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NUTRITIONAL STATUS OF ADOLESCENTS IN THE CONTEXT OF THE MOROCCAN NUTRITIONAL TRANSITION: THE ROLE OF PARENTAL EDUCATION

Published online by Cambridge University Press:  22 December 2011

PILAR MONTERO LÓPEZ
Affiliation:
Departmento de Biología, Universidad Autónoma de Madrid, Spain
KARIM ANZID
Affiliation:
Laboratoire d'Écologie Humaine, Université Cadi Ayyad, Marrakech, Morocco
MOHAMED CHERKAOUI
Affiliation:
Laboratoire d'Écologie Humaine, Université Cadi Ayyad, Marrakech, Morocco
ABDELLATIF BAALI
Affiliation:
Laboratoire d'Écologie Humaine, Université Cadi Ayyad, Marrakech, Morocco
SANTIAGO RODRIGUEZ LOPEZ
Affiliation:
Departmento de Biología, Universidad Autónoma de Madrid, Spain

Summary

In Morocco, the beginning of the nutritional transition is closely linked to social and economic transformations and changes in behaviour and traditional lifestyles. The objective of this study is to describe the current pattern of food consumption and the nutritional status of adolescents in the province of Ouarzazate and its association with parents' educational level. The sample comprises 327 high school students from Ouarzazate: 135 (41.3%) boys and 192 (58.7%) girls (age range 15–20 years). For both boys and girls, the results show lower height and BMI z-scores than the WHO reference values. Adolescents whose parents have a low educational level have lower height/age and BMI/age z-scores than those whose fathers have a high educational level. No differences are observed in total daily energy intake depending on fathers' educational level, but the energy provided by lipids is higher in adolescents whose fathers have a high educational background. The quality of fats consumed (MUFA+PUFA/SFA) is better among those boys whose fathers have low education, but no differences are observed for girls. The process of nutritional transition is not uniform in the sample, but depends on the socioeconomic characteristics of population groups, which include, among others, accessibility of certain food, differences in habits and lifestyles related to energy expenditure, and higher prevalence of overweight and obesity in more favoured groups.

