A Study On Determinants Of Obesity In Children Between 5-15 years of Age

2020 ◽  
Vol 7 (1) ◽  
pp. 17-22
Author(s):  
Dr. Prasad Bijaspur ◽  
Dr. Sharad Agarkhedkar ◽  
Dr. Geeta Karambelkar

Background: Childhood obesity is one of the most serious public health issue. The prevalence of obesity is increasing both in developing and in developed countries. The global prevalence of overweight and obesity in children aged 5 -17 years is 10%, In India it is 22% among children between 5 to 19 years. The key causes of childhood obesity are unhealthy dietary habits and reduced physical activity. The adoption to sedentary lifestyle and unhealthy dietary habits increases the risk of overweight/obesity and non communicable diseases such as insulin resistance, type 2 diabetes mellitus, and metabolic syndrome like dyslipidemia, cardiovascular risks stroke and hypertension. Objective: To assess the  BMI, various factor influencing BMI and to correlate these factors  in children between 5 to 15 years age  irrespective of sex and ethnicity. Methodology: Study included 648 healthy children after fulfilling inclusion criteria ,there socio-demographic information, diet history, history regarding daily physical activity, sedentary behaviour, time spent for recreational activities was taken and there height, weight was recorded and BMI was calculated . By using standardized IAP GROWTH CHARTS children were categorised as underweight, normal, overweight/ obese. Result: Prevalence of overweight was 14% and obesity was 7.3% in children between 5 to 15 years of age. Conclusion: Adolescent age ,children belonging to upper and upper middle socioeconomic status, family history of non-communicable diseases, Calorie intake more than RDA for age, Protein consumption less than RDA for age, consumption of mix  diet (veg + non veg), less consumption of a balanced diet, lack of physical activity were associated with overweight and obesity.

Author(s):  
Wilfred Kok Hoe Mok ◽  
Noran Naqiah Hairi ◽  
Caryn Mei Hsien Chan ◽  
Feisul Idzwan Mustapha ◽  
Thamil Arasu Saminathan ◽  
...  

(1) Background: The prevalence of overweight and obesity among children has increased tremendously in the ASEAN region, including Malaysia. In Malaysia, the National Strategic Plan for Non-Communicable Diseases (2015–2025) provides the overall framework for its response to the non-communicable diseases (NCD) epidemic. Preventing childhood obesity is one of the key strategies for early intervention to prevent NCDs. The objective of this research is to examine the current status of policy interventions in addressing childhood obesity in Malaysia. (2) Methods: A panel of 22 stakeholders and experts from Malaysia, representing the government, industry, academia and non-governmental organizations, were sampled using a modified Delphi technique. Data were collected using a modified NCD scorecard under four domains (governance, risk factors, surveillance and research and health systems response). A heat map was used to measure the success of the four realms of the NCD scorecard. For each domain of the NCD scorecard, the final score was grouped in quintiles. (3) Results: A total of 22 participants responded, comprising of eight (36.4%) males and 14 (63.4%) females. All the domains measured in implementing policies related to childhood obesity were of low progress. Nine governance indicators were reported as 22.5% (low progress), four in the risk factors domain, and two in the surveillance. This shows that timely and accurate monitoring, participatory review and evaluation, and effective remedies are necessary for a country’s surveillance system. (4) Conclusion: Although Malaysia has published several key strategic documents relating to childhood obesity and implemented numerous policy interventions, we have identified several gaps that must be addressed to leverage the whole-of-government and whole-of-society approach in addressing childhood obesity in the country.


2020 ◽  
Author(s):  
Adhra Al-Mawali ◽  
Sathish Kumar Jayapal ◽  
Magdi Morsi ◽  
Waleed Al-Shekaili ◽  
Avinash Daniel Pinto ◽  
...  

Abstract Background Non-Communicable Diseases (NCD) represent a major public health issue and currently are the cause of 71% of deaths globally and 72% deaths in Oman. Hence, there is a need for comprehensive, up-to-date and internationally comparable data on NCD risk factors in order to evaluate the effectiveness of ongoing public health policies and to develop further NCD prevention and control interventions. The aim of the study was to provide evidence-based, up-to-date, extensive, and reliable baseline data on the behavioural and biological risk factors of NCDs in the Sultanate of Oman.Methods A cross-sectional community‐based survey designed to be nationally representative of the Sultanate of Oman was conducted based on the WHO STEPwise approach to Surveillance (STEPS). Multi-stage stratified random sampling according to geographical distribution selected a total of 9053 households (Omani nationals and non-Omani residents). Cluster sampling was used and symmetric equal number of blocks were chosen in each governorate with 823 households chosen from each governorate and one eligible adult selected from each household randomly. The survey used demographic and behavioural information questionnaires along with physical and biochemical measurements among adults aged 18 years and above.Results The prevalence of behavioural risk factors such as tobacco use was 9%, alcohol consumption was 2%, insufficient fruit or vegetable intake was 61%, and insufficient physical activity was 39%. The prevalence of biological risk factors such as overweight and obesity was 66%, raised blood pressure was 33%, raised blood glucose was 16%, and raised blood cholesterol was 36%. The prevalence of multiple risk factors was also determined and 95% of the population were found to have more than one risk factor. Three or more risk factors were found among 33% of population aged 18–69 years and 45% of the population aged 45 years.Conclusions These findings are important to support the formulation and implementation of NCD-related policies and action plans that improve health status and prevent mortality due to NCDs in the Sultanate of Oman.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
J Breda

Abstract The WHO European Childhood Obesity Surveillance Initiative (COSI) is a well-established system that measures trends in overweight and obesity in over 300,000 primary school aged children from over 40 countries across the WHO European Region. The COSI collects important information related to child anthropometrics, school and family characteristics and child lifestyle behaviors. Major determinants covered by COSI include physical activity, dietary habits and school environments. COSI data has revealed substantial differences in physical activity estimates between countries. However, studies based on COSI data show that 40% of children spend at least two hours watching TV or using electronic devices per day. To prevent increased childhood obesity, policymakers should simultaneously increase opportunities for children to engage in physical activity and act to reduce the amount of time spent on sedentary activities. As children are increasingly online and connected to mobile devices, an emerging concern relates to digital marketing of unhealthy products, which can be effectively targeted at children using advanced persuasive techniques. The WHO CLICK report suggests the need to integrate information such as children's time spent online, device, app and social media usage with outcomes such as child obesity. One future possibility may be to integrate such questions into future COSI questionnaires, which would provide important information at minimal cost and could generate extensive, high quality data. The monitoring and surveillance advocated by the CLICK report is necessary to provide data on whether and how far WHO recommendations in online settings are adopted by governments and public health institutions. The WHO CLICK report acts on consultation with experts to provide a tool to support Member States in monitoring the digital marketing of unhealthy products to children and suggests policy options.


2020 ◽  
Author(s):  
Adhra Al-Mawali ◽  
Sathish Kumar Jayapal ◽  
Magdi Morsi ◽  
Waleed Al-Shekaili ◽  
Avinash Daniel Pinto ◽  
...  

Abstract Background Non-Communicable Diseases (NCD) represent a major public health issue and currently are the cause of 71% of deaths globally and 72% deaths in Oman. Hence, there is a need for comprehensive, up-to-date and internationally comparable data on NCD risk factors in order to evaluate the effectiveness of ongoing public health policies and to develop further NCD prevention and control interventions. The aim of the study was to provide evidence-based, up-to-date, extensive, and reliable baseline data on the behavioural and biological risk factors of NCDs in the Sultanate of Oman. Methods A cross‐sectional community‐based survey designed to be nationally representative of the Sultanate of Oman was conducted based on the WHO STEPwise approach to Surveillance (STEPS). Multi-stage stratified random sampling according to geographical distribution selected a total of 9053 households (Omani nationals and non-Omani residents). Cluster sampling was used and symmetric equal number of blocks were chosen in each governorate with 823 households chosen from each governorate and one eligible adult selected from each household randomly. The survey used demographic and behavioural information questionnaires along with physical and biochemical measurements among adults aged 18 years and above. Results The prevalence of behavioural risk factors such as tobacco use was 9%, alcohol consumption was 2%, insufficient fruit or vegetable intake was 61%, and insufficient physical activity was 39%. The prevalence of biological risk factors such as overweight and obesity was 66%, raised blood pressure was 33%, raised blood glucose was 16%, and raised blood cholesterol was 36%. The prevalence of multiple risk factors was also determined and 95% of the population were found to have more than one risk factor. Three or more risk factors were found among 33% of population aged 18 years and above and 45% of the population aged 45 years and above. Conclusions These findings are important to support the formulation and implementation of NCD-related policies and action plans that improve health status and prevent mortality due to NCDs in the Sultanate of Oman.


