scholarly journals Dietary patterns and physical inactivity, two contributing factors to the double burden of malnutrition among adults in Burkina Faso, West Africa

2014 ◽  
Vol 3 ◽  
Author(s):  
Augustin N. Zeba ◽  
Hélène F. Delisle ◽  
Genevieve Renier
Keyword(s):  
Physical Activity ◽  
Dietary Intake ◽  
Low Income ◽  
Dietary Patterns ◽  
Sedentary Time ◽  
Nutritional Deficiencies ◽  
Contributing Factors ◽  
Double Burden ◽  
Urban Cluster ◽  
Double Burden Of Malnutrition

AbstractA population-based cross-sectional study was carried out in the northern neighbourhoods of Ouagadougou (Burkina Faso), to examine the relationship of nutritional deficiencies and cardiometabolic risk factors (CMRF) with lifestyle in adults. We randomly selected 330 households stratified by income tertile. In each income stratum, 110 individuals aged 25–60 years and having lived in Ouagadougou for at least 6 months were randomly selected. We performed anthropometric, dietary intake and physical activity measurements, and blood sample collection. Cluster analysis of dietary intake identified two dietary patterns: ‘urban’ (29 % of subjects) and ‘traditional’ (71 %). The ‘urban’ cluster exhibited a higher intake of fat and sugar, whereas a higher intake of plant protein, complex carbohydrate and fibre was observed in the ‘traditional’ pattern. Female sex, low income and lack of education were associated with the ‘traditional’ cluster, as well as Fe and vitamin A deficiency. CMRF prevalence (abdominal obesity, hypertension, hyperglycaemia, dyslipidaemia) was similar in both clusters. Subjects in the ‘traditional’ cluster spent more time in physical activity and had less sedentary time than those in the ‘urban’ cluster. ‘Traditional’ dietary pattern, low income, female sex and sedentary time were significant contributing factors to the double burden of malnutrition. The rapid nutrition transition is reflected in this co-occurrence of CMRF and nutritional deficiencies. This stresses the need for prevention strategies addressing both ends of the nutrition spectrum.

scholarly journals The double burden of malnutrition and cardiometabolic risk widens the gender and socio-economic health gap: a study among adults in Burkina Faso (West Africa)

2012 ◽  
Vol 15 (12) ◽  
pp. 2210-2219 ◽  
Author(s):  
Augustin N Zeba ◽  
Hélène F Delisle ◽  
Genevieve Renier ◽  
Boubacar Savadogo ◽  
Banza Baya
Keyword(s):  
Burkina Faso ◽  
Low Income ◽  
Cardiometabolic Risk ◽  
Vitamin A Deficiency ◽  
Capital City ◽  
Nutritional Deficiencies ◽  
Double Burden ◽  
Cross Sectional ◽  
The Metabolic Syndrome ◽  
Double Burden Of Malnutrition

AbstractObjectiveTo document the double burden of malnutrition and cardiometabolic risk factors (CMRF) in adults and its occurrence according to different sociodemographic parameters.DesignPopulation-based cross-sectional observational study. We first randomly selected 330 households stratified by tertile of the income levels proxy as low, middle and high income.SettingNorthern district of Ouagadougou, the capital city of Burkina Faso.SubjectsIn each income stratum, 110 individuals aged 25–60 years and who had lived permanently in Ouagadougou for at least 6 months were randomly selected, followed with collection of anthropometric, socio-economic and clinical data, and blood samples.ResultsThe overall obesity/overweight prevalence was 24·2 % and it was twice as high in women as in men (34·1 %v. 15·5 %,P< 0·001). Hypertension, hyperglycaemia and low HDL cholesterol prevalence was 21·9 %, 22·3 % and 30·0 %, respectively, without gender difference. The prevalence of the metabolic syndrome was 10·3 %. Iron depletion and vitamin A deficiency affected 15·7 % and 25·7 % of participants, respectively, with higher rates in women. Coexistence of at least one nutritional deficiency and one CMRF was observed in 23·5 % of participants, and this ‘double burden’ was significantly higher in women than in men (30·4 %v. 16·1 %,P= 0·008) and in the low income group.ConclusionsCMRF are becoming a leading nutritional problem in adults of Ouagadougou, while nutritional deficiencies persist. The double nutritional burden exacerbates health inequities and calls for action addressing both malnutrition and nutrition-related chronic diseases.

