Abstract
Background: Once considered a high income country problem, overweight and obesity are now on the rise in low and middle income countries, particularly in urban settings. In Bangladesh, beside under nutrition over nutrition is an emerging health problem increasing steadily particularly among affluent society.
Methodology: This cross sectional study was conducted among 220 school going children aged 6 to 15 years during one-year period from February 2019 to January 2020. Children who had history of any chronic illness or were on drugs that may lead to weight gain were not included in this study. A self-administrative questionnaire was used to collect data. Health professionals took measurements of the participants' weight and height. Anthro Plus software from the World Health Organization was used to convert anthropometric data into a body mass index for age with a z-score to determine overweight and obesity. Microsoft Excel was used to enter data, which was then uploaded to SPSS version 22 for additional analysis.
Results: A simple random sample procedure was used to pick 220 school aged and adolescents between 6–15 years old for this study, with a response rate of 94.74 %. The respondents' average age was 13 years, with a standard deviation of ± 1.41. Overweight and obesity were found to be prevalent in 14% of the study population. Male children were more overweight and obese than female children. Our data suggest that, children who participated in more physical activities, such as playing typical outdoor games, were less likely to be overweight or obese, and thatadolescent group, prolonged sedentary duration and unhealthy eating behavior was linked to overweight and obesity among study population.
Conclusion: Prevalence of pediatric overweight and obesity is in increasing trend among Bangladeshi school aged children and adolescent due to a lack of adequate physical activity, high level of sedentary behavior and increased consumption of junk foods. Due to future burden of this problem various preventive strategies to combat childhood overweight and obesity need to be adopted and implemented besides creating awareness among children and their families.
References
- Akhtar S. 2016. Malnutrition in South Asia- a Critical Reappraisal. Crit Rev Food Science and Nutrition. 56(14): 2320-2330.
- Anik Al, Rahman MM, Tareq MI et all. 2019. Double burden of Malnutrition at household level: A comparative study among Bangladesh, Nepal, Pakistan and Myanmar. PLos One. 14(8): e0221274.
- Mastorci F, Vasalle C, Chatzianagnostou K et al. 2017. Undernutrition and Over nutrition burden for Diseases in developing countries: the role of oxidative stress biomarkers to assess disease risk and interventional strategies. Antioxidants. 6:2. Doi:10.3390/antiox6020041.
- Ngaruiya C, Hayward A, Post L, et all. 2017. Obesity as a form of Malnutrition: Over nutrition on the Uganda Malnutrition agenda. Pan Afr Med J. 28.
- Tanumihardjo SA, Anderson C, Kaufer Horwitz et al. 2007. Poverty, Obesity and Malnutrition: an international perspective recognizing the paradox. 2007. J Aca Nutri Diet. 107(11): 1966-1972.
- Delisle H, Batal M. 2016. The Double Burden of Malnutrition associated with Poverty. Lancet. 387(10037): 2504-2505.
- Peng W, Berry EM. 2018. Global Nutrition 1990-2015: A shrinking hungry and expanding fat world. PLos One. 13(3): e0194821.
- NCD Risk Factor Collaboration (NCD-RisC) 2017 Lancet 16; 390: 2627-2642.
- Cheryl D, Fryar, M.S.P.H, Margaret D et all. Prevalence of Overweight, Obesity and Severe Obesity among children and Adolescents aged 2-19 years: US, 1963-1965 Through 2017-2018. Division of Health and Nutrition Examination Surveys.
- De Onis M, Blossner M, Borghi E. Global prevalence and trends of overweight and obesity among preschool children. American Journal of Clinical Nutrition 2010; 92(5): 1257-1264.
- Bhuiyan MU, Zaman S, Ahmeed T. Risk factors associated with overweight and obesity among urban school children and adolescent in Bangladesh: a case control study. BioMed Central Pediatrics 2013.
- Tania Bulbul, Mozammel Haque. Prevalence of childhood Obesity and Overweight in Bangladesh: Findings from country wide epidemiological study. BMC Pediatrics 2014; 14: 86.
- Rahman SMM, Kabir I, Bhuyan MAH et all. Prevalence and Determinants of Childhood Obesity in Dhaka City 2019; Bangladesh Medical Research Council Bulletin, 45(2): 68-80.
- Monira Hossain, IsmotAraZannat, Suraiya Begum et all. Risk Factors for Overweight and Obesity among Children and Adolescents in BD: A Hospital based study. Bangladesh Journal of Child Health 2019; 43(1): 9-14.
- Mohsin F, Tayeb S, Baki A, et al. Prevalence of Obesity among affluent school children in Dhaka. Mymensing Medical Journal, 2010; 19(4): 549-554.
- Kleigman, Robert. Nelson textbook of pediatrics. Childhood Obesity. Edition 21. Philadelphia, PA: Elsevier, 2020.
- Adekunle Sanyaulo, Chuku Okorie, Xiaohua Qi et all. Childhood and Adolescent Obesity in the United States: A Public Health Concern. Global Pediatric Health 2019; (6): 1-11.
- R. Galler, F. Ramsey, G. Solimano, and W. E. Lowell, “the influence of early malnutrition on subsequent behavioral development: II. Classroom behavior,” Journal of the American Academy of Child Psychiatry, vol. 22, no. 1, pp. 16–22,1983.
- Ashmita Karki, Archana Shrestha, Narayan Subedi. Prevalence and associated factors of childhood Overweight/Obesity among primary school children in urban Nepal. BMC Public Health 2019. 19: 1055.
- Ghose Bishwajit & Sanni Yaya. Overweight and Obesity in under 5 children in south Asia. Child and Adolescent Obesity 2020; 3 (1): 105–121.
- Sholeh Rahman, MdTouhidul Islam, Dewan S Alam. Obesity and Overweight in Bangladeshi children and adolescent: a scoping review. BMC Public Health 2014. 14:70.
- Morrissey TW, Dunifon RE, Kalil A. Maternal Employment, Work Schedules and Children’s BMI. Child Development 2011; 82(1): 66-81.
- Sinead Brophy, Roxanne Cooksey, Micheal B Gravenor et al. Risk factors for childhood obesity at age 5: Analysis of the millennium cohort study. BMC Public Health 2009; 9: 467.
- Faisal Muhammad, Mustafa Kabir Musa, ABM Alauddin Chowdhury et al. Risk factors of childhood Overweight and Obesity in young children and adolescents aged between 5-15 years in urban Bangladesh: A Scoping Review. Mal J Nutr 2016; 22 (3): 455-459.
- Eid EE. Follow up study of physical growth of children who have had excessive weight gain in the 1st six months of life. BMJ 1970; 2 (7): 4-6.
- Stettler N, Zemel BS, Kumanyika S, Stallings VA. Infant weight gain and childhood overweight status in a multicenter cohort study. Pediatrics 2002; 109: 194-9.
- Isabel Lin Tzou, Nain Feng Chu. Parental influence on childhood Obesity: A review. 2012; 4 (12A): 1464-1470.
- Etelson D, Brand D A, Patrick P A et al. Childhood Obesity: Do parents recognize this health risk? Obesity Research 2003; 11: 1362-1368.
Corresponding Author
Dr Gulshan Akhtar
Associate Professor, Department of Pediatrics, Green Life Medical College, Dhaka
DOI: https://dx.doi.org/10.18535/jmscr/v9i11.13