2021 ◽  
Vol 25 (111) ◽  
pp. 174-182
Author(s):  
Walter Adalberto Gonzalez Garcia ◽  
Andrea Michelle Prado Matamoros ◽  
Karla Gisella Velasquez Paccha ◽  
Fanny Concepcion Suarez Camacho

The cardiometabolic risk describes the probabilities of a person to suffer a heart or blood vessels damages. Hence the relevance of determining this type of risk in the students of the Nutrition and Dietetics career of the Technical University of Babahoyo. For this purpose, indicators such as waist circumference, waist/height formula, sex, body mass index, waist-height index ICE, physical activity and inductive-deductive method were measured in a population of 100 students. It was found that the predominant nutritional status in female students is overweight and obesity. This indicates that 29% of female students have an increased cardiovascular risk. With regard to cardiometabolic risk, it was determined that female students had a rate of 36%, compared with male students with 11%. Keywords: cardiometabolic risk factors, overweight, obesity. References [1]Organización Mundial de la Salud, «www.who.int. Non communicable diseases,» 2018. [Online]. Available: https://www.who.int/es/news-room/fact-sheets/detail/non-communicable-diseases. [Last access: August 25, 2021]. [2]J. Maldonado, C. Carranza, M. Ortiz, C. Gómez and N.Cortés, «Prevalencia de factores de riesgo caardiometabólico en estudiantes de la Universidad de la región centroocidental en la Universidad Michoacana San Nicolás de Hidalgo. México,» SCIELO, vol. 24, nº 2, pp. 78-86, 2013. [3]M. Morales, «Influence of phisical activity and nutritional habits on the risk of metabolic syndrome,» SCIELO, vol. 6, 2016. [4]G. Morales, T. Castillo, S. Muñoz, C. Belma, A. Soto, I. Schifferli and F. Guillén, «Asociación entre factores de riesgo cardiometabólicos, actividad física y sedentarismo, » Nutrición Hospitalaria, vol. 34, nº 6, pp. 1345-1352, 2017. [5]Organización Mundial de la Salud, «Obesidad y sobrepeso,» 2021. [Online]. Available: https://www.who.int/es/news-room/fact-sheets/detail/obesity-and-overweight. [Last access: August 29, 2021]. [6]G. Bray, G. Fruhbeck, D. Ryan and J. Wilding, «Management of obesity,» Lancet, vol. 387, nº 7, pp. 1847-1956, 2016. [7]A. Caicedo Paliz, A. León Fierro and K. Zambrano Llaguno, Protocolo de diagnóstico y manejo multidisciplinario de pacientes con sobrepeso y obesidad en la consulta ambulatoria, Quito: Universidad San Francisco de Quito, 2021. [8]INEC, «Encuesta Nacional de Salud y Nutrición (ENSANUT),» INEC, Quito, 2018. [9]N. Britto Núñez and R. Alcázar Carett, «Obesidad y riesgo cardiometabólico. Revisión.,» CIMEL, vol. 16, nº 2, pp. 106-113, 2011. [10]J. Vandervelde, H. Savelberg, N. Schaper and A. Koster, «Moderate activity and fitness not sedentary time are independently associated with cardiometabolic risks in US adults aged 18-49,» Environ Resident Public Health, vol. 12, pp. 2330-2343, 2015. [11]V. Carson and I. Janssen, «Volume, patterns and types of sedentary behavior and cardiometabolic health children and adolescents: a cross sectional study,» BMC Public Health, vol. 186, pp. 186-195, 2011. [12] T. Rendo Urteaga, A. De Moraes, T. Callesse y T. Marrios, «The combined effect of physical activity and sedentary behaviors on a clustered cardiometabolic risks score. The Helena Study,» Internal Cardiology, vol. 186, pp. 186-195, 2015. [13]R. Monroy Torres, C. Aguiklera Juarez and J. Nares, «Riesgo cardiometabólico en adolescentes con y sin obesidad: variables metabólicas, nutricionales y consumo de refresco,» revista Mexicana de trastornos Alimentarios, vol. 9, nº 1, pp. 24-33, 2018. [14]OMS, «estrategia Mundial sobre el régimen alimentario, actividad física y salud,» 2017. [Online]. Available: https://www.who.int/diethysicactivity/pa/es.[Last access: August 30, 2021]. [15]A. Alvarado Sánchez, A. González Yebra and M. Macías, «Correlaciones de factores de riesgo cardiometabólicio e hipoactividad con indice corporal y circunferencia de cintura en trabajadores del sector cuero y calzado de la ciudad de León,» Jóvenes en la ciencia, vol. 3, nº 2, pp. 1-5, 2017. [16]SEEDO, «Consenso SEEDO para la evaluación del sobrepeso y la obesidad. Revista Española de Obesidad, » 2007. [Online]. Available: https://www.seedo.es/images/site/documentacionConsenso/Consenso_SEEDO_2007 pdf. [Last access: August 21, 2021].