scholarly journals Leading by Example: Association Between Mother and Child Objectively Measured Physical Activity and Sedentary Behavior

2020 ◽  
pp. 1-12
Author(s):  
Brad R. Julius ◽  
Amy M.J. O’Shea ◽  
Shelby L. Francis ◽  
Kathleen F. Janz ◽  
Helena Laroche
Keyword(s):  
Physical Activity ◽  
Sedentary Behavior ◽  
Low Income ◽  
Multivariate Regression ◽  
Sedentary Time ◽  
Vigorous Physical Activity ◽  
Mother And Child ◽  
Low Income Mothers ◽  
Objectively Measured ◽  
The Relationship

Purpose: The authors examined the relationship between mother and child activity. Methods: The authors compared moderate–vigorous physical activity (MVPA) and sedentary time of low-income mothers with obesity and their 6- to 12-year-old children on week (WD) and weekend (WE) days. A total of 196 mother–child pairs wore accelerometers simultaneously for a week. Mothers completed questionnaires. Spearman correlation and multivariate regression were used. Results: WE MVPA (accelerometry) was significantly correlated between mothers with children aged 6–7 (rs = .35) and daughters (rs = .27). Self-reported maternal PA time spent with one of their children was significantly correlated with the WE MVPA of all children (rs = .21) and children aged 8–10 (rs = .22) and with the WD MVPA of all children (rs = .15), children aged 8–10 (rs = .23), aged 11–12 (rs = .52), and daughters (rs = .37), and inversely correlated to the WD sedentary time of all children (rs = −.21), children aged 8–10 (rs = −.30), aged 11–12 (rs = −.34), daughters (rs = −.26), and sons (rs = −.22). In multivariate regression, significant associations were identified between reported child–mother PA time together and child MVPA and sedentary time (accelerometry). Conclusions: Mothers may influence the PA levels of their children with the strongest associations found in children aged 6–7 and daughters. Mother–child coparticipation in PA may lead to increased child MVPA and decreased sedentary behavior.

scholarly journals Actions Targeting the Double Burden of Malnutrition: A Scoping Review

Nutrients ◽  
2019 ◽  
Vol 12 (1) ◽  
pp. 81 ◽  
Author(s):  
Sonia Menon ◽  
José L. Peñalvo
Keyword(s):  
Nutrition Education ◽  
Scoping Review ◽  
Low Income ◽  
Sub Saharan Africa ◽  
World Health ◽  
Low Income Countries ◽  
Nutrient Deficiencies ◽  
Global Public Health ◽  
Double Burden ◽  
Double Burden Of Malnutrition

Background: In many developing countries, nutritional and epidemiological transitions are contributing to continuous undernutrition and escalating overnutrition, resulting in coexisting forms of malnutrition often referred as the “double burden of malnutrition” (DBM). This complex phenomenon constitutes an unprecedented challenge to global public health and has been prioritized by international health organizations, prompting governments to swift action. Specifically, five years ago the World Health Organization (WHO) proposed a roadmap to tackle the DBM though so-called “double-duty actions”. The objective of this review was to synthesize the literature on interventions which address the DBM. Methods: We developed a scoping review to identify interventions addressing the DBM. We searched PUBMED for papers reporting interventions until December 2019. Articles examining interventions, government policies, or tools at the individual, household, or community level to address the DBM were included. Results: Seven articles met the inclusion criteria. Three were from sub-Saharan Africa, one was from Southeast Asia, and one was from Central America. Two were modelling studies, with one covering 24 low-income countries and the other focusing on Ghana. Conclusion: Notwithstanding the pressing issue of the DBM, there is a paucity of studies examining double-duty actions despite the attention that it has garnered within the global nutrition community. Whilst nutrient deficiencies may be curbed by poverty reduction measures, for obesity prevention nutrition, education and promotion of physical activity, along with the encouragement of local food production, may be instrumental.

scholarly journals Double Burden of Malnutrition in Rural West Java: Household-Level Analysis for Father-Child and Mother-Child Pairs and the Association with Dietary Intake

