Skip to main content
Top
Published in: BMC Pediatrics 1/2020

Open Access 01-12-2020 | Underweight | Research article

Nutritional status of school age children in Abakaliki metropolis, Ebonyi State, Nigeria

Authors: Adanna Anthonia Umeokonkwo, Maryann Ugochi Ibekwe, Chukwuma David Umeokonkwo, Clifford Onuorah Okike, Obumneme Benaiah Ezeanosike, Bede Chidozie Ibe

Published in: BMC Pediatrics | Issue 1/2020

Login to get access

Abstract

Background

Malnutrition is a major public health problem with short and long-term adverse effects on children particularly in middle and low-income countries. Three out of every ten under-five children are said to be stunted and 19.4% underweight in Nigeria. In Ebonyi State, between 2013 and 2015, the proportion of preschool children with chronic undernutrition rose from 16.2 to 20.6%. Little is documented about the nutritional status of school-age children in Ebonyi State and Nigeria.

Methods

We conducted a descriptive cross-sectional study among 780 children aged 6 to 12 years from 10 primary schools in Abakaliki metropolis. A multistage sampling method was used to select the participants. A pre-tested interviewer-administered structured questionnaire was used to collect information from the children and their parents. Body Mass Index (BMI), Z scores of the weight for age, BMI for age and height for age were obtained using the WHO AnthroPlus software. We estimated the prevalence of undernutrition, over-nutrition, underweight, thinness, stunting, overweight and obesity.

Result

Out of 751 pupils that participated, 397 (52.9%) were females and 595 (79.2%) were in public schools. The overall prevalence of undernutrition was 15.7% and that of over-nutrition was 2.1%. The prevalence of underweight, thinness and stunting, overweight and obesity were 8, 7.2, 9.9, 1.4 and 0.7% respectively. The proportion of pupils who were thin was higher among males (8.7%), those attending public schools (8.6%) and those dwelling in rural parts of the metropolis (14.3%) compared to females (5.8%) private school attendees (1.9%) and urban dwellers (4.6%). Stunting was found to be higher among pupils attending public schools (11.8%) compared to those attending private schools (2.5%). The prevalence of stunting was 19.3% among the pupils residing in rural areas and 5% among the pupils living in urban areas of the metropolis. No pupil in private schools was underweight. Over-nutrition was not found among the pupils in rural areas.

