scholarly journals Undernutrition and Adiposity in Children and Adolescents: A Nutrition Paradox in Bangladesh

2013 ◽  
Vol 6 (1) ◽  
pp. 1-8 ◽  
Author(s):  
M Abu Sayeed ◽  
Mir Masudur Rhaman ◽  
Akhter Banu ◽  
Hajera Mahtab
Keyword(s):  
Social Class ◽  
Children And Adolescents ◽  
Urban Areas ◽  
Large Scale ◽  
Family Income ◽  
Overweight And Obesity ◽  
High Density Lipoproteins ◽  
The Poor ◽  
Significant Difference ◽  
The Rich

Many studies reported a high prevalence of undernutrition in the under-5 children in Bangladesh. But very few information are available about undernutrition and adiposity among school children and adolescents in Bangladesh. This study addressed the prevalence of undernutrition and obesity among school going children and adolescents. A total of 15 secondary schools were purposively selected from rural, suburban and urban areas. The teachers were detailed about the study protocol. Then the teachers volunteered to register the eligible (age 10 – 18y) students for the study. Each student’s parent was interviewed for family income. Height (ht), weight (wt), mid-upper arm circumference (MUAC) and blood pressure were taken. Fasting blood samples were collected for fasting plasma glucose, total cholesterol (Chol), triglycerides (TG), high-density lipoproteins (HDL). Body mass index (BMI) was calculated (ht/wt in met. sq) for diagnosis of undernutrition (BMI <18.5), normal weight (BMI 18.5 – 22.9) overweight (BMI 23.0 – 25.0) and obesity (BMI >25.0). A total of 2151 (m-1063, f-1088) students volunteered the study. Of them, the poor, middle and rich social classes were 25.4, 53.1 and 21.5%, respectively. Overall, the prevalence of underweight, normal, overweight and obesity were 57.4%, 35.0%, 4.9% and 2.7%, respectively. For gender comparison, there has been no significant difference of BMI between boys and girls. By social class, the prevalence of underweight was significantly higher in the poor than in the rich (62.2% v. 43.6%) and obesity was higher in the rich than in the poor (6.1% v. 1.2%) [for both, p<0.001]. Logistic regression showed that the participants from urban (OR 1.51, 95% CI 1.03 – 2.22) and the rich (OR 2.03, 95% CI 1.24 – 3.33) social class had excess risk for obesity. The risk for undernutrition was found just reverse. Undernutrition was found most prevalent among the rural students and among the poor social class; whereas, prevalence of overweight and obesity appears to be increasing with urbanization and increasing family income. Thus, the study showed a nutrition paradox – adiposity in the midst of many undernourished children and adolescents in Bangladesh. Further study may be undertaken in a large scale to establish diagnostic criteria for age specific nutrition assessment in Bangladesh. A prospective children cohort may help assessing the cut-offs for unhealthy sequels of undernutrition and adiposity. DOI: http://dx.doi.org/10.3329/imcj.v6i1.14710 Ibrahim Med. Coll. J. 2012; 6(1): 1-8

scholarly journals Nutritional Status, Hypertension, Proteinuria and Glycosuria amongst the Women of Rural Bangladesh

1970 ◽  
Vol 2 (1) ◽  
pp. 21-24 ◽  
Author(s):  
Shaila Ahmed ◽  
Masuda Mohsena ◽  
Sonia Shirin ◽  
Nargis Parvin ◽  
Niru Sultana ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Social Class ◽  
Nutritional Status ◽  
Rural Women ◽  
Family Income ◽  
Age Groups ◽  
The Poor ◽  
The Rich ◽  
Logistic Support ◽  
Almost All