Nutrients ◽  
2015 ◽  
Vol 7 (10) ◽  
pp. 8376-8391 ◽  
Author(s):  
Makiko Sekiyama ◽  
Hong Jiang ◽  
Budhi Gunawan ◽  
Linda Dewanti ◽  
Ryo Honda ◽  
...  
Keyword(s):  
Dietary Intake ◽  
West Java ◽  
Double Burden ◽  
Household Level ◽  
Double Burden Of Malnutrition ◽  
Level Analysis

scholarly journals Examining the double burden of malnutrition for preschool children and women of reproductive age in low-income and middle-income countries: a scoping review protocol

BMJ Open ◽  
2021 ◽  
Vol 11 (12) ◽  
pp. e054673
Author(s):  
Jason Mulimba Were ◽  
Saverio Stranges ◽  
Ishor Sharma ◽  
Juan Camilo Vargas-Gonzalez ◽  
M. Karen Campbell
Keyword(s):  
Preschool Children ◽  
Scoping Review ◽  
Low Income ◽  
Reproductive Age ◽  
Women Of Reproductive Age ◽  
Double Burden ◽  
Middle Income ◽  
Middle Income Countries ◽  
Scoping Reviews ◽  
Double Burden Of Malnutrition

IntroductionThe majority of the populations in low-income and middle-income countries (LMICs) are encountering the double burden of malnutrition (DBM): the coexistence of both undernutrition and overnutrition sequalae. With DBM being a new phenomenon in research, little is known about its aetiology, operational definitions and risk factors influencing its manifestation. The proposed scoping review is aimed at mapping literature with regard to the DBM phenomenon among preschool children and women of reproductive age in LMICs who are among the most high-risk groups to encounter DBM.MethodsA comprehensive literature search will be conducted in the following electronic databases: MEDLINE, EMBASE, Scopus, CINAHL, LILACS and ProQuest Dissertations and Thesis Global. Additionally, searches in other government and institutional sources (WHO website and university repositories) and forward and backward citation tracking of seminal articles will also be done. Two reviewers will independently conduct title and abstract screening and full-text screening. Similarly, data extraction and coding will independently be done by two reviewers. Information extracted from included literature will be analysed qualitatively using thematic analysis approach and reported as per the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews guidelines.Ethics and disseminationEthical approval is not required for this study because the review is based on literature from publicly available sources. The dissemination of our findings will be done through presentations in relevant conferences and publication in a peer-reviewed journal.

scholarly journals Association of work-related and leisure-time physical activity with workplace food purchases, dietary quality, and health of hospital employees

2019 ◽  
Author(s):  
Emily Feig ◽  
Douglas E. Levy ◽  
Jessica L. McCurley ◽  
Eric B. Rimm ◽  
Emma M. Anderson ◽  
...  
Keyword(s):  
Physical Activity ◽  
Dietary Intake ◽  
Leisure Time ◽  
Cardiometabolic Risk ◽  
Sedentary Time ◽  
Leisure Time Physical Activity ◽  
Healthy Eating Index ◽  
Hospital Employees ◽  
Work Related ◽  
High Work

