Prevalence and Factors associated with Nutritional Status and Individual Level Double Burden of Malnutrition among School Going Adolescents of Bangladesh: Findings from Global School-based Student Health Survey-2014

Ahmed Jubayer¹ , Md. Hafizul Islam² , Md. Moniruzzaman Nayan³ , Md. Nazrul Islam Khan⁴

Section:Research Paper, Product Type: Journal-Paper
Vol.7 , Issue.6 , pp.51-57, Dec-2020

Online published on Dec 31, 2020

Copyright © Ahmed Jubayer, Md. Hafizul Islam, Md. Moniruzzaman Nayan, Md. Nazrul Islam Khan . This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
 

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Abstract :
Co-occurrence of two forms of malnutrition (undernutrition and over nutrition) is increasing within communities, families and even individuals through the rapid nutrition and food system transition. This study focused on investigating the extent of malnutrition including individual level double burden and associated factors influencing malnutrition amid school going adolescents of Bangladesh using 2014 Bangladesh GSHS survey data. HAZ and BAZ were used to examine the extent of malnutrition (stunting, thinness and overweight) among school going adolescents of Bangladesh. We also examined individual level double burden (coexistence of stunting and overweight at individual level). Logistic regression model was used to explore the determinants of malnutrition. Mean age, weight and height of study participants were 14.16±0.98 years, 46.09±8.29 kg and 156.97±9.1 cm respectively. 14.2%(95%CI:14.17,14.24) were stunted, 11.1%(95%CI:11.08,11.13) were thin or underweight and 10.5%(95%CI:10.42,10.59) were overweight. Individual level double burden was identified among 2.6%(95%CI:2.59-2.62) adolescents. Prevalence of stunting was significantly lower among younger adolescents, while other 2 forms of malnutrition among older adolescents was significantly higher. Odds of being stunted was 22.7% (OR=1.227, p<0.001) higher for boys, while being female gender was identified as a risk factors for other two measures. Household food insecurity was significantly correlated with stunting (OR=1.408, p<0.001) and thinness (OR=1.031, p<0.001). Furthermore, Regular soft drink consumption (OR=1.12, p<0.001) was related to overweight and regular fast-food consumption was significantly associated with thinness (OR=1.23, p<0.001). The study emphasized concurrency of undernutrition and over nutrition among school going adolescents that is a new experience for us. No single intervention can mitigate double burden of malnutrition. Major societal shifts are essential regarding nutrition and public health.

Key-Words / Index Term :
Adolescent, Duoble burden, Malnutrition, Bangladesh

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