School of Nutrition, Food Science and Technology, College of Agriculture, Hawassa University, Hawassa, Sidama, Ethiopia.
School of Nursing, College of Medicine and Health Science, Hawassa University, Hawassa, Sidama, Ethiopia.
PeerJ. 2023 Oct 18;11:e16229. doi: 10.7717/peerj.16229. eCollection 2023.
Adolescence is the critical stage of an individual's growth and development that determines their nutritional status in the future. Adolescent overnutrition has become an increasing public health concern in developing countries like Ethiopia.
This study was designed to determine the magnitude and determinants of overnutrition among school-going adolescents in Dale District of Ethiopia.
An institution-based cross-sectional study was done between November and December 2020. A total of 333 school-going adolescents aged 10-19 years participated in this study. Socio-demographic, lifestyle, physical activity level, dietary energy intake, and height and weight data were collected. Body Mass Index for age Z-score (BAZ) was computed. Binary and multivariable logistic regression models were used to determine the association of outcome variable with explanatory variables, and results were reported using adjusted odds ratio (AOR) with 95% confidence interval.
The magnitude of overnutrition was 7.2% (10.8% in the urban versus. 3.6% of rural schools). Overnutrition was positively associated with lack of sufficient play area within the school (AOR = 2.53, 95% CI [1.02-6.26]), being an urban resident (AOR = 3.05, 95% CI [1.12-8.29]), positive energy balance (AOR = 9.47, 95% CI [1.58-56.80]), consuming fast foods within a month before the survey date (AOR = 2.60, 95% CI [1.93-6.83]), having moderate (AOR = 9.28, 95% CI [6.70-71.63]) or low physical activity (PA) (AOR = 7.95, 95% CI [1.12-56.72]), and consuming snack within last one week before the survey date (AOR = 3.32, 95% CI [1.15-9.58]).
The magnitude of overnutrition among school-going adolescents was suboptimal. Sedentary lifestyles, excess calorie intake, having inadequate play areas within the school, and having snack and fast foods were determinants for overnutrition in the study area.
青春期是个体生长发育的关键阶段，决定了他们未来的营养状况。青少年超重已成为埃塞俄比亚等发展中国家日益严重的公共卫生问题。
本研究旨在确定埃塞俄比亚戴尔地区在校青少年超重的程度和决定因素。
本研究为 2020 年 11 月至 12 月期间进行的一项基于机构的横断面研究。共有 333 名 10-19 岁的在校青少年参与了这项研究。收集了社会人口统计学、生活方式、身体活动水平、膳食能量摄入以及身高和体重数据。计算了年龄身高体重 Z 评分（BAZ）。采用二元和多变量逻辑回归模型来确定因变量与解释变量之间的关联，结果以调整后的优势比（AOR）和 95%置信区间报告。
超重的程度为 7.2%（城市为 10.8%，农村为 3.6%）。超重与学校内缺乏足够的游乐区（AOR=2.53，95%CI[1.02-6.26]）、城市居民（AOR=3.05，95%CI[1.12-8.29]）、正能 量平衡（AOR=9.47，95%CI[1.58-56.80]）、调查日期前一个月内食用快餐（AOR=2.60，95%CI[1.93-6.83]）、中等到低身体活动（AOR=9.28，95%CI[6.70-71.63]）和调查日期前一周内食用零食（AOR=3.32，95%CI[1.15-9.58]）呈正相关。
在校青少年超重的程度不理想。久坐不动的生活方式、摄入过多的热量、学校内缺乏足够的游乐区以及食用零食和快餐是该研究地区超重的决定因素。
