Double Burden of Malnutrition in Morocco Coexistence of Anemia and Obesity among Women of Childbearing Age in the Prefecture of Oujda-Angad
DOI:
https://doi.org/10.3923/pjn.2014.774.779Keywords:
Anemia, double burden, Morocco, obesity, womenAbstract
The objective of this study was to define the prevalence of the double burden of malnutrition at the population and individual level in Morroco and estimate the influence of parameters sociodemographic its impact. Our study was conducted in the prefecture of Oujda-Angad, in Morocco. The study included 624 women aged 20-49 years healthy and non-pregnant. Obesity was defined on the basis of body mass index (BMI)>30 kg/m2. Anemia was defined as a hemoglobin level <120 g/L for women of childbearing age. The prevalence of obesity and overweight among women surveyed are respectively 30.61 to 38%. The age and number of children are associated with obesity. The prevalence of anemia was 16.1%. Marital status, age, number of pregnancies, number of children and the activity of the household head are among sociodemographic factors involved in the onset of anemia. 12.90% of women are affected by the double burden overweight and anemia, 6.45% of women by the double burden involve obesity and anemia, 3.22% of normal women are anemic and 22.6% of women are overweight or anemic. Half of women with abdominal obesity are affected by anemia. The double burden of malnutrition is related to age and number of children by cons is not correlated with other sociodemographic factors. The double burden of malnutrition is a reality in Morocco at the population level and at the level of the individual. This currently represents a public health problem in Morocco where the need for the implementation of educational programs.
References
Angeles-Agdeppa, I., R.D. Lana and C.V.C. Barba, 2003. A case study on dual forms of malnutrition among selected households in District 1, Tondo, Manila. Asia Pac. J. Clin. Nutr., 12: 438-446.
Gartner, A., J. El Ati, P. Traissac, A. Bour and J. Berger et al., 2013. A double burden of overall or central adiposity and anemia or iron deficiency is prevalent but with little socioeconomic patterning among Moroccan and Tunisian Urban Women. J. Nutr., 144: 87-97.
Barnett, I., 2011. Is the dual burden of over and under-nutrition a concern for poor households in Ethiopia, India, Peru and Vietnam? Working Paper No. 67, Young Lives, Department of International Development, University of Oxford, Oxford OX1 3TB, UK., May 2011, pp: 1-13.
Barker, D.J.P. and C. Osmond, 1986. Infant mortality, childhood nutrition and ischaemic heart disease in England and Wales. Lancet, 327: 1077-1081.
Barker, D.J., A.R. Bull, C. Osmond and S.J. Simmonds, 1990. Fetal and placental size and risk of hypertension in adult life. Br. Med. J., 301: 259-262.
Benjelloun, S., 2002. Nutrition transition in Morocco. Public Health Nutr., 5: 135-140.
Bekri, S., P. Gual, R. Anty, N. Luciani and M. Dahman et al., 2006. Increased adipose tissue expression of hepcidin in severe obesity is independent from diabetes and NASH. Gastroenterology, 131: 788-796.
Bastard, J.P., M. Maachi, J.T. van Nhieu, C. Jardel and E. Bruckert et al., 2002. Adipose tissue IL-6 content correlates with resistance to insulin activation of glucose uptake both in vivo and in vitro. J. Clin. Endocrinol. Metabol., 87: 2084-2089.
Cepeda-Lopez, A.C., S.J.M. Osendarp, A. Melse-Boonstra, I. Aeberli and F. Gonzalez-Salazar et al., 2011. Sharply higher rates of iron deficiency in obese Mexican women and children are predicted by obesity-related inflammation rather than by differences in dietary iron intake. Am. J. Clin. Nutr., 93: 975-983.
Chausmer, A.B., 1998. Zinc, insulin and diabetes. J. Am. Coll. Nutr., 17: 109-115.
Chambers, E.C., S. Heshka, D. Gallagher, J. Wang, F.X. Pi-Sunyer and R.N. Pierson, 2006. Serum iron and body fat distribution in a multiethnic cohort of adults living in New York City. J. Am. Diet. Assoc., 106: 680-684.
Chen, S.B., Y.C. Lee, K.H. Ser, S.C. Chen, H.F. Hsieh and W.J. Lee, 2009. Serum C-reactive protein and white blood cell count in morbidly obese surgical patients. Obes. Surg., 19: 461-466.
Doak, C.M., L.S. Adair, C. Monteiro and B.M. Popkin, 2000. Overweight and underweight coexist within households in Brazil, China and Russia. J. Nutr., 130: 2965-2971.
Del Giudice, E.M., N. Santoro, A. Amato, C. Brienza and P. Calabro et al., 2009. Hepcidin in obese children as a potential mediator of the association between obesity and iron deficiency. J. Clin. Endocrinol. Metab., 94: 5102-5107.
