Dietary Intake, Nutritional Status, And The Double Burden of Malnutrition Among School-Aged Children in Benue South Senatorial District, Nigeria
Keywords:
Anthropometry, Benue State, Dietary intake, Malnutrition, Nigeria, Overweight, School-aged children, Stunting, WastingAbstract
School-aged children in developing countries continue to face a high burden of malnutrition with adverse consequences for health, cognitive development, and educational performance, yet data remain scarce in Benue South Senatorial District despite Benue State's reputation as Nigeria's “food basket.” This school-based cross-sectional study assessed dietary intake, growth patterns, and the prevalence of malnutrition among 1,527 children aged 6–15 years selected through multistage sampling from Ogbadibo, Otukpo, and Ohimini Local Government Areas. Data were collected using interviewer-administered questionnaires and anthropometric measurements, with nutritional indices calculated using WHO growth standards and analyzed using SPSS version 16.0. The mean age of participants was 9.7 ± 1.8 years, and findings revealed a high prevalence of undernutrition, particularly stunting (24.8%) and wasting (21.5%), with wasting increasing from 22% at age 10 to 27% at age 15, while underweight remained below 5% and overweight/obesity was observed in 6.0% of children. Dietary assessment showed limited dietary diversity, with beans as the main protein source and fewer than 25% of children consuming eggs. Socio-economic status was significantly associated with malnutrition outcomes (p < 0.05). These findings demonstrate a persistent burden of undernutrition among school-aged children in an agriculturally productive region and highlight the urgent need for targeted school- based nutritional interventions aimed at improving dietary diversity and addressing the emerging double burden of malnutrition.
References
1. Global Nutrition Report. Shining a light to spur action on nutrition [Internet]. Bristol, UK: Development Initiatives; 2018 [cited 2023 Date]. Available from: https://globalnutritionreport.org/reports/global-nutrition-report-2018/Accessed 14/07/2025
2. Global Nutrition Report. The state of global nutrition [Internet]. Bristol, UK: Development Initiatives; 2022 [cited 2023 Date]. Available
https//globalnutritionreport.org/reports/2022-global-nutrition-report/ Accessed 14/11/25
3. Shivaprakash NC, Joseph RB. Nutritional status of rural school-going children (6-12 years) of Mandya District, Karnataka. Int J Sci Stud. 2014;2(2):39-43.
4. de Onis M, Monteiro C, Akré J, Clugston G. The worldwide magnitude of protein-energy malnutrition: an overview from the WHO Global Database on Child Growth. Bull World Health Organ. 1993;71(6):703-12.
5. National Bureau of Statistics (NBS). National Nutrition and Health Survey (NNHS) 2015 [Internet]. Abuja, Nigeria: NBS; 2015 [cited 2023 Date]. Available from: https://www.nigerianstat.gov.ng/Accessed 06/07/2025
6. Eze JN, Oguonu T, Ojinnaka NC, Ibe BC. Physical growth and nutritional status assessment of school children in Enugu, Nigeria. Niger J Clin Pract. 2017;20(1):64-70.
7. Black RE, Victora CG, Walker SP, Bhutta ZA, Christian P, de Onis M, et al. Maternal and child undernutrition and overweight in low-income and middle-income countries. Lancet. 2013;382(9890):427-51.
8. Nwaiwu O, Ibe BC. Body mass index of children aged 2 to 15 years in Enugu, Nigeria. Niger J Paediatr. 2014;41(3):194-8.
9. Popkin BM. The nutrition transition and its health implications in lower-income countries. Public Health Nutr. 1998;1(1):5-21.
10. Manyike PC, Chinawa JM, Ubesie A, Obu HA, Odetunde OI, Chinawa AT. Prevalence of malnutrition among pre-school children in South-east Nigeria. Ital J Pediatr. 2014;40:75.
11. Katz SH. Assessment of Nutritional Status. In: Katz SH, Weaver WW, editors. Encyclopedia of Food and Culture. Vol. 1. New York: Scribner; 2003. p. 1-5.
12. University of Nebraska–Lincoln. Nutrition for the school aged child. NebGuide G92-1086-A [Internet]. 2002 [cited 2013 May 10]. Available from:https://extensionpublications.unl.edu/assets/html/gl086/build/g1086.htm06/07/2025
13. Mushtaq MU, Gull S, Khurshid U, Shahid U, Shad MA, Siddiqui AM. Prevalence and socio-demographic correlates of stunting and thinness among Pakistani primary school children. BMC Public Health. 2011;11:790.
14. Fazili A, Mir AA, Pandit IM, Bhat IA, Rohul J, Shamila H. Nutritional status of school age children (5-14 years) in a rural health block of North India (Kashmir) using WHO Z-score system. Online J Health Allied Sci. 2012;11(2):2.
15. World Health Organization. Global strategy on diet, physical activity and health [Internet]. Geneva: WHO; 2003 [cited 2013 Apr 10]. Available from:https://www.who.int/dietphysicalativity/strategy/ebll344/strategy_english_web.pdf16/09/2025
16. Ozor MO, Iyamu OA, Osifo UC. Prevalence of under nutrition among fewer than five year children in Ekpoma, Edo Nigeria. Inter J Comm Res. 2014;3(1):34-8.
17. Araoye MO. Sample size determination. In: Research methodology with statistics for health and social sciences. Ilorin: Nathadex Publishers; 2004. p. 115-22.
18. Opara DC, Ikpeme EE, Ekanem US. Prevalence of stunting, underweight and obesity in school aged children in Uyo, Nigeria. Pak J Nutr. 2010;9(5):459-66.
19. International Fund for Agricultural Development (IFAD). Calculation of sample size [Internet]. Rome: IFAD; [cited 2014 Jan 10]. Available from: http://www.ifad.org/hfs/tools/hfs/anthropometry/ant_3.htm06/07/2025
20. Stat Trek. Neyman allocation for stratified sampling [Internet]. [cited 2012 Dec 3]. Available from: https://www.stattrek.com/statistics/for mulas.aspx 06/07/2025
21. World Health Organization. WHO Child Growth Standards: Length/height-for-age, weight-for-age, weight-for-length, weight-for-height and body mass index-for-age: Methods and development [Internet]. Geneva: WHO; 2006 [cited 2011 Nov 3]. Available from: https://www.www.who.int/tools/child-growth-standards17/07/2025
22. Dinsdale H, Ridler C, Ells L. A simple guide to classifying body mass index in children [Internet]. Oxford: National Obesity Observatory; 2011 [cited 2013 Apr 9]. Available from:https://webarchive.natinalarchives.gov.uk/ukwgwa/20180307125824tf/http://www.noo.org.uk/uploads/doc/vid_11601 A simple guide to classifying BMI in children. pdf 17/07/2025
23. Fetuga M, Ogunlesi T, Adekanmbi F, Alabi D. Nutritional status of semi-urban Nigerian school children using the 2007 WHO reference population. West Afr J Med. 2011;30(5):331–6.
