Skip to main content
Top
Published in: BMC Pediatrics 1/2017

Open Access 01-12-2017 | Research article

Prevalence and incidence of overweight and obesity among Vietnamese preschool children: a longitudinal cohort study

Authors: Loan Minh Do, Toan Khanh Tran, Bo Eriksson, Max Petzold, Henry Ascher

Published in: BMC Pediatrics | Issue 1/2017

Login to get access

Abstract

Background

A plateau in childhood overweight and obesity has been reported in some developed countries while in almost all developing countries this problem is on the rise. The aim of this paper is to describe the changes in prevalence of overweight and obesity within a cohort of preschool children followed for 3 years, and to estimate and compare the incidences in urban and rural children of Hanoi, Vietnam.

Methods

A longitudinal study of a cohort of 2677 children aged 3 to 6 years old at the beginning of the study was conducted in urban DodaLab and rural FilaBavi, Hanoi, Vietnam. Overall, 2602 children, 1311 urban and 1291 rural, were followed for 3 years with identical measurements of weight and height in 2013, 2014 and 2016. Standard methods were used to estimate prevalence and incidence as well as confidence intervals.

Results

During the three-year follow-up, the overall estimated prevalence of overweight increased from 9.1% to 16.7%. For the urban children, the increase was considerably higher. The overall prevalence of obesity decreased from 6.4% to 4.5% with less decrease in the urban children. In the group of children who were overweight and obese at the start of the study, 41.4% and 30.7%, respectively, remained in the same state three years later. The incidence of overweight and obesity during the three years were 12.4% and 2.7%, respectively. Boys were more likely to develop obesity than girls.

