Adolescent health in rural Ghana: A cross-sectional study on the co-occurrence of infectious diseases, malnutrition and cardio-metabolic risk factors
Identifieur interne : 000104 ( Main/Exploration ); précédent : 000103; suivant : 000105Adolescent health in rural Ghana: A cross-sectional study on the co-occurrence of infectious diseases, malnutrition and cardio-metabolic risk factors
Auteurs : Marie Alicke [Allemagne] ; Justice K. Boakye-Appiah [Ghana] ; Inusah Abdul-Jalil [Ghana] ; Andrea Henze [Allemagne] ; Markus Van Der Giet [Allemagne] ; Matthias B. Schulze [Allemagne] ; Florian J. Schweigert [Allemagne] ; Frank P. Mockenhaupt [Allemagne] ; George Bedu-Addo [Ghana] ; Ina Danquah [Allemagne]Source :
- PLoS ONE [ 1932-6203 ] ; 2017.
Abstract
In sub-Saharan Africa, infectious diseases and malnutrition constitute the main health problems in children, while adolescents and adults are increasingly facing cardio-metabolic conditions. Among adolescents as the largest population group in this region, we investigated the co-occurrence of infectious diseases, malnutrition and cardio-metabolic risk factors (CRFs), and evaluated demographic, socio-economic and medical risk factors for these entities. In a cross-sectional study among 188 adolescents in rural Ghana, malarial infection, common infectious diseases and Body Mass Index were assessed. We measured ferritin, C-reactive protein, retinol, fasting glucose and blood pressure. Socio-demographic data were documented. We analyzed the proportions (95% confidence interval, CI) and the co-occurrence of infectious diseases (malaria, other common diseases), malnutrition (underweight, stunting, iron deficiency, vitamin A deficiency [VAD]), and CRFs (overweight, obesity, impaired fasting glucose, hypertension). In logistic regression, odds ratios (OR) and 95% CIs were calculated for the associations with socio-demographic factors. In this Ghanaian population (age range, 14.4–15.5 years; males, 50%), the proportions were for infectious diseases 45% (95% CI: 38–52%), for malnutrition 50% (43–57%) and for CRFs 16% (11–21%). Infectious diseases and malnutrition frequently co-existed (28%; 21–34%). Specifically, VAD increased the odds of non-malarial infectious diseases 3-fold (95% CI: 1.03, 10.19). Overlap of CRFs with infectious diseases (6%; 2–9%) or with malnutrition (7%; 3–11%) was also present. Male gender and low socio-economic status increased the odds of infectious diseases and malnutrition, respectively. Malarial infection, chronic malnutrition and VAD remain the predominant health problems among these Ghanaian adolescents. Investigating the relationships with evolving CRFs is warranted.
Url:
DOI: 10.1371/journal.pone.0180436
PubMed: 28727775
PubMed Central: 5519039
Affiliations:
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Boakye-Appiah</name><affiliation wicri:level="1"><nlm:aff id="aff002"><addr-line>Komfo Anokye Teaching Hospital, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana</addr-line></nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Komfo Anokye Teaching Hospital, Kwame Nkrumah University of Science and Technology, Kumasi</wicri:regionArea><wicri:noRegion>Kumasi</wicri:noRegion></affiliation></author><author><name sortKey="Abdul Jalil, Inusah" sort="Abdul Jalil, Inusah" uniqKey="Abdul Jalil I" first="Inusah" last="Abdul-Jalil">Inusah Abdul-Jalil</name><affiliation wicri:level="1"><nlm:aff id="aff002"><addr-line>Komfo Anokye Teaching Hospital, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana</addr-line></nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Komfo Anokye Teaching Hospital, Kwame Nkrumah University of Science and Technology, Kumasi</wicri:regionArea><wicri:noRegion>Kumasi</wicri:noRegion></affiliation></author><author><name sortKey="Henze, Andrea" sort="Henze, Andrea" uniqKey="Henze A" first="Andrea" last="Henze">Andrea Henze</name><affiliation wicri:level="4"><nlm:aff id="aff003"><addr-line>Department of Physiology and Pathophysiology of Nutrition, Institute of Nutrition Science, University of Potsdam, Potsdam, Germany</addr-line></nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Physiology and Pathophysiology of Nutrition, Institute of Nutrition Science, University of Potsdam, Potsdam</wicri:regionArea><placeName><region type="land" nuts="2">Brandebourg</region><settlement type="city">Potsdam</settlement></placeName><orgName type="university">Université de Potsdam</orgName></affiliation></author><author><name sortKey="Van Der Giet, Markus" sort="Van Der Giet, Markus" uniqKey="Van Der Giet