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Malawi Med J ; 33(1): 37-47, 2021 03.
Artigo em Inglês | MEDLINE | ID: mdl-34422232


Background: Disability is a major determinant of impaired health and nutritional status. This study aims to assess the health and nutritional status of adults with disability and their relationship with socio-demographic factors. Methods: A descriptive cross-sectional study of 323 adults with disability in support-centers/schools of disability in Enugu Metropolis, Nigeria was conducted. The participants' socio-demographic factors, behavioural characteristics and 24-hour dietary recall were recorded. Blood pressure and anthropometric measurements of height, weight, waist and hip circumference were obtained. The height and weight measurements of non-ambulatory participants were estimated from knee height and mid-arm circumference. Biochemical analyses of blood samples were also performed. Multiple logistic regression was used to assess the effect of socio-demographic factors on health and nutritional status. Results: The participants consisted of females (59.3%) within the age of 20 to 30 years (59.1%). The major area of difficulty was in physical mobility (51.1%) and this occurred mostly in females (26.9%). The participants' mean daily intakes of calorie, protein and fat were below the recommended dietary allowances. The participants were overweight (49.2%), obese (4.6%), hypertensive (29.7%) and diabetic (12.1%). Dyslipidemia (81.8%), anemia (63.6%) and zinc deficiency (51.1%) were highly prevalent among the study group. Gender difference was observed in alcohol consumption (p=0.000), smoking habit (p=0.001), waist circumference (WC)(p=0.000), waist-hip-ratio (WHR) (p=0.000), triglyceride (p=0.026) and haemoglobin concentration (p=0.007). Being boarder was a positive predictor of overweight/obesity (OR= 2.974, 95% CI=1.449-6.104), abnormal WHR (OR=2.893, 95% CI = 1.073-7.801) and hypertension (OR=8.381, 95% CI=1.598-13.959). Female gender was associated with abnormal WC (OR=7.219, 95% CI=3.116-14.228) and WHR (OR=3.590, 95% CI=2.095-6.150) whereas older age-group was associated with overweight/obesity (OR=1.908, 95% CI=1.137- 3.202). Being employed was a negative predictor of hypertension. Conclusion: Overweight/obesity, anemia, zinc deficiency and dyslipidemia were highly prevalent among persons living with disability in Enugu Metropolis.

Pessoas com Deficiência , Nível de Saúde , Desnutrição/epidemiologia , Adulto , Estatura , Índice de Massa Corporal , Peso Corporal , Estudos Transversais , Diabetes Mellitus/epidemiologia , Dislipidemias/epidemiologia , Feminino , Humanos , Hipertensão/epidemiologia , Masculino , Nigéria/epidemiologia , Estado Nutricional , Obesidade/epidemiologia , Sobrepeso/epidemiologia , Prevalência , Fatores Socioeconômicos , Populações Vulneráveis , Circunferência da Cintura , Relação Cintura-Quadril , Adulto Jovem , Zinco/deficiência
BMC Public Health ; 20(1): 1683, 2020 Nov 10.
Artigo em Inglês | MEDLINE | ID: mdl-33172420


BACKGROUND: Hidden hunger (micronutrient deficiencies) among adolescents are linked to impaired physical growth, poor cognitive function, low resistance to infection as well as degenerative and chronic diseases at later age. To prevent these deleterious impacts of hidden hunger, effective intervention strategy that improves nutrition knowledge and promotes healthy food choices among this age-group becomes imperative. The intervention was to evaluate the impact of a 14-page locally developed nutrition education aids on the teenagers' knowledge of the functions, food sources and deficiencies of some micronutrients and their food choices. METHODS: A one group pre-and post-intervention quasi-experimental study design was conducted with 869 adolescents (13-17 years) selected using multi-stage sampling technique in public secondary schools in a suburb of Nigeria. Using the instructional material development guidelines, the nutrition education aids were developed with nutrition facts, pictures of staple micronutrients-rich foods, and computer graphics. Baseline (pre-intervention) knowledge of nutrition and practice of food choices in relation to micronutrients were determined before exposing the students to the developed nutrition education aids and reassessing (post-intervention) them after 6 months. Data obtained were subjected to paired samples t-test using SPSS version 21. RESULTS: The adolescents were mostly females (58.92%) aged 16-17 years (53.62%). There was significantly (p < 0.05) higher mean knowledge scores of general nutrition (65.77 vs. 39.61%) and food sources of nutrients (82.26 vs. 66.87%) at post-intervention compared to pre-intervention. Also, the mean knowledge of functions and deficiencies of vitamin C, folic acid, iron, calcium, and zinc were significantly (p < 0.05) higher at post-intervention than at pre-intervention. The study further revealed percentage increase in the proportion of respondents who consumed meat (27.72%), mango (128.20%), watermelon (152.29%), carrot (336.34%) and leafy vegetables (85.56%) daily after the intervention. In addition, the percentage of students who rarely consumed all the studied micronutrient-rich foods decreased after the intervention. CONCLUSION: The intervention strategy increased the nutrition knowledge and the consumption of some micronutrients-rich food sources among the adolescents. The developed nutrition education aids are recommended for use in the fight to reduce/eradicate hidden hunger among adolescents in Nigeria.

Fome , Desnutrição , Adolescente , Feminino , Humanos , Masculino , Micronutrientes , Nigéria , Estado Nutricional