Prevalence and Associated Factors of Overweight and Obesity among Adolescents students: A Cross-Sectional Study in a Developing country

Authors

  • Maha A Kadim Assist. Lect., Msn. pediatric Nursing. College of Nursing, University of Babylon, Iraq.
  • Zainab Abdulameer Abdulrasol Assist. Lect., Msn. Maternal and Newborn Health Nursing, College of nursing, University of Babylon, Iraq.
  • Ali Fadhil Obaid Msn. pediatric Nursing. College of Nursing, University of Babylon, Iraq.
  • Yasmin Ali Abbas Msn. pediatric Nursing. College of Nursing, University of Babylon, Iraq.
  • Noor Amar Latif Msn. pediatric Nursing. College of Nursing, University of Babylon, Iraq.

DOI:

https://doi.org/10.48165/sajssh.2023.4208

Keywords:

Obesity, Overweight, Physical activity, Eating habits, Adolescent School student

Abstract

Abstract:

Background: The epidemic of obesity in developed countries is commonly associated with poor dietary habits and a sedentary lifestyle. Obesity and overweight are defined as an excessive buildup of body fat and pose a risk to health. Adolescent obesity continues to be a subject of increasing global public health importance and is considered a vital risk factor for obesity and associated morbidity in adulthood. The objective is to determine the prevalence of obesity among school adolescents and estimate the relationship between obesity and some predicted risk factors (physical activity, eating habits). Methods:  A descriptive cross-sectional study was carried out among (500) students in AL-Hilla city from the period 12th January to 2nd April 2022 at (10) secondary schools.  The questionnaire is composed of two parts; Part one: involved the socio-demographic characteristics of students and their parents. This section also includes BMI was calculated by measuring height& weight; weight was measured with domestic scales and height with a meter rule and classified according to international classification. Part two is related to the risk factors of obesity. Data were collected through direct interviews with students for filling the tool required by spending approximately 20-30 minutes. Finally analyzed electronically by using (SPSS) version 24 by application of frequencies, percentages as descriptive, inferential as correlational statistics, and logistic regression. Results: Obesity and overweight were predominant at age (16-17) (58.6 %), and most of them were male (56.4 %) whose come from governmental schools (86.8 %).  28.8% of the sample were overweight and (14.4%) were obese children. Boys are riskier to be overweight and obese than girls ( OR= 1.55, 95%CI (1.33 -1.807). Adolescents who did vigorous physical activity were less risky to be obese one time compared to those with non-vigorous activity OR=1.072, 95% CI= (0.966-1.189). In addition, obesity has a likelihood to decrease five times in a student who consumed the fruit more than three times compared to those with one time (OR= 5.189, 95% CI= 5.189-5.189). Conclusion: The study conclude that around forty-three percent of adolescent school students were either overweight or obese. So, indicated that obesity was predominant at age (16-17) among Iraqi adolescent students aged 14-19 years. In addition, adolescents' eating habits and physical activity were highly significant factors in overweight/ obesity. Therefore, interventions are recommended to focus on these risk variables of overweight and obesity.  

References

AL-DABBAGH, S.A., MOHAMMED, A. R. Y. H. (2009). PREVALENCE AND RISK FACTORS OF OBESITY AND OVERWEIGHT AMONG CHILDREN IN DUHOK, KURDISTAN

REGION, IRAQ. 92–105.

Abiri, B., Sarbakhsh, P., & Vafa, M. (n.d.). and associated risk factors in. 8(1). https://doi.org/10.5195/cajgh.2019.413

Abduelkarem, A. R., Sharif, S. I., Bankessli, F. G., Kamal, A., Kulhasan, N. M., & Hamrouni, A. M. (2020). Obesity and its associated risk factors among. 1–12. https://doi.org/10.1371/journal.pone.0234244 Juin, J. (2018). 2018 6 (Vol. 24).

Mahmoud, A.O., Abdullah, R.S., Hisham, M.H., Al Khalaileh, H.E., Alfaqih, M. A (2019.). Socioeconomic status, perceptions and obesity among adolescents in Jordan. 8688, 1–9. https://doi.org/10.11604/pamj.2019.34.148.19641

Al-hadabi, B., Youssef, R., & Waly, M. (n.d.). Obesity , Eating Habits and Sedentary Behaviour of Omani Young Adolescents : A Cross-Sectional Study.

Al-momen, H. (2022). Biomedicine and Chemical Sciences Prevalence and Risk Factors of Obesity in Children : Attending Al-Kindy Obesity Unit in Baghdad. 1(1), 20–23.

Alencar, C., Alves, S., Augusto, D., & Silva, S. (2016). Rev Bras Cineantropom Hum Obesity in adolescents in Southern Brazil : association with sociodemographic factors ,. 557–566.

Alredainy, R., & Lami, F. Al. (2016). Overweight and Obesity in A Sample of Primary School Children in Baghdad. 15(4), 452–458.

Arora, M., Shinde, S., & Patwardhan, R. P. (2019). Prevalence of Overweight or Obesity in Adolescent School Children from Pune , India. (February).

Anteneh, Z. A., Gedefaw, M., Tekletsadek, K. N., Tsegaye, M., & Alemu, D. (2015). Risk Factors of Overweight and Obesity among High School Students in Bahir Dar City , North West Ethiopia : School Based Cross-Sectional Study. 2015.