M" first="Markus" last="Van Der Giet">Markus Van Der Giet</name><affiliation wicri:level="3"><nlm:aff id="aff004"><addr-line>Department IV – Nephrology, Charité – Universitaetsmedizin Berlin, Berlin, Germany</addr-line></nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department IV – Nephrology, Charité – Universitaetsmedizin Berlin, Berlin</wicri:regionArea><placeName><region type="land" nuts="3">Berlin</region><settlement type="city">Berlin</settlement></placeName></affiliation></author><author><name sortKey="Schulze, Matthias B" sort="Schulze, Matthias B" uniqKey="Schulze M" first="Matthias B." last="Schulze">Matthias B. Schulze</name><affiliation wicri:level="1"><nlm:aff id="aff005"><addr-line>Department of Molecular Epidemiology, German Institute of Human Nutrition Potsdam-Rehbruecke, Nuthetal, Germany</addr-line></nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Molecular Epidemiology, German Institute of Human Nutrition Potsdam-Rehbruecke, Nuthetal</wicri:regionArea><wicri:noRegion>Nuthetal</wicri:noRegion><wicri:noRegion>Nuthetal</wicri:noRegion><wicri:noRegion>Nuthetal</wicri:noRegion></affiliation></author><author><name sortKey="Schweigert, Florian J" sort="Schweigert, Florian J" uniqKey="Schweigert F" first="Florian J." last="Schweigert">Florian J. Schweigert</name><affiliation wicri:level="4"><nlm:aff id="aff003"><addr-line>Department of Physiology and Pathophysiology of Nutrition, Institute of Nutrition Science, University of Potsdam, Potsdam, Germany</addr-line></nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Physiology and Pathophysiology of Nutrition, Institute of Nutrition Science, University of Potsdam, Potsdam</wicri:regionArea><placeName><region type="land" nuts="2">Brandebourg</region><settlement type="city">Potsdam</settlement></placeName><orgName type="university">Université de Potsdam</orgName></affiliation></author><author><name sortKey="Mockenhaupt, Frank P" sort="Mockenhaupt, Frank P" uniqKey="Mockenhaupt F" first="Frank P." last="Mockenhaupt">Frank P. Mockenhaupt</name><affiliation wicri:level="3"><nlm:aff id="aff001"><addr-line>Institute of Tropical Medicine and International Health, Charité – Universitaetsmedizin Berlin, Berlin, Germany</addr-line></nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Institute of Tropical Medicine and International Health, Charité – Universitaetsmedizin Berlin, Berlin</wicri:regionArea><placeName><region type="land" nuts="3">Berlin</region><settlement type="city">Berlin</settlement></placeName></affiliation></author><author><name sortKey="Bedu Addo, George" sort="Bedu Addo, George" uniqKey="Bedu Addo G" first="George" last="Bedu-Addo">George Bedu-Addo</name><affiliation wicri:level="1"><nlm:aff id="aff002"><addr-line>Komfo Anokye Teaching Hospital, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana</addr-line></nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Komfo Anokye Teaching Hospital, Kwame Nkrumah University of Science and Technology, Kumasi</wicri:regionArea><wicri:noRegion>Kumasi</wicri:noRegion></affiliation></author><author><name sortKey="Danquah, Ina" sort="Danquah, Ina" uniqKey="Danquah I" first="Ina" last="Danquah">Ina Danquah</name><affiliation wicri:level="1"><nlm:aff id="aff005"><addr-line>Department of Molecular Epidemiology, German Institute of Human Nutrition Potsdam-Rehbruecke, Nuthetal, Germany</addr-line></nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Molecular Epidemiology, German Institute of Human Nutrition Potsdam-Rehbruecke, Nuthetal</wicri:regionArea><wicri:noRegion>Nuthetal</wicri:noRegion><wicri:noRegion>Nuthetal</wicri:noRegion><wicri:noRegion>Nuthetal</wicri:noRegion></affiliation><affiliation wicri:level="3"><nlm:aff id="aff006"><addr-line>Institute for Social Medicine, Epidemiology and Health Economics, Charité –Universitaetsmedizin Berlin, Berlin, Germany</addr-line></nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Institute for Social Medicine, Epidemiology and Health Economics, Charité –Universitaetsmedizin Berlin, Berlin</wicri:regionArea><placeName><region type="land" nuts="3">Berlin</region><settlement type="city">Berlin</settlement></placeName></affiliation></author></analytic><series><title level="j">PLoS ONE</title><idno type="eISSN">1932-6203</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>In sub-Saharan Africa, infectious diseases and malnutrition constitute the main health problems in children, while adolescents and adults are increasingly facing cardio-metabolic conditions. Among adolescents as the largest population group in this