Type
Research Article
Copyright
Copyright © Cambridge University Press 2012

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References

Aboussaleh, Y., Farsi, M., El Hioui, M. & Ahami, A. (2009) Transition nutritionnelle au Maroc: coexistence de l'anémie et de l'obesité chez les femmes au Nord Ouest marocain. Antropo 19, 6774.Google Scholar
Adair, L. & Popkin, B. (2005) Are child eating patterns being transformed globally? Obesity Research 13, 12811299.CrossRefGoogle ScholarPubMed
Ammor, S., Baali, A., Hubert, A. & Cherkaoui, M. (2003) Approche épidémiologique du cancer du rhino-pharynx dans la région de Marrakech. Antropo 5, 3947.Google Scholar
Anzid, K., El Hamdani, F., Baali, A., Boëtsch, G., Levy, S., Montero, P. & Cherkaoui, M. (2009) The effect of socio-economic status and area of residence on household food variety in Morocco. Annals of Human Biology 36, 123.CrossRefGoogle ScholarPubMed
Arjamaa, O. & Vuorisalo, T. (2010) Genes, cultura y dieta. Biología y cultura interaccionan en el desarrollo de nuestros hábitos alimentarios. Investigación y ciencia 405, 6977.Google Scholar
Batista, M. & Rissin, A. (2003) A transição nutricional no Brasil: tendências regionais e temporais. Cadernos de Saúde Pública 19, 181191.CrossRefGoogle Scholar
Batnitzky, A. (2008) Obesity and household roles: gender and social class in Morocco. Sociology of Health & Illness 30, 445462.CrossRefGoogle ScholarPubMed
Benjelloun, S. (2002) Nutritional transition in Morocco. Public Health Nutrition 5, 135140.CrossRefGoogle ScholarPubMed
Benjelloun, S. (2006) Direction de la Population. Ministère de la Santé. Morocco.Google Scholar
Benjelloun, S., Bader, E. & Razès, M. (2011) Profil nutritionnel du Maroc. Division de la nutrition et de la protection des consommateurs. Organization Des Nations Unies pour L'alimentation et L'agriculture (FAO).Google Scholar
Cavadini, C., Siega-Riz, A. & Popkin, B. (2000) US adolescent food intake trends from 1965 to 1996. Archives on Disease in Childhood 83, 1824.CrossRefGoogle ScholarPubMed
Doak, C., Adair, L., Bentley, M., Monteiro, C. & Popkin, B. (2005) The dual burden household and the nutrition transition paradox. International Journal of Obesity and Related Metabolic Disorders 29, 129136.CrossRefGoogle ScholarPubMed
Drewnowski, A. & Specter, S. (2004) Poverty and obesity: the role of energy density and energy costs. Journal of Nutrition 79, 616.Google ScholarPubMed
Du, S., Lu, B., Zhai, F. & Popkin, B. (2002) A new stage of the nutrition transition in China. Public Health Nutrition 5, 169174.CrossRefGoogle ScholarPubMed
El Ayachi, M., Mziwira, M., Lairon, D. & Belahsen, R. (2008) Prevalence of parameter indicators of obesity and its relationship witn metabolic síndrome in urban Moroccan women. American Journal of Human Biology 20, 484486.CrossRefGoogle Scholar
Lambert, J., Agostoni, C., Elmadfa, I., Hulshof, K., Krause, E., Livingstone, B. et al. (2004) Dietary intake and nutritional status of children and adolescents in Europe. British Journal of Nutrition 92 (Supplement 2), S147211.CrossRefGoogle ScholarPubMed
Lee, M., Popkin, B. & Kim, S. (2002) The unique aspects of the nutrition transition in South Korea: the retention of healthful elements in their traditional diet. Public Health Nutrition 5, 197203.CrossRefGoogle ScholarPubMed
Leonard, W. (2003) Incidencia de la dieta en la hominización. Investigación y ciencia 317, 4857.Google Scholar
Leatherman, T. L., Goodman, A. H. & Stillman, T. (2010) Changes in stature, weight, and nutritional status with tourism-based economic development in the Yucatan. Economics and Human Biology 8, 153158.CrossRefGoogle ScholarPubMed
Mendez, M. A., Monteiro, C. & Popkin, B. (2005) Overweight exceeds underweight among women in most developing countries. American Journal of Clinical Nutrition 81, 714721.CrossRefGoogle ScholarPubMed
Misra, A. & Khurana, L. (2008) Obesity and the metabolic syndrome in developing countries. Journal of Clinical Endocrinology & Metabolism 93, 1130.CrossRefGoogle ScholarPubMed
Mokdad, A., Ford, E., Bowman, B., Dietz, H., Vinicor, F., Bales, V. & Marks, J. (2003) Prevalence of obesity, diabetes and obesity-related health risk factors, 2001. Journal of the American Medical Association 289, 7679.CrossRefGoogle ScholarPubMed
Molina, M. C., Montero, P., Faria, C. P., Cade, N. V. & Zandonade, E. (2010) Socioeconomic predictors of child diet quality. Revista de Saúde Pública 44, 17.Google ScholarPubMed
Montero, P. & Loukid, M. (1992) Croissance et statut socio-économique des enfants scolarisés au Maroc. Bulletins et Mémoires de la Societé d'Anthropologie de Paris 4, 265268.Google Scholar
Nielsen, S. & Popkin, B. (2003) Patterns and trends in food portion sizes, 1977–1998. Journal of the American Medical Association 289, 450453.CrossRefGoogle ScholarPubMed
Orden, A. B., Torres, M. F., Luis, M. A., Cesani, M. F., Quinter, F. A. & Oyhenart, E. E. (2005) Evaluación del estado nutricional en escolares de bajos recursos socioeconómicos en el contexto de la transición nutricional. Archivos Argentinos de Pediatría 103, 205210.Google Scholar
Ortega, R. M., López-Sobaler, A. M., Andrés, P., Requejo, A. M., Aparicio, A. & Molinero, L. M. (2008) DIAL 1.0: Programa para evaluación de dietas y gestión de datos de alimentación. URL: http://www.alceingenieria.net.Google Scholar
Popkin, B. (1994) The nutrition transition in low-income countries: an emerging crisis. Nutrition Reviews 52, 285298.CrossRefGoogle ScholarPubMed
Popkin, B. (2001) The nutrition transition and obesity in the developing world. Journal of Nutrition 131, 871873.CrossRefGoogle ScholarPubMed
Popkin, B. (2006) Global nutrition dynamics: the world is shifting rapidly toward a diet linked with noncommunicable diseases. American Journal of Clinical Nutrition 84, 289298.CrossRefGoogle Scholar
Popkin, B. (2007) Obesidad mundial. En los países en vías de desarrollo hay ya más personas con sobrepeso que hambrientas. ¿Cómo podrían combatir la obesidad los países más pobres? Investigación y Ciencia 374, 4451.Google Scholar
Popkin, B. (2011) Does global obesity represent a global public health challenge? American Journal of Clinical Nutrition 93, 232233.CrossRefGoogle ScholarPubMed
Popkin, B. M., Richards, M. K. & Montiero, C. A. (1996) Stunting is associated with overweight in children of four nations that are undergoing the nutrition transition. Journal of Nutrition 126, 30093016.CrossRefGoogle ScholarPubMed
Prentice, A. M. (2006) The emerging epidemic of obesity in developing countries. International Journal of Epidemiology 35, 9399.CrossRefGoogle ScholarPubMed
Ramírez-Mayans, J. A., García-Campos, M., Cervantes, R., Mata, N., Zárate, F., Mason, T. & Villareal, A. (2003) Transición alimentaria en México. Anales de Pediatría 58, 568573.CrossRefGoogle Scholar
Rguibi, M. & Belahsen, R. (2004) Overweight and obesity among urban Sahraoui women of south Moroco. Ethnicity and Disease 14, 542547.Google Scholar
Serra, L. & Aranceta, J. (2006) Nutrición y salud pública: métodos, bases científicas y aplicaciones. Masson, Barcelona, Spain.Google Scholar
Statistical Package for Social Science (2008) SPSS 17.0 for Windows. SPSS Inc., Chicago, IL, USA.Google Scholar
Weiner, J. & Lourie, J. (1981) Practical Human Biology. Academic Press, London.Google Scholar
WHO (1985) Energy and Protein Requirements. Report of a joint FAO/WHO/UNU Expert Consultation. Technical Report Series, 724. WHO, Geneva.Google Scholar
WHO (1990) Diet, Nutrition and the Prevention of Chronic Diseases. WHO Technical Report Series, 797. WHO, Geneva.Google Scholar
WHO (2003) Dieta, nutrición y prevención de enfermedades crónicas: informe de una Consulta Mixta de expertos WHO/FAO. URL: www.who.int/entity/nutrition/publications/obesity/WHO_TRS_916_spa.pdfGoogle Scholar
WHO (2007a) BMI for Age: 5 to 19 Years (z-scores). URL: http://www.who.int/growthref/who2007_bmi_for_age/en/index.html.Google Scholar
WHO (2007b) AnthroPlus software for Windows. URL: http://www.who.int/growthref/tools/en/Google Scholar