Nutritional status correlated with sociodemographic and economic factors among preparatory school-aged children in the Gaza Strip



This study was conducted to investigate anthropometric nutritional indicators that correlated with sociodemographic and economic factors among preparatory school-aged children (PSC) in the Gaza Strip.

Subjects and methods

The study subjects were chosen purposively from three different sociodemographic and economic areas in the Gaza Strip: the Jabalia refugee camp (JRC), Gaza City (GC), and Al-Garrara village (GV). They were selected randomly from the two largest preparatory schools (one for male and one for female pupils) per each area for a total of 680 PSC (350 boys and 330 girls) aged 12–14 years. A structural and self-administered questionnaire about sociodemographic and socioeconomic factors for each pupil in the sample was recorded. Logistic data were analyzed by the SPSS WIN program.


The overall prevalence of overweight among the female and male pupils was 17.0 and 17.1% (p = 0.4), whereas obesity for both sexes was 5.45 and 7.42%, respectively (p = 0.001). Moreover, there were highly significant statistical relationships between age and overweight (p = 0.001) or obesity (p = 0.002). The highest percentages of overweight and obesity among the boys were recorded in GC (24.1 vs 9.48%). On the other hand, obesity was very significantly related to the mother’s education level among the female pupils in JRC (p = 0.007). Moreover, a highly significant relationship was observed between overweight and income (p = 0.01) among the boys in the same camp. There was also a highly significant relationship between obesity and the father’s job among the boys in GV (p = 0.005). The overall prevalence of thinness for the boys was higher than the girls (7.42 vs 5.75%, p = 0.001). The difference in thinness values between the two sexes according to age was not statistically significant (p = 0.3). The highest percentage (11.8%) of thinness was recorded among the girls in GC. There were no significant relationships between thinness and socioeconomic factors among PSC in the Gaza Strip (p > 0.05). Thinness and socioeconomic relationships in the three different socioeconomic areas among PSC were not observed. The overall prevalence of stunting among the boys was higher than among the girls (8.29 vs 6.36%, p = 0.001). The highest percentage (10.8%) of stunting among the boys was recorded in GV. It was also found that stunting was significantly related to the father’s job (p = 0.02) among the boys in JRC. Similar to the thinness, significant relationships between stunting and socioeconomic factors among PSC in the Gaza Strip were not observed (p > 0.05). These nutritional indicators showed a very significant difference between the male and female pupils according to region of residence (p = 0.001). No statistical relations were observed between any of the indicators and the socioeconomic factors among the study samples in GC.


About 10% of adolescent pupils in the Gaza Strip suffer from malnutrition that is significantly associated with the region. Moreover, relationships between malnutrition and socioeconomic variables among the PSC were heterogeneous and require further investigations.

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  1. Abdul-Rahim HF, Holmboe-Ottesen G, Stene LC, Husseini A, Giacaman R, Jervell J (2003) Obesity in a rural and urban Palestinian West Bank population. Int J Obes Relat Metab Disord 27(1):140–146

    PubMed  Article  CAS  Google Scholar 

  2. Abudayya AH (2003) Nutritional status and life style among school adolescents in the Gaza Strip. Ph.M. thesis in international community health, Faculty of Medicine, University of Oslo, Norway

  3. Al-Isa AN (2004) Body mass index, overweight and obesity among Kuwaiti intermediate school adolescents aged 10–14 years. Eur J Clin Nutr 58(9):1272–1277

    Article  Google Scholar 

  4. Al-Sendi AM, Shetty P, Musaiger AO (2003) Prevalence of overweight and obesity among Bahraini adolescents: a comparison between three different sets of criteria. Eur J Clin Nutr 57(3):471–474

    PubMed  Article  CAS  Google Scholar 

  5. Chakar H, Salameh PR (2006) Adolescent obesity in Lebanese private schools. Eur J Public Health 16(6):648–651

    PubMed  Article  Google Scholar 

  6. Guggenheim K, Abramson JH, Perez E, Reshef A (1966) Diet and nutrition of children in selected Jerusalem schools. Isr J Med Sci 2(3):344–349

    PubMed  CAS  Google Scholar 

  7. Jackson RT, Rashed M, Saad-Eldin R (2003) Rural urban differences in weight, body image, and dieting behavior among adolescent Egyptian schoolgirls. Int J Food Sci Nutr 54(1):1–11

    PubMed  Article  Google Scholar 

  8. Lewit EM, Kerrebrock N (1997) Population-based growth stunting. Future Child 7(2):149–156

    PubMed  Article  CAS  Google Scholar 

  9. Lwambo NJ, Brooker S, Size JE, Bundy DA, Guyatt H (2000) Age patterns in stunting and anaemia in African schoolchildren: a cross-sectional study in Tanzania. Eur J Clin Nutr 54(1):36–40

    PubMed  Article  CAS  Google Scholar 

  10. Huerta M, Bibi H, Haviv J, Scharf S, Gdalevich M (2006) Parental smoking and education as determinants of overweight in Israeli children. Prev Chronic Dis 3(2):A48

    PubMed  Google Scholar 

  11. Neistein LS (2002) Adolescent health care, 4th edn. Lippincott Williams & Wilkins, Philadelphia

    Google Scholar 

  12. Palestinian Central Bureau of Statistics Report (PCBS) (2006)

  13. Palestinian Ministry of Health (MOH) (2005) Health status in Palestine, annual report

  14. Raja’a YN, Bin Mohanna MA (2005) Overweight and obesity among schoolchildren in Sana’a City, Yemen. Ann Nutr Metab 49(5):342–345

    PubMed  Article  CAS  Google Scholar 

  15. Report of Ministry of Education and Higher Education (MOE) (2007)

  16. Strauss RS, Knight J (1999) Influence of the home environment on the development of obesity in children. Pediatrics 103:e85

    PubMed  Article  CAS  Google Scholar 

  17. Schneider D (2000) International trends in adolescent nutrition. Soc Sci Med 51(6):955–967

    PubMed  Article  CAS  Google Scholar 

  18. State of Nutrition in the West Bank, Palestine (2005) A comprehensive review of nutrition situation of West Bank and Gaza Strip

  19. UNICEF (2002) Towards a new agenda for children in Southern Mediterranean countries. Florence, Italy-Annan, Jordan. Mediterranean Initiative for Child Rights (MEDIN project) UNICEF Regional Office for Middle East and North Africa (MENARO)

  20. UNICEF/Ard Al-Ensan rapid survey on child nutrition (2008)

  21. UNRWA emergency appeal (2008)

  22. WHO (2000) The management of nutrition in major emergencies

  23. WHO (2005) Nutrition in adolescence: issues and challenges for the health sector: issues in adolescent health and development

  24. WHO (2007) Bull W H O 85:9

    Google Scholar 

Download references


Deep acknowledgements are addressed to the deanery of research of IUG due to continuous support of our studies.

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The authors confirm that there are no relevant associations that might pose a conflict of interest.

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Correspondence to Baker M. Zabut.

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Kanao, B.J., Abu-Nada, O.S. & Zabut, B.M. Nutritional status correlated with sociodemographic and economic factors among preparatory school-aged children in the Gaza Strip. J Public Health 17, 113–119 (2009).

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  • Anthropometric measures
  • Nutritional status
  • Preparatory school-aged children
  • Sociodemographic and economic factors