Gender differences in nutritional status, diet and physical activity among adolescents in eight countries in sub-Saharan Africa

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dc.contributor.authorDarling, Anne Marie
dc.contributor.authorSunguya, Bruno
dc.contributor.authorIsmail, Abbas
dc.contributor.authorManu, Abubakar
dc.contributor.authorCanavan, Chelsey
dc.contributor.authorAssefa, Nega
dc.contributor.authorSie, Ali
dc.contributor.authorFawzi, Wafaie
dc.contributor.authorSudfeld, Chris
dc.contributor.authorGuwattude, David
dc.date.accessioned2021-05-12T06:09:45Z
dc.date.available2021-05-12T06:09:45Z
dc.date.issued2020
dc.descriptionAbstract. Full text article available at https://doi.org/10.1111/tmi.13330en_US
dc.description.abstractThe objective of this study was to evaluate gender differences in nutritional status, dietary intake, physical activity and hand hygiene among adolescents from diverse geographical settings in sub‐Saharan Africa.This study utilised cross‐sectional data from six countries (Burkina Faso, Ethiopia, Ghana, Nigeria, Tanzania and Uganda) within the ARISE Adolescent Health Survey (n = 7625). Body mass index (BMI) was calculated using measured heights and weights, and z‐scores were calculated based on the 2007 WHO growth standards for age and sex. Information on demographics, diet and health behaviours was collected through face‐to‐face interviews using a standardised questionnaire. Site‐specific and pooled prevalence ratios were determined. The prevalence of underweight, overweight and stunting pooled across sites was 14.3%, 6.8% and 18.1%, respectively. Female sex was associated with a lower risk of being underweight (pooled prevalence ratio 0.66, 95% 0.57, 0.77) and stunted (pooled PR 0.63, 95% CI 0.55, 0.71), but a higher risk of being overweight (pooled PR 1.60, 95% CI 1.26, 2.06). Females were also less likely to exercise for 1 h or more per day (pooled PR 0.77, 95% CI 0.67, 0.88), and more likely to wash hands after using toilets or latrines and to wash hands with soap (pooled PRs 1.13, 95% CI 1.05, 1.21 and 1.35, 95% CI 1.23, 1.45, respectively).Our results emphasise that sex is a key predictor of nutritional status among sub‐Saharan African adolescents and suggest that gender‐specific interventions may be required to reduce the double burden of under‐ and overnutrition.en_US
dc.identifier.citationDarling, A. M., Sunguya, B., Ismail, A., Manu, A., Canavan, C., Assefa, N., ... & Guwattude, D. (2020). Gender differences in nutritional status, diet and physical activity among adolescents in eight countries in sub‐Saharan Africa. Tropical Medicine & International Health, 25(1), 33-43.en_US
dc.identifier.otherDOI: https://doi.org/10.1111/tmi.13330
dc.identifier.urihttp://hdl.handle.net/20.500.12661/3027
dc.language.isoenen_US
dc.publisherJohn Wiley & Sons Ltden_US
dc.subjectGender differencesen_US
dc.subjectNutritional statusen_US
dc.subjectNutritional dieten_US
dc.subjectAdolescentsen_US
dc.subjectPhysical activityen_US
dc.subjectSub‐Saharan Africanen_US
dc.subjectOvernutritionen_US
dc.subjectUnder‐nutritionen_US
dc.titleGender differences in nutritional status, diet and physical activity among adolescents in eight countries in sub-Saharan Africaen_US
dc.typeArticleen_US
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