Prevalence and risk factors associated with malnutrition among adolescents in rural Tanzania

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dc.contributor.authorIsmail, A.
dc.contributor.authorDarling, A. M.
dc.contributor.authorMosha, D.
dc.contributor.authorFawzi, W.
dc.contributor.authorSudfeld, C.
dc.contributor.authorSando, M. M.
dc.contributor.authorNoor, R. A.
dc.contributor.authorCharles, J.
dc.contributor.authorVuai, S.
dc.date.accessioned2020-03-23T08:54:02Z
dc.date.available2020-03-23T08:54:02Z
dc.date.issued2020
dc.descriptionFull Text Article. Also available at: https://doi.org/10.1111/tmi.13331en_US
dc.description.abstractTo determine the prevalence and risk factors associated with malnutrition among adolescents in a rural Tanzanian community. Cross-sectional survey of 1226 randomly selected adolescents from the Dodoma Health and Demographic Surveillance System (HDSS) in the Chamwino district in the Dodoma region. Anthropometric measurements for weight and height were collected. Height-for-age-z-scores (HAZs) and body mass index (BMI)-for-age-z-scores (BAZs) were computed. Descriptive estimates were documented in graphs and tables, and weighted linear regression models were used to examine predictors of malnutrition. Stunting prevalence was 18%, and thinness prevalence was 14%. Overweight and obesity affected 5.23% of participants. Girls had higher HAZs (b: 0.46, 95% CI 0.33, 0.59, P < 0.0001) and BAZs (b: 0.20, 95% CI 0.05, 0.35, P = 0.0098) than boys. Age was inversely associated with HAZs (b: _0.13, 95% CI _0.17, _0.08, P < 0.0001) and BAZs (b: _0.05, 95% CI _0.10, _0.004, P = 0.0327). Wealth score (b: 0.10, 95% CI 0.04, 0.16, P = 0.0009) and dietary diversity score (b: 0.04, 95% CI 0.01, 0.07, P = 0.0080) were positively associated with HAZs and BAZs. Out of school adolescents had higher HAZs (b: _0.49, 95% CI _0.75, _0.23, P = 0.0003) and BAZs (b:0.68, 95% CI _0.99, _0.37, P < 0.0001) than adolescents who attended school. There are substantial variations of HAZs and BAZs across gender, age, education and wealth, with an emerging burden of overweight and obesity among adolescents in this rural population. Interventions are urgently required to curb both ends of the malnutrition spectrum.en_US
dc.identifier.citationIsmail, A., Darling, A. M., Mosha, D., Fawzi, W., Sudfeld, C., Sando, M. M., ... & Vuai, S. (2020). Prevalence and risk factors associated with malnutrition among adolescents in rural Tanzania. Tropical Medicine & International Health, 25(1), 89-100.en_US
dc.identifier.otherhttps://doi.org/10.1111/tmi.13331
dc.identifier.urihttp://hdl.handle.net/20.500.12661/2290
dc.language.isoenen_US
dc.publisherWiley Onlineen_US
dc.subjectAdolescentsen_US
dc.subjectTanzanian communityen_US
dc.subjectDodomaen_US
dc.subjectTanzaniaen_US
dc.subjectUnderweighten_US
dc.subjectLinear regressionsen_US
dc.subjectHeight-for-age-z-scoreen_US
dc.subjectBMI-for-age-z-scoreen_US
dc.subjectChamwino districten_US
dc.subjectMalnutritionen_US
dc.subjectDemographic Surveillance Systemen_US
dc.subjectHeathcare systemen_US
dc.titlePrevalence and risk factors associated with malnutrition among adolescents in rural Tanzaniaen_US
dc.typeArticleen_US
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