Pub Date : 2024-07-09DOI: 10.3389/fradm.2024.1329731
Awol Assen Ali, Dessalegn Tamiru Adugna, W. Ayele, S. Tadesse, T. Mekonnen, Muluken Amare Wudu
Adolescence is a critical stage of human growth and development, and adolescent nutritional status is a significant predictor of health outcomes. However, adolescents in developing countries, including Ethiopia, have received little attention from nutrition-related programs in recent decades. Consequently, malnutrition among adolescents is a widespread issue in these regions.The study aimed to identify the determinants of thinness among school adolescents in the Legehida district of South Wollo Zone, Northeastern Ethiopia.A school-based, unmatched case-control study was conducted from January 20 to February 2, 2019. A total of 525 school-aged adolescents (175 cases and 350 controls) from the Legehida district were enrolled using a multistage sampling technique. Data were collected through interview-administered questionnaires and anthropometric measurements. EpiData version 3.1 was used for data entry, while Anthroplus software was employed for anthropometric measurement entry and analysis. The data were then exported to SPSS version 25 for further analysis. Bivariate and multivariable logistic regression analyses were performed to assess the determinants of adolescent thinness.In this study, thinness among school adolescents was significantly associated with several factors: the absence of a latrine at home [AOR = 8.2, 95% CI (3.8, 8.17)], meal skipping per day [AOR = 3.1, 95% CI (1.2, 7.3)], inadequate consumption of fruits and vegetables [AOR = 7.5, 95% CI (3.9, 14.5)], having more than four household members [AOR = 13.6, 95% CI (7.1, 26)], and the consumption of unsafe water [AOR = 7.7, 95% CI (3.8, 15.6)].The absence of latrines and access to clean water, dietary factors, and family size emerged as significant contributors to adolescent thinness in this study. Addressing the nutritional challenges faced by adolescents will require collaborative efforts across sectors.
青少年时期是人类生长发育的关键阶段，青少年的营养状况是预测健康状况的重要指标。然而，近几十年来，包括埃塞俄比亚在内的发展中国家的青少年很少受到营养相关项目的关注。因此，青少年营养不良是这些地区普遍存在的问题。本研究旨在确定埃塞俄比亚东北部南沃洛区莱格希达地区在校青少年瘦弱的决定因素。研究于2019年1月20日至2月2日开展了一项基于学校的非匹配病例对照研究。研究采用多阶段抽样技术，共招募了 525 名 Legehida 地区的学龄青少年（175 名病例和 350 名对照）。数据通过访谈问卷和人体测量法收集。数据输入使用 EpiData 3.1 版，人体测量输入和分析使用 Anthroplus 软件。然后将数据导出到 SPSS 25 版进行进一步分析。本研究发现，在校青少年的瘦弱与以下几个因素有显著关联：家中没有厕所[AOR = 8.2，95% CI (3.8，8.17)]、每天不吃饭[AOR = 3.1，95% CI (1.2，7.3)]、饮食不足[AOR = 3.1，95% CI (1.2，8.17)]、饮食不健康[AOR = 3.1，95% CI (1.2，7.3)]。在这项研究中，没有厕所和清洁水、饮食因素和家庭规模是导致青少年消瘦的重要因素。要解决青少年面临的营养挑战，需要各部门通力合作。
{"title":"Determinants of thinness among school adolescents in Legehida district, Amhara region, north east Ethiopia: an unmatched case-control study","authors":"Awol Assen Ali, Dessalegn Tamiru Adugna, W. Ayele, S. Tadesse, T. Mekonnen, Muluken Amare Wudu","doi":"10.3389/fradm.2024.1329731","DOIUrl":"https://doi.org/10.3389/fradm.2024.1329731","url":null,"abstract":"Adolescence is a critical stage of human growth and development, and adolescent nutritional status is a significant predictor of health outcomes. However, adolescents in developing countries, including Ethiopia, have received little attention from nutrition-related programs in recent decades. Consequently, malnutrition among adolescents is a widespread issue in these regions.The study aimed to identify the determinants of thinness among school adolescents in