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Impact of the Nutrition-Friendly School Initiative: analysis of anthropometric and biochemical data among school-aged children in Ouagadougou.
Glob Health Promot 2019; :1757975918789350GH

Abstract

The Nutrition-Friendly School Initiative was developed in 2006 to counter the double burden of malnutrition and implemented on a pilot basis in primary schools in Ouagadougou (Burkina Faso) in 2009. A baseline study was conducted in intervention and control schools and repeated in 2014 to assess the impact. This paper reports on anthropometric and biochemical data in the final and baseline surveys. Both studies were conducted in the fifth grade classes of the same primary schools in Ouagadougou. Six intervention schools had been selected and matched at baseline with six control schools. The total sample consisted of 699 and 651 pupils in 2009 and 2014, respectively. Anthropometric and hemoglobin measurements were performed on all children, whereas serum retinol was measured in a random subsample to assess Vitamin A Deficiency (VAD). Independent t-tests and chi-squared tests were used for comparison of means and proportions, respectively, and multiple logistic regressions were conducted to examine associations between nutritional parameters and school characteristics. Final rates of anaemia and VAD were 32.6% and 26.1%, respectively, down from 40.4% and 38.7% at baseline. The final prevalence rate of stunting was 8.1%, thinness was 8.7% and overweight/obesity was 4.4%. Thinness declined significantly in 2014 compared to 2009, but there was no change in the rate of stunting even though the rate of overweight/obesity showed an upward trend. When comparing intervention with control schoolchildren, the only significant differences found in the final survey were less thinness and less anaemia in the intervention children. However, the prevalence of anaemia was also significantly lower in the intervention group at baseline. Our results point to a significant improvement in the nutritional status of schoolchildren in Ouagadougou and suggest a positive, although modest, role for the Nutrition-Friendly School Initiative in reducing thinness, but not overweight.

Authors+Show Affiliations

1 University of Montreal, Montreal, Quebec, Canada.2 University of Montreal, Montreal, Quebec, Canada.1 University of Montreal, Montreal, Quebec, Canada. 3 University of Ottawa, Ottawa, Ontario, Canada.2 University of Montreal, Montreal, Quebec, Canada.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

30650015

Citation

Elkhouri Edde, Christelle, et al. "Impact of the Nutrition-Friendly School Initiative: Analysis of Anthropometric and Biochemical Data Among School-aged Children in Ouagadougou." Global Health Promotion, 2019, p. 1757975918789350.
Elkhouri Edde C, Delisle H, Dabone C, et al. Impact of the Nutrition-Friendly School Initiative: analysis of anthropometric and biochemical data among school-aged children in Ouagadougou. Glob Health Promot. 2019.
Elkhouri Edde, C., Delisle, H., Dabone, C., & Batal, M. (2019). Impact of the Nutrition-Friendly School Initiative: analysis of anthropometric and biochemical data among school-aged children in Ouagadougou. Global Health Promotion, p. 1757975918789350. doi:10.1177/1757975918789350.
Elkhouri Edde C, et al. Impact of the Nutrition-Friendly School Initiative: Analysis of Anthropometric and Biochemical Data Among School-aged Children in Ouagadougou. Glob Health Promot. 2019 Jan 16;1757975918789350. PubMed PMID: 30650015.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Impact of the Nutrition-Friendly School Initiative: analysis of anthropometric and biochemical data among school-aged children in Ouagadougou. AU - Elkhouri Edde,Christelle, AU - Delisle,Helene, AU - Dabone,Charles, AU - Batal,Malek, Y1 - 2019/01/16/ PY - 2019/1/17/entrez PY - 2019/1/17/pubmed PY - 2019/1/17/medline KW - Africa KW - Burkina Faso KW - anthropometry KW - malnutrition KW - micronutrient deficiency KW - nutritional status KW - obesity/overweight KW - school-aged children SP - 1757975918789350 EP - 1757975918789350 JF - Global health promotion JO - Glob Health Promot N2 - The Nutrition-Friendly School Initiative was developed in 2006 to counter the double burden of malnutrition and implemented on a pilot basis in primary schools in Ouagadougou (Burkina Faso) in 2009. A baseline study was conducted in intervention and control schools and repeated in 2014 to assess the impact. This paper reports on anthropometric and biochemical data in the final and baseline surveys. Both studies were conducted in the fifth grade classes of the same primary schools in Ouagadougou. Six intervention schools had been selected and matched at baseline with six control schools. The total sample consisted of 699 and 651 pupils in 2009 and 2014, respectively. Anthropometric and hemoglobin measurements were performed on all children, whereas serum retinol was measured in a random subsample to assess Vitamin A Deficiency (VAD). Independent t-tests and chi-squared tests were used for comparison of means and proportions, respectively, and multiple logistic regressions were conducted to examine associations between nutritional parameters and school characteristics. Final rates of anaemia and VAD were 32.6% and 26.1%, respectively, down from 40.4% and 38.7% at baseline. The final prevalence rate of stunting was 8.1%, thinness was 8.7% and overweight/obesity was 4.4%. Thinness declined significantly in 2014 compared to 2009, but there was no change in the rate of stunting even though the rate of overweight/obesity showed an upward trend. When comparing intervention with control schoolchildren, the only significant differences found in the final survey were less thinness and less anaemia in the intervention children. However, the prevalence of anaemia was also significantly lower in the intervention group at baseline. Our results point to a significant improvement in the nutritional status of schoolchildren in Ouagadougou and suggest a positive, although modest, role for the Nutrition-Friendly School Initiative in reducing thinness, but not overweight. SN - 1757-9767 UR - https://www.unboundmedicine.com/medline/citation/30650015/Impact_of_the_Nutrition_Friendly_School_Initiative:_analysis_of_anthropometric_and_biochemical_data_among_school_aged_children_in_Ouagadougou_ L2 - http://journals.sagepub.com/doi/full/10.1177/1757975918789350?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -