Prevalence of malnutrition among women and adolescent girls: impact of urbanization in rural–urban interface of Bangalore

2022 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Veerabhadrappa Bellundagi ◽  
K.B. Umesh ◽  
B.C. Ashwini ◽  
K.R. Hamsa
Keyword(s):  
Nutritional Status ◽  
Adolescent Girls ◽  
Associated Factors ◽  
Multinomial Logistic Regression ◽  
Wealth Index ◽  
Total Sample ◽  
Normal Weight ◽  
Double Burden ◽  
Content Type ◽  
Multinomial Logistic Regression Analysis

PurposeIndia is facing a double burden of malnutrition, i.e. undernutrition and obesity. Women and adolescent health and nutrition are very relevant issues which have not received much attention it deserves in India, especially in the context of a girl child. Hence, the purpose of this study is to assess malnutrition among women and adolescent girls as well as the associated factors.Design/methodology/approachAn attempt was made to assess malnutrition among women and adolescent girls and associated factors. The required data was collected from the north (616) and south transects (659) sample households of Bangalore constituting a total sample size of 1,275. The data was analyzed by adopting multiple linear regression and multinomial logistic regression analysis using STATA software.FindingsThe effects of this study simply confirmed that, urbanization had an instantaneous effect on dietary repute of women and adolescent girls, while transferring throughout the gradient from rural to urban with the growing significance of weight problems and obese. In adolescent girls, about 31% were underweight followed by normal weight and overweight across rural–urban interface of Bangalore. The factors such as education, consumption of meat and animal products, a dummy for urban, diabetes and blood pressure were significantly and positively influencing the nutritional status (Body Mass Index) of women across rural–urban interface. While consumption of vegetables, wealth index and per capita income had a positive and significant influence on the nutritional status of adolescent girls.Originality/valueWith limited studies and data available in Karnataka, especially in Bengaluru, one of the fastest growing cities in the world. Against this backdrop, the study was conducted to assess the prevalence of malnutrition among women and adolescents and its association with various socio-economic variables.

scholarly journals Differences in income trajectories according to psychological distress and pain: A longitudinal study among Norwegian social assistance recipients

2020 ◽  
pp. 140349482093981
Author(s):  
Borghild Løyland ◽  
Åsmund Hermansen ◽  
Espen Dahl ◽  
Astrid Klopstad Wahl
Keyword(s):  
Psychological Distress ◽  
Multinomial Logistic Regression ◽  
Social Assistance ◽  
Total Sample ◽  
Personal Identification ◽  
Disability Benefits ◽  
Double Burden ◽  
Related Services ◽  
Multinomial Logistic Regression Analysis ◽  
Work Related

Aim: Mental diseases and pain are serious public health problems and are a leading cause of disability worldwide. The aim of this study is to describe how pain and psychological distress separately and in combination are associated with four income trajectories over nine years in a cohort of long-term social assistance recipients (LTRs). Methods: A cohort of 456 LTRs from 14 municipalities in Norway were divided into four groups based on the presence or absence of pain and/or psychological distress. These were surveyed in 2005, and later linked by personal identification numbers to high-quality longitudinal administrative data covering the period 2005–2013. Methods include calculation of income statuses based on main sources of income, and multinomial logistic regression analysis. Results: In the group without pain and psychological distress, earnings from work as main source of income (14.6–38.0%) and disability benefits (2.9–16.1%) increased over the period. In the ‘double burden’ group the proportions who had social assistance as main income decreased (68.2–21.5%) and the proportions with disability benefits increased over time (5.6–36.6%). Only 27.2% of the total sample had earnings from work as their main income in 2013. Conclusion: LTRs are extra burdened by pain and psychological distress, and this has consequences for their life opportunities and income trajectories. This study indicates that the primary goal of the social assistance system, to make the clients self-sufficient, is hard to achieve. A better co-operation between health services and work-related services is needed.

scholarly journals Factors Associated with Nutritional Status of the Under Five Children

2010 ◽  
Vol 1 (1) ◽  
pp. 6-8 ◽  
Author(s):  
Amita Pradhan
Keyword(s):  
Body Mass Index ◽  
Nutritional Status ◽  
Body Mass ◽  
Multinomial Logistic Regression ◽  
Wealth Index ◽  
Significant Variable ◽  
Under Five ◽  
Factors Associated ◽  
Female Headed Households ◽  
Size At Birth

