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Multilevel Analysis of Factors Associated with Wasting and Underweight among Children Under-Five Years in Nigeria

Wasting and underweight reflect poor nutrition, which in children leads to retarded growth. The aim of this study is to determine the factors associated with wasting and underweight among children aged 0–59 months in Nigeria. A sample of 24,529 children aged 0–59 months from the 2013 Nigeria Demogra...

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Autores principales: Akombi, Blessing J., Agho, Kingsley E., Merom, Dafna, Hall, John J., Renzaho, Andre M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5295088/
https://www.ncbi.nlm.nih.gov/pubmed/28075336
http://dx.doi.org/10.3390/nu9010044
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author Akombi, Blessing J.
Agho, Kingsley E.
Merom, Dafna
Hall, John J.
Renzaho, Andre M.
author_facet Akombi, Blessing J.
Agho, Kingsley E.
Merom, Dafna
Hall, John J.
Renzaho, Andre M.
author_sort Akombi, Blessing J.
collection PubMed
description Wasting and underweight reflect poor nutrition, which in children leads to retarded growth. The aim of this study is to determine the factors associated with wasting and underweight among children aged 0–59 months in Nigeria. A sample of 24,529 children aged 0–59 months from the 2013 Nigeria Demographic and Health Survey (NDHS) was used. Multilevel logistic regression analysis that adjusted for cluster and survey weights was used to identify significant factors associated with wasting/severe wasting and underweight/severe underweight. The prevalence of wasting was 18% (95% Confidence Interval (CI): 17.1, 19.7) and severe wasting 9% (95% CI: 7.9, 9.8). The prevalence of underweight was 29% (95% CI: 27.1, 30.5) and severe underweight 12% (95% CI: 10.6, 12.9). Multivariable analysis revealed that the most consistent factors associated with wasting/severe wasting and underweight/severe underweight are: geopolitical zone (North East, North West and North Central), perceived birth size (small and average), sex of child (male), place/mode of delivery (home delivery and non-caesarean) and a contraction of fever in the two weeks prior to the survey. In order to meet the WHO’s global nutrition target for 2025, interventions aimed at improving maternal health and access to health care services for children especially in the northern geopolitical zones of Nigeria are urgently needed.
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spelling pubmed-52950882017-02-10 Multilevel Analysis of Factors Associated with Wasting and Underweight among Children Under-Five Years in Nigeria Akombi, Blessing J. Agho, Kingsley E. Merom, Dafna Hall, John J. Renzaho, Andre M. Nutrients Article Wasting and underweight reflect poor nutrition, which in children leads to retarded growth. The aim of this study is to determine the factors associated with wasting and underweight among children aged 0–59 months in Nigeria. A sample of 24,529 children aged 0–59 months from the 2013 Nigeria Demographic and Health Survey (NDHS) was used. Multilevel logistic regression analysis that adjusted for cluster and survey weights was used to identify significant factors associated with wasting/severe wasting and underweight/severe underweight. The prevalence of wasting was 18% (95% Confidence Interval (CI): 17.1, 19.7) and severe wasting 9% (95% CI: 7.9, 9.8). The prevalence of underweight was 29% (95% CI: 27.1, 30.5) and severe underweight 12% (95% CI: 10.6, 12.9). Multivariable analysis revealed that the most consistent factors associated with wasting/severe wasting and underweight/severe underweight are: geopolitical zone (North East, North West and North Central), perceived birth size (small and average), sex of child (male), place/mode of delivery (home delivery and non-caesarean) and a contraction of fever in the two weeks prior to the survey. In order to meet the WHO’s global nutrition target for 2025, interventions aimed at improving maternal health and access to health care services for children especially in the northern geopolitical zones of Nigeria are urgently needed. MDPI 2017-01-08 /pmc/articles/PMC5295088/ /pubmed/28075336 http://dx.doi.org/10.3390/nu9010044 Text en © 2017 by the authors; licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Akombi, Blessing J.
Agho, Kingsley E.
Merom, Dafna
Hall, John J.
Renzaho, Andre M.
Multilevel Analysis of Factors Associated with Wasting and Underweight among Children Under-Five Years in Nigeria
title Multilevel Analysis of Factors Associated with Wasting and Underweight among Children Under-Five Years in Nigeria
title_full Multilevel Analysis of Factors Associated with Wasting and Underweight among Children Under-Five Years in Nigeria
title_fullStr Multilevel Analysis of Factors Associated with Wasting and Underweight among Children Under-Five Years in Nigeria
title_full_unstemmed Multilevel Analysis of Factors Associated with Wasting and Underweight among Children Under-Five Years in Nigeria
title_short Multilevel Analysis of Factors Associated with Wasting and Underweight among Children Under-Five Years in Nigeria
title_sort multilevel analysis of factors associated with wasting and underweight among children under-five years in nigeria
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5295088/
https://www.ncbi.nlm.nih.gov/pubmed/28075336
http://dx.doi.org/10.3390/nu9010044
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