region, we investigated the co-occurrence of infectious diseases, malnutrition and cardio-metabolic risk factors (CRFs), and evaluated demographic, socio-economic and medical risk factors for these entities. In a cross-sectional study among 188 adolescents in rural Ghana, malarial infection, common infectious diseases and Body Mass Index were assessed. We measured ferritin, C-reactive protein, retinol, fasting glucose and blood pressure. Socio-demographic data were documented. We analyzed the proportions (95% confidence interval, CI) and the co-occurrence of infectious diseases (malaria, other common diseases), malnutrition (underweight, stunting, iron deficiency, vitamin A deficiency [VAD]), and CRFs (overweight, obesity, impaired fasting glucose, hypertension). In logistic regression, odds ratios (OR) and 95% CIs were calculated for the associations with socio-demographic factors. In this Ghanaian population (age range, 14.4–15.5 years; males, 50%), the proportions were for infectious diseases 45% (95% CI: 38–52%), for malnutrition 50% (43–57%) and for CRFs 16% (11–21%). Infectious diseases and malnutrition frequently co-existed (28%; 21–34%). Specifically, VAD increased the odds of non-malarial infectious diseases 3-fold (95% CI: 1.03, 10.19). Overlap of CRFs with infectious diseases (6%; 2–9%) or with malnutrition (7%; 3–11%) was also present. Male gender and low socio-economic status increased the odds of infectious diseases and malnutrition, respectively. Malarial infection, chronic malnutrition and VAD remain the predominant health problems among these Ghanaian adolescents. Investigating the relationships with evolving CRFs is warranted.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Murray, Cj" uniqKey="Murray C">CJ Murray</name></author><author><name sortKey="Ortblad, Af" uniqKey="Ortblad A">AF Ortblad</name></author><author><name sortKey="Guinovart, C" uniqKey="Guinovart C">C Guinovart</name></author><author><name sortKey="Lim, Ss" uniqKey="Lim S">SS Lim</name></author><author><name sortKey="Wolock, Tm" uniqKey="Wolock T">TM Wolock</name></author><author><name sortKey="Roberts, Da" uniqKey="Roberts D">DA Roberts</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Manyanga, T" uniqKey="Manyanga T">T Manyanga</name></author><author><name sortKey="El Sayed, H" uniqKey="El Sayed H">H El-Sayed</name></author><author><name sortKey="Doku, Dt" uniqKey="Doku D">DT Doku</name></author><author><name sortKey="Randall, Jr" uniqKey="Randall J">JR 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G" uniqKey="Bedu Addo G">G Bedu-Addo</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Allemagne</li><li>Ghana</li></country><region><li>Berlin</li><li>Brandebourg</li></region><settlement><li>Berlin</li><li>Potsdam</li></settlement><orgName><li>Université de Potsdam</li></orgName></list><tree><country name="Allemagne"><region name="Berlin"><name sortKey="Alicke, Marie" sort="Alicke, Marie" uniqKey="Alicke M" first="Marie" last="Alicke">Marie Alicke</name></region><name sortKey="Danquah, Ina" sort="Danquah, Ina" uniqKey="Danquah I" first="Ina" last="Danquah">Ina Danquah</name><name sortKey="Danquah, Ina" sort="Danquah, Ina" uniqKey="Danquah I" first="Ina" last="Danquah">Ina Danquah</name><name sortKey="Henze, Andrea" sort="Henze, Andrea" uniqKey="Henze A" first="Andrea" last="Henze">Andrea Henze</name><name sortKey="Mockenhaupt, Frank P" sort="Mockenhaupt, Frank P" uniqKey="Mockenhaupt F" first="Frank P." last="Mockenhaupt">Frank P. Mockenhaupt</name><name sortKey="Schulze, Matthias B" sort="Schulze, Matthias B" uniqKey="Schulze M" first="Matthias B." last="Schulze">Matthias B. Schulze</name><name sortKey="Schweigert, Florian J" sort="Schweigert, Florian J" uniqKey="Schweigert F" first="Florian J." last="Schweigert">Florian J. Schweigert</name><name sortKey="Van Der Giet, Markus" sort="Van Der Giet, Markus" uniqKey="Van Der Giet M" first="Markus" last="Van Der Giet">Markus Van Der Giet</name></country><country name="Ghana"><noRegion><name sortKey="Boakye Appiah, Justice K" sort="Boakye Appiah, Justice K" uniqKey="Boakye Appiah J" first="Justice K." last="Boakye-Appiah">Justice K. Boakye-Appiah</name></noRegion><name sortKey="Abdul Jalil, Inusah" sort="Abdul Jalil, Inusah" uniqKey="Abdul Jalil I" first="Inusah" last="Abdul-Jalil">Inusah Abdul-Jalil</name><name sortKey="Bedu Addo, George" sort="Bedu Addo, George" uniqKey="Bedu Addo G" first="George" last="Bedu-Addo">George Bedu-Addo</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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