International Journal of Child Health and Nutrition

132-137E

Authors: R.A. Mustapha, A.A. Oladapo, T.M. Akinola, J.V. Akinlotan, A.P. Oluwagunwa

The growth rate from birth to three months of some breastfed and non-breastfed infants age 0 – 12 weeks delivered in hospitals at Owo metropolis was evaluated with a view to know the effect of breastfeeding on growth rate. A total of one hundred (100) breastfed and non-breastfed neonates were purposely selected in the neonatal sections of three hospitals in Owo, March 2012. Anthropometry measurement was used to assess growth rate for length, weight, head and mid upper arm circumference of the infants on weekly basis using standard length board, digital weighing scale and shakir tape for twelve weeks. Epi-info 2008 nutritional software was used to determine length for – age z-score, weight for – age z-score, Head and mid-upper arm for age z – scores. Data were analyzed using SPSS soft ware (version 17.0). Results show that the rate of growth in length per week ranged between 0.5 – 1.0cm within 4th to 12th weeks of growth while an average rate of growth in weight of 100 – 400g was discovered between 2nd to 6th weeks of growth among both breastfed and non-breastfed infants. Observation shows that between birth to 4th week formula fed babies tend to be leaner in weight compared to their breastfed counterpart which maintained stable weight within this period. The study shows that breastfeeding significantly (P> 0.05) affect rate of growth among the breastfed infants. Growth pattern of infant skewed toward – 2 and 0 when compared with the NCHS/CDC reference population growth curve. In all, 2% of the breastfed and 8% of non-breastfed were severely underweight. There is no alternative to breastfeeding at this critical stage of life for optimum growth of infants. Therefore, mothers should be encouraged to breastfeed exclusively for 6th months in order to achieve optimum growth and development

144-158

Authors: Byron Chapoterera, J. Chideme Maradzika, Anesu Marume, Admire Zikiti

Background: The dietary patterns are becoming a major public health concern. The current data from various studies in Zimbabwe shows that there was an increase in the prevalence of obesity among secondary school adolescents in Harare. There is a link between eating habits and obesity. This study was conducted to explore the factors influencing dietary practices among adolescents in Zimbabwean schools. Methods:A school based analytic cross sectional study was conducted with 283 pupils aged 13-19 years. Systematic random sampling was used. Data was collected using self-administered questionnaire based on the ecological framework. The aim of the study was to identify the relationship between dietary patterns and occurrence of obesity. Bivariate and multivariate logistic regression analysis was used to identify the relationship between dietary patterns and obesity. Findings: The prevalence of obesity was 11.4%. Females were 6.79 (95% CI: 2.17-21.22 p=0.001) more likely to be obese. Consumption of sugar and sweetened beverages were associated with occurrence of obesity; beverages (AOR=3.62, 95%CI=1.99-10.91 p=0.025); eating of snacks in between meals (AOR=2.40, 95%CI=1.03-5.64 p=0.004); so was being located in high density suburb (0R=0.45, 95CI=0.21-0.99 p=0.023); consuming burgers (OR=4.41, CI=1.54-12.64 p=0.006); being a pupil in lower adolescent with age less than 16 (OR=1.99 95%CI=0.99-4.27 p=0.038). Consuming a special diet that is recommended or as a choice was protective from obesity though this was not statistically significant. Not removing visible fat from meat was a risk factor for developing obesity. Eating the traditional maize meal staple food, sadza was protective to being obese (OR=0.3514, 0.16-0.78)Conclusions: The study showed that obesity is a cause for concern among school children as seen by 11.4% prevalence. Choice of meals is done by parents, eating a home cooked meal such as sadza, participating in meal planning was found to be reinforcing factors. There is need to create awareness on students, parents, teachers and the wider community to increase the adoption of healthy dietary practice among school children.