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Nutritional status of 11–12-year-old Jamaican children: coexistence of under- and overnutrition in early adolescence

Published online by Cambridge University Press:  02 January 2007

Maria Jackson ,
Maureen Samms-Vaughan  and
Deanna Ashley
Maria Jackson*
Affiliation:
Department of Child Health, University of the West Indies, Mona, Kingston 7, Jamaica, West Indies
Maureen Samms-Vaughan
Affiliation:
Department of Child Health, University of the West Indies, Mona, Kingston 7, Jamaica, West Indies
Deanna Ashley
Affiliation:
Ministry of Health, 2–4 King Street, Jamaica, West Indies
*
*Corresponding author: Email majacksn@uwimona.edu.jm
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Abstract

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Objective:

To determine the nutritional status of a cohort of 11–12 year olds and ascertain social and demographic factors associated with under- and overweight in early adolescence.

Design:

Cross-sectional.

Subjects:

Subgroup (n=1698) of the birth cohort (September–October 1986) of the Jamaican Perinatal Survey enrolled in schools in the Kingston Metropolitan area. One thousand and sixty-three parents or caregivers provided social and demographic information.

Results:

Undernutrition and overnutrition are of public health significance among adolescent Jamaican children. Ten per cent of 11–12 year olds had body mass index (BMI) values below the 5th percentile (boys, 10.6%; girls, 7.1%) but this prevalence is relatively low compared with other developing countries. The prevalence of stunting was low (3%). The prevalence of overweight (BMI≥85th percentile) (19.3%) was approaching prevalence rates found in the USA. Similar social and demographic variables were associated with thinness and fatness in males. Birth weight predicted overweight in girls.

Conclusions:

Under- and overnutrition in early adolescence are important problems in Jamaica. There is a need to address both under- and overnutrition in adolescence in preventive and rehabilitative intervention programmes.

Keywords

Adolescent nutritionHeight-for-ageBody mass indexOverweightStunting
Type
Research Article
Information
Public Health Nutrition , Volume 5 , Issue 2 , April 2002 , pp. 281 - 288
Copyright
Copyright © CABI Publishing 2002