Objective: To identify factors associated to the nutritional status of under five children.Method: The data used in this analysis are from Demographic and Health Survey 2006 conducted in Nepal. Total 5262 cases are included in the present study. A multinomial logistic regression model is used to study the relation between various factors and nutritional status.Results: Increasing body mass index of mothers and wealth index shows decreasing likelihood of malnutrition among children. Rural children show insignificant higher likelihood of different forms of underweight and wasting as compared to urban area. Frequency of listening radio does not show significant association in case of mild and moderate wasting and shown very high unusual odds ratio in case of severe wasting.  Similarly, lower frequency of watching television also does not show significantly higher likeliness of different form of stunting, underweight and wasting. Female children are more likely to be stunted, underweight and wasted as compared to male. Female headed households are more likely to have moderately and mildly stunted children and mixed results are observed for underweight and wasting. The likelihood for all forms of malnutrition is higher among children with smaller than average size at birth as compared to average or bigger size at birth.  Mixed results are observed regarding likelihood of different forms of malnutrition among children with mothers having different educational level.Conclusion: Body mass index of mothers is found significant variable while explaining children's nutritional status. Similarly, Size at birth is significantly associated with nutrition during the childhood.Keywords: Stunting; wasting; under weight; under five childrenDOI: 10.3126/ajms.v1i1.2927Asian Journal of Medical Sciences Vol.1(1) 2010 p.6-8

scholarly journals Dietary Practices and Nutritional Status of the Urban Vulnerable: A Cross Sectional Study on Waste Collectors of Dhaka City in Bangladesh

2020 ◽  
Vol 11 (4) ◽  
pp. 44-55
Author(s):  
Asit Biswas ◽  
M A Rifat ◽  
Hazera Binte Sufian ◽  
MD Khurshidul Zahid
Keyword(s):  
Risk Factors ◽  
Nutritional Status ◽  
Multinomial Logistic Regression ◽  
Cross Sectional Study ◽  
Dietary Quality ◽  
Dhaka City ◽  
Dietary Practices ◽  
Cross Sectional ◽  
Multinomial Logistic Regression Analysis ◽  
Main Meals

Purpose The socioeconomic conditions of urban waste collectors are vulnerable. However, their nutrition vulnerability remains undocumented. Here we focused on dietary practices and the nutritional status of waste collectors of Dhaka city in Bangladesh. Methods A cross-sectional design was employed that included 130 waste collectors from 15 different sites of Dhaka city. The 24-hours recall method, body mass index (BMI) and BMI for age Z-score were used to determine dietary practices and nutritional status respectively. Chi-square test, Fisher’s exact test, and multinomial logistic regression analysis were used to observe the associations and their risk factors. Results The majority (58.5%) of the waste collectors were normal by BMI whereas 36.2%, 4.5%, and 0.8% were underweight, overweight, and obese respectively. The prevalence of underweight was higher among males and respondents less than 18-years old (P<0.001). The dietary pattern of the respondents was poor. Meals were mainly rice and vegetable-based. Consumption of meats, eggs and fruits was low. Only 18.4% and 16.92% respondents were found to consume meat and eggs at least once a day, respectively. In addition, 78.5% consumed insufficient foods in their main meals, 9.2% had skipped meals and 13.1% consumed stale food and food waste regularly. Consumption of less than three main meals a day and food of poor dietary quality were risk factors of underweight. Conclusion Findings demonstrated that waste collectors in Dhaka city had poor nutritional status which was primarily associated with inadequate dietary intake. Increased quality and quantity of food in the diet, which could be achieved through appropriate health and nutritional support, are needed to overcome the situation.

scholarly journals Socioeconomic and Demographic Determinants of Body Mass Index in Sudan: A Predictive Model

2021 ◽  
Vol 14 (1) ◽  
pp. 478-483
Author(s):  
Ahmed Abdallah ◽  
Mohammed Mohammed ◽  
Dawit Ayele
Keyword(s):  
Body Mass Index ◽  
Body Mass ◽  
Multinomial Logistic Regression ◽  
Wealth Index ◽  
Normal Weight ◽  
Children Under Five ◽  
Under Five ◽  
Body Mass Index Status ◽  
Mother’S Education ◽  
Mother's Education

Background: This paper aimed to determine the socioeconomic and demographic determinants related to Body Mass Index (BMI) for children under five years in Sudan. The objective of the study was to identify the factors of BMI for under-five children. Methods: This study used the Sudan Multiple Indicator Cluster Survey (MICS) conducted in the year 2014. The multinomial logistic regression model was adopted. Results: Results revealed that the prevalence of underweight infants under five years was 86.3% in females and 85.3% in males, while the proportion of the normal weight of infants under five years of age for males was slightly higher than females; there was a correlation amid geographic determinants, state, and BMI status. Also, there was a significant association between the mother’s education and body mass index status and the wealth index and body mass index status. The variables place of residence and sex did not show a statistically significant relationship with body mass index status for children under five years of age in Sudan. Conclusion: The risk factors significantly associated with body mass were the state, whether the child had ever been breastfed, sex, mother’s education, wealth index, and age in the month.

