight and obesity among adults and children in the urban areas of Nkwen and Mankon, compared to rural Mankon and Mendakwe. Thus, there is a need to investigate and address the causes of the high prevalence of overweight and obesity in these urban areas.https://doi.org/10.1186/s40795-023-00734-9MalnutritionObesityAnthropometric statusUrbanRuralCameroon
spellingShingle Faith Asangha Akob
Kirthee Pillay
Nicola Wiles
Muthulisi Siwela
A comparative study of the anthropometric status of adults and children in urban and rural communities of the North West Region of Cameroon
BMC Nutrition
Malnutrition
Obesity
Anthropometric status
Urban
Rural
Cameroon
title A comparative study of the anthropometric status of adults and children in urban and rural communities of the North West Region of Cameroon
title_full A comparative study of the anthropometric status of adults and children in urban and rural communities of the North West Region of Cameroon
title_fullStr A comparative study of the anthropometric status of adults and children in urban and rural communities of the North West Region of Cameroon
title_full_unstemmed A comparative study of the anthropometric status of adults and children in urban and rural communities of the North West Region of Cameroon
title_short A comparative study of the anthropometric status of adults and children in urban and rural communities of the North West Region of Cameroon
title_sort comparative study of the anthropometric status of adults and children in urban and rural communities of the north west region of cameroon
topic Malnutrition
Obesity
Anthropometric status
Urban
Rural
Cameroon
url https://doi.org/10.1186/s40795-023-00734-9
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