Conclusion

Both under and over nutrition exist in Abakaliki metropolis. Undernutrition is the more prevalent form of malnutrition among school age children in the metropolis.
Literature
1.
go back to reference Mehta NM, Corkins MR, Lyman B, Malone A, Goday PS, Carney L, et al. Defining pediatric malnutrition: a paradigm shift toward etiology-related definitions. J Parenter Enteral Nutr. 2013;37(4):460–81.CrossRef Mehta NM, Corkins MR, Lyman B, Malone A, Goday PS, Carney L, et al. Defining pediatric malnutrition: a paradigm shift toward etiology-related definitions. J Parenter Enteral Nutr. 2013;37(4):460–81.CrossRef
2.
go back to reference Manyike PC, Chinawa JM, Ubesie A, Obu HA, Odetunde OI, Chinawa AT. Prevalence of malnutrition among pre-school children in South-East Nigeria. Ital J Pediatr. 2014;40:75.PubMedPubMedCentralCrossRef Manyike PC, Chinawa JM, Ubesie A, Obu HA, Odetunde OI, Chinawa AT. Prevalence of malnutrition among pre-school children in South-East Nigeria. Ital J Pediatr. 2014;40:75.PubMedPubMedCentralCrossRef
3.
go back to reference Musa TH, Ali EA, Musa HH, Khan A. Anthropometric parameters of malnutrition in children 5-15 years old in Khartoum state, Sudan. J Public Heal Epidemiol. 2013;5(8):313–8. Musa TH, Ali EA, Musa HH, Khan A. Anthropometric parameters of malnutrition in children 5-15 years old in Khartoum state, Sudan. J Public Heal Epidemiol. 2013;5(8):313–8.
4.
go back to reference Mwaniki EW, Makokha AN. Nutrition status and associated factors among children in public primary schools in Dagoretti, Nairobi, Kenya. Afr Health Sci. 2013;13(1):39–46.PubMedPubMedCentral Mwaniki EW, Makokha AN. Nutrition status and associated factors among children in public primary schools in Dagoretti, Nairobi, Kenya. Afr Health Sci. 2013;13(1):39–46.PubMedPubMedCentral
5.
go back to reference Fetuga M, Ogunlesi T, Adekanmbi A, Alabi A. Nutritional status of semi-urban Nigerian school children using the 2007 WHO reference population. West Afr J Med. 2011;30(5):331–6.PubMed Fetuga M, Ogunlesi T, Adekanmbi A, Alabi A. Nutritional status of semi-urban Nigerian school children using the 2007 WHO reference population. West Afr J Med. 2011;30(5):331–6.PubMed
6.
go back to reference Degarege D, Degarege A, Animut A. Undernutrition and associated risk factors among school age children in Addis Ababa, Ethiopia. BMC Public Health. 2015;15(1):375.PubMedPubMedCentralCrossRef Degarege D, Degarege A, Animut A. Undernutrition and associated risk factors among school age children in Addis Ababa, Ethiopia. BMC Public Health. 2015;15(1):375.PubMedPubMedCentralCrossRef
7.
go back to reference Mekonnen H, Kisi TT. And T. malnutrition and its correlates among rural primary school children of Fogera District, Northwest Ethiopia. J Nutr Disord Ther. 2013;03(02):1–7.CrossRef Mekonnen H, Kisi TT. And T. malnutrition and its correlates among rural primary school children of Fogera District, Northwest Ethiopia. J Nutr Disord Ther. 2013;03(02):1–7.CrossRef
8.
go back to reference de Onis M, Onyango AW, Borghi E, Siyam A, Nishida C, Siekmann J. Development of a WHO growth reference for school-aged children and adolescents. Bull World Health Organ. 2007;85(9):660–7.PubMedPubMedCentralCrossRef de Onis M, Onyango AW, Borghi E, Siyam A, Nishida C, Siekmann J. Development of a WHO growth reference for school-aged children and adolescents. Bull World Health Organ. 2007;85(9):660–7.PubMedPubMedCentralCrossRef
9.
go back to reference Svacina S. Basic concepts in nutrition: Overnutrition – functional and clinical consequences. Eur e-J Clin Nutr Metab. 2008;3(4):e173–8.CrossRef Svacina S. Basic concepts in nutrition: Overnutrition – functional and clinical consequences. Eur e-J Clin Nutr Metab. 2008;3(4):e173–8.CrossRef
10.
go back to reference Yasmin G, Kustiyah L, Dwiriani CM. Risk factors of stunting among school-aged children from eight provinces in Indonesia. Pak J Nutr. 2014;13(10):557–66.CrossRef Yasmin G, Kustiyah L, Dwiriani CM. Risk factors of stunting among school-aged children from eight provinces in Indonesia. Pak J Nutr. 2014;13(10):557–66.CrossRef
