Prevalence of overweight and obesity amongst adolescents and identification of risk factors

Authors

  • Kirti Choudhary Department of Pediatrics Medicine, SMS Medical College, Jaipur, Rajasthan, India
  • Priyanshu Mathur Department of Pediatrics Medicine, SMS Medical College, Jaipur, Rajasthan, India
  • Manisha Garg Department of Pediatrics Medicine, SMS Medical College, Jaipur, Rajasthan, India
  • P. P. Gupta Mahatma Gandhi Medical College, Jaipur, Rajasthan, India

DOI:

https://doi.org/10.18203/2349-3291.ijcp20171729

Keywords:

Adolescent, Fast foods, Obesity, Overweight, Physical activity

Abstract

Background: Childhood overweight and obesity are global nutritional concerns that are on the rise. These are among the most prevalent nutritional problems in the developed and developing countries and are associated with increased consumption of processed and fast foods, dependence on television and computers for leisure and less physically active lifestyle.

Methods: The study has been conducted in the Department of Pediatric of Mahatma Gandhi Medical College of Mahatma Gandhi University of Medical Sciences and Technology, Jaipur. The study was a cross sectional analytical study conducted in schools of Jaipur. This study was done from August 2011 to November 2011 and 180 patients of aged between 10 to 18 years of age were enrolled.

Results: In this study, we found the prevalence of overweight to be 32.65 percent in males and 34.15 percent in females. It was seen that 33.67 percent males and 32.93 percent females belonged to the obese category. It was seen that majority of overweight (65 percent) and obese (73.33 percent) adolescents lead a physically inactive lifestyle. None of the overweight and obese adolescents were involved in physical activity for more than an hour. The observation was significant (p=0.000). Most of the overweight and obese adolescents had appropriate diet. However, 11 of the overweight and 27 among adolescents consumed calories more than the requirement. This observation was found to be significant (p=0.000). Out of 149 adolescents consuming fast food, 59 were overweight and 51 were obese. This observation was found to be significant (P=0.015).

Conclusions: The prevalence of overweight was 32 percent in boys and 34 percent in girls and the prevalence obesity was 33 percent in boys and 32 percent in the girls. There was no significant difference in overweight and obesity between boys and girls. Hours of physical activity, diet, consumption of fast food had a significant association with B.M.I. It was, therefore, concluded that reduced physical activity for less than 1 hour for less than 3 days a week, increased caloric intake and increased consumption of fast food have a significant association with BMI.

References

World Health Organization. Preventing Chronic Diseases: A Vital Investment. World Global Report. Geneva: World Health Organization; 2005.

Barlow SE, Dietz WH. Obesity evaluation and treatment: Expert Committee Recommendation. The Maternal and Child Health Bureau, Health Resources and Services Administration and the Department of Health and Human Services, Pediatr 1998;102:29.

Li X, Li S, Ulusoy E, Chen W, Srinivasan SR, Berenzon GS. Childhood adiposity as a predictor of cardiac mass in adulthood: The Bogalusa Heart Study, Circulation. 2004;110:3488-92.

Nanda K. NASH in children. Pediatr Transplant 2004;8:613-18.

Tanner JM. Fetus into Man: Physical Growth from Conception to Maturity, New York, Wells, Open Book Publishing Limited. 1978;22-36.

Organisation 1999 (WHO Technical Report Series N.886) WHO. Broadening the horizon: Balancing protection and risk for adolescents. World Health Organization. Geneva; 2001.

Raina N, Nayar P, Mehta R. Adolescent Health and Development. In Ghai Essential Pediatrics (Eds.) (Ghai OP, Paul VK, Bagga A) 7ed; 2009:42.

WHO Monica Project: Risk factor. Int J. Epidemiol, 1989;18:46-55.

Who Consultation on obesity. Special issues in the management of obesity in children and adolescence. In obesity Preventing and managing the global epidemiol, World Health Organisation, Geneva; 1998;231-47.

Troiana RP, Fugal KM, Kuezmarski RJ, Campbell SM, Johnson CL. Overweight prevalence and trends for children adolescent. The National Health and Nutrition Examination Surveys 1966-2000. Arch Pediatr. Adolesc Med. 1995;149:1005-9.

Kaur S, Kapil U, Singh P. Pattern of chronic disease amongst adolescent obese children in developing countries. Current Science. 2005;88(7):1052-6.

Chatterjee P. India sees parallel rise in malnutrition and obesity. Lancet. 2002;360:1948.

NFHS. India 1998-1999. National Family Health Survey-2 (NFHS-2) Nutrition and the prevalence of anaemia. International Institute for Population Sciences, Mumbai; 2000.

French, SA, Story, M, Perry, CL. Self-esteem and obesity in children and adolescents: A literature review. Obesity Res. 1995;3:479-90.

Kissebah, AH and Peiris AN. Biology of regional body fat distribution. Relationship of non-insulin dependent mellitus. Diab/Metabol Rev. 1989;5:83-109.

WHO Technical Report Series 894. Obesity: Preventing and Man-aging the Global Epidemic, World Health Organization; 2000.

Dunaif, A. Polycystic ovary syndrome and obesity. In Obesity (edsBjorntorp, P. and Beodoff, B. M.) Lippincott, Philadelphia; 1992;594-604.

Loder, Randall T. The Demographics of Slipped Capital Femoral Epiphysis- An International Multicenter Study. Clin Orthopedic Rel Res 1996;322:8-27.

Dietz WH, Gross WL, Kirkpatrick JA. Blount disease (tibiavara): another skeletal disorder associated with childhood obesity. J. Pediatr. 1982, 101;735-7.

Centre for disease control and prevention. Available form, CDC 24/7.Source: www.cdc.gov/nccdphp/sgr/adol/html accessed on December 24,2011.

CDC-Youth risk behavior surveillance US-2009, MMWR. 2010;59(SS5):1-142.

Ekelund U, Yugve A, Renman C, Westertup K, Sjostrom M. Physical activity but not energy expenditure is reduced in obese adolscent: a case control study. Am J. ClinNutr. 2002;76:935-41.

Coder k, Brage S, Wright A, Ramachandran A. Physical Activity Energy Expenditure of Adolescents in India. Obesity (Silver spring) 2010; 18(11):2212-9.

Dietz WH, Gortmaker SL. Do we fatten our children at the television set? Obesity and television viewing in children and adolescents. Paediatrics. 1985;75: 807-12.

Kaushik JS, Narang M, Parekh A. Fast food consumption in children. Indian Pediatr. 2011;48; 97-101.

Singh M. Pediatric Clinical Methods. Edition. 2011; 4:21-40.

Kapil U, Singh P, Pathak P, Dwivedi SN. Prevalence of obesity amongst affluent adolescent school children. Indian Pediatr. 2001;39:449-52.

Chatwal J, Verma M, Riar SK. Obesity among preadolescent and adolescent of developing country (India). Aisa Pac J Clin Nutr. 2004;13:231-5.

Laxamaiah A, Nagalla B. Vijayaraghavan K, Nair M. Factors affecting prevalence of overweight among 12 to 17 year old urban adolescents in Hyderabad, India. Obesity. 2007;15:1384-90.

Downloads

Published

2017-06-21

Issue

Section

Original Research Articles