Abstract Background While leisure-time physical activity (PA) has been associated with reduced risk of cardiometabolic disease, less is known about the relationship between work-related PA and health. Work-related PA is often not a chosen behavior and may be associated with lower socioeconomic status and less control over job-related activities. This study examined whether high work-related PA and leisure-time PA reported by hospital employees were associated with healthier dietary intake and reductions in cardiometabolic risk. Methods This was a cross-sectional analysis of baseline data collected from 602 hospital employees who used workplace cafeterias and enrolled in a health promotion study between 2016-2018. Participants completed the International Physical Activity Questionnaire and two 24-hour dietary recalls used to calculate Healthy Eating Index (HEI) scores. A Healthy Purchasing Score was calculated based on healthfulness of workplace food/beverage purchases. Weight, blood pressure, HbA1c, and lipids were measured. Regression analyses examined Healthy Purchasing Score, HEI, and obesity, hypertension, hyperlipidemia, and diabetes/prediabetes by quartile of work-related PA, leisure-time PA, and sedentary time. Results The mean age of participants was 43.6 years (SD = 12.2), 79.4% were female, and 81.1% were white. In total, 30.3% had obesity, 20.6% had hypertension, 26.6% had prediabetes/diabetes, and 32.1% had hyperlipidemia. Median leisure-time PA was 12.0 (IQR: 3.3, 28.0) and median work-related PA was 14.0 (IQR: 0.0, 51.1) MET-hours/week. Higher leisure-time PA was associated with higher workplace Healthy Purchasing Score and HEI (p’s < 0.01) and lower prevalence of obesity, diabetes/prediabetes, and hyperlipidemia (p’s < 0.05). Work-related PA was not associated with Healthy Purchasing Score, HEI, or cardiometabolic risk factors. Increased sedentary time was associated with lower HEI (p = 0.02) but was not associated with the workplace Healthy Purchasing Score. Conclusions Employees with high work-related PA did not have associated reductions in cardiometabolic risk or have healthier dietary intake as did employees reporting high leisure-time PA. Workplace wellness programs should promote leisure-time PA and healthy food choices for all employees, but programs may need to be customized and made more accessible to meet the unique needs of employees who are physically active at work.

scholarly journals Association of work-related and leisure-time physical activity with workplace food purchases, dietary quality, and health of hospital employees

2019 ◽  
Author(s):  
Emily Feig ◽  
Douglas E. Levy ◽  
Jessica L. McCurley ◽  
Eric B. Rimm ◽  
Emma M. Anderson ◽  
...  
Keyword(s):  
Physical Activity ◽  
Dietary Intake ◽  
Leisure Time ◽  
Cardiometabolic Risk ◽  
Sedentary Time ◽  
Leisure Time Physical Activity ◽  
Healthy Eating Index ◽  
Hospital Employees ◽  
Work Related ◽  
High Work

Abstract Background. While leisure-time physical activity (PA) has been associated with reduced risk of cardiometabolic disease, less is known about the relationship between work-related PA and health. Work-related PA is often not a chosen behavior and may be associated with lower socioeconomic status and less control over job-related activities. This study examined whether high work-related PA and leisure-time PA reported by hospital employees were associated with healthier dietary intake and reductions in cardiometabolic risk. Methods. This was a cross-sectional analysis of baseline data collected from 602 hospital employees who used workplace cafeterias and enrolled in a health promotion study between 2016-2018. Participants completed the International Physical Activity Questionnaire and two 24-hour dietary recalls used to calculate Healthy Eating Index (HEI) scores. A Healthy Purchasing Score was calculated based on healthfulness of workplace food/beverage purchases. Weight, blood pressure, HbA1c, and lipids were measured. Regression analyses examined Healthy Purchasing Score, HEI, and obesity, hypertension, hyperlipidemia, and diabetes/prediabetes by quartile of work-related PA, leisure-time PA, and sedentary time. Results. The mean age of participants was 43.6 years (SD = 12.2), 79.4% were female, and 81.1% were white. In total, 30.3% had obesity, 20.6% had hypertension, 26.6% had prediabetes/diabetes, and 32.1% had hyperlipidemia. Median leisure-time PA was 12.0 (IQR: 3.3, 28.0) and median work-related PA was 14.0 (IQR: 0.0, 51.1) MET-hours/week. Higher leisure-time PA was associated with higher workplace Healthy Purchasing Score and HEI (p’s < 0.01) and lower prevalence of obesity, diabetes/prediabetes, and hyperlipidemia (p’s < 0.05). Work-related PA was not associated with Healthy Purchasing Score, HEI, or cardiometabolic risk factors. Increased sedentary time was associated with lower HEI (p = 0.02) but was not associated with the workplace Healthy Purchasing Score. Conclusions. Employees with high work-related PA did not have associated reductions in cardiometabolic risk or have healthier dietary intake as did employees reporting high leisure-time PA. Workplace wellness programs should promote leisure-time PA and healthy food choices for all employees, but programs may need to be customized and made more accessible to meet the unique needs of employees who are physically active at work.

scholarly journals Association of work-related and leisure-time physical activity with workplace food purchases, dietary quality, and health of hospital employees