11.
go back to reference WHO UNICEF The World Bank Group. WHO | Joint child malnutrition estimates - levels and trends (2015 edition). WHO. Geneva: World Health Organization; 2015. WHO UNICEF The World Bank Group. WHO | Joint child malnutrition estimates - levels and trends (2015 edition). WHO. Geneva: World Health Organization; 2015.
12.
go back to reference International Food Policy Research Institute. 2016 global nutrition report - from promise to impact: ending malnutrition by 2030. Washington, DC: International Food Policy Research Institute (IFPRI); 2016. International Food Policy Research Institute. 2016 global nutrition report - from promise to impact: ending malnutrition by 2030. Washington, DC: International Food Policy Research Institute (IFPRI); 2016.
13.
go back to reference National Bureau of Statistics. National Nutrition and health survey (NNHS). Abuja; 2015. p. 1–149. National Bureau of Statistics. National Nutrition and health survey (NNHS). Abuja; 2015. p. 1–149.
14.
go back to reference Obiakor-Okeke P. Anthropometric indices of primary school children from different socio-economic classes in Owerri municipal. Eur J Prev Med. 2014;2(5):63.CrossRef Obiakor-Okeke P. Anthropometric indices of primary school children from different socio-economic classes in Owerri municipal. Eur J Prev Med. 2014;2(5):63.CrossRef
15.
go back to reference National Population Commission, Abuja, Nigeria. Nigeria demographic and health survey 2013 national population commission federal republic of Nigeria. Abuja; 2014. National Population Commission, Abuja, Nigeria. Nigeria demographic and health survey 2013 national population commission federal republic of Nigeria. Abuja; 2014.
16.
go back to reference Srivastava A, Mahmood SE, Srivastava PM, Shrotriya VP, Kumar B. Nutritional status of school-age children - a scenario of urban slums in India. Arch Public Heal. 2012;70(1):8.CrossRef Srivastava A, Mahmood SE, Srivastava PM, Shrotriya VP, Kumar B. Nutritional status of school-age children - a scenario of urban slums in India. Arch Public Heal. 2012;70(1):8.CrossRef
17.
go back to reference UNICEF. Improving child nutrition: the achievable imperative for global progress. New York; 2013. UNICEF. Improving child nutrition: the achievable imperative for global progress. New York; 2013.
18.
go back to reference Senbanjo IO, Oshikoya KA, Odusanya OO, Njokanma OF. Prevalence of and risk factors for stunting among school children and adolescents in Abeokuta, Southwest Nigeria. J Health Popul Nutr. 2011;29(4):364–70.PubMedPubMedCentralCrossRef Senbanjo IO, Oshikoya KA, Odusanya OO, Njokanma OF. Prevalence of and risk factors for stunting among school children and adolescents in Abeokuta, Southwest Nigeria. J Health Popul Nutr. 2011;29(4):364–70.PubMedPubMedCentralCrossRef
19.
go back to reference Adair LS, Fall CHD, Osmond C, Stein AD, Martorell R, Ramirez-Zea M, et al. Associations of linear growth and relative weight gain during early life with adult health and human capital in countries of low and middle income: findings from five birth cohort studies. Lancet. 2013;382(9891):525–34.PubMedPubMedCentralCrossRef Adair LS, Fall CHD, Osmond C, Stein AD, Martorell R, Ramirez-Zea M, et al. Associations of linear growth and relative weight gain during early life with adult health and human capital in countries of low and middle income: findings from five birth cohort studies. Lancet. 2013;382(9891):525–34.PubMedPubMedCentralCrossRef
20.
go back to reference Black RE, Victora C, Walker SP, Bhutta ZA, Christian P, de Onis M, et al. Maternal and child undernutrition and overweight in low-income and middle-income countries. Lancet. 2013;382(9890):427–51.PubMedCrossRef Black RE, Victora C, Walker SP, Bhutta ZA, Christian P, de Onis M, et al. Maternal and child undernutrition and overweight in low-income and middle-income countries. Lancet. 2013;382(9890):427–51.PubMedCrossRef