PLoS ONE ◽  
2021 ◽  
Vol 16 (10) ◽  
pp. e0259239
Author(s):  
Adhra Al-Mawali ◽  
Sathish Kumar Jayapal ◽  
Magdi Morsi ◽  
Waleed Al-Shekaili ◽  
Avinash Daniel Pinto ◽  
...  

Background Non-communicable diseases (NCD) represent a major public health issue and currently cause 185.75 deaths per 100,000 population in Oman. Hence, there is a need for comprehensive, up-to-date and internationally comparable data on NCD risk factors in order to evaluate the effectiveness of ongoing public health policies and to develop further NCD prevention and control interventions. The aim of the study was to provide evidence-based, up-to-date, extensive, and reliable baseline data on the behavioural and biological risk factors of NCDs in the Sultanate of Oman. Methods A cross‐sectional, prospective, observational community‐based survey designed to be nationally representative of the Sultanate of Oman was conducted based on the WHO STEPwise approach to Surveillance (STEPS). Multi-stage stratified random sampling according to geographical distribution selected a total of 9053 households (Omani nationals and non-Omani residents). Cluster sampling was used to randomly select equal clusters from each governorate. 823 households were randomly selected from the list of all households in all selected clusters from each governorate and one eligible adult selected from each household randomly accounting for 6582 consenting participants. The survey used demographic and behavioural information questionnaires along with physical and biochemical measurements among adults aged 18 years and above. Results The prevalence of behavioural risk factors such as tobacco use was 9%, alcohol consumption was 2%, insufficient fruit or vegetable intake was 61%, and insufficient physical activity was 39%. The prevalence of biological risk factors such as overweight and obesity was 66%, raised blood pressure was 33%, raised blood glucose was 16%, and raised blood cholesterol was 36%. The prevalence of multiple risk factors was also determined and 95% of the population were found to have more than one risk factor. Three or more risk factors were found among 33% of population aged 18 years and above and 45% of the population aged 45 years and above. Conclusion A high prevalence of various NCD risk factors was found which needs to be addressed through health promotion, education, and policy. The findings are important to support the formulation and implementation of NCD-related policies and action plans that improve health status and prevent mortality due to NCDs in Oman.


Author(s):  
B. Radhika ◽  
H. N. Vrushabhendra ◽  
R. Surendar ◽  
S. Arthi

Background: Adolescence is the age where the influence of marketing world is high and choice of right food and exercise becomes hurdled. The World Health Organization alarm on increasing NCDs among adolescents ratifies the need for appropriate intervention at this age group. The objective of the study was to find out the association between diet and physical activity with body mass index (BMI) among dental students in Puducherry.Methods: A cross-sectional study was conducted in October 2016 among 85 dental students of Sri Venkateshwaraa Dental College, Puducherry. A self administered semi structured questionnaire was used to collect information about diet and physical activity. Height and weight were measured for all participants to compute BMI.Results: The mean age of the study participants was 19.32 ± 0.6 yrs. Majority of them were females (76.5%). About 33% of students had normal BMI. Junk food consumption was 91.8% and 65% had habit of skipping meals. Only 38% of the students were doing regular physical activity. A significant association between calorie and protein intake with BMI categories viz: underweight, normal, overweight and obesity was observed (p<0.001). There was a significant association (OR=18.4, 95%CI-6.1, 54.6) between excess calorie intake and BMI but not between physical activity and BMI (OR=1.2, 95% CI-0.5, 3).Conclusions: Improper dietary habits including high calorie/protein intake was associated with increased BMI among the dental students. The role of regular physical activity alone as a single factor influencing variations in BMI among the students could not be established in the study.


Author(s):  
Mohammad Sediq Sahrai ◽  
Inge Huybrechts ◽  
Carine Biessy ◽  
Sabina Rinaldi ◽  
Pietro Ferrari ◽  
...  