Adolescents’ perceptions of their parents’ and peers’ opinions about their body weight

2018 ◽  
Vol 48 (2) ◽  
pp. 206-217 ◽  
Author(s):  
Reema Tayyem ◽  
Sabika Allehdan ◽  
Hiba Bawadi ◽  
Georgianna Tuuri ◽  
Mariam Al-Mannai ◽  
...  
Keyword(s):  
Body Weight ◽  
Adolescent Girls ◽  
Design Methodology ◽  
Weight Status ◽  
Body Shape ◽  
Normal Weight ◽  
Parental Criticism ◽  
Content Type ◽  
Actual Weight ◽  
Body Weights

Purpose The purpose of this study is to evaluate the associations between adolescents’ perceptions of their parents’ and peers’ opinions about body weight and their actual weight status. Design/methodology/approach A total of 795 Jordanian adolescents, 15-18 years of age, were recruited in this study. Adolescents completed a questionnaire to evaluate their perceptions: about how their parents’ and peers’ viewed their weight, regarding any criticism of their parents and peers about their weight and if their parents compared their weight against their siblings. Findings The study found that the majority of non-overweight adolescents thought their parents and peers considered them to have a normal weight (94.9 and 94.6 per cent for boys, 76.6 and 85.5 per cent for girls, respectively). For obese girls, 83.4 per cent thought their parents and 91.7 per cent thought their peers perceived them as overweight. The risk of being obese was significantly related to the amount of parental criticism perceived by adolescent girls with OR = 3.9 (95 per cent CI: 1.6-9.4; P = 0.01), while perception of peer criticism showed an increased trend of risk for obesity in boys. Adolescents’ perceptions regarding parental comparisons between their body weights against their siblings’ body weight was found to increase the risk for obesity significantly among girls. Originality/value The current study highlights that most of the obese adolescents perceived that their parents and peers underestimated their actual weight status. While obese boys were more likely to report being criticized about their body shape by their peers, obese girls indicated that they received more criticism about their weight from their parents.

Manufacturers' and distributors' capabilities influencing dual channel choice

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Ryuta Ishii
Keyword(s):  
System Performance ◽  
Multinomial Logistic Regression ◽  
Product Line ◽  
Channel Structure ◽  
Channel System ◽  
Content Type ◽  
Multinomial Logistic Regression Analysis ◽  
Dual Channel ◽  
Channel Strategy ◽  
Dual Channels

PurposeMany manufacturers implement a dual channel strategy, which can be defined as the simultaneous use of integrated and independent channels of distribution for the same product line. This study employs the resource-based theory and examines how manufacturers' and distributors' capabilities affect manufacturers' choices of dual channel strategy. The study also examines how fit between organisational capability and channel structure affects channel system performance.Design/methodology/approachEmpirical testing was conducted using survey data collected from 262 Japanese business-to-business manufacturers. This study performed a multinomial logistic regression analysis to examine the antecedents of dual channel strategy and a t-test to examine its performance implications.FindingsThe results show that manufacturers' information capabilities and the availability of distributors' selling capabilities affect whether manufacturers choose a dual channel strategy, and that market turbulence moderates the effects of these two capability factors. The results also indicate that manufacturers can improve their channel system performance by choosing channel strategies that fit organisational capabilities.Originality/valueMost previous studies employ transaction cost theory to identify the factors driving the choice of dual channel strategy. However, these studies neglect the heterogeneity of resources/capabilities. Little is known about whether capability factors affect the dual channel strategy, and how this choice can be linked to channel system performance. By addressing this knowledge gap, this study contributes to enhance our understanding of dual channels.

scholarly journals Polysubstance use among adolescents in Malaysia: Findings from the National Health and Morbidity Survey 2017

