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BMC Public Health
Published in: BMC Public Health 1/2015

Open Access 01-12-2015 | Research article

Age-related factors influencing the occurrence of undernutrition in northeastern Ethiopia

Authors: Abraham Degarege, Elifaged Hailemeskel, Berhanu Erko

Published in: BMC Public Health | Issue 1/2015

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Abstract

Background

Undernutrition is a major public health problem on the globe particularly in the developing regions. The objective of the current study was to assess the prevalence of undernutrition in different age groups and examine the relationship of the disease to parasitic and socioeconomic factors among communities in Harbu Town, northeastern Ethiopia.

Methods

Stool samples of the study participants were examined for intestinal helminth infections using the Kato-Katz method. Blood specimens were diagnosed for Plasmodium infection using CareStartTM Malaria Pf/Pv Combo test. The blood type was determined from blood samples using antisera A and antisera B. In addition, the height and weight of the study participants was measured and information about their socioeconomic and sociodemographic characteristics was collected.

Results

Out of 484 individuals examined, 31.8% were undernourished and 32.0% were infected with intestinal helminths. The odds of undernutrition significantly decreased with an increase in the age of individuals. The prevalence of undernutrition in adults was significantly higher in males than in females and in those who had latrines than in those who did not have the facility. The odds of undernutrition in the 5 to 19 years age group was significantly higher in those who did not wash their hands before eating than in those who did. The prevalence of undernutrition in children younger than five years was significantly lower in those whose families were educated and had less than 5 family size compared to those with illiterate families and family size of greater than 5, respectively. However, the prevalence of undernutrition was similar in individuals who were infected and not infected with intestinal helminths. The intensity of Schistosoma mansoni infection was significantly higher among individuals of blood type A compared to those of type O.

