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PREVALENCE OF CHILDHOOD OBESITY AND UNDERNUTRITION AMONG URBAN SCHOOL CHILDREN IN BANGLADESH

  • Niru Sultana (a1), Sadya Afroz (a1), Nehlin Tomalika (a1), Hasina Momtaz (a1) and Md Humayun Kabir (a1)...
Summary

Despite the ongoing problems of undernutrition and infectious disease, obesity and overweight have become a major problem in developing countries, including Bangladesh. This cross-sectional study was undertaken to determine the prevalence of obesity, overweight and underweight among school children aged 6–12 years in Bangladesh. The study was conducted from June 2012 to May 2013 and the study sample comprised 1768 children (980 boys; 788 girls) from eight purposively selected schools in different areas of Dhaka city. Students were interviewed about their diet and physical activity, and anthropometric measurements were made, including height, weight, mid-upper-arm circumference (MUAC), waist circumference, hip circumference and body mass index (BMI). Undernutrition, overweight and obesity were defined using internationally accepted BMI cut-off points. Mean height, weight, BMI, MUAC, waist circumference and hip circumference values were found to be higher in boys than in girls, except at age 12 when these were found to be significantly higher in girls than in boys (p<0.05). The mean prevalence of overweight was 10.0% (boys 10.2%; girls 9.8%), and that of obesity 5.0% (boys 4.3%; girls 5.8%). The prevalence of underweight was 16.3% in boys and 12.7% in girls. The prevalence of underweight was significantly higher in poor than in rich children (22.1% vs 11.2%) and that of obesity was higher in rich than in poor children (9.9% vs 1.3%; p<0.001). A family history of obesity and hypertension emerged as a significant predictor of developing overweight and obesity (p<0.001). The data suggest that underweight and obesity co-exist in urban areas of Bangladesh, posing a challenge for the nutritional health of Bangladeshi children.