21.
go back to reference Mesfin F, Berhane Y, Worku A. Prevalence and associated factors of stunting among primary school children in eastern Ethiopia. Nutr Diet Suppl. 2015;7:61–8.CrossRef Mesfin F, Berhane Y, Worku A. Prevalence and associated factors of stunting among primary school children in eastern Ethiopia. Nutr Diet Suppl. 2015;7:61–8.CrossRef
22.
go back to reference Danquah AO, Amoah AN, Opare-Obisaw C. Nutritional status of upper primary school pupils in a rural setting in Ghana. Int J Nutr Food Sci. 2013;2(6):320.CrossRef Danquah AO, Amoah AN, Opare-Obisaw C. Nutritional status of upper primary school pupils in a rural setting in Ghana. Int J Nutr Food Sci. 2013;2(6):320.CrossRef
23.
go back to reference Lundeen EA, Behrman JR, Crookston BT, Dearden KA, Engle P, Georgiadis A, et al. Growth faltering and recovery in children aged 1-8 years in four low- and middle-income countries: young lives. Public Health Nutr. 2014;17(9):2131–7.PubMedCrossRef Lundeen EA, Behrman JR, Crookston BT, Dearden KA, Engle P, Georgiadis A, et al. Growth faltering and recovery in children aged 1-8 years in four low- and middle-income countries: young lives. Public Health Nutr. 2014;17(9):2131–7.PubMedCrossRef
24.
go back to reference Une E, Soumay R. Assessment of nutritional status of school children in Makurdi, Benue state. Pak J Nutr. 2009;8(5):691–4.CrossRef Une E, Soumay R. Assessment of nutritional status of school children in Makurdi, Benue state. Pak J Nutr. 2009;8(5):691–4.CrossRef
25.
go back to reference Medhi GK, Hazarika NC, Mahanta J. Nutritional status of adolescents among tea garden workers. Indian J Pediatr. 2007;74(4):343–7.PubMedCrossRef Medhi GK, Hazarika NC, Mahanta J. Nutritional status of adolescents among tea garden workers. Indian J Pediatr. 2007;74(4):343–7.PubMedCrossRef
26.
go back to reference Prentice AM, Ward KA, Goldberg GR, Jarjou LM, Moore SE, Fulford AJ, et al. Critical windows for nutritional interventions against stunting. Am J Clin Nutr. 2013;97(5):911–8.PubMedPubMedCentralCrossRef Prentice AM, Ward KA, Goldberg GR, Jarjou LM, Moore SE, Fulford AJ, et al. Critical windows for nutritional interventions against stunting. Am J Clin Nutr. 2013;97(5):911–8.PubMedPubMedCentralCrossRef
27.
go back to reference Coly AN, Milet J, Diallo A, Ndiaye T, Bénéfice E, Simondon F, et al. Preschool stunting, adolescent migration, catch-up growth, and adult height in young Senegalese men and women of rural origin. J Nutr. 2006;136(9):2412–20.PubMedCrossRef Coly AN, Milet J, Diallo A, Ndiaye T, Bénéfice E, Simondon F, et al. Preschool stunting, adolescent migration, catch-up growth, and adult height in young Senegalese men and women of rural origin. J Nutr. 2006;136(9):2412–20.PubMedCrossRef
28.
go back to reference National Population Commission. 2006 population and housing census of Federal Republic of Nigeria: national and state population tables(priority tables) Vol 1. Abuja; 2009. National Population Commission. 2006 population and housing census of Federal Republic of Nigeria: national and state population tables(priority tables) Vol 1. Abuja; 2009.
29.
go back to reference Lwanga SK, Lemeshow S. Sample size determination in health studies: a practical manual. Geneva: WHO Geneva; 1991. p. 1–80. Lwanga SK, Lemeshow S. Sample size determination in health studies: a practical manual. Geneva: WHO Geneva; 1991. p. 1–80.
30.
go back to reference WHO. Development of a WHO growth reference for school-aged children and adolescents. Geneva: World Health Organization; 2011. WHO. Development of a WHO growth reference for school-aged children and adolescents. Geneva: World Health Organization; 2011.
31.
go back to reference Oyedeji G. Socioeconomic and cultural background of hospitalized children in Ilesa, Nigeria. Niger J Paediatr. 1985;12:111–7. Oyedeji G. Socioeconomic and cultural background of hospitalized children in Ilesa, Nigeria. Niger J Paediatr. 1985;12:111–7.