Conclusions

Prevalence of undernutrition was higher in children than in adults and the association of sex and socioeconomic factors with undernutrition showed variation with age. However, helminth infection was not related with undernutrition in all age groups.
Literature
1.
FAO, WFP and IFAD. The State of Food Insecurity in the World 2012. Economic growth is necessary but not sufficient to accelerate reduction of hunger and malnutrition. Rome: Food and Agricultural Organization, 2012, p 65.
2.
Lim SS, Vos T, Flaxman AD, Danaei G, Shibuya K, Adair-Rohani H, et al. A comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, 2012, 1990–2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet. 2012;380:2224–60.CrossRefPubMedPubMedCentral
3.
Degarege A, Animut A, Medhin G, Legesse M, Erko B. The association between multiple intestinal helminth infections and blood group, anaemia and nutritional status in human populations from Dore Bafeno, southern Ethiopia. J Helminthol. 2014;88:152–9.CrossRefPubMed
4.
Degarege A, Animut A, Legesse M, Erko B. Malaria and helminth co-infections in outpatients of Alaba Kulito Health Center, southern Ethiopia: a cross sectional study. BMC Research Notes. 2010;3:143.CrossRefPubMedPubMedCentral
5.
Degarege A, Erko B. Association between intestinal helminth infections and underweight among school children in Tikur Wuha Elementary School, Northwestern Ethiopia. J Infect Public Health. 2013;6:125–33.CrossRefPubMed
6.
USAID. Ethiopia national nutrition strategy: review and analysis of progress and gaps. USAID: One Year On. Save the Children; 2009.
7.
Jayne J, Scrimgeour AG, Polhemus ME, Otieno L, Bovil ME. Dietary and socio-economic correlates of nutritional status in a rural adult Kenyan population. Afr J Food Agric Nut Dev. 2011;11:5035–2.
8.
Chagas DC, Silva AA, Batista RF, Simões VM, Lamy ZC. Prevalence and factors associated to malnutrition and excess weight among under five year-olds in the six largest cities of Maranhão. Rev Bras Epidemiol. 2013;16:146–56.CrossRefPubMed
9.
Pongou R, Ezzati M, Salomon JA. Household and community socioeconomic and environmental determinants of child nutritional status in Cameroon. BMC Public Heath. 2006;6:98–116.CrossRef
10.
Stephenson LS, Latham MC, Ottesen EA. Malnutrition and parasitic helminth infections. Parasitol. 2000;121:S23–38.CrossRef
11.
Pullan R, Brooker S. The health impact of polyparasitism in humans: are we under-estimating the burden of parasitic diseases? Parasitol. 2008;135:783–94.CrossRef
12.
Jardim-Botelho A, Brooker S, Geiger SM, Fleming F, Lopes ACS, Diemert DJ, et al. Age patterns in undernutrition and helminth infection in a rural area of Brazil: associations with ascariasis and hookworm. Trop Med Int Health. 2008;13:458–67.CrossRefPubMedPubMedCentral
13.
Lwambo NJ, Brooker S, Siza JE, Bundy DA, Guyatt H. Age patterns in stunting and anaemia in African schoolchildren: a cross-sectional study in Tanzania. Eur J Clin Nutr. 2000;54:36–40.CrossRefPubMed
14.
Mwangi TW, Bethony JM, Brooker S. Malaria and helminth interactions in humans: an epidemiological viewpoint. Ann Trop Med Parasitol. 2006;100:551–70.CrossRefPubMedPubMedCentral
15.
Dean D. Schistosoma mansoni: adsorption of human blood group A and B antigens by schistosomula. J Parasitol. 1974;60:260–3.CrossRefPubMed
16.
Haseeb MA, Thors C, Linder E, Eveland LK. Schistosoma mansoni: chemoreception through N-acetyl-D-galactosamine-containing receptors in females offers insight into increased severity of schistosomiasis in individuals with blood group A. Exp Parasitol. 2008;119:67–73.CrossRefPubMed
17.
Pareira FE, Bostolini ER, Carneiro JL, da Silva CR, Neves RC. ABO blood groups and hepatosplenic form of schistosomiasis mansoni (Symmers fibrosis). Trans R Soc Trop Med Hyg. 1979;73:238.CrossRef
18.
Ndamba J, Gomo JE, Nyazema N, Makaza N, Kaondera KC. Schistosomiasis infection in relation to the ABO blood groups among school children in Zimbabwe. Acta Trop. 1997;65:181–90.CrossRefPubMed
19.
Trangle KL, Goluska MJ, O’Leary MJ, Douglas SD. Distribution of blood groups and secretor status in schistosomiasis. Parasite Immunol. 1979;1:133–40.CrossRefPubMed
20.
El Masri SH, Sharfi ARM. ABO blood groups in hepatosplenic schistosomiasis. J Trop Med Hyg. 1982;85:223–4.PubMed
21.
Gabr NS, Mandour AM. Relation of parasitic infection to blood group in El Minia Governorate, Egypt. J Egypt Soc Parasitol. 1991;21:679–83.PubMed
22.
Erko B, Medhin G, Teklehaymanot T, Degarege A, Legesse M. Evaluation of circulating cathodic antigen tests for diagnosis of Schistosoma mansoni Infection in Ethiopia. Trop Med Int Health. 2013;18:1029–35.CrossRefPubMed
23.
World Health Organization. Basic laboratory methods in medical parasitology. Geneva: WHO; 1991.
24.
World Health Organization. AnthroPlus for personal computers manual: software for assessing growth of the world’s children and adolescents. Geneva: WHO; 2009.
25.
World Health Organization. Anthro for personal computers, version 3.1, 2010: Software for assessing growth and development of the world’s children. Geneva: WHO; 2010.
26.
World Health Organization. Child growth standards: length /height-for-age, weight-for-age, weight-for-length, weight-for height and body mass index-forage. Methods and development. Geneva: WHO; 2006.
27.
World Health Organization. Physical status: the use and interpretation of anthropometry. Expert committee report. WHO Tech Rep Ser. 1995;854:1–460.
28.
Svedberg P. Undernutrition in sub-Saharan Africa: is there a gender bias? J Dev Stud. 1990;26:469–86.CrossRef
29.
Wamani H, Astrøm AN, Peterson S, Tumwine JK, Tylleskär T. Boys are more stunted than girls in sub-Saharan Africa: a meta-analysis of 16 demographic and health surveys. BMC Pediatr. 2007;10:7–17.
30.
Teller CH, Yimer G. Levels and determinants of malnutrition in adolescent and adult women in Southern Ethiopia. Ethiop J Health Dev. 2000;14:57–66.
31.
Nubé M, Van Den Boom GJM. Gender and adult undernutrition in developing countries. Ann Human Biol. 2003;30(5):520–37.CrossRef
32.
Dewan M. Malnutrition in women. Stud Home Comm Sci. 2008;2(1):7–10.
33.
Amsalu S, Tigabu Z. Risk factors for severe acute malnutrition in children under the age of five: a case–control study. Ethiop J Health Dev. 2008;22(1):21–5.CrossRef
34.
Haidar J, Abate G, Kogi-Makau W, Sorensen P. Risk factors for child undernutrition with a human rights edge in rural villages of North Wollo, Ethiopia. East Afr Med J. 2005;82:625–30.PubMed
35.
Degarege A, Animut A, Girmay M, Erko B, Legesse M. Malaria and helminth co-infection and nutritional status among febrile patients in southern Ethiopia. J Infect Public Health. 2014;7:32–7.CrossRefPubMed
36.
Crompton DW, Nesheim MC. Nutritional impact of intestinal helminthiasis during the human life cycle. Annu Rev Nutr. 2002;22:35–59.CrossRefPubMed
Metadata
Title
Age-related factors influencing the occurrence of undernutrition in northeastern Ethiopia
Authors
Abraham Degarege
Elifaged Hailemeskel
Berhanu Erko
Publication date
01-12-2015
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2015
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-015-1490-2

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