PLoS ONE ◽  
2021 ◽  
Vol 16 (1) ◽  
pp. e0245593
Author(s):  
Wan Shakira Rodzlan Hasani ◽  
Thamil Arasu Saminathan ◽  
Nur Liana Ab Majid ◽  
Jane Ling Miaw Yn ◽  
Halizah Mat Rifin ◽  
...  
Keyword(s):  
National Health ◽  
Associated Factors ◽  
Multinomial Logistic Regression ◽  
Cluster Sampling ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Multinomial Logistic Regression Analysis ◽  
Polysubstance Use ◽  
Single Substance ◽  
Single User

Background Polysubstance use is defined as the use of more than one non-prescribed licit or illicit substance either concurrently or simultaneously. This study aimed to determine the prevalence of single substance users and polysubstance users and 'their associated factors among adolescents in Malaysia. Methods This study was a secondary data analysis from the National Health and Morbidity Survey (NHMS) 2017, a cross-sectional survey conducted among Malaysian school-going adolescents aged 13 to 17. The NHMS utilised a two-stage stratified cluster sampling. Multivariate Multinomial Logistic Regression analysis was applied. Results The overall prevalence of single substance use and polysubstance use among adolescents were 17.2% and 5.1% respectively. The multinomial model showed a higher likelihood of being single or polysubstance user among male (single user OR = 3.0, poly user OR = 4.6), others Bumiputeras vs Malay (single user OR = 1.7, poly user OR = 5.3), those who live with a single parent (single user OR = 1.2, poly user OR = 1.4), involved in truancy (single user OR = 1.7, poly user OR = 3.6) and being bullied (single user OR = 1.3, poly user OR = 3.4), those who had lack of peer support (single user OR = 1.3, poly user OR = 1.4), poor parental bonding (single user OR = 1.4, poly user OR = 1.8), depression (single user OR = 1.4, poly user OR = 3.2) and those who had no close friend (single user OR = 1.3, poly user OR = 2.7). Conclusion Our study highlighted multiple significant associated factors of single and polysubstance use among adolescents in Malaysia. This result can assist in the development of specific intervention and prevention programs targeting high-risk groups.

scholarly journals Is frequency of sugary food consumption associated with body mass index?

2020 ◽  
Vol 79 (OCE2) ◽  
Author(s):  
Sohvi Lommi ◽  
Rejane Figueiredo ◽  
Hely Tuorila ◽  
Heli Viljakainen
Keyword(s):  
Body Mass Index ◽  
Sleep Duration ◽  
Food Consumption ◽  
Body Mass ◽  
Leisure Time Physical Activity ◽  
Multinomial Logistic Regression ◽  
Normal Weight ◽  
Convincing Evidence ◽  
Multinomial Logistic Regression Analysis ◽  
Consumption Frequency

AbstractRelatively convincing evidence suggests that diets with large amounts of added sugar, especially from sugar-sweetened beverages, are associated with excess weight in children. Less is known about the association of consumption frequency of sugary foods with body mass index (BMI). We evaluated frequency of sugary food consumption in children (n = 8,990, mean age 11.1, ± 0.9) from the Finnish Health in Teens (Fin-HIT) cohort study. They answered a questionnaire including a 16-item food frequency questionnaire (FFQ) and lifestyle-related questions, e.g. sleep duration and leisure time physical activity. Their measured BMI was categorized as underweight, normal-weight, and overweight. Based on the FFQ with six sugary food items (chocolate/sweets, biscuits/cookies, ice cream, sweet pastry, sugary juice drinks and sugary soft drinks), a sugary food index (SFI) was derived to indicate a mean frequency of weekly sugary food consumption. Frequency was estimated with a range of 0–14 times a week. Based on quartiles (Q) of SFI, children were categorized as low (Q1, cut-off < 0.7), medium (Q2 + Q3, cut-off 0.7–1.8), and high (Q4, cut-off > 1.8) consumers. Multinomial logistic regression analysis was conducted to obtain odds ratios (OR) with 95% confidence intervals. Compared with normal-weight children, high consumers had a higher risk for underweight (OR 1.22 [1.04; 1.43]) and a lower risk for overweight (OR 0.86 [0.72; 0.97]), and low consumers had a higher risk for overweight (OR 1.32 [1.14; 1.52]). We further stratified the analysis by sleep duration since we found an interaction between sleep duration and SFI (p < 0.001). In children with recommended sleep duration (n = 8070), we yielded similar results as in the whole group. In children who slept more than recommended (n = 191), high consumers had a higher risk for overweight (OR 3.31 [1.30; 8.42]) compared with normal-weight children. Our results suggest that consuming sugary foods with high frequency is not associated with overweight, except in those sleeping more than recommended. Association between low consumption frequency and overweight may imply that overweight children's consumption frequency of sugary foods is controlled, restricted, or under-reported because of social desirability.

