Dual Burden Malnutrition in the Gaza Strip:Co Morbidity Pattern

tareq 2019-05-25 14:48:43


Safa Ahmed Huwwer1, Yehia Awad Abed2

1. Central warehouse, Palestinian Red Crescent Society, Gaza, Palestine

2. School of Public Health - Al- Quds University Jerusalem, Gaza, Palestine

ABSTRACT

The nutritional dual-burden can be broadly defined as the coexistence of under nutrition and over nutrition (overweight and obesity) in the same population/group, the same household/family, or the same person. The main objective of this study is to determine the prevalence of households with dual burden malnutrition (DBM) and illustrate morbidity pattern among both of them in the Gaza Strip (GS).

Methodology: Across sectional study was carried out at ten of the central primary health care centers in each governorates, and proportional systemic random sample from women and their children attending UNRWA and MOH centers was taken. In total, 600 pairs of children and their mothers were included with a response rate of 90%. Data was collected through a self-constructed, face to face interviewed-questionnaire. Additionally, standardized measurement of height and weight were taken for children and their mothers and HB measurement for children. 

Results: The study illustrates that the prevalence of DBM is 13.1% among surveyed mothers and their children., the findings reveals that DBM was significantly associated with hypertension, back pain, varicose vein, and positive history of obesity in mothers. DBM was also significantly associated with bone problems in children.                   

The prevalence of obesity among mothers attended PHC centers was 28.7%. The findings indicate that chronic diseases (hypertension and cardio vascular diseases) were significantly associated with obesity. Similarity, varicose vein, back pain, dental problems and presence of obesity in mother relatives were also significantly associated with obesity. Obesity was also significantly associated with cesarean section delivery. Higher prevalence of obesity (32.3%) was shown among women with low score of physical activity and the relationship between obesity and physical activity score was statistically significant.                                        

The overall prevalence of anemia, wasting, stunting, underweight, overweight and under-nutrition among children was 51.7%, 8.7%, 12.2%, 5.7%, 8.5%, 21.8%  respectively. Statistically significant relationship exists between malnutrition and bone problems and jaundice hospitalization. It was also found that birth weight of children was significantly associated with malnutrition.

Conclusion: The study concluded that the prevalence of DBM represents a significant public health concern in the GS. Further investigations on a larger sample are necessary to understand the family dynamics leading to the DBM within the same household.


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