32.
go back to reference Goon DT, Toriola AL, Shaw BS, Amusa LO, Monyeki MA, Akinyemi O, et al. Anthropometrically determined nutritional status of urban primary schoolchildren in Makurdi, Nigeria. BMC Public Health. 2011;11(1):769.PubMedPubMedCentralCrossRef Goon DT, Toriola AL, Shaw BS, Amusa LO, Monyeki MA, Akinyemi O, et al. Anthropometrically determined nutritional status of urban primary schoolchildren in Makurdi, Nigeria. BMC Public Health. 2011;11(1):769.PubMedPubMedCentralCrossRef
33.
go back to reference Isanaka S, Mora-Plazas M, Lopez-Arana S, Baylin A, Villamor E. Food insecurity is highly prevalent and predicts underweight but not overweight in adults and school children from Bogotá, Colombia. J Nutr. 2007;137(12):2747–55.PubMedCrossRef Isanaka S, Mora-Plazas M, Lopez-Arana S, Baylin A, Villamor E. Food insecurity is highly prevalent and predicts underweight but not overweight in adults and school children from Bogotá, Colombia. J Nutr. 2007;137(12):2747–55.PubMedCrossRef
34.
go back to reference Igbokwe O, Adimorah G, Ikefuna A, Ibeziako N, Ubesie A, Ekeh C, et al. Socio-demographic determinants of malnutrition among primary school aged children in Enugu, Nigeria. Pan Afr Med J. 2017;28:248.PubMedPubMedCentralCrossRef Igbokwe O, Adimorah G, Ikefuna A, Ibeziako N, Ubesie A, Ekeh C, et al. Socio-demographic determinants of malnutrition among primary school aged children in Enugu, Nigeria. Pan Afr Med J. 2017;28:248.PubMedPubMedCentralCrossRef
35.
go back to reference Eze JN, Oguonu T, Ojinnaka NC, Ibe BC. Physical growth and nutritional status assessment of school children in Enugu, Nigeria. Niger J Clin Pract. 2017;20(1):64–70.PubMedCrossRef Eze JN, Oguonu T, Ojinnaka NC, Ibe BC. Physical growth and nutritional status assessment of school children in Enugu, Nigeria. Niger J Clin Pract. 2017;20(1):64–70.PubMedCrossRef
36.
go back to reference Ndukwu C, Egbuonu I, Ulasi T. Nutritional status and sociodemographic characteristics of ‘urban poor’ school children in Onitsha, Southeast Nigeria. Niger J Paediatr. 2014;41(3):175–80.CrossRef Ndukwu C, Egbuonu I, Ulasi T. Nutritional status and sociodemographic characteristics of ‘urban poor’ school children in Onitsha, Southeast Nigeria. Niger J Paediatr. 2014;41(3):175–80.CrossRef
37.
go back to reference Francis A, Seline O, Angela O. Nutritional status of newly enrolled primary school children in Jos-plateau, Nigeria. Pak J Nutr. 2010;9(12):1166–70.CrossRef Francis A, Seline O, Angela O. Nutritional status of newly enrolled primary school children in Jos-plateau, Nigeria. Pak J Nutr. 2010;9(12):1166–70.CrossRef
38.
go back to reference Bamidele B, Oyenike E, Olusegun TA. Dietary pattern and nutritional status of primary school pupils in a South Western Nigerian state: a rural urban comparison. African J Food Sci. 2016;10(10):203–12.CrossRef Bamidele B, Oyenike E, Olusegun TA. Dietary pattern and nutritional status of primary school pupils in a South Western Nigerian state: a rural urban comparison. African J Food Sci. 2016;10(10):203–12.CrossRef
39.
go back to reference Veghari G. The relationship of ethnicity, socio-economic factors and malnutrition in primary school children in north of Iran: a cross-sectional study. J Res Health Sci. 2013;13(1):58–62. Veghari G. The relationship of ethnicity, socio-economic factors and malnutrition in primary school children in north of Iran: a cross-sectional study. J Res Health Sci. 2013;13(1):58–62.
40.
go back to reference Mohamed FN. Comparative study of nutritional status of urban and rural school girls children Khartoum state, Sudan. J Sci Technol. 2011;12(2):60–8. Mohamed FN. Comparative study of nutritional status of urban and rural school girls children Khartoum state, Sudan. J Sci Technol. 2011;12(2):60–8.
41.
