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Background: Adolescent overnutrition is becoming a global public health problem, increasing at an alarming rate in developing countries. Overnutrition increases the risks of serious diet-related chronic diseases, including type 2 diabetes, hypertension, cardiovascular disease, and stroke. However, there is limited evidence on the magnitude and risk factors of overnutrition in the study area.

Objective: To determine the magnitude of overnutrition and associated factors among school adolescents in Dire Dawa, Eastern Ethiopia.

Methods: A cross-sectional study was conducted from May to June 2021 among 498 adolescent students selected using a multi-stage sampling procedure. A systematic random sampling technique was employed. Self-administered questionnaires, including food frequency and anthropometric measurement, were used to collect the data. The BMI-for-age Z score was calculated using the WHO Anthro-Plus. A binary logistic regression model was fitted with an odds ratio, and 95% confidence levels. Statistical significance is declared at a p-value below 0.05.

Results: A total of 498 (98.4%) were included with the overall prevalence of overnutrition of 26.1% (95% CI: 22.3-29.9), where 23.7% and 2.4% had overweight and obesity, respectively. Being female (AOR = 3.32; 95% CI: 1.65-6.63), attending at private school (AOR = 4.97; 95% CI: 1.72-14.35), having sweet food preferences (AOR = 6.26; 95% CI: 3.14-12.5), snacking (AOR = 3.05; 95% CI: 1.11-8.36), sedentary behavior (AOR = 3.20; 95% CI: 1.67-6.09), and eating while watching TV (AOR= 2.95; 95% CI: 1.47-5.95) were significantly associated with overnutrition.

Conclusion: Overnutrition is a major emerging public health problem in eastern Ethiopia. School type, sex, sweet food preferences, habits of snacking, sedentary behaviors, and eating while watching TV were significantly associated with overnutrition. Therefore, public health strategies to curb overweight and obesity among high school adolescents are urgently needed in order to reduce the prevalence and its adverse complications.

Competing Interests: The authors declare that no conflict of interest exists.

Titel:	Overnutrition and Associated Factors Among High School Adolescents in Mid COVID-19 Pandemic in Ethiopia: Neglected Public Health Concern.
Autor/in / Beteiligte Person:	Belay, M ; Oumer, A ; Abdureshid, N ; Ale, A
Link:	Zum Volltext
Zeitschrift:	Adolescent health, medicine and therapeutics, Jg. 13 (2022-01-19), S. 1
Veröffentlichung:	Auckland, NZ : Dove Medical Press, 2022
Medientyp:	academicJournal
ISSN:	1179-318X (print)
DOI:	10.2147/AHMT.S349189
Sonstiges:	Nachgewiesen in: MEDLINE Sprachen: English Publication Type: Journal Article Language: English [Adolesc Health Med Ther] 2022 Jan 19; Vol. 13, pp. 1-14. <i>Date of Electronic Publication: </i>2022 Jan 19 (<i>Print Publication: </i>2022). References: Health Promot Int. 2013 Mar;28(1):4-16. (PMID: 22933446) ; Nutr Metab Cardiovasc Dis. 2016 Mar;26(3):239-45. (PMID: 26708645) ; J Obes. 2021 Mar 9;2021:8846723. (PMID: 33777450) ; BMC Public Health. 2014 Aug 28;14:887. (PMID: 25168589) ; Nutr Rev. 2012 Jan;70(1):3-21. (PMID: 22221213) ; BMC Public Health. 2014 Dec 10;14:1255. (PMID: 25492375) ; Arch Public Health. 2013 Oct 07;71(1):26. (PMID: 24094276) ; Int J Behav Nutr Phys Act. 2016 Dec 16;13(1):122. (PMID: 27978839) ; Am J Public Health. 2019 Oct;109(10):1350-1357. (PMID: 31415203) ; Placenta. 2013 Oct;34(10):841-5. (PMID: 23916422) ; Nutr J. 2016 Apr 21;15:41. (PMID: 27103118) ; Lancet. 2017 Dec 16;390(10113):2627-2642. (PMID: 29029897) ; Lancet. 2018 May 5;391(10132):1853-1864. (PMID: 29673875) ; Circulation. 2012 Jul 3;126(1):126-32. (PMID: 22753534) ; J Adv Nurs. 2010 Jun;66(6):1246-56. (PMID: 20546358) ; Int J Behav Nutr Phys Act. 2011 Nov 25;8:130. (PMID: 22117626) ; Adolesc Med State Art Rev. 2012 Dec;23(3):440-56. (PMID: 23437681) ; Popul Health Metr. 2017 Jul 21;15:29. (PMID: 28736507) ; J Youth Adolesc. 2009 Jan;38(1):75-88. (PMID: 19636793) ; BMC Obes. 2018 Jul 09;5:19. (PMID: 30002860) ; Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2016 Nov;59(11):1423-1431. (PMID: 27709262) ; East Mediterr Health J. 2018 Jul 29;24(6):512-521. (PMID: 30079946) ; Bull World Health Organ. 2007 Sep;85(9):660-7. (PMID: 18026621) ; Arch Pediatr Adolesc Med. 2010 Apr;164(4):336-43. (PMID: 20368486) ; BMJ. 1990 Nov 17;301(6761):1111. (PMID: 2252919) ; Int J Obes (Lond). 2011 Apr;35 Suppl 1:S45-51. (PMID: 21483422) ; Popul Health Metr. 2012 Nov 20;10(1):22. (PMID: 23167948) Contributed Indexing: Keywords: adolescents; associated factors; body mass index; high school; obesity; overweight Entry Date(s): Date Created: 20220127 Latest Revision: 20231102 Update Code: 20240513 PubMed Central ID: PMC8784252

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Overnutrition and Associated Factors Among High School Adolescents in Mid COVID-19 Pandemic in Ethiopia: Neglected Public Health Concern.