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Double Burden of Undernutrition and Obesity in Palestinian Schoolchildren: A Cross-Sectional Study
Palestinian Natl Inst Publ Hlth, POB 1548, Ramallah, West Bank, Israel.;Juzoor Hlth & Social Dev, POB 1548, Ramallah, West Bank, Israel..
Columbia Univ, Dept Pediat, New York, NY 10027 USA.;Columbia Univ, Inst Human Nutr, New York, NY 10032 USA..
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, Pediatrics.
Columbia Univ, Dept Pediat, New York, NY 10027 USA.;Columbia Univ, Inst Human Nutr, New York, NY 10032 USA..
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2016 (English)In: Food and Nutrition Bulletin, ISSN 0379-5721, E-ISSN 1564-8265, Vol. 37, no 2, 144-152 p.Article in journal (Refereed) Published
Abstract [en]

Background: The coexistence of underweight and overweight (double burden) remains a major problem in many developing countries. Little is known about the factors associated with the double burden of malnutrition in Palestinian children.

Objective: To assess factors associated with undernutrition and overnutrition in 1500 schoolchildren aged 5 to 16 years, in the West Bank.

Methods: We surveyed a sample of 22 schools run by the United Nations Relief and Works Agency for Palestine Refugees in the Near East (UNRWA) and the Palestinian government. Binary logistic regression was used to examine the factors associated with malnutrition. The hunger index, a composite score from 8 questions, was used to measure food insecurity.

Results: In the 1484 children enrolled in UNRWA and government schools in the West Bank, the prevalence of stunting was 7% and underweight 3%. Around 12% of students were overweight and 6% obese. The hunger index was negatively associated with height for age. Factors associated with being underweight were male sex, mother being unemployed, and households not having enough food to eat for at least 2 days in the previous month. Factors associated with obesity were older age and time spent watching television. When overweight and obesity were combined in the analysis, they were inversely associated with increasing number of days spent playing sports.

Conclusion: Our results show that the important nutritional risks for school-age children in the West Bank would seem to be the simultaneous occurrence of undernutrition and obesity. The study highlights the need to balance obesity management and prevention with interventions to tackle undernutrition.

Place, publisher, year, edition, pages
2016. Vol. 37, no 2, 144-152 p.
Keyword [en]
malnutrition, physical activity, schoolchildren, Palestine
National Category
Nutrition and Dietetics
URN: urn:nbn:se:uu:diva-302232DOI: 10.1177/0379572116637720ISI: 000376667800003PubMedID: 27026740OAI: oai:DiVA.org:uu-302232DiVA: diva2:957094
Available from: 2016-09-01 Created: 2016-08-31 Last updated: 2016-09-01Bibliographically approved

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