the Legehida district of South Wollo Zone, Northeastern Ethiopia.A school-based, unmatched case-control study was conducted from January 20 to February 2, 2019. A total of 525 school-aged adolescents (175 cases and 350 controls) from the Legehida district were enrolled using a multistage sampling technique. Data were collected through interview-administered questionnaires and anthropometric measurements. EpiData version 3.1 was used for data entry, while Anthroplus software was employed for anthropometric measurement entry and analysis. The data were then exported to SPSS version 25 for further analysis. Bivariate and multivariable logistic regression analyses were performed to assess the determinants of adolescent thinness.In this study, thinness among school adolescents was significantly associated with several factors: the absence of a latrine at home [AOR = 8.2, 95% CI (3.8, 8.17)], meal skipping per day [AOR = 3.1, 95% CI (1.2, 7.3)], inadequate consumption of fruits and vegetables [AOR = 7.5, 95% CI (3.9, 14.5)], having more than four household members [AOR = 13.6, 95% CI (7.1, 26)], and the consumption of unsafe water [AOR = 7.7, 95% CI (3.8, 15.6)].The absence of latrines and access to clean water, dietary factors, and family size emerged as significant contributors to adolescent thinness in this study. Addressing the nutritional challenges faced by adolescents will require collaborative efforts across sectors.","PeriodicalId":512405,"journal":{"name":"Frontiers in Adolescent Medicine","volume":"36 21","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141663876","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-04-05DOI: 10.3389/fradm.2024.1297391
Ee Vien Low, Miryoung Lee, Cici Bauer, S. Fisher-Hoch, Joseph B. McCormick, Paul J Rowan, S. Abughosh, E. Essien, Hua Chen
This study aimed to compare the obesity rates between border-residing Mexican American children with the National Health and Nutritional Surveys (NHANES), and to examine the individual and household characteristics associated with weight status in these children.This was a cross-sectional analysis of 354 children aged 8–18 years and their parents in the Cameron County Hispanic Cohort (CCHC) from 2014 to 2020. Children were categorized as healthy weight, overweight, class 1 obesity, class 2 obesity and class 3 obesity. The distribution of CCHC children's weight status was compared with Hispanic participants of the NHANES with matched age, sex, and the year of the interview. An ordinal least square regression analysis was conducted to assess the association between individual and household characteristics with CCHC children's weight status.Approximately 48.0% of CCHC children had a healthy weight, 17.9% were overweight, 22.2% were in class 1 obesity, 7.7% were in class 2 obesity, and 4.3% were in category 3. The weight distribution of the CCHC cohort was similar to that in the matched NHANES participants (p = 0.28). Being overweight was associated with higher household income (OR = 2.25, 95% CI: 1.01–5.02) while being in class 2 and class 3 obesity was associated with boys (Class 2 & 3 obesity: OR = 2.94, 95% CI: 1.27–6.81) and environmental factors such as parents' BMI (Class 2 and3 Obesity: OR = 1.13, 95% CI: 1.05–1.21).Family socioeconomic status was positively associated with being overweight and Class 1 obesity, while gender and parent's BMI affected a child's likelihood of being class 2 and 3 obesity.