Eckhardt, C.L., L.E. Torheim, E. Monterrubio, S. Barquera and M.T. Ruel, 2008. The overlap of overweight and anaemia among women in three countries undergoing the nutrition transition. Eur. J. Clin. Nut., 62: 238-246.
Engstrom, G., B. Hedblad, L. Stavenow, P. Lind, L. Janzon and F. Lindgarde, 2003. Inflammation-sensitive plasma proteins are associated with future weight gain. Diabetes, 52: 2097-2101.
FAO., 2006. The double burden of malnutrition: Case studies from six developing countries. FAO Food and Nutrition Paper No. 84, Food and Agriculture Organisation of the United Nation (FAO), Rome, Italy, January 2006.
Freixenet, N., A. Remacha, E. Berlanga, A. Caixas and O. Gimenez-Palop et al., 2009. Serum soluble transferrin receptor concentrations are increased in central obesity: Results from a screening programme for hereditary hemochromatosis in men with hyperferritinemia. Clinica Chimica Acta, 400: 111-116.
Garrett, J.L. and M.T. Ruel, 2003. Stunted child-overweight mother pairs: An emerging policy concern. FCND Discussion Paper No. 148, Food Consumption and Nutrition Division, International Food Policy Research Institute, Washington, DC., USA., April 2003, pp: 1-23.
Ganz, T., G. Olbina, D. Girelli, E. Nemeth and M. Westerman, 2008. Immunoassay for human serum hepcidin. Blood, 112: 4292-4297.
Hassan, E.O., M. El-Hussinie and N. El-Nahal, 1999. The prevalence of anemia among clients of family planning clinics in Egypt. Contraception, 60: 93-99.
Kern, P.A., S. Ranganathan, C. Li, L. Wood and G. Ranganathan, 2001. Adipose tissue tumor necrosis factor and interleukin-6 expression in human obesity and insulin resistance. Am. J. Physiol.-Endocrinol. Metabol., 280: E745-E751.
Lukanova, A., E. Lundin, A. Zeleniuch-Jacquotte, P. Muti and A. Mure et al., 2004. Body mass index, circulating levels of sex-steroid hormones, IGF-I and IGF-binding protein-3: A cross-sectional study in healthy women. Eur. J. Endocrinol., 150: 161-171.
Madamanchi, N.R., A. Vendrov and M.S. Runge, 2005. Oxidative stress and vascular diseases. Arteriosecler. Thromb. Vasc. Biol., 25: 29-38.
Menzie, C.M., L.B. Yanoff, B.I. Denkinger, T. McHugh, N.G. Sebring, K.A. Calis and J.A. Yanovski, 2008. Obesity-related hypoferremia is not explained by differences in reported intake of heme and nonheme iron or intake of dietary factors that can affect iron absorption. J. Am. Diet. Assoc., 108: 145-148.
Rossi, E., M.K. Bulsara, J.K. Olynyk, D.J. Cullen, L. Summerville and L.W. Powell, 2001. Effect of hemochromatosis genotype and lifestyle factors on iron and red cell indices in a community population. Clin. Chem., 47: 202-208.
Shrimpton, R. and C. Rokx, 2012. The double burden of malnutrition: A review of global evidence. Working Paper, Report No. 79525, The International Bank for Reconstruction and Development/The World Bank, Washington, DC., USA., November 2012.
Al-Sharbatti, S.S., N.J. Al-Ward and D.J. Al-Timimi, 2003. Anemia among adolescents. Saudi Med. J., 24: 189-194.
Steele, T.M., D.M. Frazer and G.J. Anderson, 2005. Systemic regulation of intestinal iron absorption. IUBMB Life, 57: 499-503.
Trowbridge, F.L., S.S. Harris, J. Cook, J.T. Dunn and R.F. Florentino et al., 1993. Coordinated strategies for controlling micronutrient malnutrition: A technical workshop. J. Nutr., 123: 775-787.
Visser, M., L.M. Bouter, G.M. McQuillan, M.H. Wener and T.B. Harris, 1999. Elevated C-reactive protein levels in overweight and obese adults. J. Am. Med. Assoc., 282: 2131-2135.
Yanoff, L.B., C.M. Menzie, B. Denkinger, N.G. Sebring, T. McHugh, A.T. Remaley and J.A. Yanovski, 2007. Inflammation and iron deficiency in the hypoferremia of obesity. Int. J. Obes., 31: 1412-1419.
Tussing-Humphreys, L.M., E. Nemeth, G. Fantuzzi, S. Freels, G. Guzman, A.X. Holterman and C. Braunschweig, 2010. Elevated systemic hepcidin and iron depletion in obese premenopausal females. Obesity, 18: 1449-1456.
Zimmermann, M.B., C. Zeder, S. Muthayya, P. Winichagoon, N. Chaouki, I. Aeberli and R.F. Hurrell, 2008. Adiposity in women and children from transition countries predicts decreased iron absorption, iron deficiency and a reduced response to iron fortification. Int. J. Obes., 32: 1098-1104.
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