Cargando…
Provincial Dietary Intake Study (PDIS): Prevalence and Sociodemographic Determinants of the Double Burden of Malnutrition in A Representative Sample of 1 to Under 10-Year-Old Children from Two Urbanized and Economically Active Provinces in South Africa
The objective of this study was to determine the prevalence and socio-demographic predictors of malnutrition in two urbanized economically active provinces (Gauteng N = 733, Western Cape N = 593) in South Africa. A multistage stratified cluster random sampling design was applied. Fieldworkers visite...
Autores principales: | , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2019
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6765782/ https://www.ncbi.nlm.nih.gov/pubmed/31509998 http://dx.doi.org/10.3390/ijerph16183334 |
_version_ | 1783454560470171648 |
---|---|
author | Senekal, Marjanne Nel, Johanna H Malczyk, Sonia Drummond, Linda Harbron, Janetta Steyn, Nelia P |
author_facet | Senekal, Marjanne Nel, Johanna H Malczyk, Sonia Drummond, Linda Harbron, Janetta Steyn, Nelia P |
author_sort | Senekal, Marjanne |
collection | PubMed |
description | The objective of this study was to determine the prevalence and socio-demographic predictors of malnutrition in two urbanized economically active provinces (Gauteng N = 733, Western Cape N = 593) in South Africa. A multistage stratified cluster random sampling design was applied. Fieldworkers visited homes, measured children aged 1-<10-years old (N = 1326) and administered a questionnaire (mother/primary caregiver). In under-five year old children (N = 674) 21.6% were stunted [height-for-age z-score < −2 SD], 5.6 % underweight [weight-for-age z-score < −2 SD], 10.3% overweight (body mass index-for-age z-score) (BAZ)> +2 SD ≤ +3 SD] and 7.0% obese (BAZ > +3 SD). In 5–<10-year olds (N = 626) 6.7% were stunted, 6.8% underweight, 13.4% overweight and 6.8% obese. Stunting and overweight in the same child was present in 5.7% under-five year olds and 1.7% in 5–<10-year olds. Multiple logistic regression analyses identified having a mother with a post-grade 12 qualification (OR = 0.34) and having an obese mother (OR 0.46) as protectors and being in the under-five age group (OR = 3.73) as a risk factor for stunting. Being in the under-five age group was also a risk factor for a BAZ > 1 (OR 2.39), while being in the third wealth quintile was protective (OR = 0.62). Results indicate that stunting and overweight/obesity are still present at concerning levels, especially in the under-five age group. |
format | Online Article Text |
id | pubmed-6765782 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-67657822019-09-30 Provincial Dietary Intake Study (PDIS): Prevalence and Sociodemographic Determinants of the Double Burden of Malnutrition in A Representative Sample of 1 to Under 10-Year-Old Children from Two Urbanized and Economically Active Provinces in South Africa Senekal, Marjanne Nel, Johanna H Malczyk, Sonia Drummond, Linda Harbron, Janetta Steyn, Nelia P Int J Environ Res Public Health Article The objective of this study was to determine the prevalence and socio-demographic predictors of malnutrition in two urbanized economically active provinces (Gauteng N = 733, Western Cape N = 593) in South Africa. A multistage stratified cluster random sampling design was applied. Fieldworkers visited homes, measured children aged 1-<10-years old (N = 1326) and administered a questionnaire (mother/primary caregiver). In under-five year old children (N = 674) 21.6% were stunted [height-for-age z-score < −2 SD], 5.6 % underweight [weight-for-age z-score < −2 SD], 10.3% overweight (body mass index-for-age z-score) (BAZ)> +2 SD ≤ +3 SD] and 7.0% obese (BAZ > +3 SD). In 5–<10-year olds (N = 626) 6.7% were stunted, 6.8% underweight, 13.4% overweight and 6.8% obese. Stunting and overweight in the same child was present in 5.7% under-five year olds and 1.7% in 5–<10-year olds. Multiple logistic regression analyses identified having a mother with a post-grade 12 qualification (OR = 0.34) and having an obese mother (OR 