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Corresponding author
1 Corresponding author. Email: niru_sultana@yahoo.com
References
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Bhuiyan, M. U., Zaman, S. & Ahmed, T. (2013) Risk factors associated with overweight and obesity among urban school children and adolescents in Bangladesh: a case-control study. BMC Pediatrics 13, 72.
Chhatwal, J., Verma, M. & Riar, S. K. (2004) Obesity among pre-adolescents of a developing country (India). Asia Pacific Journal of Clinical Nutrition 13, 231235.
Després, J. P., Lemieux, I. & Prud’homme, D. (2001) Treatment of obesity: need to focus on high risk abdominally obese patients. British Medical Journal 322, 716720.
Deurenberg, P., Yap, M. & van Staveren, W. A. (1998) Body mass index and percent body fat: a meta analysis among different ethnic groups. International Journal of Obesity and Related Metabolic Disorders 22, 11641171.
Food and Agriculture Organization (FAO) of the United Nations (2006) The double burden of malnutrition case studies from six developing countries. FAO Food and Nutrition Paper, Rome, No. 84.
Goyal, R. K., Shah, V. N., Saboo, B. D., Phatak, S. R., Shah, N. N., Gohel, M. C. et al. (2010) Prevalence of overweight and obesity in Indian adolescent school going children: its relationship with socioeconomic status and associated lifestyle factors. Journal of the Association of Physicians of India 58, 151157.
Kain, J., Uauy, R., Vio, F. & Albala, C. (2002) Trends in overweight and obesity prevalence in Chilean children: comparison of three definitions. European Journal of Clinical Nutrition 56, 200204.
Khadikar, V. V. & Khadikar, A. A. (2004) Prevalence of obesity in affluent school boys in Pune. Indian Paediatrics 41, 857858.
Kim, E., Hwang, J. Y., Woo, E. K., Kim, S. S., Jo, S. A. & Jo, I. (2005) Body mass index cutoffs for underweight, overweight and obesity in South Korean Schoolgirls. Obesity 13(9), 15101514.
King, H., Fitch, C., Collins, C., Koki, G., King, L. F. & Heywood, P. (1989) Glucose tolerance in Papua New Guinea: ethnic difference associated with environmental and behavioral factors and the possible emergence of glucose intolerance in highland community. Medical Journal of Australia 151, 204210.
Kinra, S., Nelder, R. P. & Lewendon, G. J. (2000) Deprivation and childhood obesity: a cross sectional study of 20 973 children in Plymouth, United Kingdom. Journal of Epidemiology & Community Health 54(6), 456460.
Kissebah, A. H., Freedman, D. S. & Peiris, A. N. (1989) Health risks of obesity. Medical Clinics of North America 73(1), 111138.
Kuczmarski, R. J., Ogden, C. L., Grummer-Strawn, L. M., Flegal, K. M., Guo, S. S., Wei, R. et al. (2000) CDC Growth Charts: United States. National Center for Health Statistics, Hyattsville, MD.
Lusky, A., Lubin, F., Barell, V., Kaplan, G., Layani, V., Lev, B. & Wiener, M. (2000) Body mass index in 17-year-old Israeli males of different ethnic backgrounds; national or ethnic-specific references? International Journal of Obesity and Related Disorders 24(1), 8892.
Miller, G. E., Chen, E., Fok, A. K., Walker, H., Lim, A., Nicholls, E. F. et al. (2009) Low early-life social class leaves a biological residue manifested by decreased glucocorticoid and increased proinflammatory signaling. Proceedings of the National Academy of Sciences of the USA 106(34), 1471614721.
Mo-suwan, L., Junjana, C. & Puetpaiboon, A. (1993) Increasing obesity in school children in a transitional society and the effect of the weight control program. Southeast Asian Journal of Tropical Medicine Public Health 24(3), 590594.
Must, A., Jacques, P. F., Dallal, G. E., Bajema, C. J. & Dietz, W. H. (1992) Long-term morbidity and mortality of overweight adolescents: a follow-up of the Harvard Growth Study of 1922 to 1935. New England Journal of Medicine 327, 13501355.
Popkin, B. (2003) The nutrition transition in the developing world. Development Policy Review 21(5–6), 581597.
Qamra, S. R., Mehta, S. & Deodhar, S. D. (1991) A mixed-longitudinal study on the pattern of pubertal growth: relationship to socioeconomic status and caloric-intake – IV. Indian Pediatrics 28(2), 147156.
Rahmani-Nia, F., Rahnama, N. & Bambaeichi, E. (2008) Prevalence of overweight and underweight among Iranian high-school students. International Journal of Sports Science and Engineering 2(2), 101106.
Ramachandran, A., Snehalatha, C., Vinitha, R., Thayyil, M., Kumar, C. K., Sheeba, L. et al. (2002) Prevalence of overweight in urban Indian adolescent school children. Diabetes Research and Clinical Practice 57(3), 185190.
Rosenbaum, M., Leibel, R. & Hirsch, J. (1997) Obesity. New England Journal of Medicine 337(6), 396407.
Sawaya, A. L., Sesso, R., DeMenezes, T. M., Florencio, T., Fernandes, M. T. B. & Martins, P. A. (2005) Association between chronic under nutrition hypertension. Maternal & Child Nutrition 1(3), 155163.
Sayeed, M. A., Rhaman, M. M., Banu, A. & Mahtab, H. (2012) Undernutrition and adiposity in children and adolescents: a nutrition paradox in Banglaedsh. Ibrahim Medical College Journal 6(1), 18.
Silventoinen, K., Sans, S., Tolonen, H., Monterde, D., Kuulasmaa, K., Kesteloot, H. & Tuomilehto, J. (2004) WHO MONICA project: trends in obesity and energy supply in the WHO MONICA project. International Journal of Obesity Related Metabolic Disorders 28(5), 710718.
Sinha, R., Fisch, G. & Teague, B. (2002) Prevalence of impaired glucose tolerance among children and adolescents with marked obesity. New England Journal of Medicine 346, 802810.
Styne, D. M. (2001) Childhood and adolescent obesity prevalence and significance. Paediatric Clinics of North America 48(4), 823854.
Taylor, S. J. C., Viner, R., Booy, R., Head, J., Tate, H., Brentnall, S. L. et al. (2005) Ethnicity, socio-economic status, overweight and underweight in East London adolescents. Ethnicity & Health 10(2), 113128.
Trowbridge, F. L., Marks, J. S., Romana, G. L. D., Madrid, S., Boutton, T. W. & Klein, P. D. (1987) Body composition of Peruvian children with short stature and high weight-for-height. II. Implications for the interpretation for weight for height as an indicator of nutritional status. American Journal of Clinical Nutrition 46(3), 411418.
Wang, Y. & Lobstein, T. (2006) Worldwide trends in childhood overweight and obesity. International Journal of Pediatrics Obesity 1, 1125.
Wang, Y., Monteiro, C. & Popkin, B. M. (2002) Trends of obesity and underweight in older children and adolescents in the United States, Brazil, China, and Russia. American Journal of Clinical Nutrition 75, 971977.
Weiss, R., Dziura, J., Burgert, T. S., Tamborlane, W. V., Taksali, S. E., Yeckel, C. W. et al. (2004) Obesity and metabolic syndrome in children and adolescents. New England Journal of Medicine 350, 23622374.
WHO (2002) The World Health Report: Reducing Risks, Promoting Healthy Life. World Health Organization, Geneva.
Wickramasinghe, V. P., Lamabadusuriya, S. P., Atapattu, N., Sathyadas, G., Kuruparanantha, S. & Karunarathne, P. (2004) Nutritional status of school children in an urban area of Sri Lanka. Ceylon Medical Journal 49(4), 114118.
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Journal of Biosocial Science
  • ISSN: 0021-9320
  • EISSN: 1469-7599
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