Gender differences in nutritional status, diet and physical activity among adolescents in eight countries in sub-Saharan Africa

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dc.creatorDarling, Anne Marie
dc.creatorSunguya, Bruno
dc.creatorIsmail, Abbas
dc.creatorManu, Abubakar
dc.creatorCanavan, Chelsey
dc.creatorAssefa, Nega
dc.creatorSie, Ali
dc.creatorFawzi, Wafaie
dc.creatorSudfeld, Chris
dc.creatorGuwattude, David
dc.date2021-05-12T06:09:45Z
dc.date2021-05-12T06:09:45Z
dc.date2020
dc.date.accessioned2022-10-20T13:09:27Z
dc.date.available2022-10-20T13:09:27Z
dc.descriptionAbstract. Full text article available at https://doi.org/10.1111/tmi.13330
dc.descriptionThe objective of this study was to evaluate gender differences in nutritional status, dietary intake, physical activity and hand hygiene among adolescents from diverse geographical settings in sub‐Saharan Africa.This study utilised cross‐sectional data from six countries (Burkina Faso, Ethiopia, Ghana, Nigeria, Tanzania and Uganda) within the ARISE Adolescent Health Survey (n = 7625). Body mass index (BMI) was calculated using measured heights and weights, and z‐scores were calculated based on the 2007 WHO growth standards for age and sex. Information on demographics, diet and health behaviours was collected through face‐to‐face interviews using a standardised questionnaire. Site‐specific and pooled prevalence ratios were determined. The prevalence of underweight, overweight and stunting pooled across sites was 14.3%, 6.8% and 18.1%, respectively. Female sex was associated with a lower risk of being underweight (pooled prevalence ratio 0.66, 95% 0.57, 0.77) and stunted (pooled PR 0.63, 95% CI 0.55, 0.71), but a higher risk of being overweight (pooled PR 1.60, 95% CI 1.26, 2.06). Females were also less likely to exercise for 1 h or more per day (pooled PR 0.77, 95% CI 0.67, 0.88), and more likely to wash hands after using toilets or latrines and to wash hands with soap (pooled PRs 1.13, 95% CI 1.05, 1.21 and 1.35, 95% CI 1.23, 1.45, respectively).Our results emphasise that sex is a key predictor of nutritional status among sub‐Saharan African adolescents and suggest that gender‐specific interventions may be required to reduce the double burden of under‐ and overnutrition.
dc.identifierDarling, A. M., Sunguya, B., Ismail, A., Manu, A., Canavan, C., Assefa, N., ... & Guwattude, D. (2020). Gender differences in nutritional status, diet and physical activity among adolescents in eight countries in sub‐Saharan Africa. Tropical Medicine & International Health, 25(1), 33-43.
dc.identifierDOI: https://doi.org/10.1111/tmi.13330
dc.identifierhttp://hdl.handle.net/20.500.12661/3027
dc.identifier.urihttp://hdl.handle.net/20.500.12661/3027
dc.languageen
dc.publisherJohn Wiley & Sons Ltd
dc.subjectGender differences
dc.subjectNutritional status
dc.subjectNutritional diet
dc.subjectAdolescents
dc.subjectPhysical activity
dc.subjectSub‐Saharan African
dc.subjectOvernutrition
dc.subjectUnder‐nutrition
dc.titleGender differences in nutritional status, diet and physical activity among adolescents in eight countries in sub-Saharan Africa
dc.typeArticle

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