Conclusions

Already in preschool age, the prevalence of overweight is high and it continues to increase with age, especially in the urban area. Prevention and intervention programs need to start at early preschool age and actions in urban areas deserve priority.
Literature
1.
go back to reference Magarey AM, Daniels LA, Boulton TJ. Prevalence of overweight and obesity in Australian children and adolescents: reassessment of 1985 and 1995 data against new standard international definitions. Med J Aust. 2001;174(11):561–4.PubMed Magarey AM, Daniels LA, Boulton TJ. Prevalence of overweight and obesity in Australian children and adolescents: reassessment of 1985 and 1995 data against new standard international definitions. Med J Aust. 2001;174(11):561–4.PubMed
2.
go back to reference Kautiainen K, Rimpela A, Vikat A, Virtanen SM. Secular trends in overweight and obesity among Finnish adolescents in 1977-1999. Int J Obes. 2002;26:544–52.CrossRef Kautiainen K, Rimpela A, Vikat A, Virtanen SM. Secular trends in overweight and obesity among Finnish adolescents in 1977-1999. Int J Obes. 2002;26:544–52.CrossRef
3.
go back to reference Wang Y, Lobstein T. Worldwide trends in childhood overweight and obesity. Int J Pediatr Obes. 2006;1:11–25.CrossRefPubMed Wang Y, Lobstein T. Worldwide trends in childhood overweight and obesity. Int J Pediatr Obes. 2006;1:11–25.CrossRefPubMed
4.
go back to reference Ebbeling CB, Pawlak DB, Ludwig DS. Childhood obesity: public-health crisis, common sense cure. Lancet. 2002;360(9331):473–82.CrossRefPubMed Ebbeling CB, Pawlak DB, Ludwig DS. Childhood obesity: public-health crisis, common sense cure. Lancet. 2002;360(9331):473–82.CrossRefPubMed
5.
go back to reference von Hippel PT, Nahhas RW. Extending the history of child obesity in the United States: the Fels longitudinal study, birth years 1930 to 1993. Obesity (Silver Spring). 2013;21(10):2153–6.CrossRef von Hippel PT, Nahhas RW. Extending the history of child obesity in the United States: the Fels longitudinal study, birth years 1930 to 1993. Obesity (Silver Spring). 2013;21(10):2153–6.CrossRef
7.
go back to reference Ogden CL, Carrol M, Curtin LR, Lamb MM, Flegal KM. Prevalence of high Body Mass Index in US children and adolescents, 2007-2008. JAMA. 2010;303(3):242–9.CrossRefPubMed Ogden CL, Carrol M, Curtin LR, Lamb MM, Flegal KM. Prevalence of high Body Mass Index in US children and adolescents, 2007-2008. JAMA. 2010;303(3):242–9.CrossRefPubMed
8.
go back to reference O'Dea JA, Nguyen Hoang TDH, Dibley MJ. Plateau in obesity and overweight in a cross sectional study of low, middle and high socioeconomic status schoolchildren between 2004 and 2009. Int J Public Health. 2011;56:663–7.CrossRefPubMed O'Dea JA, Nguyen Hoang TDH, Dibley MJ. Plateau in obesity and overweight in a cross sectional study of low, middle and high socioeconomic status schoolchildren between 2004 and 2009. Int J Public Health. 2011;56:663–7.CrossRefPubMed
9.
go back to reference Mazur A, Klimek K. Ten-year secular trend of overweight and obesity in school children in south-eastern Poland. Annal of Argicultural and Environmental Medicine. 2014;21(3):634–8.CrossRef Mazur A, Klimek K. Ten-year secular trend of overweight and obesity in school children in south-eastern Poland. Annal of Argicultural and Environmental Medicine. 2014;21(3):634–8.CrossRef
10.
go back to reference Olds T, Maher C, Zumin S, Peneau S, Lioret S, Castetbon K, et al. Evidence that the prevalence of childhood overweight is plateauing: data from nine countries. Int J Pediatr Obes. 2011;6:342–60.CrossRefPubMed Olds T, Maher C, Zumin S, Peneau S, Lioret S, Castetbon K, et al. Evidence that the prevalence of childhood overweight is plateauing: data from nine countries. Int J Pediatr Obes. 2011;6:342–60.CrossRefPubMed
12.
go back to reference de Onis M, Blossner M, Borghi E. Global prevalence and trends of overweight and obesity among preschool children. Am J Clin Nutr. 2010;92:1257–64.CrossRefPubMed de Onis M, Blossner M, Borghi E. Global prevalence and trends of overweight and obesity among preschool children. Am J Clin Nutr. 2010;92:1257–64.CrossRefPubMed
13.
go back to reference Popkin BM, Gordon-Larsen P. The nutrition transition: worldwide obesity dynamics and their determinants. Int J Obes Relat Metab Disord. 2004;28(Suppl 3):S2–9.CrossRefPubMed Popkin BM, Gordon-Larsen P. The nutrition transition: worldwide obesity dynamics and their determinants. Int J Obes Relat Metab Disord. 2004;28(Suppl 3):S2–9.CrossRefPubMed
14.
go back to reference Gupta N, Goel K, Shah P, Misra A. Chilhood obesity in developing countries: epidemiology, determinants, and prevention. Endocr Rev. 2012;33(1):48–70.CrossRefPubMed Gupta N, Goel K, Shah P, Misra A. Chilhood obesity in developing countries: epidemiology, determinants, and prevention. Endocr Rev. 2012;33(1):48–70.CrossRefPubMed
15.
go back to reference Nguyen CK, Ha HK. Double burden of malnutrition: the Vietnamese perspective. Asia Pac J Clin Nutr. 2008;17(S1):116–8. Nguyen CK, Ha HK. Double burden of malnutrition: the Vietnamese perspective. Asia Pac J Clin Nutr. 2008;17(S1):116–8.
16.
go back to reference General Statistics Office. Socio-economic situation of Vietnam from 2001–2010. Part I -Overview of Socio-economic situation in Vietnam from 2001–2010 Hanoi: Statistical publisher; 2011. p. 8–9. General Statistics Office. Socio-economic situation of Vietnam from 2001–2010. Part I -Overview of Socio-economic situation in Vietnam from 2001–2010 Hanoi: Statistical publisher; 2011. p. 8–9.
17.
go back to reference Trang NHHD, Hong TK, Dibley MJ. Cohort profile: Ho Chi Minh City youth cohort—changes in diet, physical activity, sedentary behaviour and relationship with overweight/obesity in adolescents. BMJ Open. 2012;2:e000362.CrossRefPubMedPubMedCentral Trang NHHD, Hong TK, Dibley MJ. Cohort profile: Ho Chi Minh City youth cohort—changes in diet, physical activity, sedentary behaviour and relationship with overweight/obesity in adolescents. BMJ Open. 2012;2:e000362.CrossRefPubMedPubMedCentral
19.
go back to reference Hong TK, Trang NHHD, Dibley MJ. Changes in adiposity indicators of Ho Chi Minh City adolescents in a 5-year prospective cohort study. Int J Obes. 2013;37:1261–7.CrossRef Hong TK, Trang NHHD, Dibley MJ. Changes in adiposity indicators of Ho Chi Minh City adolescents in a 5-year prospective cohort study. Int J Obes. 2013;37:1261–7.CrossRef
20.
go back to reference Do LM, Tran KT, Eriksson B, Petzold M, Nguyen CT, Ascher H. Preschool overweight and obesity in urban and rural Vietnam: Differences in prevalence and associated factors. Global Health Act. 2015;8:28615.CrossRef Do LM, Tran KT, Eriksson B, Petzold M, Nguyen CT, Ascher H. Preschool overweight and obesity in urban and rural Vietnam: Differences in prevalence and associated factors. Global Health Act. 2015;8:28615.CrossRef
21.
go back to reference Tran KT, Eriksson B, Nguyen TC, Horby P, Bondjers G, Petzold M. DodaLab - an urban health and demographic surveillance site, the first three years in Hanoi, Vietnam. Scand J Public Health. 2012;40(8):765–72.CrossRefPubMed Tran KT, Eriksson B, Nguyen TC, Horby P, Bondjers G, Petzold M. DodaLab - an urban health and demographic surveillance site, the first three years in Hanoi, Vietnam. Scand J Public Health. 2012;40(8):765–72.CrossRefPubMed
22.
go back to reference Chuc TN, Diwan VK. FilaBavi, a demographic surveillance site, an epidemiological field laboratory in Vietnam. Scand J Public Health. 2003;31(62):3–7.CrossRef Chuc TN, Diwan VK. FilaBavi, a demographic surveillance site, an epidemiological field laboratory in Vietnam. Scand J Public Health. 2003;31(62):3–7.CrossRef
23.
go back to reference Cole TJ, Bellizzi MC, Flegal KM, Dietz WH. Establishing a standard definition for child overweight and obesity worldwide: international survey. BMJ. 2000;320:1–6.CrossRef Cole TJ, Bellizzi MC, Flegal KM, Dietz WH. Establishing a standard definition for child overweight and obesity worldwide: international survey. BMJ. 2000;320:1–6.CrossRef
24.
go back to reference Le Nguyen BK, Le Thi H, Nguyen Do VA, Tran Thuy N, Nguyen Huu C, Do TT, et al. Double burden of undernutrition and overnutrition in Vietnam in 2011: results of the SEANUTS study in 0·5–11-year-old children. Br J Nutr. 2013;110:s45–56.CrossRefPubMed Le Nguyen BK, Le Thi H, Nguyen Do VA, Tran Thuy N, Nguyen Huu C, Do TT, et al. Double burden of undernutrition and overnutrition in Vietnam in 2011: results of the SEANUTS study in 0·5–11-year-old children. Br J Nutr. 2013;110:s45–56.CrossRefPubMed
25.
go back to reference National Institute of Nutrition, UNICEF. General Nutrition Survey. Part D -findings and discussions. Hanoi: Medical Publising House. 2009-2010;2010:49–50. National Institute of Nutrition, UNICEF. General Nutrition Survey. Part D -findings and discussions. Hanoi: Medical Publising House. 2009-2010;2010:49–50.
26.
go back to reference Dang VC, Day SR, Selwyn B, Maldonado MY, Nguyen CK, Le DT, et al. Initiating BMI prevalence studies in Vietnamese children: changes in a transitional economy. Asia Pac J Clin Nutr. 2010;19(2):209–16.PubMed Dang VC, Day SR, Selwyn B, Maldonado MY, Nguyen CK, Le DT, et al. Initiating BMI prevalence studies in Vietnamese children: changes in a transitional economy. Asia Pac J Clin Nutr. 2010;19(2):209–16.PubMed
28.
go back to reference Dieu HTT, Dibley MJ, Sibbritt D, Hanh TTM. Trends in overweight and obesity in pre-school children in urban areas of ho chi Minh City, Vietnam, from 2002 to 2005. Public Health Nutr. 2008;12(5):702–9.CrossRefPubMed Dieu HTT, Dibley MJ, Sibbritt D, Hanh TTM. Trends in overweight and obesity in pre-school children in urban areas of ho chi Minh City, Vietnam, from 2002 to 2005. Public Health Nutr. 2008;12(5):702–9.CrossRefPubMed
31.
go back to reference Fernandes MM. A national evaluation of the impact of state policies on competitive foods in schools. J Sch Health. 2013;83(4):249–55.CrossRefPubMed Fernandes MM. A national evaluation of the impact of state policies on competitive foods in schools. J Sch Health. 2013;83(4):249–55.CrossRefPubMed
32.
go back to reference Iannotti RJ, Wang J. Trends in physical activity, sedentary behavior, diet, and BMI among US adolescents, 2001-2009. Pediatics. 2013;132(4):606–14. Iannotti RJ, Wang J. Trends in physical activity, sedentary behavior, diet, and BMI among US adolescents, 2001-2009. Pediatics. 2013;132(4):606–14.
34.
go back to reference Julia M, van Weissenbruch MM, Prawirohartono EP, Surjono A, Delemarre-van de Waal HA. Tracking for underweight, overweight and obesity from childhood to adolescents: a 5-year follow-up study in urban Indonesian children. Horm Res. 2008;69:301–9.CrossRefPubMed Julia M, van Weissenbruch MM, Prawirohartono EP, Surjono A, Delemarre-van de Waal HA. Tracking for underweight, overweight and obesity from childhood to adolescents: a 5-year follow-up study in urban Indonesian children. Horm Res. 2008;69:301–9.CrossRefPubMed
35.
go back to reference Dietz WH. Period of Risk in Childhood for the Development of Adult Obesity-What Do We Need to Learn? J Nutr. 1997;127(9):1884s–6s. Dietz WH. Period of Risk in Childhood for the Development of Adult Obesity-What Do We Need to Learn? J Nutr. 1997;127(9):1884s–6s.
36.
go back to reference WHO. Obesity: Preventing and managing the global epidemic. Report of a WHO Consultation. Geneva, Switzerland. (WHO technical report series 894). 2000;894:i-xii, 1–253. WHO. Obesity: Preventing and managing the global epidemic. Report of a WHO Consultation. Geneva, Switzerland. (WHO technical report series 894). 2000;894:i-xii, 1–253.
37.
go back to reference Dietz WH. Critical periods in childhood for the development of obesity. Am J Clin Nutr. 1994;59:955–9.PubMed Dietz WH. Critical periods in childhood for the development of obesity. Am J Clin Nutr. 1994;59:955–9.PubMed
38.
go back to reference Smaling A. Inductive, analogical, and communicative generalization. International Journal of Qualitative Methods. 2003;2(1). Smaling A. Inductive, analogical, and communicative generalization. International Journal of Qualitative Methods. 2003;2(1).
Metadata
Title
Prevalence and incidence of overweight and obesity among Vietnamese preschool children: a longitudinal cohort study
Authors
Loan Minh Do
Toan Khanh Tran
Bo Eriksson
Max Petzold
Henry Ascher
Publication date
01-12-2017
Publisher
BioMed Central
Published in
BMC Pediatrics / Issue 1/2017
Electronic ISSN: 1471-2431
DOI
https://doi.org/10.1186/s12887-017-0904-y

Other articles of this Issue 1/2017

BMC Pediatrics 1/2017 Go to the issue