References

1World Health Organization (WHO). Young People's Health: A Challenge for Society. Technical Report Series No. 731. Geneva: WHO, 1986.Google Scholar
2United Nations. Demographic Year Book, 1995, 47th ed., New York: United Nations, 1997.Google Scholar
3Blum, RW. Global trends in adolescent health. J. Am. Med. Assoc. 1991; 265(20), 2711–9.CrossRefGoogle ScholarPubMed
4Wang, Y, Popkin, B, Zhai, F. The nutritional status and dietary patterns of Chinese adolescents, 1991 and 1993. Eur. J. Clin. Nutr. 1998; 52: 908–16.CrossRefGoogle ScholarPubMed
5Kurz, KM. Adolescent nutritional status in developing countries. Proc. Nutr. Soc. 1996; 55: 321–31.CrossRefGoogle ScholarPubMed
6Walker, SP, Grantham-McGregor, SM, Himes, JM, Williams, S. Anthropometry in adolescent girls in Kingston, Jamaica. Ann. Hum. Biol. 1996; 23: 23–9.CrossRefGoogle ScholarPubMed
7Popkin, BM. The nutrition transition in low-income countries: an emerging crisis. Nutr. Rev. 1994; 52: 285–98.CrossRefGoogle ScholarPubMed
8Popkin, BM, Udry, JR. Adolescent obesity increases significantly in second and third generation US immigrants: the National Longitudinal Study of Adolescent Health. J. Nutr. 1998; 128: 701–6.CrossRefGoogle ScholarPubMed
9Pena, M, Freire, WB. Report of a Seminar-Workshop on Obesity and Poverty in Latin America, Havana, Cuba, 15–;19 May 1995. Pan American Health Organization Document, PAHO/HPP/HPN 96.02. Cuba: WHO Regional Office, 1996.Google Scholar
10Billewicz, WZ, Thomson, AM, Fellowe, HM. A longitudinal study of growth in Newcastle upon Tyne adolescents. Ann. Hum. Biol. 1983; 10: 125–33.CrossRefGoogle ScholarPubMed
11Goodman, E. The role of socioeconomic status gradients in explaining differences in US adolescents' health. Am. J. Public Health 1999; 89(10), 1522–8.CrossRefGoogle ScholarPubMed
12Rona, RJ, Swan, AV, Altman, DG. Social factors and height of primary school children in England and Scotland. J. Epidemiol. Comm. Health. 1978; 32: 147–54.CrossRefGoogle Scholar
13Jones, YD, Nesheim, MC, Habicht, JP. Influences in child growth associated with poverty in the 1970's: an examination of HANES1 and NHANESII, cross-sectional US national surveys. Am. J. Clin. Nutr. 1985; 42: 714–24.CrossRefGoogle Scholar
14Dietz, WH. Critical periods in childhood for the development of obesity. Am. J. Clin. Nutr. 1994; 59: 955–9.CrossRefGoogle ScholarPubMed
15Must, A, Jacques, PF, Dallal, GE, Bajema, CJ, Dietz, WH. Long-term morbidity and mortality of overweight adolescent: a follow-up of the Harvard Growth Study of 1922 to 1935. N. Engl J. Med. 1992; 1327: 1350–5.CrossRefGoogle Scholar
16Ashley, D, McCaw-Binns, A, Golding, J, Keeling, J, Escoffery, C, Coard, K, Foster-Williams, K. Perinatal mortality survey in Jamaica: aims and methodology. Pediatr. Perinatal Epidemiol 1994; 8(Suppl. 1), 6–16.CrossRefGoogle ScholarPubMed
17 Statistical Institute of Jamaica. Population Census Reports [unpublished].Statistical Institute of Jamaica, Kingston, Jamaica, 1997Google Scholar
18Lohman, TG, Roche, AF, Martorell, R. Anthropometric Standardization Reference Manual. Champaign, IL: Human Kinetics Books, 1988.Google Scholar
19 National Center for Health Statistics (NCHS). CDC Growth Charts: United States [Online]. Available at http://www.cdc.gov/growthcharts. 10 May 2001.Google Scholar
20Samms-Vaughan, M, Jackson, M, Ashley, D. Cognition, Educational Attainment and Behaviour in a Cohort of Jamaican Children. Report. Mona, Jamaica: University of the West Indies, 1998.Google Scholar
21Samms-Vaughan, M, Jackson, M, Ashley, D. The Relationship of Prenatal Factors to Later Childhood Development and Behaviour in a Cohort of 11 – 12 year old Jamaican Children. Report. Mona, Jamaica: University of the West Indies, 2000.Google Scholar
22SPSS, Inc. Statistical Package for Social Scientists, Version 7.5.2. Chicago, IL: SPSS Inc., 1997.Google Scholar
23Cole, TJ, Bellizzi, MC, Flegal, KM, Dietz, WH. Establishing a standard definition for child overweight and obesity worldwide: international survey. BMJ 2000; 320: 1240–3.CrossRefGoogle ScholarPubMed
