Double Burden of Nutrition and some Eating Habits Characteristics of Preschool Children in Nam Hong Commune, Dong Anh district, Hanoi, 2018

Abstract: The study aims to provide evidence of double nutritional burden (including malnutrition and overweight/obesity) as well as the impact of eating habits on nutritional status of preschool children at Nam Hong commune, Dong Anh district, Hanoi. Subjects of study: children aged from 24 to 60 months old at 2 preschools of Nam Hong commune. The study is divided into 2 phases: at the phase 1: a cross sectional study was applied to 1593 children; at the phase 2: a matched case-control study was applied in order to analyze effects of eating habits to nutritional status of children (1 malnourished child / 5 normal children and 1 obese overweight child / 5 normal children, matched pairs in age, sex, class). Research results: the percentage of children with normal nutritional status is 86.8%, however, Nam Hong still suffer a double burden of nutrition when the rate of malnourished children is still high (accounting for 4.2%) and overweight/obesity children is 9.0%, in which the rate of overweight and obesity children in boys is higher than girls (10.9% compared with 6.7%, respectively). Eating characteristics affect malnutrition status of children including: loss appetite (OR=4.3), slowness in eating (OR=2.23), enjoyment of food score (OR=0.69), desire to drink score (OR=0.82). Eating characteristics affect the overweight/obesity child’s include: appetite characteristics (OR=4.24), loss appetite (OR=0.43), fast eating (OR=2.56), slowness eating (OR=0.43), eating more (OR=6.78), eating less (OR=0.31), prefer fat (OR=2.18), food responsiveness score (OR=1.59), enjoyment of food score (OR=1.8), satiety responsiveness score (OR=0.51), slowness in eating score (OR=0.05), emotional under eating score (OR=0.67), food fussioness score (OR=0.72). Keywords Double burdens, malnutrition, overweight/obesity, Nam Hong commune, Dong Anh. References [1] L.T. Huong, N.T. Linh, N.T.T. Ha, Nutritional status and cognitive development of children under 6 in urban, rural and mountainous area of the north in 2012, Journal of Food and Nutrition Sciences 10 (2014) 67-74 (in Vietnamese). http://viendinhduong.vn/research/detail?id=620&catName=cac-de-tai-va-xuat-ban-pham&lang=vi[2] N.T.T. Thu, L.T. Tuyet, Anthropometric characteristics and nutritional status in 24 - 59 months children in Hanoi city, Thanh Hoa province and Phu Tho province in 2018, HNUE Journal of Science, Natural Sciences 3 (2018) 150-157. (in Vietnamese). https://doi.org/10.18173/2354-1059.2018-0016. http://stdb.hnue.edu.vn/portal/journals.php?articleid=5149.[3] N.T.T. Thu, L.T.T. Dung, L.T Tuyet, Nutritional status: the trends of preschool children aged 10–60 months in the north of Vietnam, Health Risk Analysis 4 (2018). https://doi.org/10.21668/health.risk/2018.4.06.eng[4] N.H. Trang, T.K. Hong, M.J. Dibley, Cohort profile: Ho Chi Minh City Youth Cohortdchanges in diet, physical activity, sedentary behaviour and relationship with overweight/obesity in adolescents, BMJ Open 2 (2012) e000362. https://doi.org/10.1136/bmjopen-2011-000362. http://dx.doi.org/10.1136/bmjopen-2011-000362[5] WHO, fact sheet, 2019. Infant and young child feeding, http://www.who.int/mediacentre/factsheets/fs342/en/ (accessed 6/2019). [6] WHO, Childhood overweight and obesity, 2019. https://www.who.int/dietphysicalactivity/childhood/en/ (accessed 6/2019).[7] J.M. Braun, H.J. Kalkwarf, G.D. Papandonatos, A. Chen, B.P. Lanphear, Patterns of early life body mass index and childhood overweight and obesity status at eight years of age, BMC Pediatr 18 (2018) 161. https://doi.org/10.1186/s12887-018-1124-9.[8] L.T. Tuyet, B.T. Nhung, T.Q. Binh, Association of neonatal, breastfeeding, eating behavior characteristics with obesity in primary school children in Hanoi urban areas, VNU Journal of Science: Natural Sciences and Technology 30 (2014) 275-281. (in Vietnamese). [9] L. Webber, C. Hill, J. Saxton, C.H. Van Jaarsveld, J. Wardle, Eating behaviour and weight in children, Int 
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