FACTORS ASSOCIATED WITH BODY MASS INDEX IN CHILDREN – A COMMUNITY-BASED STUDY
Objectives: The increasing prevalence of overweight, obesity, and underweight in children has implications for their future health and it is vital to understand the modifiable factors that contribute to it. The study’s main objective is to determine the factors associated with the body mass index in children.
Methods: A cross-sectional study was conducted among 346 school children over a period of 6 months. Data were collected using self-administered questionnaire. Physical measurements such as height and weight were obtained from parents. Body mass index was calculated using kg/m2. Children were categorized as overweight, obese, normal, and underweight using their body mass index scores and the factors associated with BMI in children were estimated.
Results: The prevalence of overweight, obesity, normal, and underweight among children was 10.40%, 17.92%, 24.28%, and 41.67%, respectively. Intake of fast food, sweetened beverages, junk food, and consumption of food while watching television, media time indicated a significant relationship with body mass index.
Conclusion: Health care professionals should educate parents and children regarding healthy nutrition and regular physical activity. The implications of obesity, overweight, and underweight should be well explained to make desirable lifestyle modifications for a better future.
2. Camacho S, Ruppel A. Is the calorie concept a real solution to the obesity epidemic? Glob Health Action 2017;10:1289650.
3. Syahrul S, Kimura R, Tsuda A, Susanto T, Saito R, Ahmad F. Prevalence of underweight and overweight among school-aged children and it’s association with children’s sociodemographic and lifestyle in Indonesia. Int J Nurs Sci 2016;3:169-77.
4. Andersen RE. The spread of the childhood obesity epidemic. CMAJ 2000;163:1461-2.
5. Karnik S, Kanekar A. Childhood obesity: A global public health crisis. Int J Prev Med 2012;3:1-7.
6. Vanderwall C, Clark RR, Eickhoff J, Carrel AL. BMI is a poor predictor of adiposity in young overweight and obese children. BMC Pediatr 2017;17:135.
7. World Health Organization. Obesity: Preventing and Managing the Global Epidemic. Geneva: World Health Organization; 2000.
8. Lobstein T, Baur L, Uauy R. Obesity in children and young people: A crisis in public health. Obes Rev 2004;5:4-85.
9. O’Dea JA, Wilson R. Socio-cognitive and nutritional factors associated with body mass index in children and adolescents: Possibilities for childhood obesity prevention. Health Educ Res 2006;21:796-805.
10. Hui LL, Nelson EA, Yu LM, Li AM, Fok TF. Risk factors for childhood overweight in 6-to 7-y-old Hong Kong children. Int J Obes Relat Metab Disord 2003;27:1411-8.
11. Bhat VN. Fast food consumption and body mass index. J Soc Sci 2016;12:129-35.
12. Cantor J, Breck A, Elbel B. Correlates of sugar-sweetened beverages purchased for children at fast-food restaurants. Am J Public Health 2016;106:2038-41.
13. Field AE, Gillman MW, Rosner B, Rockett HR, Colditz GA. Association between fruit and vegetable intake and change in body mass index among a large sample of children and adolescents in the United States. Int J Obes Relat Metab Disord 2003;27:821-6.
14. Sahoo K, Sahoo B, Choudhury AK, Sofi NY, Kumar R, Bhadoria AS. Childhood obesity: Causes and consequences. J Family Med Prim Care 2015;4:187-92.
15. Bentham J, di Cesare M, Bilano V, Bixby H, Zhou B, Stevens GA, et al. Worldwide trends in body-mass index, underweight, overweight, and obesity from 1975 to 2016: A pooled analysis of 2416 population-based measurement studies in 128•9 million children, adolescents, and adults. Lancet 2017;390:2627-42.
16. Braithwaite I, Stewart AW, Hancox RJ, Beasley R, Murphy R, Mitchell EA, et al. Fast-food consumption and body mass index in children and adolescents: An international cross-sectional study. BMJ Open 2014;4:e005813.
17. Malik VS, Schulze MB, Hu FB. Intake of sugar-sweetened beverages and weight gain: A systematic review. Am J Clin Nutr 2006;84:274-88.
18. Poudel P. Junk food consumption and its association with body mass index among school adolescents. Int J Nutr Food Sci 2018;7:90.
19. Wall CR, Stewart AW, Hancox RJ, Murphy R, Braithwaite I, Beasley R, et al. Association between frequency of consumption of fruit, vegetables, nuts and pulses and BMI: Analyses of the international study of asthma and allergies in childhood (ISAAC). Nutrients 2018;10:316.
20. Klein-Platat C, Oujaa M, Wagner A, Haan MC, Arveiler D, Schlienger JL, Simon C. Physical activity is inversely related to waist circumference in 12-y-old French adolescents Int J Obes (Lond) 2005;29:9-14.
21. Li L, Shen T, Wen LM, Wu M, He P, Wang Y, et al. Lifestyle factors associated with childhood obesity: A cross-sectional study in Shanghai, China. BMC Res Notes 2015;8:6.
22. Melkevik O, Haug E, Rasmussen M, Fismen AS, Wold B, Borraccino A, et al. Are associations between electronic media use and BMI different across levels of physical activity? BMC Public Health 2015;15:497.
23. Matheson DM, Killen JD, Wang Y, Varady A, Robinson TN. Children’s food consumption during television viewing. Am J Clin Nutr 2004;79:1088-94.
24. Vik FN, Bjørnarå HB, Øverby NC, Lien N, Androutsos O, Maes L, et al. Associations between eating meals, watching TV while eating meals and weight status among children, ages 10-12 years in eight European countries: The energy cross-sectional study. Int J Behav Nutr Phys Act 2013;10:58.
25. Ghobadi S, de Zepetnek JO, Hemmatdar Z, Bellissimo N, Barati R, Ahmadnia H, et al. Association between overweight/obesity and eating habits while watching television among primary-school children in the city of Shiraz, Iran. Public Health Nutr 2018;21:571-9.
26. Wang J, Adab P, Liu W, Chen Y, Li B, Lin R, et al. Prevalence of adiposity and its association with sleep duration, quality, and timing among 9-12-year-old children in Guangzhou, China. J Epidemiol 2017;27:531-7.
27. Vehapoglu A, Goknar N, Turel O, Torun E, Ozgurhan G. Risk factors for childhood obesity: Do the birth weight, type of delivery, and mother’s overweight have an implication on current weight status? World J Pediatr 2017;13:457-64.
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