Prevalence and regional variations of coexistence of child stunting and maternal overweight or obesity in Myanmar

2020 ◽  
pp. 1-11
Author(s):  
Seo Ah Hong
Keyword(s):  
Multinomial Logistic Regression ◽  
Household Survey ◽  
Double Burden ◽  
Regional Variations ◽  
Children Under Five ◽  
Multinomial Logistic Regression Analysis ◽  
Under Five ◽  
Obese Mother ◽  
Maternal Overweight ◽  
National Prevalence

Abstract Objective: The current study aimed to investigate double burden of malnutrition within households at the national and subnational levels and to identify its association with sociodemographic factors in Myanmar. Design: All the variables were extracted from children’s file of the Myanmar Demographic and Health Survey 2015–2016. Children under five were identified as stunted based on a height-for-age < −2 sd below the WHO reference median. Maternal overweight/obesity was defined as a BMI ≥ 23 kg/m2. A stunted child with an overweight/obese mother (SCOM) was classified as a double-burden household. Setting: A national household survey in Myanmar. Participants: Children under five and their mothers (n 3954 pairs). Results: Mean ages of children and mothers were 29 (se 0·14) months and 30·9 (se 0·32) years, respectively. National prevalence of childhood stunting and maternal overweight/obesity was 28·0 % and 39·4 %, respectively, and the prevalence of SCOM was 9·1 %. Significant regional differences were found in SCOM, ranging from 3·6 % in Naypyitaw to 12 % in Kachin and Mon and 14·6 % in Kayah. In the multinomial logistic regression analysis, relative to neither a stunted child nor an overweight/obese mother, child’s age, maternal age, maternal experience of a teen birth, short mothers, mothers with primary education and in middle or rich wealth tertiles, and some regions (Kachin, Kayah, Shan, Sagaing, Taninthayi, Ayeyarwaddy, Mon and Yangon) were associated with greater odds of SCOM. Conclusions: The current study showed a relatively high national prevalence of SCOM and significant regional variations. Overarching policies and programmes with culturally sensitive strategies need to be formulated and implemented.

scholarly journals The Investigation of the Use of Prealbumin as a Tool for Nutritional Assessment in Adults Coinfected with HIV and Intestinal Helminth Parasites in KwaZulu-Natal, South Africa

2018 ◽  
Vol 2018 ◽  
pp. 1-8 ◽  
Author(s):  
B. T. Mkhize ◽  
M. H. L. Mabaso ◽  
S. Madurai ◽  
Z. L. Mkhize-Kwitshana
Keyword(s):  
South Africa ◽  
Nutritional Status ◽  
Nutritional Assessment ◽  
Multinomial Logistic Regression ◽  
Normal Weight ◽  
Intestinal Helminth ◽  
Helminth Parasites ◽  
Intestinal Helminths ◽  
Cross Sectional ◽  
Kwazulu Natal

Serum prealbumin is considered to be as important as albumin in the nutritional status assessment. However, there is relatively little evidence of its advantage over the commonly used albumin. This study investigated the use of prealbumin compared to albumin as a marker of nutritional status in adults singly and dually infected with human immunodeficiency virus (HIV) and intestinal helminths, with or without inflammatory conditions, in different body mass index (BMI) categories. This cross-sectional study was conducted in a periurban setting in KwaZulu-Natal, South Africa. Multivariate multinomial logistic regression models were fitted to investigate the effect of prealbumin and albumin in nutritional assessment among HIV and helminth individuals with or without inflammation, indicated by elevated and normal C-reactive protein (CRP) levels. In normal CRP, albumin was significantly lower in unadjusted BMI [RRR = 0.8, p = 0.001] and in normal weight [RRR = 0.7, p = 0.003] and overweight [RRR = 0.5, p = 0.001] participants. In elevated CRP, albumin was significantly lower [RRR = 0.8, p = 0.050] and prealbumin was significantly higher in unadjusted BMI [RRR = 1.2, p = 0.034] and overweight [RRR = 1.4, p = 0.052] individuals. The current study found that prealbumin can differentiate between inflammation-induced reduction of albumin and true malnutrition in adults singly or coinfected with HIV and intestinal helminths in the presence or absence of inflammation in various BMI categories.

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