0.46) as protectors and being in the under-five age group (OR = 3.73) as a risk factor for stunting. Being in the under-five age group was also a risk factor for a BAZ > 1 (OR 2.39), while being in the third wealth quintile was protective (OR = 0.62). Results indicate that stunting and overweight/obesity are still present at concerning levels, especially in the under-five age group. MDPI 2019-09-10 2019-09 /pmc/articles/PMC6765782/ /pubmed/31509998 http://dx.doi.org/10.3390/ijerph16183334 Text en © 2019 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 Senekal, Marjanne Nel, Johanna H Malczyk, Sonia Drummond, Linda Harbron, Janetta Steyn, Nelia P Provincial Dietary Intake Study (PDIS): Prevalence and Sociodemographic Determinants of the Double Burden of Malnutrition in A Representative Sample of 1 to Under 10-Year-Old Children from Two Urbanized and Economically Active Provinces in South Africa |
title | Provincial Dietary Intake Study (PDIS): Prevalence and Sociodemographic Determinants of the Double Burden of Malnutrition in A Representative Sample of 1 to Under 10-Year-Old Children from Two Urbanized and Economically Active Provinces in South Africa |
title_full | Provincial Dietary Intake Study (PDIS): Prevalence and Sociodemographic Determinants of the Double Burden of Malnutrition in A Representative Sample of 1 to Under 10-Year-Old Children from Two Urbanized and Economically Active Provinces in South Africa |
title_fullStr | Provincial Dietary Intake Study (PDIS): Prevalence and Sociodemographic Determinants of the Double Burden of Malnutrition in A Representative Sample of 1 to Under 10-Year-Old Children from Two Urbanized and Economically Active Provinces in South Africa |
title_full_unstemmed | Provincial Dietary Intake Study (PDIS): Prevalence and Sociodemographic Determinants of the Double Burden of Malnutrition in A Representative Sample of 1 to Under 10-Year-Old Children from Two Urbanized and Economically Active Provinces in South Africa |
title_short | Provincial Dietary Intake Study (PDIS): Prevalence and Sociodemographic Determinants of the Double Burden of Malnutrition in A Representative Sample of 1 to Under 10-Year-Old Children from Two Urbanized and Economically Active Provinces in South Africa |
title_sort | provincial dietary intake study (pdis): prevalence and sociodemographic determinants of the double burden of malnutrition in a representative sample of 1 to under 10-year-old children from two urbanized and economically active provinces in south africa |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6765782/ https://www.ncbi.nlm.nih.gov/pubmed/31509998 http://dx.doi.org/10.3390/ijerph16183334 |
work_keys_str_mv | AT senekalmarjanne provincialdietaryintakestudypdisprevalenceandsociodemographicdeterminantsofthedoubleburdenofmalnutritioninarepresentativesampleof1tounder10yearoldchildrenfromtwourbanizedandeconomicallyactiveprovincesinsouthafrica AT neljohannah provincialdietaryintakestudypdisprevalenceandsociodemographicdeterminantsofthedoubleburdenofmalnutritioninarepresentativesampleof1tounder10yearoldchildrenfromtwourbanizedandeconomicallyactiveprovincesinsouthafrica AT malczyksonia provincialdietaryintakestudypdisprevalenceandsociodemographicdeterminantsofthedoubleburdenofmalnutritioninarepresentativesampleof1tounder10yearoldchildrenfromtwourbanizedandeconomicallyactiveprovincesinsouthafrica AT drummondlinda provincialdietaryintakestudypdisprevalenceandsociodemographicdeterminantsofthedoubleburdenofmalnutritioninarepresentativesampleof1tounder10yearoldchildrenfromtwourbanizedandeconomicallyactiveprovincesinsouthafrica AT harbronjanetta provincialdietaryintakestudypdisprevalenceandsociodemographicdeterminantsofthedoubleburdenofmalnutritioninarepresentativesampleof1tounder10yearoldchildrenfromtwourbanizedandeconomicallyactiveprovincesinsouthafrica AT steynneliap provincialdietaryintakestudypdisprevalenceandsociodemographicdeterminantsofthedoubleburdenofmalnutritioninarepresentativesampleof1tounder10yearoldchildrenfromtwourbanizedandeconomicallyactiveprovincesinsouthafrica |