Adolescent Obesity – Emerging Public Health Problem of 21st Century

Authors

  • Angeline Grace G Department of Community Medicine, Sree Balaji Medical College and Hospital, Chennai
  • Shanthi Edward Department of Community Medicine, Sree Balaji Medical College and Hospital, Chennai
  • Gopalakrishnan S Department of Community Medicine, Sree Balaji Medical College and Hospital, Chennai

DOI:

https://doi.org/10.5455/njcm.20211020091723

Keywords:

Overweight, health impact, obesity, childhood

Abstract

Many Countries struggle to tackle the consequences of under nutrition and infectious diseases. At the same time, they are also now showing a rapid increase in non-communicable diseases and their risk factors like obesity and overweight, especially in urban areas. In the present era, it is quite common to find co-existence of under nutrition and obesity within a country, within a community and even within a household. Children living in developing and under-developed countries are more susceptible to poor nutrition during antenatal period, infancy and childhood. On the contrary, children also have easy access to food products with increased salt and fat percentage, decreased levels of micro nutrients and more junk calories. The synergistic effects of high calorie intake and low physical activity lead to increase in prevalence of childhood overweight and obesity. This article discusses about the aetiology, epidemiology and determinants of adolescent obesity.

References

Definitions, Classification, and Epidemiology of Obesity Endotext - NCBI Bookshelf [Internet]. [cited 2021 Aug 14]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK279167.

World Health Organisation. Obesity and overweight [Internet]. WHO. [cited 2021 Feb 10]. Available from: http://www.who. int/mediacentre/factsheets/fs311/en/

World Health Organisation. Controlling the global obesity epidemic [Internet]. [cited 2021 June 6]. Available from: https:// www.who.int/nutrition/topics/obesity/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.

World Health Organisation. Child health [Internet]. [cited 2021 May 14]. Available from: https://www.who.int/mater-nal_child_adolescent /child/en/.

Sahoo K, Sahoo B, Choudhury AK, Sofi NY, Kumar R, Bhadoria AS. Childhood obesity: causes and consequences. J Fam Med Prim Care. 2015;4(2):187–92.

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/

Mozaffari H, Nabaei B. Obesity and related risk factors. Indian J Pediatr. 2007;74(3):265-7.

Park K. Non-Communicable Diseases. In: Park’s Textbook of Preventive and Social Medicine; 25th edn. Jabalpur; M/s Banarsidas Bhanot Publishers: 2019. p426-30.

Kotecha PV, Patel S, Mazumdar VS, Baxi RK, Misra S, KG M. Identification and ranking of problems perceived among ur-ban school going adolescents in Vadodara in India. Indian J Clin Pr. 2011;21:555–65.

Bull NL. Dietary habits, food consumption, and nutrient intake during adolescence. J Adolesc Health. 1992;13(5):384–8.

Anderson PM, Butcher KF, Levine PB. Economic perspectives on childhood obesity. Econ Perspect. 2003;27:30–48.

Whitaker RC, Wright JA, Pepe MS, Seidel KD, Dietz WH. Pre-dicting obesity in young adulthood from childhood and parental obesity. N Engl J Med. 1997;337(13):869–73.

Anderson PM, Butcher KE. Childhood obesity: trends and po-tential causes. Future Child. 2006;16(1):19–45.

Chou S-Y, Grossman M, Saffer H. An economic analysis of adult obesity: results from the Behavioral Risk Factor Surveillance System. J Health Econ. 2004;23(3):565–87.

Lakdawalla D, Philipson T. The Growth of Obesity and Technological Change. Econ Hum Biol. 2009;7(3):283–93.

Philipson TJ, Posner RA. The Long-Run Growth in Obesity as a Function of Technological Change [Internet]. National Bureau of Economic Research; 1999. Available from: http://www. nber.org/papers/w7423

Shaili Vyas, Deepshikha, Rakesh Kakkar. Adolescent Health. In: IAPSM’s Textbook of Community Medicine; 1st edn. New Delhi; Jaypee Brothers Medical Publishers (P) Ltd: 2019. p757-59.

Raj M, Kumar RK. Obesity in children & adolescents. Indian J Med Res. 2010;132(5):598–607.

World Health Organisation. Country statistics [Internet]. [cited 2021 Aug 2]. Available from: http://www.who.int/gho/ countries/en/.