Abstract Background Non-communicable diseases (NCDs) cause more than 70% of deaths worldwide and share modifiable risk factors including obesity and metabolic abnormalities. Over the past 15 years, many changes in lifestyle, dietary patterns, physical activity, and socioeconomic status have been observed in the Afghan population. This study aims to investigate which specific lifestyle factors, dietary patterns, and characteristics of Westernization are associated with an increased risk of being overweight or obese and with poor metabolic health in the Afghan population. Methods A population-based cross-sectional study was conducted where a total of 729 male and female participants were recruited. Face-to-face interviews and anthropometric measurements were conducted by trained health staff using standardized questionnaires which included information on socio-demographic and housing characteristics, income, occupation, ethnicity, personal and family medical history, stress, anthropometry, diet, and physical activity. Bioelectric impedance analysis (BIA) was used to estimate body composition, including overall body fatness. Physical activity was measured using the short version of the International Physical Activity Questionnaire (IPAQ). For a comprehensive assessment of dietary intake, a food-frequency questionnaire (FFQ) specific to the Afghan population was developed which included all local food items relevant to the population. Lipid profile and fasting glucose were measured in a local laboratory. Biospecimens were collected using dried blood spots (DBS) and dried stool cards to perform microbiome and biomarker-based research. Discussion This is the first study which will assess dietary patterns, lifestyle factors, and their association with obesity and metabolic health in Afghanistan. Such a study will aid the development of dietary and lifestyle guidelines in Afghanistan which will promote better health and educate people to make healthy food choices. The findings will also help in designing and implementing effective public health strategies to promote a healthy lifestyle and prevent the epidemic of overweight and obesity, and, hence, reduce the burden of non-communicable diseases in the region.


2020 ◽  
Author(s):  
Adhra Al-Mawali ◽  
Sathish Kumar Jayapal ◽  
Magdi Morsi ◽  
Waleed Al-Shekaili ◽  
Avinash Daniel Pinto ◽  
...  

Abstract Background Non-Communicable Diseases (NCD) represent a major public health issue and currently are the cause of 71% of deaths globally and 72% deaths in Oman. Hence, there is a need for comprehensive, up-to-date and internationally comparable data on NCD risk factors in order to evaluate the effectiveness of ongoing public health policies and to develop further NCD prevention and control interventions. The aim of the study was to provide evidence-based, up-to-date, extensive, and reliable baseline data on the behavioural and biological risk factors of NCDs in the Sultanate of Oman. Methods A cross‐sectional community‐based survey designed to be nationally representative of the Sultanate of Oman was conducted based on the WHO STEPwise approach to Surveillance (STEPS). Multi-stage stratified random sampling according to geographical distribution selected a total of 9053 households (Omani nationals and non-Omani residents). Cluster sampling was used and symmetric equal number of blocks were chosen in each governorate with 823 households chosen from each governorate and one eligible adult selected from each household randomly. The survey used demographic and behavioural information questionnaires along with physical and biochemical measurements among adults aged 18 years and above. Results The prevalence of behavioural risk factors such as tobacco use was 9%, alcohol consumption was 2%, insufficient fruit or vegetable intake was 61%, and insufficient physical activity was 39%. The prevalence of biological risk factors such as overweight and obesity was 66%, raised blood pressure was 33%, raised blood glucose was 16%, and raised blood cholesterol was 36%. The prevalence of multiple risk factors was also determined and 95% of the population were found to have more than one risk factor. Three or more risk factors were found among 33% of population aged 18-69 years and 45% of the population aged 45 years. Conclusions These findings are important to support the formulation and implementation of NCD-related policies and action plans that improve health status and prevent mortality due to NCDs in the Sultanate of Oman.


Author(s):  
Quratul Ain Arifa ◽  
Dinesh Kumar ◽  
Nadeema Rafiq ◽  
Tauseef Nabi

Background: Childhood obesity has reached epidemic proportions in developed countries and developing countries are not far behind. This has profound public health consequence as it increases risk of persistent obesity and its complications. Changes in social and physical environment over past years have adversely influenced eating and physical activity behaviour including attitudes and behaviour of parents. The objectives of the study were to assess and compare magnitude of overweight/obesity and its association with dietary and physical activity behaviour.Methods: This cross sectional community based study was conducted in school going children of both sex aged 6-14 years in rural and urban areas of Jammu. Children were assessed for their dietary intake and dietary habits using new USDA multiple pass recall method. Physical activity was assessed using modified global physical activity questionnaire (version 2) and expressed in MET-min/day in different domains. Following anthropometric assessment BMI percentiles were obtained from WHO age and gender specific BMI charts.Results: Of 230 children studied overall overweight/obesity observed was 8.2%. More females than males were overweight and obese. Overweight and obesity was more in urban than rural areas (males: 7.4% vs. 3%, females: 16.9% vs 6.6%). Excess calorie intake, consumption of fast foods, carbonated drinks, food from school canteen and low physical activity were significantly associated with overweight and obesity.Conclusions: Unhealthy dietary practices and low physical activity significantly contribute to obesity in children and adolescents. Health and nutritional education to them and their parents along with facilities for participation in sports and physical education would help tackle the problem. 


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