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THE ROAD AHEAD

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on 11 March 2014

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Transcript of THE ROAD AHEAD

THE ROAD AHEAD
COLOMBIA
Nutritional transition
Why choose this road?
THE GAP
Intestinal Parasites: a Foundation of Emerging Dual Burden Households in Rural and Urban Areas in Colombia?
Poverty Dual Burden
RURAL OR URBAN AREAS
TRIPLE BURDEN
STUDY DESIGN AND METHODS
Design
Explore the association between the double burden of malnutrition and intestinal parasitic infections in households in rural and urban Colombia.
Objective
-urban Bogotá
-rural Tunja
Methods

Stunting in children:
- <-2 SD height-for-age Z-score

Overweight/Obesity in adults
- BMI > 25
- or Waist circumference:
females: ≥>=80 cm
males: ≥≥>=94 cm

Intestinal parasitic infection
(STH and
G. lamblia
)
- Kato-Katz method
--> infected = treated free of charge
Observational ecological cross-sectional study
N= 500
Public health relevance
Building capacity
Sustainability
Long term
Short term
Traditional diet --> Western diet

Malnutrition = stunting + obesity
Economic growth

Shift in diet
Data analysis
Timeline
Children 0-14 years and their parent(s)
1. Logistic regression
:
individual data


2. Generalized Estimating Equations
(GEE):
household data



--> Final model
: adjusting for effect modifiers/confounders:

location; SES; age; gender; food security; water resources; head and size of household
Exploring the gap
Provide knowledge
-Improve intervention programs
-Decrease morbidity & mortality
-Reduce health care costs

Tunja
Fatiha Baadoudi (2105233)
Linda Smit (2507283)
Eric Vos (2143453)

Questions?
- Treatment free of charge
- Create awareness on healthy lifestyle
- Collaboration local health services
- Future research
- Solid base for emerging countries
Improved nutritional and infectious status of locals
Train field staff and leave resources behind
- Declined morbidity
- Increased work/school performance
- Reduced costs
...because it is the road to improvement
Dual burden
Full transcript