Methods and materials - A rural community was purposively selected in Sreepur thana of which four villages were selected randomly. The total population of all age groups was 14,165 and the eligible reproductive aged females were 3,820 based on age between 15 and 45 years. Sample size was estimated at 573 (15%) of the eligible participants depending on the availability of time and logistic support. The study design was to use a questionnaire related to age, education, family income, housing and sanitation. Height (ht), weight (wt) and blood pressure (BP) were measured. Urine protein was estimated. Clinical examinations noted the presence of anemia, jaundice, edema, ring-worm, scabies, goiter, xerophthalmia and gum bleeding. Body mass index (BMI) was calculated to determine their obesity or wasting. Results - Overall, 501 volunteered and the response rate was 87.4%. Of these participants, 30.3% were illiterate. Almost all of them had supply of tube-well water and 68% had sanitary latrines. Their mean (±SD) age was 30.2 (±2.9)y, wt was 46 (±8.5)kg, ht was 149 (±5)cm and BMI was 20.5 (±3.5). The poor women had significantly lower BMI than the rich [20.0 (2.93) vs. 21.2 (4.1), (p<0.05)]. Their mean (±SD) systolic and diastolic blood pressure were 116 (±17) and 73 (±12) mmHg, respectively. The prevalence of hypertension, proteinuria and glycosuria were 16.6, 10.4 and 2.6%, respectively. The frequencies of proteinuria and ring-worm were significantly higher among the poor than among the rich social class (both cases p<0.05). Regarding nutritional deficiency, about half of the rural women (52%) had some form of signs relating to Vit-A deficiency and 65% had signs of Vit-B complex deficiency either in the form of glossitis or of angular stomatitis or both. Conclusions - Despite time and logistic constraint, the study revealed that most of the rural women had a poor nutritional status (80% had BMI<23.0). The prevalence of hypertension and glycosuria were also not negligible. Vitamin deficiency disorders (xerophthalmia), gum-bleeding, angular stomatitis were also very high among them. The study also revealed that the poor social class had a significantly lower BMI, higher proteinuria and higher skin problems than their rich counterparts. Ibrahim Med. Coll. J. 2008; 2(1): 21-24 Key Words: doi: 10.3329/imcj.v2i1.2927

scholarly journals Secular Trends of Underweight, Overweight, and Obesity in Children and Adolescents from Ukraine

2021 ◽  
Vol 18 (6) ◽  
pp. 3302
Author(s):  
Katarzyna Dereń ◽  
Justyna Wyszyńska ◽  
Serhiy Nyankovskyy ◽  
Olena Nyankovska ◽  
Marta Yatsula ◽  
...  
Keyword(s):  
Children And Adolescents ◽  
Age Groups ◽  
Overweight And Obesity ◽  
The Body ◽  
World Health ◽  
Public Health Issue ◽  
Significant Difference ◽  
Significant Public Health ◽  
Health Organization ◽  
Obesity In Children

Overweight and obesity, as well as underweight in children and adolescents, pose a significant public health issue. This study aimed to investigate the secular trend of the incidence of underweight, overweight, and obesity in children from Ukraine in 2013/2014 and 2018/2019. The studies were conducted in randomly selected primary and secondary schools in Ukraine. In total, 13,447 children (6468 boys and 6979 girls) participated in the study in 2013/2014 and 18,144 children (8717 boys and 9427 girls) participated in 2018/2019. Measurements of body weight and height were performed in triplicate. Underweight, overweight, and obesity were diagnosed according to the standards of the World Health Organization (WHO). In the group of girls, a significant difference between 2013/2014 and 2018/2019 measurements was found only among 7-year-olds. The percentage of girls at this age exceeding the body mass index (BMI) norm was lower in the 2018/2019 study. In boys, a significant difference was also found in 7-year-olds, and, as in girls, a lower share of overweight and obesity was found in 2018/2019. But for the ages of 12, 13, and 15, the significant differences had a different character—more overweight or obese boys were found in the 2018/2019 study. The proportion of underweight children was similar for the majority of age groups in both genders and did not differ in a statistically significant way.

Social class, solipsism, and contextualism: How the rich are different from the poor.