go back to reference Opara DC, Ikpeme EE, Ekanem US. Prevalence of stunting, underweight and obesity in school aged children in Uyo, Nigeria. Pak J Nutr. 2010;9(5):459–66.CrossRef Opara DC, Ikpeme EE, Ekanem US. Prevalence of stunting, underweight and obesity in school aged children in Uyo, Nigeria. Pak J Nutr. 2010;9(5):459–66.CrossRef
42.
go back to reference Frank-Briggs AI. Disease patterns and childhood mortality in the tropics. In: Azubuike J, Nkanginieme K, editors. Paediatrics and child health in a tropical region. 3rd ed. Lagos: Educational Printing and Publishing; 2016. p. 701–18. Frank-Briggs AI. Disease patterns and childhood mortality in the tropics. In: Azubuike J, Nkanginieme K, editors. Paediatrics and child health in a tropical region. 3rd ed. Lagos: Educational Printing and Publishing; 2016. p. 701–18.
45.
go back to reference Bello S, Saka A, Adeboye M, Ojuawo A. Overweight and obesity among school children aged 6–12 years in Ilorin north Central Nigeria. IOSR J Dent Med Sci. 2018;17(1):37–41 [cited 2019 Jun 30]. Available from: www.iosrjournals.org. Bello S, Saka A, Adeboye M, Ojuawo A. Overweight and obesity among school children aged 6–12 years in Ilorin north Central Nigeria. IOSR J Dent Med Sci. 2018;17(1):37–41 [cited 2019 Jun 30]. Available from: www.​iosrjournals.​org.
46.
go back to reference Adom T, De Villiers A, Puoane T, Kengne AP. Prevalence and correlates of overweight and obesity among school children in an urban district in Ghana. BMC Obes. 2019;6(1):14.PubMedPubMedCentralCrossRef Adom T, De Villiers A, Puoane T, Kengne AP. Prevalence and correlates of overweight and obesity among school children in an urban district in Ghana. BMC Obes. 2019;6(1):14.PubMedPubMedCentralCrossRef
48.
go back to reference Motbainor A, Worku A, Kumie A. Stunting is associated with food diversity while wasting with food insecurity among Underfive children in east and west Gojjam zones of Amhara region, Ethiopia. PLoS One. 2015;10(8):e0133542.PubMedPubMedCentralCrossRef Motbainor A, Worku A, Kumie A. Stunting is associated with food diversity while wasting with food insecurity among Underfive children in east and west Gojjam zones of Amhara region, Ethiopia. PLoS One. 2015;10(8):e0133542.PubMedPubMedCentralCrossRef
49.
go back to reference Ndukwu CI, Egbuonu I, Ulasi TO, Ebenebe JC. Determinants of undernutrition among primary school children residing in slum areas of a Nigerian city. Niger J Clin Pract. 2013;16(2):178–83.PubMedCrossRef Ndukwu CI, Egbuonu I, Ulasi TO, Ebenebe JC. Determinants of undernutrition among primary school children residing in slum areas of a Nigerian city. Niger J Clin Pract. 2013;16(2):178–83.PubMedCrossRef
50.
go back to reference Abah R, Okolo S, John C, Ochoga M, Adah R. Nutritional status of schoolchildren in Jos east local government area of plateau state, north Central Nigeria. J Med Trop. 2017;19(1):56–9.CrossRef Abah R, Okolo S, John C, Ochoga M, Adah R. Nutritional status of schoolchildren in Jos east local government area of plateau state, north Central Nigeria. J Med Trop. 2017;19(1):56–9.CrossRef
51.
go back to reference Amare Zelellw D, Gebreigziabher BG. Prevalence and associated factors of stunting among schoolchildren, in Debre Markos town and Gozamen Woreda, east Gojjam zone, Amhara regional state, Ethiopia, 2013. J Nutr Food Sci. 2014;s8:1–5. Amare Zelellw D, Gebreigziabher BG. Prevalence and associated factors of stunting among schoolchildren, in Debre Markos town and Gozamen Woreda, east Gojjam zone, Amhara regional state, Ethiopia, 2013. J Nutr Food Sci. 2014;s8:1–5.
Metadata
Title
Nutritional status of school age children in Abakaliki metropolis, Ebonyi State, Nigeria
Authors
Adanna Anthonia Umeokonkwo
Maryann Ugochi Ibekwe
Chukwuma David Umeokonkwo
Clifford Onuorah Okike
Obumneme Benaiah Ezeanosike
Bede Chidozie Ibe
Publication date
01-12-2020
Publisher
BioMed Central
Published in
BMC Pediatrics / Issue 1/2020
Electronic ISSN: 1471-2431
DOI
https://doi.org/10.1186/s12887-020-1994-5

Other articles of this Issue 1/2020

BMC Pediatrics 1/2020 Go to the issue