{"title":"Risk factors for overweight and obesity in Mexican American children and adolescents living on the Texas–Mexico border","authors":"Ee Vien Low, Miryoung Lee, Cici Bauer, S. Fisher-Hoch, Joseph B. McCormick, Paul J Rowan, S. Abughosh, E. Essien, Hua Chen","doi":"10.3389/fradm.2024.1297391","DOIUrl":"https://doi.org/10.3389/fradm.2024.1297391","url":null,"abstract":"This study aimed to compare the obesity rates between border-residing Mexican American children with the National Health and Nutritional Surveys (NHANES), and to examine the individual and household characteristics associated with weight status in these children.This was a cross-sectional analysis of 354 children aged 8–18 years and their parents in the Cameron County Hispanic Cohort (CCHC) from 2014 to 2020. Children were categorized as healthy weight, overweight, class 1 obesity, class 2 obesity and class 3 obesity. The distribution of CCHC children's weight status was compared with Hispanic participants of the NHANES with matched age, sex, and the year of the interview. An ordinal least square regression analysis was conducted to assess the association between individual and household characteristics with CCHC children's weight status.Approximately 48.0% of CCHC children had a healthy weight, 17.9% were overweight, 22.2% were in class 1 obesity, 7.7% were in class 2 obesity, and 4.3% were in category 3. The weight distribution of the CCHC cohort was similar to that in the matched NHANES participants (p = 0.28). Being overweight was associated with higher household income (OR = 2.25, 95% CI: 1.01–5.02) while being in class 2 and class 3 obesity was associated with boys (Class 2 & 3 obesity: OR = 2.94, 95% CI: 1.27–6.81) and environmental factors such as parents' BMI (Class 2 and3 Obesity: OR = 1.13, 95% CI: 1.05–1.21).Family socioeconomic status was positively associated with being overweight and Class 1 obesity, while gender and parent's BMI affected a child's likelihood of being class 2 and 3 obesity.","PeriodicalId":512405,"journal":{"name":"Frontiers in Adolescent Medicine","volume":"19 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140738037","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-18DOI: 10.3389/fradm.2024.1302642
Taryn Sandheinrich, Katie Schultz, Robert J. Hayashi, Holly Hoefgen
Despite ASCO and COG recommendations, increasing the rate of sperm-banking for newly diagnosed AYA males with cancer remains difficult. Multiple barriers to fertility preservation at pediatric institutions have been well described. Numerous logistical barriers can impede successful sperm cryopreservation. We analyzed our institution's experience in optimizing workflows to improve sperm-banking rates. Our processes improvement included: (1) striving for a fertility consult for each newly diagnosed male, (2) utilization of a member of the oncology provider team serving as a fertility navigator (FN) providing fertility consultation and counseling services.Sperm banking rates at St. Louis Children's Hospital were reviewed and compared for three discrete calendar years spanning the implementation of these enhancements (2017, 2019, 2022). We plotted process changes over time to assess their impact on the rate of successful sperm-banking in eligible AYA males newly diagnosed with cancer.The rate of consults for sperm banking prior to therapy increased from 18% in 2017 to 91% in 2022 (p = .0003). Rates of sperm banking in eligible males increased from 18% to 82% (p = .0015) between 2017 and 2022.Embedding a FN who is also a member of the primary oncology team increases not only the fertility consult rate but also the rate of successful sperm-banking in AYA males who are newly diagnosed with cancer at pediatric institutions.
{"title":"Process improvement to increase rates of sperm-banking in AYA patients newly diagnosed with cancer: an institutional experience","authors":"Taryn Sandheinrich, Katie Schultz, Robert J. Hayashi, Holly Hoefgen","doi":"10.3389/fradm.2024.1302642","DOIUrl":"https://doi.org/10.3389/fradm.2024.1302642","url":null,"abstract":"Despite ASCO and COG recommendations, increasing the rate of sperm-banking for newly diagnosed AYA males with cancer remains difficult. Multiple barriers to fertility preservation at pediatric institutions have been well described. Numerous logistical barriers can impede successful sperm cryopreservation. We analyzed our institution's experience in optimizing workflows to improve sperm-banking rates. Our processes improvement included: (1) striving for a fertility consult for each newly diagnosed male, (2) utilization of a member of the oncology provider team serving as a fertility navigator (FN) providing fertility consultation and counseling services.Sperm banking rates at St. Louis Children's Hospital were reviewed and compared for three discrete calendar years spanning the implementation of these enhancements (2017, 2019, 2022). We plotted process changes over time to assess their impact on the rate of successful sperm-banking in eligible AYA males newly diagnosed with cancer.The rate of consults for sperm banking prior to therapy increased from 18% in 2017 to 91% in 2022 (p = .0003). Rates of sperm banking in eligible males increased from 18% to 82% (p = .0015) between 2017 and 2022.Embedding a FN who is also a member of the primary oncology team increases not only the fertility consult rate but also the rate of successful sperm-banking in AYA males who are newly diagnosed with cancer at pediatric institutions.","PeriodicalId":512405,"journal":{"name":"Frontiers in Adolescent Medicine","volume":"237 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140233559","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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