2012 ◽  
Vol 119 (3) ◽  
pp. 546-572 ◽  
Author(s):  
Michael W. Kraus ◽  
Paul K. Piff ◽  
Rodolfo Mendoza-Denton ◽  
Michelle L. Rheinschmidt ◽  
Dacher Keltner
Keyword(s):  
Social Class ◽  
The Poor ◽  
The Rich

Evaluation of Vitamin D Deficiency and Its Relationship with Body Mass Index in Children 1 To 16 Years

2021 ◽  
Author(s):  
Elham Nozari Mirarkolaei ◽  
Mahdi Gholami ◽  
Elham Rostami ◽  
Azita Aliakbarniya ◽  
Massoumeh Hotelchi ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Vitamin D ◽  
Children And Adolescents ◽  
Vitamin D Deficiency ◽  
Body Mass ◽  
Body Weight Gain ◽  
Thyroid Stimulating Hormone ◽  
Overweight And Obesity ◽  
Mazandaran Province ◽  
Significant Difference

Introduction: Body weight gain in children and teenagers is one of the major challenges that cause undesirable health outcomes. Simultaneously with the prevalence of overweight and obesity, children and adolescents are diagnosed with 25-hydroxyvitamin D (25(OH)D) deficiency in different sides of the world. The present study aimed to assess 25(OH)D status among Iranian volunteers aged 1-16 years and find the correlation between 25(OH)D status and body mass index (BMI) subjects.    Material and Methods: The total volunteers included 807 Iranian children aged 1 to 16 referred to the general and endocrinology clinics in Babol city, Mazandaran Province. A trained physician determined anthropometric characteristics. Serum levels of calcium (Ca), phosphate (P), creatinine (Cr), urea, thyroxine (T4), thyroid-stimulating hormone (TSH), and 25(OH)D were assessed in all children.      Results: 25.27% of the children were 25(OH)D deficient, and 59.1% were insufficient. There was no significant difference in serum 25(OH)D level between girls and boys (P=0.13). A significant negative correlation was found in serum 25(OH)D level with weight (P=0.000, r=-0.12), BMI (P=0.000, r=-0.13), and age (P=0.000, r=-0.13). Conclusion: These data displayed that 25(OH)D insufficiency is highly prevalent among children in the north of Iran. Serum 25(OH)D levels are affected by age and BMI value. Improving vitamin D deficiency helps to maintain the health of children and adolescents during this critical period.

Letter To The Editor

PEDIATRICS ◽  
1970 ◽  
Vol 45 (2) ◽  
pp. 340-341
Author(s):  
Alfred Yankauer
Keyword(s):  
Health Care ◽  
New England ◽  
Private Practice ◽  
Urban Areas ◽  
Young Men ◽  
Government Programs ◽  
Large Cities ◽  
The Poor ◽  
Letter To The Editor ◽  
The Rich

Dr. Yankauer wrote: Dr. Marks' point is moot. It has been raised previously in a Pediatrics Commentary. At about the same time a New England practitioner complained that private practice was being ignored in government programs. The question of whether young men finishing their residencies will "go where they are needed" can only be answered by time. The problem is that they are needed just about everywhere (by the rich as well as the poor) because of mounting manpower shortages.3 It is worth mentioning that in urban areas outside of the large cities, where money does not lead to such sharply segregated residential districts and hospital out-patient departments are underdeveloped, practicing pediatricians are virtually the only source of health care.

scholarly journals School environment and obesity in primary schools. An analysis of the WHO European COSI in Austria

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
A Aufschnaiter ◽  
K Schindler ◽  
B Fuchs-Neuhold ◽  
K Maruszczak ◽  
E Pail ◽  
...  
Keyword(s):  
Nutrition Education ◽  
Rural Areas ◽  
School Environment ◽  
Urban Areas ◽  
Primary Schools ◽  
Secondary Data ◽  
Overweight And Obesity ◽  
Substantial Contribution ◽  
Significant Difference ◽  
School Playgrounds