2019 ◽  
Author(s):  
Emily Feig ◽  
Douglas E. Levy ◽  
Jessica L. McCurley ◽  
Eric B. Rimm ◽  
Emma M. Anderson ◽  
...  
Keyword(s):  
Physical Activity ◽  
Dietary Intake ◽  
Leisure Time ◽  
Cardiometabolic Risk ◽  
Sedentary Time ◽  
Leisure Time Physical Activity ◽  
Healthy Eating Index ◽  
Hospital Employees ◽  
Work Related ◽  
High Work

Abstract Background. While leisure-time physical activity (PA) has been associated with reduced risk of cardiometabolic disease, less is known about the relationship between work-related PA and health. Work-related PA is often not a chosen behavior and may be associated with lower socioeconomic status and less control over job-related activities. This study examined whether high work-related PA and leisure-time PA reported by hospital employees were associated with healthier dietary intake and reductions in cardiometabolic risk. Methods. This was a cross-sectional analysis of baseline data collected from 602 hospital employees who used workplace cafeterias and enrolled in a health promotion study between 2016-2018. Participants completed the International Physical Activity Questionnaire and two 24-hour dietary recalls used to calculate Healthy Eating Index (HEI) scores. A Healthy Purchasing Score was calculated based on healthfulness of workplace food/beverage purchases. Weight, blood pressure, HbA1c, and lipids were measured. Regression analyses examined Healthy Purchasing Score, HEI, and obesity, hypertension, hyperlipidemia, and diabetes/prediabetes by quartile of work-related PA, leisure-time PA, and sedentary time. Results. The mean age of participants was 43.6 years (SD = 12.2), 79.4% were female, and 81.1% were white. In total, 30.3% had obesity, 20.6% had hypertension, 26.6% had prediabetes/diabetes, and 32.1% had hyperlipidemia. Median leisure-time PA was 12.0 (IQR: 3.3, 28.0) and median work-related PA was 14.0 (IQR: 0.0, 51.1) MET-hours/week. Higher leisure-time PA was associated with higher workplace Healthy Purchasing Score and HEI (p’s < 0.01) and lower prevalence of obesity, diabetes/prediabetes, and hyperlipidemia (p’s < 0.05). Work-related PA was not associated with Healthy Purchasing Score, HEI, or cardiometabolic risk factors. Increased sedentary time was associated with lower HEI (p = 0.02) but was not associated with the workplace Healthy Purchasing Score. Conclusions. Employees with high work-related PA did not have associated reductions in cardiometabolic risk or have healthier dietary intake as did employees reporting high leisure-time PA. Workplace wellness programs should promote leisure-time PA and healthy food choices for all employees, but programs may need to be customized and made more accessible to meet the unique needs of employees who are physically active at work.

scholarly journals Identifying Dietary Consumption Patterns from Survey Data: a Bayesian Nonparametric Latent Class Model

2021 ◽  
Author(s):  
Briana Joy Kennedy Stephenson ◽  
Francesca Dominici
Keyword(s):  
Dietary Intake ◽  
Survey Data ◽  
Low Income ◽  
Dietary Patterns ◽  
Latent Class ◽  
Latent Class Model ◽  
The United States ◽  
Sampling Weights ◽  
Class Model ◽  
The Impact

Dietary intake is one of the largest contributing factors to cardiovascular health in the United States. Amongst low-income adults, the impact is even more devastating.Dietary assessments, such as 24-hour recalls, provide snapshots of dietary habits in a study population. Questions remain on how generalizable those snapshots are in nationally representative survey data, where certain subgroups are sampled disproportionately to comprehensively examine the population. Many of the models that derive dietary patterns account for study design by incorporating the sampling weights to the derived model parameter estimates post hoc. We propose a Bayesian overfitted latent class model that accounts for survey design and sampling variability to derive dietary patterns in adults aged 20 and older. We compare these results with a subset of the population, adults considered low-income (at or below the 130% poverty income threshold) to understand if and how these patterns generalize in a smaller subpopulation. Using dietary intake data from the National Health and Nutrition Examination Surveys, we identified six dietary patterns in the US adult population. These differed in consumption features found in the five dietary patterns derived in low-income adults. Reproducible code/data are provided on GitHub to encourage further research and application in this area.

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