Magnitude of Obesity and Its Contributory Factors in School Going Children of Affluent Families of Rawalpindi and Islamabad, Pakistan

Fouzia Sultana, Zainab Abdullah, Zainab Farrukh

Abstract


Introduction: Childhood obesity is increasingly becoming a global nutritional issue, with prevalence more in children of affluent families. It is important to identify contributory factors early, so that lifelong prevention can decrease associated morbidity.

Objectives: To determine the magnitude of obesity and its contributory factors in students of affluent families from Rawalpindi and Islamabad, Pakistan.

Materials & Methods: A cross-sectional descriptive survey was performed from August to October 2013 on 1360 students from affluent families attending different schools of Rawalpindi and Islamabad. Data were collected after informed consent on a structured questionnaire. Other than demographic data, it contained variables of dietary habits and physical activity status of students. Data were analyzed by SPSS 19 for descriptive statistics.

Results: The sample included 48.3% male and 51.7% female students, 84.7% aged 10-15 years. Only 2.3% had a BMI over 25; 20.7% students had been overweight as children, while 54.6% had an obese family member. Majority (87.3%) of students watched Television (TV) daily, 24.5% for 3 hours or more. Laptops were used daily by 89.9% students, 21.7% for 3 or more hours. Only 41.2% played outdoor games daily, with 21.1% not playing outdoor games. Regarding sleep, 56.9% students were late night sleepers. Carbonated drinks were consumed by 84.2% students, and bakery items were preferred by 95% students. Late night snacks were taken by 35.4% students.

Conclusions: Obesity in the school children sampled was much lower than reported in western affluent societies; however, contributory factors were present in fairly high proportions.

Keywords: Prevalence; Obesity; Adolescents; Socio-Economic Status; Diet.


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References


Grundy SM. Obesity, metabolic syndrome, and cardiovascular disease. The Journal of Clinical Endocrinology & Metabolism 2004;89(6):2595-600.

Barness LA, Opitz JM, Gilbert‐Barness E. Obesity: genetic, molecular, and environmental aspects. American Journal of Medical Genetics Part A 2007;143(24):3016-34.

Tsigos C, Hainer V, Basdevant A, Finer N, Fried M, Mathus-Vliegen E, et al. Management of obesity in adults: European clinical practice guidelines. Obesity facts 2008;1(2):106-16.

Bharmal F. Trends in nutrition transition: Pakistan in focus. JPMA. The Journal of the Pakistan Medical Association 2000;50(5):159-67.

Garrow J. Obesity and related diseases (London, Churchill Livingstone). 1988.

Heymsfield SB, Wadden TA. Mechanisms, pathophysiology, and management of obesity. New England Journal of Medicine 2017;376(3):254-66.

Guo SS, Roche AF, Chumlea WC, Gardner JD, Siervogel RM. The predictive value of childhood body mass index values for overweight at age 35 y. The American journal of clinical nutrition 1994;59(4):810-19.

Lewis CE, Jacobs Jr DR, McCreath H, Kiefe CI, Schreiner PJ, Smith DE, et al. Weight gain continues in the 1990s: 10-year trends in weight and overweight from the CARDIA study. American Journal of Epidemiology. 2000;151(12):1172-81.

Rehman T, Rizvi Z, Siddiqui U, Ahmad S, Sophie A, Siddiqui M, et al. Obesity in adolescents of Pakistan. J Pak Med Assoc. 2003;53:315-9.

Lifshitz F. Obesity in children. Journal of Clinical Research in Pediatric Endocrinology 2008;1(2):53.

Guillaume M, Björntorp P. Obesity in children. Hormone and Metabolic Research 1996;28(11):573-81.

Mushtaq MU, Gull S, Shahid U, Shafique MM, Abdullah HM, Shad MA, et al. Family-based factors associated with overweight and obesity among Pakistani primary school children. BMC Pediatrics. 2011;11:114-23.

Warraich HJ, Javed F, Faraz-ul-Haq M, Khawaja FB, Saleem S. Prevalence of obesity in school-going children of Karachi. PLoS ONE. 2009 Mar;4(3):e4816.

Aliaga C, Winquist K. Time use at different stages of life. Results from 13 European countries. July 2003. Waking Papers and studies. Luxembourg: Office for official publication of the European Communities. Eurostat 2003.

Grøntved A, Hu FB. Television viewing and risk of type 2 diabetes, cardiovascular disease, and all-cause mortality: a meta-analysis. JAMA. 2011;305(23):2448-55.


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