Abstract Background Overweight and obesity in childhood and the associated secondary diseases are constantly on the increase. Studies show that the school environment can have an influence on the weight of children. The Childhood Obesity Surveillance Initiative (COSI) of the WHO is a Europe-wide epidemiological monitoring of anthropometric sizes of school children aged six to nine, with Austria participating in COSI for the first time in 2016. Methods A retrospective secondary data analysis based on two standardized questionnaires was performed. On the one hand, data on determinants specific to the school field were collected, on the other hand anthropometric data of children in third grade were measured. Across Austria, data from 97 schools and 2530 children were collected and evaluated using descriptive and inductive statistical methods. Results In 43,3 % of the schools, an existing playground can be used outside school opening hours. 73,2 % of the schools integrate nutrition education into their school curriculum either as a separate subject or in combination with another subject. Milk and dairy products are available in 60,8 % of schools, fresh fruit in 63,9 % and vegetables in 51,5 %. 28,3 % of the examined, 8 to 9-year-old children are overweight or obese (n = 658), while boys have a significant higher BMI than girls (p &lt; 0,001). Also, in urban areas children have a significant higher BMI on average than in rural areas (p = 0,025). No significant relationship could be identified between the duration of physical education lessons per week and the BMI. However, a significant difference in childreńs BMI became visible when school playgrounds were also accessible outside opening hours (p = 0,018). Conclusions The alarming number of overweight children in Austria should be diminished through policies and further interventions. Schools can make a substantial contribution to this. The course of the development could be closely observed through possible further surveys by COSI. Key messages 73,2% of the schools include nutrition education in their curricula. Yet, about every third Austrian child aged between 8 and 9 is overweight, with boys being significantly more overweight than girls. If school playgrounds are accessible outside opening hours, the childreńs BMI is significantly lower. In urban areas, children have a significantly higher BMI than in rural areas.

scholarly journals Multicomponent Lifestyle Interventions for Treating Overweight and Obesity in Children and Adolescents: A Systematic Review and Meta-Analyses

2017 ◽  
Vol 2017 ◽  
pp. 1-14 ◽  
Author(s):  
I. K. Ø. Elvsaas ◽  
L. Giske ◽  
B. Fure ◽  
L. K. Juvet
Keyword(s):  
Systematic Review ◽  
Children And Adolescents ◽  
Group Treatment ◽  
Overweight And Obesity ◽  
Lifestyle Interventions ◽  
Significant Difference ◽  
Subgroup Analyses ◽  
Specialist Health Care ◽  
Moderate Effect ◽  
Meta Analyses

Background. Treatment of childhood obesity is important in preventing development of obesity-related diseases later in life. This systematic review evaluates the effect of multicomponent lifestyle interventions for children and adolescents from 2 to 18 years.Methods and Results. We performed systematic searches in nine databases. Thirty-nine studies met the criteria for meta-analyses. We found a significant difference in body mass index (BMI) after 6 months (MD −0.99 (95% CI −1.36 to −0.61)), 12 months (MD −0.67 (95% CI −1.01 to −0.32)), and 24 months (MD −0.96 (95% CI −1.63 to −0.29)) in favour of multicomponent lifestyle interventions compared to standard, minimal, and no treatment. We also found a significant difference in BMIZscores after 6 months (MD −0.12 (95% CI −0.17 to −0.06)), 12 months (MD −0.16 (95% CI −0.21 to −0.11)), and 24 months (MD −0.16 (95% CI −0.21 to −0.10)) in favour of multicomponent lifestyle interventions. Subgroup analyses suggested an increased effect in specialist health care with a group treatment component included in the intervention.Conclusion. Multicomponent lifestyle interventions have a moderate effect on change in BMI and BMIZscore after 6, 12, and 24 months compared with standard, minimal, and no treatment.

scholarly journals Assessment of the influence of overweight and obesity on the development of prehypertension and hypertension in children aged 6-15

2021 ◽  
Vol 50 (4) ◽  
pp. 85-96
Author(s):  
Marijana Jandrić-Kočić
Keyword(s):  
Blood Pressure ◽  
Body Weight ◽  
Primary School ◽  
Children And Adolescents ◽  
Normal Weight ◽  
Overweight And Obesity ◽  
Primary School Children ◽  
Cross Sectional ◽  
Significant Difference ◽  
Hypertension In Children

