A Case Control Study on Risk Factors of Obesity Among Adolescents
DOI:
https://doi.org/10.55489/njcm.130620222080Keywords:
Adolescents, obesity, risk factors, urban, school childrenAbstract
Background: Adolescence is the transition period from childhood to adulthood and adolescent obesity can lead to systemic complications affecting the quality of life in later stages. This study aimed to assess the risk factors of obesity among school children of adolescent age.
Methods: This Case control study included 110 obese and 110 non-obese adolescents between 10 and 17 years of age. Children with Body Mass Index (BMI) >+2 SD of WHO growth reference median for their age and sex were included as cases. Children with BMI between -2SD and +1SD were included as controls. Data was collected using a structured questionnaire and analyzed with SPSS software.
Results: The risk factors which showed a statistically significant association with adolescent obesity were less educated father and mother, being a single child in the family, adolescents from nuclear type of family, having an obese parent, increased waist hip ratio and lack of exclusive breastfeeding during infancy.
Conclusion: Educating children and parents on the importance of preventing obesity and harmful effects of adolescent obesity is the need of the hour. This can be done through intensive health education campaigns in community and schools, and regular reinforcement on primary preventive measures.
References
World Health Organisation. Obesity and overweight [Internet]. WHO. [cited 2021 Feb 10]. Available from: http://www.who.int/mediacentre/factsheets/fs311/en/
Swinburn BA, Sacks G, Hall KD, McPherson K, Finegood DT, Moodie ML. The global obesity pandemic: shaped by global drivers and local environments. Lancet. 2011;378(9793):804-14. https://doi.org/10.1016/S0140-6736(11)60813-1
World Health Organisation. Controlling the global obesity epidemic [Internet]. [cited 2020 Sep 4]. Available from: https://www.who.int/nutrition/topics/obesity/en/
World Health Organisation. Facts and figures on childhood obesity [Internet]. [cited 2021 May 19]. Available from: http://www.who.int/end-childhood-obesity/facts/en/
Lifshitz F, Tarim O, Smith MM. Nutrition in adolescence. Endocrinol Metab Clin. 1993;22(3):673-83. https://doi.org/10.1016/S0889-8529(18)30157-9
World Health Organization. Nutrition in adolescence: issues and challenges for the health sector. 2005 [cited 2020 Jul 10]; Available from: http://www.who.int/iris/handle/10665/43342.
Anderson PM, Butcher KE. Childhood obesity: trends and potential causes. Future Child. 2006;16(1):19-45. https://doi.org/10.1353/foc.2006.0001
World Health Organisation. Overweight and obesity [Internet]. WHO. [cited 2020 Feb 19]. Available from: http://www.who.int/gho/ncd/risk_factors/overweight_obesity/obesity_adolescents/en/
Bhuiyan MU, Zaman S, Ahmed T. Risk factors associated with overweight and obesity among urban school children and adolescents in Bangladesh: a case-control study. BMC Pediatr. 2013;13:72. https://doi.org/10.1186/1471-2431-13-72
World Health Organisation. BMI-for-age (5-19 years) [Internet]. [cited 2020 Jul 18]. Available from: http://www.who.int/growthref/who2007_bmi_for_age/en/
Giugliano R, Carneiro EC. Factors associated with obesity in school children. J Pediatr. 2004;80(1):17-22. https://doi.org/10.2223/1128
Mozaffari H, Nabaei B. Obesity and related risk factors. Indian J Pediatr. 2007;74(3):265-7. https://doi.org/10.1007/s12098-007-0041-y
Min J, Xue H, Wang VHC, Li M, Wang Y. Are single children more likely to be overweight or obese than those with siblings? The influence of China's one-child policy on childhood obesity. Prev Med. 2017;103:8-13. https://doi.org/10.1016/j.ypmed.2017.07.018
Haugaard LK, Ajslev TA, Zimmermann E, Ängquist L, Sørensen TIA. Being an Only or Last-Born Child Increases Later Risk of Obesity. PLoS ONE. 2013;8(2):e56357. https://doi.org/10.1371/journal.pone.0056357
Piryani S, Baral KP, Pradhan B, Poudyal AK, Piryani RM. Overweight and its associated risk factors among urban school adolescents in Nepal: a cross-sectional study. BMJ Open. 2016;6(5):e010335. https://doi.org/10.1136/bmjopen-2015-010335
Ahmad S, Shukla NK, Singh JV, Shukla R, Shukla M. Double burden of malnutrition among school-going adolescent girls in North India: A cross-sectional study. J Fam Med Prim Care. 2018;7:1417-24. https://doi.org/10.4103/jfmpc.jfmpc_185_18
Menezes IH, Borges Neutzling M, Taddei JA de. Risk factors for overweight and obesity in adolescents of a Brazilian University: a case-control study. Nutr Hosp. 2009;24(1):17-24.
Gibson LY, Byrne SM, Davis EA, Blair E, Jacoby P, Zubrick S. The role of family and maternal factors in childhood obesity. Med J Aust. 2007;186(11):591-5. https://doi.org/10.5694/j.1326-5377.2007.tb01061.x
Taylor RW, Jones IE, Williams SM, Goulding A. Evaluation of waist circumference, waist-to-hip ratio, and the conicity index as screening tools for high trunk fat mass, as measured by dual-energy X-ray absorptiometry, in children aged 3-19 y. Am J Clin Nutr. 2000;72(2):490-5. https://doi.org/10.1093/ajcn/72.2.490
Mohammad beigi A, Asgarian A, Moshir E, Heidari H, Afrashteh S, Khazaei S. Fast food consumption and overweight/obesity prevalence in students and its association with general and abdominal obesity. J Prev Med Hyg. 2018;59(3):E236.
Ramya HS, Goutham AS, Pragyee D. Body mass index, waist hip ratio and body fat percentage as early predictors of pre-diabetes and pre-hypertension in adolescents. Curr Pediatr Res. 2017;21(2):234-40.
World Health Organisation. Exclusive breastfeeding for optimal growth, development and health of infants [Internet]. [cited 2020 Jul 18]. Available from: http://www.who.int/elena/titles/exclusive_breastfeeding/en/
Yin J, Quinn S, Dwyer T, Ponsonby A-L, Jones G. Maternal diet, breastfeeding and adolescent body composition: a 16-year prospective study. Eur J Clin Nutr. 2012;66(12):1329-34. https://doi.org/10.1038/ejcn.2012.122
Arenz S, Rückerl R, Koletzko B, Kries R. Breast-feeding and childhood obesity - A systematic review. Int J Obes Relat Metab Disord. 2004;28(10):1247-56. https://doi.org/10.1038/sj.ijo.0802758
National Family Health Survey (NFHS-4) State report for Tamilnadu 2015-16: India [Internet]. [cited 2020 Aug 25]. Available from: http://rchiips.org/NFHS/NFHS-4Report.shtml
National Family Health Survey (NFHS-4), 2015-16: India [Internet]. [cited 2021 Sep 4]. Available from: http://rchiips.org/nfhs/factsheet_NFHS-4.shtml
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Copyright (c) 2022 Angeline Grace G, Shanthi Edward, Gopalakrishnan S
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