Nutritional Transition in the Maghreb and Prevention of Obesity and Non-communicable Diseases

NCT ID: NCT01844349

Last Updated: 2013-05-07

Basic Information

• Recruitment Status: COMPLETED
• Total Enrollment: 8218 participants
• Study Classification: OBSERVATIONAL
• Study Start Date: 2009-03-31
• Study Completion Date: 2010-05-31

Brief Summary

Problematic and state of the art Obesity and its associated non communicable diseases (NCDs) are rising rapidly in middle income countries, such as those in the Maghreb (North Africa). This progression is related to the context of a nutrition transition (changing food and physical activity environment) and profound changes in technological advances and in society. These societies and their health systems are insufficiently prepared for this evolution, which has enormous health and socioeconomic consequences. In the context of limited resources, the priority has been given on an international level to prevention. But several problems arise: - these countries are still confronted by undernutrition in terms of micronutrient deficiencies, which coexist with obesity and NCDs, including at a family level and also individual level. Known as the 'double burden', this coexistence is relatively new and has been rarely documented until recently. Educational measures could be ineffective in a society where cultural norms do not recognise obesity and where changes in lifestyle are possibly not seen as acceptable. As well as information about citizen's knowledge of risk factors, data on their perceptions and attitudes are indispensable. Policies that involve changing the 'obesogenic' environment that individuals occupy is a priority.

Objectives of the project Overall aim: to contribute to the development of preventive strategies for obesity and chronic NCDs in the context of a nutrition transition.

Specific objectives: characterise the nature and size of the double burden (obesity/undernutrition) in regions, families and individuals; estimate the prevalence of biological and behavioural risk factors; characterise the psycho-sociocultural determinants of behaviour.

Conditions

Iron Deficiency,; Anaemia,; Overweight,; Metabolic Syndrome

Study Design

• Study Time Perspective: CROSS_SECTIONAL

Eligibility Criteria

Inclusion Criteria

• To live in the region of the capital city
• To give free informed consent

Exclusion Criteria

• Pregnancy

• Minimum Eligible Age: 6 Months
• Maximum Eligible Age: 49 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Agnes GARTNER

OTHER_GOV

Sponsor Role: lead

Responsible Party

Agnes GARTNER

Researcher

Responsibility Role: SPONSOR_INVESTIGATOR

Principal Investigators

Agnes Gartner, PhD

Role: PRINCIPAL_INVESTIGATOR

Institute of Research for Development

Locations

Faculty of Sciences, Ibn Tofaïl University

Kenitra, Rabat-Salé, Morocco

National Institute of Nutrition and Food Technology (INNTA)

Tunis, Great Tunis, Tunisia

Countries

Morocco; Tunisia

References

Ben Cherifa F, El Ati J, Doggui R, El Ati-Hellal M, Traissac P. Prevalence of High HDL Cholesterol and Its Associated Factors Among Tunisian Women of Childbearing Age: A Cross-Sectional Study. Int J Environ Res Public Health. 2021 May 20;18(10):5461. doi: 10.3390/ijerph18105461.

Reference Type: DERIVED

PMID: 34065252 (View on PubMed)

Sassi S, Abassi MM, Traissac P, Ben Gharbia H, Gartner A, Delpeuch F, El Ati J. Intra-household double burden of malnutrition in a North African nutrition transition context: magnitude and associated factors of child anaemia with mother excess adiposity. Public Health Nutr. 2019 Jan;22(1):44-54. doi: 10.1017/S1368980018002495. Epub 2018 Oct 9.

Reference Type: DERIVED

PMID: 30298796 (View on PubMed)

Traissac P, El Ati J, Gartner A, Ben Gharbia H, Delpeuch F. Gender inequalities in excess adiposity and anaemia combine in a large double burden of malnutrition gap detrimental to women in an urban area in North Africa. Public Health Nutr. 2016 Jun;19(8):1428-37. doi: 10.1017/S1368980016000689. Epub 2016 Apr 6.

Reference Type: DERIVED

PMID: 27049694 (View on PubMed)

Gartner A, El Ati J, Traissac P, Bour A, Berger J, Landais E, El Hsaini H, Ben Rayana C, Delpeuch F. A double burden of overall or central adiposity and anemia or iron deficiency is prevalent but with little socioeconomic patterning among Moroccan and Tunisian urban women. J Nutr. 2014 Jan;144(1):87-97. doi: 10.3945/jn.113.178285. Epub 2013 Nov 6.

Reference Type: DERIVED

PMID: 24198310 (View on PubMed)

Gartner A, Berger J, Bour A, El Ati J, Traissac P, Landais E, El Kabbaj S, Delpeuch F. Assessment of iron deficiency in the context of the obesity epidemic: importance of correcting serum ferritin concentrations for inflammation. Am J Clin Nutr. 2013 Sep;98(3):821-6. doi: 10.3945/ajcn.112.054551. Epub 2013 Jul 24.

Reference Type: DERIVED

PMID: 23885047 (View on PubMed)

Other Identifiers

Corus 6028-2

Identifier Type: -

Identifier Source: org_study_id