Double disadvantage: the influence of ethnicity over socioeconomic position on childhood overweight and obesity: findings from an inner urban population of primary school children

Background: Childhood overweight and obesity is a major health problem in many low- and middle-income countries such as Nepal. There is evidence indicating a significant association between health and access to green space. Objective: To estimate the prevalence of childhood overweight and obesity, and to identify its association with green space among primary school children in Kathmandu metropolitan city, Nepal. Methods: A cross-sectional study was conducted on 440 (195 male and 245 female) students studying in selected primary schools of Kathmandu metropolitan city. Mothers/caretakers of the participating children were also studied. Results: Of the 440 children, 13.2% were overweight; 6.8% were obese. 4 of 16 studied variables that had significant associations with overweight/obesity in bivariate analyses, were found independent predictors of overweight/obesity after being adjusted for confounders. They included mode of transportation to school (aOR 2.08, 95% CI 1.12 to 3.88), consumption of sugary snack (aOR 2.57, 95% CI 1.12 to 5.91) and salty/savory snack (aOR 4.13, 95% CI 1.71 to 9.96), and the distance of a green space from child's residence (aOR 27.46, 95% CI 6.10 to 123.54). Conclusion: One-fifth of the children in urban schools were found to be overweight or obese. The distance to a green space was identified as the most significant factor influencing childhood overweight/obesity.

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Social, economic and demographic correlates of overweight and obesity in primary-school children: preliminary data from the Healthy Growth Study

Public Health Nutrition ◽

10.1017/s1368980010002247 ◽

2010 ◽

Vol 13 (10A) ◽

pp. 1693-1700 ◽

Cited By ~ 60

Author(s):

George Moschonis ◽

Sofia Tanagra ◽

Anastasia Vandorou ◽

Aikaterini E Kyriakou ◽

Vasiliki Dede ◽

...

Keyword(s):

Primary School ◽

School Children ◽

Family Income ◽

Childhood Overweight ◽

Overweight And Obesity ◽

Primary Caregiver ◽

Primary School Children ◽

Urban Region ◽

Annual Family Income ◽

Childhood Overweight And Obesity

AbstractObjectiveTo record the prevalence of overweight and obesity in urban primary-school children in relation to several socio-economic and demographic factors.DesignCross-sectional.Setting/subjectsA representative sample of 729 schoolchildren (379 male and 350 female), aged 9–13 years, stratified by parental educational level, was examined in the urban region of Athens. Weight and height were measured using standard procedures. The International Obesity Task Force thresholds were used for the definition of overweight and obesity. Several socio-economic and demographic data and the child’s ‘popularity’ score were also recorded with specifically designed standardized questionnaires.ResultsThe prevalence of overweight and obesity was 29·6 % and 11·1 %, respectively. Annual family income of €12 000–20 000 (OR = 1·58), residence ownership (OR = 1·63) and the grandmother as the child’s primary caregiver (OR = 1·38) were significantly associated with higher odds of childhood overweight and obesity. Non-Greek parental nationality (OR = 0·72) and higher ‘popularity’ scores of children (OR = 0·42) were significantly associated with lower odds of overweight and obesity. The grandmother as the child’s primary caregiver and an annual family income of €12 000–20 000 remained significantly associated with childhood overweight and obesity after adding all significant correlates of childhood overweight and obesity observed at the bivariate level in a multivariate regression model (OR = 1·51 and 1·61, respectively).ConclusionsAmong family income, residence ownership, child’s primary caregiver, parental nationality and popularity scores that were identified as significant correlates of childhood overweight and obesity at the bivariate level, lower family income and grandmother as the child’s primary caregiver were the only factors that remained significantly associated with childhood overweight and obesity at a multivariate level.

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OP55 Childhood overweight and obesity at the start of primary school: external validation of pregnancy and early-life prediction models

10.1136/jech-2020-ssmabstracts.54 ◽

2020 ◽

Author(s):

N Ziauddeen ◽

PJ Roderick ◽

G Santorelli ◽

J Wright ◽

NA Alwan

Keyword(s):

Primary School ◽

Early Life ◽

Life Prediction ◽

Prediction Models ◽

External Validation ◽

Childhood Overweight ◽

Overweight And Obesity ◽

Childhood Overweight And Obesity

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A preliminary investigation into the prevalence and trends of overweight and obesity of northern Tasmanian primary school children

Australian and New Zealand Journal of Public Health ◽

10.1111/j.1467-842x.2002.tb00351.x ◽

2002 ◽

Vol 26 (5) ◽

pp. 479-480 ◽

Cited By ~ 3

Author(s):

Peter R. Rehor ◽

Eloise Brownsey

Keyword(s):

Primary School ◽

School Children ◽

Preliminary Investigation ◽

Overweight And Obesity ◽

Primary School Children

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Prevalence of and factors associated with overweight and obesity among nursery school children aged 3-6 years in Eldoret Municipality

African Journal of Food, Agriculture, Nutrition and Development ◽

10.18697/ajfand.65.13125 ◽

2014 ◽

Vol 14 (65) ◽

pp. 9257-9271

Author(s):

FB Wandia ◽

◽

GK Ettyang ◽

G Mbagaya ◽

◽

...

Keyword(s):

Developing Countries ◽

School Children ◽

Psychological Health ◽

Nursery School ◽

Adult Life ◽

Childhood Overweight ◽

Overweight And Obesity ◽

Anthropometric Data ◽

Double Burden ◽

Childhood Overweight And Obesity

Childhood overweight and obesity is a serious emerging problem in both developed and developing countries. The developed world is already grappling with a proportionately high burden of obesity in children, with the developing countries experiencing a double burden of under nutrition and over nutrition. Obesity posses a significant public health threat to children as it has a significant impact on both their physical and psychological health. Furthermore, childhood overweight and obesity has been associated with an increase in cardiovascular risk factors in adult life. The objective of this study was to determine the prevalence of overweight and obesity among nursery school children aged 3-6 years in Eldoret Municipality and to identify the associated factors. Crosssectional study of 320 nursery school children aged 3-6 years was carried out in 20 nursery schools sampled from Eldoret Municipality. Simple random sampling proportionate to each of the schools population size was used to select the children. A child’s anthropometric data, which was converted to Weight – for- Height z-scores, was used to determine the prevalence of overweight and obesity. A structured questionnaire was used to collect data. Anthropometric data was analyzed using WHO anthro software for child standards in monitoring and growth. Data was analyzed using SPSS version 12.0 and Epi Info version 3.4.3. Chi-square test of association and logistic regression (binary) was used to determine the significant variables affecting the prevalence of overweight and obesity. All p values <0.05 were considered to be statistically significant. Results indicated that the prevalence of overweight was 13.4% and obesity 6.9%. Type of school, owning television, parent’s employment status and mode of transport to school were each independently significantly associated with overweight and obesity of the children. In conclusion, overweight and obesity exist in nursery school children in Eldoret Municipality, Kenya. Increase in physical activities should be ensured both at home and in the communities.

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