Department of Pediatrics, College of Medicine, Shaqra University, Shaqra, Saudi Arabia.
Faculty of Medicine, University of Khartoum, Sudan.
Trans R Soc Trop Med Hyg. 2024 Jan 2;118(1):69-76. doi: 10.1093/trstmh/trad055.
Malnutrition among adolescents is a considerable health problem worldwide. There are scarce data on undernutrition among adolescents in Sudan.
A cross‑sectional study was conducted to investigate the prevalence and associated factors of stunting and thinness among adolescent schoolchildren in northern Sudan. The questionnaires were used to collect information on sociodemographics. Weights and heights were measured and the height-for-age and body mass index-for-age cut-offs recommended by the WHO were applied, followed by logistic regression analysis.
Of 384 enrolled adolescents, 202 (52.6%) were females and 182 (47.4%) were males. The median (IQR) age of these adolescents was 15.1 (14.0‒16.3) y. Seventy-six (19.8%) and 52 (15.4%) adolescents had stunting and thinness, respectively, and 15 (3.9%) had both stunting and thinness. Multivariate analysis showed that increased age (adjusted OR [AOR]=1.30, 95% CI 1.08 to 1.57) and male gender (AOR=5.82, 95% CI 3.11 to 10.91) were associated with stunting. Male gender (AOR=2.08, 95% CI 1.14 to 3.82) and smoking/tobacco snuff (AOR=2.61, 95% CI 1.07 to 6.36) were associated with thinness.
The findings of the current study are that both stunting and thinness are important health problems, especially among boys, older participants and smokers.
青少年营养不良是全球范围内一个相当严重的健康问题。苏丹青少年营养不足的数据很少。
本研究采用横断面研究，旨在调查苏丹北部青少年学生中发育迟缓与消瘦的患病率及其相关因素。采用问卷收集社会人口统计学信息。测量体重和身高，并应用世界卫生组织推荐的身高年龄别和体重身高别切点值，然后进行逻辑回归分析。
在纳入的 384 名青少年中，202 名（52.6%）为女性，182 名（47.4%）为男性。这些青少年的中位数（IQR）年龄为 15.1（14.0‒16.3）岁。76 名（19.8%）和 52 名（15.4%）青少年有发育迟缓，15 名（3.9%）青少年同时有发育迟缓与消瘦。多变量分析显示，年龄增加（调整后的 OR [AOR]=1.30，95%CI 1.08 至 1.57）和男性（AOR=5.82，95%CI 3.11 至 10.91）与发育迟缓相关。男性（AOR=2.08，95%CI 1.14 至 3.82）和吸烟/鼻烟（AOR=2.61，95%CI 1.07 至 6.36）与消瘦相关。
本研究发现，发育迟缓与消瘦都是重要的健康问题，尤其是在男孩、年龄较大的参与者和吸烟者中更为突出。