24Garn, SM, Leonard, WR, Hawthorne, VM. Three limitations of the body mass index. Am. J. Clin. Nutr. 1986; 44: 996–7.CrossRefGoogle ScholarPubMed
25Himes, JH, Dietz, WH. Guidelines for overweight in adolescent preventive services: recommendations from an expert committee. The Expert Committee on Clinical Guidelines for Overweight in Adolescent Preventive Services. Am. J. Clin. Nutr. 1994; 59: 307–16.CrossRefGoogle Scholar
26Roche, AF, Siervogel, FM, Chumlea, WC, Webb, P. Grading body fatness from limited anthropometric data. Am. J. Clin. Nutr. 1981; 34: 2831–8.CrossRefGoogle ScholarPubMed
27Durenberg, P, Westrate, JA, Seidell, JC. Body mass index as a measure of body fatness: age- and sex- specific prediction formulas. Br. J. Nutr. 1991; 65: 105–14.CrossRefGoogle Scholar
28Marshall, JD, Hazlett, CB, Spady, DW, Quinney, HA. Comparison of convenient indicators of obesity. Am. J. Clin. Nutr. 1990; 51: 22–8.CrossRefGoogle ScholarPubMed
29Martorell, R, Habicht, JP. Growth in early childhood in developing countries. In: Falkner, F, Tanner, JM, eds. Human Growth: A Comprehensive Treatise. Vol. 3. Methodology: Ecological, Genetic and Nutritional Effects on Growth, 2nd ed. New York/London: Plenum Press, 1986.Google Scholar
30Habicht, J-P, Martorell, R, Yarbrough, C, Malina, RM, Klein, RE. Height and weight standards for preschool children. How relevant are ethnic differences in growth potential. Lancet 1974; 1: 611–5.CrossRefGoogle ScholarPubMed
31Pollitt, E. Poverty and child development: relevance of research in developing countries to the United States. Child.Dev. 1994; 65: 283–95.Google ScholarPubMed
32Agarwal, KN, Agarwal, DK, Upadhydal, SK. Impact of chronic undernutrition on higher mental function in boys aged 1–;12 years. Acta.Paediatr. 1995; 84: 1357–61.CrossRefGoogle Scholar
33Grantham-McGregor, S. A review of the studies of the effects of severe malnutrition on mental development. J. Nutr. 1995; 125(Suppl. 8), 2233S–8S.CrossRefGoogle ScholarPubMed
34Troiana, RP, Flegal, KM, Kuczmarski, RJ, Campbell, SM, Johnson, CL. Overweight prevalence and trends for children and adolescents. Arch. Ped. Adolesc. Med. 1995; 149: 1085–91.CrossRefGoogle Scholar
35Garn, SM, La Velle, M, Rosenberg, KR, Hawthorn, VM. Maturational timing as a factor in female fatness and obesity. Am. J. Clin. Nutr. 1986; 43: 879–83.CrossRefGoogle ScholarPubMed
36Wilks, R, Bennett, F, Forrester, T, McFarlane-Anderson, N. Chronic diseases: the new epidemic. West.Ind. Med. J. 1998; 47(Suppl 4), 40–4.Google ScholarPubMed
37Whitaker, RC & Dietz, WH. Role of the prenatal environment in the development of obesity. J. Pediatr. 1998; 132: 768–76.CrossRefGoogle ScholarPubMed
38Curhan, GC, Chertow, GM, Willett, WC, Spiegleman, D, Colditz, GA, Manson, JE, Speizer, FE, Stampfer, MJ. Birthweight and adult hypertension and obesity in women. Circulation 1996; 94: 1310–5.CrossRefGoogle ScholarPubMed
39Fall, CHD, Osmond, C, Barker, DJP, Clark, PMS, Hales, CN, Stirling, Y, Meade, TW. Fetal and infant growth and cardiovascular risk factors in women. BMJ 1995; 310: 428–32.CrossRefGoogle ScholarPubMed
40Ravelli, ACJ, van der Meulen, JHP, Osmond, C, Barker, DJP, Bleker, OP. Obesity at the age of 50 yr in men and women exposed to famine prenatally. Am. J. Clin. Nutr. 1999; 70: 811–6.CrossRefGoogle Scholar
41Paz, I, Seidman, DS, Danon, YL, Laor, A, Stevenson, DK, Gale, R. Are children born small FDR gestational age at increased risk of short stature?. Am. J. Dis. Child. 1993; 147: 337–9.Google Scholar
42Martorell, R, Ramakrishnan, U, Schroeder, DG, Melgar, P, Neufield, L. Intrauterine growth retardation, body size, body composition and physical performance in adolescence. Eur. J. Clin. Nutr. 1998; 51, S43–53.Google Scholar
43Pena, M, Bacallao, J, eds. Obesity and Poverty: Anew Public Health Challenge. PAHO Scientific Publication 576, Washington, DC: Pan American Health Organization, 2000.Google Scholar