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Concurrent stunting and overweight or obesity among under-five children in sub-Saharan Africa: a multilevel analysis

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...

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Autores principales: Zemene, Melkamu Aderajew, Anley, Denekew Tenaw, Gebeyehu, Natnael Atnafu, Adella, Getachew Asmare, Kassie, Gizachew Ambaw, Mengstie, Misganaw Asmamaw, Seid, Mohammed Abdu, Abebe, Endeshaw Chekol, Gesese, Molalegn Mesele, Tesfa, Natnael Amare, Kebede, Yenealem Solomon, Bantie, Berihun, Feleke, Sefineh Fenta, Dejenie, Tadesse Asmamaw, Bayeh, Wubet Alebachew, Dessie, Anteneh Mengist
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10311785/
https://www.ncbi.nlm.nih.gov/pubmed/37391826
http://dx.doi.org/10.1186/s13690-023-01138-8
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author Zemene, Melkamu Aderajew
Anley, Denekew Tenaw
Gebeyehu, Natnael Atnafu
Adella, Getachew Asmare
Kassie, Gizachew Ambaw
Mengstie, Misganaw Asmamaw
Seid, Mohammed Abdu
Abebe, Endeshaw Chekol
Gesese, Molalegn Mesele
Tesfa, Natnael Amare
Kebede, Yenealem Solomon
Bantie, Berihun
Feleke, Sefineh Fenta
Dejenie, Tadesse Asmamaw
Bayeh, Wubet Alebachew
Dessie, Anteneh Mengist
author_facet Zemene, Melkamu Aderajew
Anley, Denekew Tenaw
Gebeyehu, Natnael Atnafu
Adella, Getachew Asmare
Kassie, Gizachew Ambaw
Mengstie, Misganaw Asmamaw
Seid, Mohammed Abdu
Abebe, Endeshaw Chekol
Gesese, Molalegn Mesele
Tesfa, Natnael Amare
Kebede, Yenealem Solomon
Bantie, Berihun
Feleke, Sefineh Fenta
Dejenie, Tadesse Asmamaw
Bayeh, Wubet Alebachew
Dessie, Anteneh Mengist
author_sort Zemene, Melkamu Aderajew
collection PubMed
description 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.
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spelling pubmed-103117852023-07-01 Concurrent stunting and overweight or obesity among under-five children in sub-Saharan Africa: a multilevel analysis Zemene, Melkamu Aderajew Anley, Denekew Tenaw Gebeyehu, Natnael Atnafu Adella, Getachew Asmare Kassie, Gizachew Ambaw Mengstie, Misganaw Asmamaw Seid, Mohammed Abdu Abebe, Endeshaw Chekol Gesese, Molalegn Mesele Tesfa, Natnael Amare Kebede, Yenealem Solomon Bantie, Berihun Feleke, Sefineh Fenta Dejenie, Tadesse Asmamaw Bayeh, Wubet Alebachew Dessie, Anteneh Mengist Arch Public Health Research 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. BioMed Central 2023-06-30 /pmc/articles/PMC10311785/ /pubmed/37391826 http://dx.doi.org/10.1186/s13690-023-01138-8 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Zemene, Melkamu Aderajew
Anley, Denekew Tenaw
Gebeyehu, Natnael Atnafu
Adella, Getachew Asmare
Kassie, Gizachew Ambaw
Mengstie, Misganaw Asmamaw
Seid, Mohammed Abdu
Abebe, Endeshaw Chekol
Gesese, Molalegn Mesele
Tesfa, Natnael Amare
Kebede, Yenealem Solomon
Bantie, Berihun
Feleke, Sefineh Fenta
Dejenie, Tadesse Asmamaw
Bayeh, Wubet Alebachew
Dessie, Anteneh Mengist
Concurrent stunting and overweight or obesity among under-five children in sub-Saharan Africa: a multilevel analysis
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 Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10311785/
https://www.ncbi.nlm.nih.gov/pubmed/37391826
http://dx.doi.org/10.1186/s13690-023-01138-8
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