Physical Activity, Sleep, and BMI Percentile in Rural and Urban Ugandan Youth

Background: Uganda is experiencing a dual burden of over- and undernutrition, with overweight prevalence increasing while underweight remains common. Potential weight-related factors, particularly physical activity, sleep, and rural/urban status, are not currently well understood or commonly assesse...

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Autores principales:	Mary J. Christoph, Diana S. Grigsby-Toussaint, Rhona Baingana, James M. Ntambi
Formato:	article
Lenguaje:	EN
Publicado:	Ubiquity Press 2017
Materias:	overnutrition nutrition transition sleep physical activity sub-Saharan Africa Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/ee8de89f52c447f0961752e0e6b3ddb6
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spelling	oai:doaj.org-article:ee8de89f52c447f0961752e0e6b3ddb62021-12-02T04:46:34ZPhysical Activity, Sleep, and BMI Percentile in Rural and Urban Ugandan Youth2214-999610.1016/j.aogh.2017.04.005https://doaj.org/article/ee8de89f52c447f0961752e0e6b3ddb62017-05-01T00:00:00Zhttps://annalsofglobalhealth.org/articles/197https://doaj.org/toc/2214-9996Background: Uganda is experiencing a dual burden of over- and undernutrition, with overweight prevalence increasing while underweight remains common. Potential weight-related factors, particularly physical activity, sleep, and rural/urban status, are not currently well understood or commonly assessed in Ugandan youth. Objective: The purpose of this study was to pilot test a survey measuring weight-related factors in rural and urban Ugandan schoolchildren. Methods: A cross-sectional survey measured sociodemographics, physical activity, sleep patterns, and dietary factors in 148 rural and urban schoolchildren aged 11-16 in central Uganda. Height and weight were objectively measured. Rural and urban youth were compared on these factors using χ2 and 't' tests. Regression was used to identify correlates of higher body mass index (BMI) percentile in the full sample and nonstunted youth. Findings: Youth were on average 12.1 ± 1.1 years old; underweight (10%) was more common than overweight (1.4%). Self-reported sleep duration and subjective sleep quality did not differ by rural/urban residence. Rural children overall had higher BMI percentile and marginally higher stunting prevalence. In adjusted analyses in both the full and nonstunted samples, higher BMI percentile was related to living in a rural area, higher frequency of physical activity, and higher subjective sleep quality; it was negatively related to being active on weekends. In the full sample, higher BMI percentile was also related to female gender, whereas in nonstunted youth, higher BMI was related to age. BMI percentile was unrelated to sedentary time, performance of active chores and sports, and dietary factors. Conclusions: This study is one of the first to pilot test a survey assessing weight-related factors, particularly physical activity and sleep, in Ugandan schoolchildren. BMI percentile was related to several sociodemographic, sleep, and physical activity factors among primarily normal-weight school children in Uganda, providing a basis for understanding weight status in the context of the nutrition transition.Mary J. ChristophDiana S. Grigsby-ToussaintRhona BainganaJames M. NtambiUbiquity Pressarticleovernutritionnutrition transitionsleepphysical activitysub-Saharan AfricaInfectious and parasitic diseasesRC109-216Public aspects of medicineRA1-1270ENAnnals of Global Health, Vol 83, Iss 2, Pp 311-319 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	overnutrition nutrition transition sleep physical activity sub-Saharan Africa Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
spellingShingle	overnutrition nutrition transition sleep physical activity sub-Saharan Africa Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270 Mary J. Christoph Diana S. Grigsby-Toussaint Rhona Baingana James M. Ntambi Physical Activity, Sleep, and BMI Percentile in Rural and Urban Ugandan Youth
description	Background: Uganda is experiencing a dual burden of over- and undernutrition, with overweight prevalence increasing while underweight remains common. Potential weight-related factors, particularly physical activity, sleep, and rural/urban status, are not currently well understood or commonly assessed in Ugandan youth. Objective: The purpose of this study was to pilot test a survey measuring weight-related factors in rural and urban Ugandan schoolchildren. Methods: A cross-sectional survey measured sociodemographics, physical activity, sleep patterns, and dietary factors in 148 rural and urban schoolchildren aged 11-16 in central Uganda. Height and weight were objectively measured. Rural and urban youth were compared on these factors using χ2 and 't' tests. Regression was used to identify correlates of higher body mass index (BMI) percentile in the full sample and nonstunted youth. Findings: Youth were on average 12.1 ± 1.1 years old; underweight (10%) was more common than overweight (1.4%). Self-reported sleep duration and subjective sleep quality did not differ by rural/urban residence. Rural children overall had higher BMI percentile and marginally higher stunting prevalence. In adjusted analyses in both the full and nonstunted samples, higher BMI percentile was related to living in a rural area, higher frequency of physical activity, and higher subjective sleep quality; it was negatively related to being active on weekends. In the full sample, higher BMI percentile was also related to female gender, whereas in nonstunted youth, higher BMI was related to age. BMI percentile was unrelated to sedentary time, performance of active chores and sports, and dietary factors. Conclusions: This study is one of the first to pilot test a survey assessing weight-related factors, particularly physical activity and sleep, in Ugandan schoolchildren. BMI percentile was related to several sociodemographic, sleep, and physical activity factors among primarily normal-weight school children in Uganda, providing a basis for understanding weight status in the context of the nutrition transition.
format	article
author	Mary J. Christoph Diana S. Grigsby-Toussaint Rhona Baingana James M. Ntambi
author_facet	Mary J. Christoph Diana S. Grigsby-Toussaint Rhona Baingana James M. Ntambi
author_sort	Mary J. Christoph
title	Physical Activity, Sleep, and BMI Percentile in Rural and Urban Ugandan Youth
title_short	Physical Activity, Sleep, and BMI Percentile in Rural and Urban Ugandan Youth
title_full	Physical Activity, Sleep, and BMI Percentile in Rural and Urban Ugandan Youth
title_fullStr	Physical Activity, Sleep, and BMI Percentile in Rural and Urban Ugandan Youth
title_full_unstemmed	Physical Activity, Sleep, and BMI Percentile in Rural and Urban Ugandan Youth
title_sort	physical activity, sleep, and bmi percentile in rural and urban ugandan youth
publisher	Ubiquity Press
publishDate	2017
url	https://doaj.org/article/ee8de89f52c447f0961752e0e6b3ddb6
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Physical Activity, Sleep, and BMI Percentile in Rural and Urban Ugandan Youth

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