Marie NG, Fleming T, Robinson M, Thomson B, Graetz N, Margono C. Global, regional, and national prevalence of over-weight and obesity in children and adults during 1980-2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet. 2014;384(9945):766–81.

Prevalence and Etiology of Obesity - An Overview [Internet]. [cited 2021 Jul 18]. Available from: https://scialert.net/ab-stract/?doi=pjn.2004.14.25

Kelishadi R, Pour MH, Sarraf‐Zadegan N, Sadry G, Ansari R, Alikhassy H, et al. Obesity and associated modifiable environ-mental factors in Iranian adolescents: Isfahan Healthy Heart Program - Heart Health Promotion from Childhood. Pediatr Int. 2003;45(4):435-42.

Rizzo NS, Ruiz O JR, L V, T S, M. Associations between physical activity, body fat, and insulin resistance (homeostasis model assessment) in adolescents: the European Youth Heart Study. Am J Clin Nutr. 2008;87(3):586–92.

Rathnayake KM, Roopasingam T, Wickramasighe V. Nutritional and behavioral determinants of adolescent obesity: a case–control study in Sri Lanka. BMC Public Health. 2014; 14(1): 1291.

Proctor MH, Moore LL, Gao D, Cupples LA, Bradlee ML, Hood MY. Television viewing and change in body fat from preschool to early adolescence: The Framingham Children’s Study. Int J Obes Relat Metab Disord. 2003;27(7):82733.

Gordon-Larsen P, McMurray RG, Popkin BM. Determinants of adolescent physical activity and inactivity patterns. Pediatrics. 2000;105(6):E83.

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.

Carvalho Francescantonio Menezes, Borges Neutzling, Aguiar Carrazedo Taddei. Risk factors for overweight and obesity in adolescents of a Brazilian University: a case-control study. Nutr Hosp. 2009 Feb;24(1):17–24.

Neutzling, M.B., Taddei, J.A.A.C., Gigante, D.P. Risk factors of obesity among Brazilian adolescents: A Case-control study. Public Health Nutr. 2003;6(8):743-9.

Kumar BN, Holmboe-Ottesen G, Lien N, Wandel M. Ethnic dif-ferences in body mass index and associated factors of adoles-cents from minorities in Oslo, Norway: a cross-sectional study. Public Health Nutr. 2004;7(8):999–1008.

Sjöberg A, Hallberg L, Höglund D, Hulthén L. Meal pattern, food choice, nutrient intake and lifestyle factors in The Göteborg Adolescence Study. Eur J Clin Nutr. 2003;57(12):1569–78.

Ruxton CH, Kirk TR. Breakfast: a review of associations with measures of dietary intake, physiology and biochemistry. Br J Nutr. 1997;78(2):199–213.

Lazzeri G, Giacchi MV, Spinelli A, Pammolli A, Dalmasso P, Nardone P. Overweight among students aged 11-15 years and its relationship with breakfast, area of residence and parents’ education: results from the Italian HBSC 2010 cross-sectional study. Nutr J. 2014;13:69.

Kruger R, Kruger HS, Macintyre UE. The determinants of overweight and obesity among 10- to 15-year-old schoolchil-dren in the North West Province, South Africa - the THUSA BANA (Transition and Health during Urbanisation of South Africans. BANA;

Mukhra R, Kaur T, Krishan K, Kanchan T. Overweight and Obesity: A major concern for health in India. Clin Ter. 2018; 169(5): e199-201.

National Family Health Survey (NFHS-4), 2015-16: India [In-ternet]. [cited 2021 Sep 4]. Available from: http://rchiips. org/nfhs/factsheet_NFHS-4.shtml

Khadilkar VV, Khadilkar AV, Cole TJ, Chiplonkar SA, Pandit D. Overweight and obesity prevalence and body mass index trends in Indian children. Int J PediatrObes. 2011;6(2):e216-224.

Kapil U, Singh P, Pathak P, Dwivedi SN, Bhasin S. Prevalence of obesity amongst affluent adolescent school children in delhi. Indian Pediatr. 2002;39(5):449–52.

Kaur S, Sachdev HPS, Dwivedi SN, Lakshmy R, Kapil U. Preva-lence of overweight and obesity amongst school children in Delhi, India. Asia Pac J Clin Nutr. 2008;17(4):592–6.