Introduction/Aim: 41 million children under the age of 5 and 340 million children and adolescents aged 5 to 19 are overweight or obese. Obesity in children and adolescents is the most important predictor of high blood pressure. The aim of the study was to examine the incidence of overweight and obesity in primary school children aged 6 to 15 years, as well as to examine the incidence of prehypertension and hypertension in children who were overweight and obese. Method: The study included 85 of 86 children from the Primary School "Krupa na Uni". Data were collected with the help of a questionnaire, while body weight and blood pressure were measured. The chi-square test and t-test were used for the statistical analysis of data Results: The cross-sectional study included 85 children, 45 (52.9%) boys and 40 (47.1%) girls with an average age of 10.87 ± 2.70 years. Normal weight was found in 54 (63.5%) subjects, underweight in 12 (14.1%), overweight in 5 (5.9%), and obesity in 14 (16.5%). 76 (89.4%) subjects had normal blood pressure values, 5 (5.9%) prehypertensive state, and 4 (4.7%) arterial hypertension. There was no significant difference between younger and older children regarding their nutritional status (p=0.477) and blood pressure levels (p=0.453). Children who were overweight and obese had prehypertension and hypertension significantly more often (p˂0.001). Conclusion: Every fifth child was overweight or obese, while prehypertension or hypertension were found in every tenth child. The timely change of diet and physical activity could contribute to the regulation of body weight and the regulation of blood pressure, as well.

scholarly journals Living Arrangement of Elderly in Haryana: A Case Study of District Rohtak

2015 ◽  
Vol 2 (2) ◽  
Author(s):  
Sandeep ◽  
Lubna Siddiqui ◽  
Aruna Paarcha ◽  
Masood Ahsan Siddiqui
Keyword(s):  
Rural Areas ◽  
Urban Areas ◽  
Living Arrangement ◽  
Age Groups ◽  
Living Alone ◽  
The Poor ◽  
The Rich

In the present paper, we have analyzed the living arrangement of elderly in district Rohtak, Haryana. We have interviewed 500 elderly of different age groups in 2012. The study found that elderly is cared as about 90 per cent elderly stay in joint families. Not a single respondent male was living alone whereas 0.5 percent females in rural areas and 2.5 per cent in urban areas are living alone. The poor elderly are more satisfied than the rich elderly.

scholarly journals Body Mass Index of children and adolescent participants in a voucher program designed to incentivise participation in sport and physical activity

2020 ◽  
Author(s):  
Katherine Owen ◽  
B Bellew ◽  
Bridget C Foley ◽  
Adrian Bauman ◽  
Lindsey J Reece
Keyword(s):  
Physical Activity ◽  
Children And Adolescents ◽  
Large Scale ◽  
Sport Participation ◽  
Overweight And Obesity ◽  
Obesity Prevalence ◽  
Multinomial Regression ◽  
Disadvantaged Area ◽  
Activity Promotion ◽  
Increased Risk

Abstract Background There has been limited population-level success in tackling overweight and obesity. The Active Kids program is a state-wide intervention that aims to increase participation in organised physical activity and sport among children and adolescents in NSW, Australia. This study profiled children and adolescents who registered for the Active Kids program by examining the prevalence of overweight and obesity across subgroups and by social disadvantage in this sample. MethodsFor participating children, each parent or carer was required to complete an online registration form with information about the child’s height, weight, physical activity, sport participation, age, sex, primary language spoken at home, Aboriginality, disability status and postcode. Descriptive statistics were used to profile children and adolescents who registered in the program and multinomial regression models were used to determine which demographic characteristics were associated with an increased risk of overweight and obesity. Results In 2018, 671,375 parents registered a child or adolescent for the Active Kids Program. Among these children and adolescents, the prevalence of overweight and obesity was 17.2% and 7.6%, respectively. A large number of children and adolescents who lived in the most disadvantaged area (n = 99,583; 14.8%) registered for the program. There was a clear socio-economic gradient for obesity prevalence across areas of increasing disadvantage, with children and adolescents living in the most disadvantaged area being 1.87 (95% CIs 1.82, 1.93) times more likely to be overweight or obese compared with children and adolescents living in the least disadvantaged area. Conclusions The Active Kids program successfully reached a substantial proportion of overweight and obese children from socially disadvantaged backgrounds, providing financial support and opportunities for these children to participate in organised sport and physical activity. However, the program did not reach all children, and additional physical activity promotion strategies may be needed in a comprehensive approach. Nonetheless, these findings support government investment in reaching childhood overweight and obesity with large-scale programs.

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