Gautam S, Jeong H-S. Childhood Obesity and Its Associated Factors among School Children in Udupi, Karnataka, India. J Lifestyle Med. 2019;9(1):27–35.

Wang Y, Chen H-J, Shaikh S, Mathur P. Is obesity becoming a public health problem in India? Examine the shift from under- to overnutrition problems over time. J Int Assoc Study Obes. 2009;10(4):456–74.

Kotian MS, S GK, Kotian SS. Prevalence and Determinants of Overweight and Obesity Among Adolescent School Children of South Karnataka, India. Indian J Community Med. 2010; 35(1): 176–8.

Arifa QA, Kumar D, Rafiq N, Nabi T. Association of overweight and obesity with dietary and physical activity behaviour among school-aged children in North India: a cross-sectional study. Int J Community Med Public Health. 2018;5:2944–51.

Goyal RK, Shah VN, Saboo BD, Phatak S SR, NN G, M.C. Preva-lence of overweight and obesity in Indian adolescent school going children: its relationship with socioeconomic status and associated lifestyle factors. J Assoc Physicians India. 2010; 58:151–8.

Panda SC. Overweight and obesity and lifestyle of urban ado-lescent school children of eastern state of India. Int J Res Med Sci. 2017;5:4770–5.

Kar S, Khandelwal B. Fast foods and physical inactivity are risk factors for obesity and hypertension among adolescent school children in east district of Sikkim, India. J Nat Sci Biol Med. 2015;6(2):356–9.

Misra A, Shah P, Goel K, Hazra DK, Gupta R, Seth P. The high burden of obesity and abdominal obesity in urban Indian schoolchildren: A multicentric study of 38,296 children. Ann Nutr Metab. 2011;58(3):203–11.

Vohra R, Bhardwaj P, Srivastava JP, Srivastava S, Vohra A. Overweight and obesity among school-going children of Lucknow city. J Fam Community Med. 2011;18(2):59–62.

Kumar S, K MD, S AM. Prevalence of obesity and its influencing factor among affluent school children of Davangere city. Indian J Community Med. 2007;32:15–7.

Goyal JP, Kumar N, Parmar I, Shah VB, Patel B. Determinants of Overweight and Obesity in Affluent Adolescent in Surat City, South Gujarat region, India. Indian J Community Med. 2011;36(4):296–300.

National Family Health Survey (NFHS-4) India 2015-16 State report for Tamilnadu [Internet]. [cited 2018 Feb 19]. Available from: http://rchiips.org/NFHS/NFHS-4Report.shtml

Kowsalya T, Parimalavalli R. Prevalence of overweight/obesity among adolescents in urban and rural areas of Salem, India. J Obes Metab Res. 2014;1:152–5.

Suganthi V, Arunthathi A, Nayana T. Prevalence of obesity in school children aged 11-15 years in western district of Tamil Nadu. Int J Pediatr Res. 2017;4(12):727–32.

Jagadesan S, Harish R, Miranda P, Unnikrishnan R, Anjana RM, Mohan V. Prevalence of overweight and obesity among school children and adolescents in Chennai. Indian Pediatr. 2014;51(7):544–9.

Sonya J, Ranjani H, Pradeepa R, Mohan V. Obesity Reduction and Awareness and Screening of Noncommunicable Diseases through Group Education in Children and Adolescents (ORANGE): Methodology Paper (ORANGE-1. J Diabetes Sci Technol. 2010;4(5):1256–64.

Shabana T VV. Impact of Socioeconomic Status on Prevalence of Overweight and Obesity among Children and Adolescents in Urban India. Open Obes J. 2009;1:9–14.

Rexlin G, Sivakumar E, Rajkumar D, Nagendran M. Prevalence of obesity among school children in Madurai. Int J Cur Res Rev. 2016;8(22):31–6.

Danasekaran R, Ranganathan K. Prevalence of overweight and obesity among rural adolescent school students in Kanchipuram district, Tamil Nadu. Int J Community Med Pub-lic Health. 2019;6:173–6.

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Published

2022-01-31

How to Cite

1.
Grace G A, Edward S, S G. Adolescent Obesity – Emerging Public Health Problem of 21st Century. Natl J Community Med [Internet]. 2022 Jan. 31 [cited 2024 Mar. 28];13(01):43-8. Available from: https://njcmindia.com/index.php/file/article/view/57

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Review Articles