Befort, C. A., Nazir, N., Perri, M.G. (2013). Prevalence of Obesity Among Adults From Rural and Urban Areas of the United States: Findings From NHANES (2005–2008). 28(4), 392–397. https://doi.org/10.1111/j.1748-0361.2012.00411.x.Prevalence

Brown, T., Thm, M., Hooper, L., Gao, Y., Zayegh, A., Ijaz, S., … Cd, S. (2019). Interventions for preventing obesity in children ( Review ). https://doi.org/10.1002/14651858.CD001871.pub4.www.cochranelibrary.com.

Dighe S, Lloyd K, Acciai F, et al.. Healthier school food and physical activity environments are associated with lower student body mass index. Prev Med Rep 2020;19:101115. 10.1016/j.pmedr.2020.101115.

El Kabbaoui, M., Chda, A., Amal Bousfiha, A., Lotfi Aarab, L., Rachid Bencheikh, R.(2018). Prevalence of and risk factors for overweight and obesity among adolescents in Morocco. Vol. 24, No. 6. (https:// creativecommons.org/licenses/by-nc-sa/3.0/igo).

Eker, H. H., Taşdemir, M., Mercan, S., Mucaz, M., Bektemur, G., Şahinoz, S., & Özkaya, E. (2018). Obesity in adolescents and the risk factors. 64(1), 37–45. https://doi.org/10.5606/tftrd.2018.1402

Genena, D. M., & Salama, A. A. (2017). Obesity and Eating Habits among University Students in Alexandria , Egypt : A Cross Sectional Study. (October). https://doi.org/10.12691/jnh-5-3-1.

Hallal, P. C., Andersen, L. B., Bull, F. C., Guthold, R., Haskell, W., Ekelund, U., & Group, L. P. A. S. W. (2012). Global physical activity levels: surveillance progress, pitfalls, and prospects. The lancet, 380(9838), 247-257.

Hockenberry, M. J., & Wilson, D. (2015). Wong’s nursing care of infants

and children.10th edition. St. Louis, Missouri: Mosby, an imprint of

Elsevier

Janssen, X., Baster, L., Parkinson, K. N., Pearce, M. S., Reilly, J. K., Adamson, A. J., & Reilly, J. J. (2019). Non-linear longitudinal associations between moderate-to-vigorous physical activity and adiposity across the adiposity distribution during childhood and adolescence : Gateshead Millennium Study. 744–750. https://doi.org/10.1038/s41366-018-0188-9

Kansra, A. R., Lakkunarajah, S., & Jay, M. S. (2021). Childhood and Adolescent Obesity : A Review. 8(January), 1–16. https://doi.org/10.3389/fped.2020.581461

Kar, S. (2015). Fast foods and physical inactivity are risk factors for obesity and hypertension among adolescent school children in east district of Sikkim , India. 6(2), 356–359. https://doi.org/10.4103/0976-9668.160004

Kyallo F, Makokha A, Mwangi AM. Overweight and obesity among public and private primary school children in Nairobi, Kenya. Health 2013;05:85–90. 10.4236/health.2013.58A3012.

Li, X., Xiang, S., Dong, J., Zhong, Y., Zhao, S., & Xiao, Z. (2020). Association between Physical Activity and Age among Children with Overweight and Obesity : Evidence from the 2016- 2017 National Survey of Children ’ s Health. 2020.

Kumar ,M, K., Prashanth, K., Baby, K. E., Rao, K. R., Kumarkrishna, B., Hegde, K., … Rahul, R. (2020). PREVALENCE OF OBESITY AMONG HIGH SCHOOL CHILDREN IN DAKSHINA KANNADA AND UDUPI DISTRICTS. I(4), 16–20.

Martin, A., Jn, B., Laird, Y., Sproule, J., Jj, R., Dh, S., … Dh, S. (2018). adolescents with obesity or overweight ( Review ). https://doi.org/10.1002/14651858.CD009728.pub4.www.cochranelibrary.com

Meller, F. O., Mola, C. L. De, Cec, M., Dahly, D. L., & Barros, F. C. (2018). Birth order and number of siblings and their association with overweight and obesity : a systematic review and meta-analysis. 76(2), 117–124. https://doi.org/10.1093/nutrit/nux060

Mesawa, A., Almutairi, A., Abdullah, A., Kutbi, R., Alahdali, H., Bashlawi, S., … Alzahrani, H. (2020). Parental socioeconomic status and occupation in relation to childhood obesity. (January). https://doi.org/10.24911/IJMDC.51-1564909950

Mohammed, A. E., Ibrahim, M. H., Hagag, S. A., & Mohamed, H. M. (2019). Obesity and Self-Esteem among School Adolescent Students , Alexandria. 37(3), 16–24

Mosleh AI, Mohammed Hk and Dalia EI. Assessment of knowledge, attitude and practice of adolescents towards obesity in the preparatory schools in Ismailia city – Egypt, thesis submitted in partial fulfillment for MSC degree in Family Medicine Department, Faculty of Medicine, Suez Canal University, Egypt, 2011.

Musaiger, A. O. (2011). Overweight and Obesity in Eastern Mediterranean Region : Prevalence and Possible Causes. 2011(January 1990). https://doi.org/10.1155/2011/407237

Nicolucci, A., & Maffeis, C. (2022). The adolescent with obesity : what perspectives for treatment ? 1–9.

Nour, M., Lutze, S. A., Grech, A., & Allman-farinelli, M. (2018). The Relationship between Vegetable Intake and Weight Outcomes : A Systematic Review of Cohort Studies. https://doi.org/10.3390/nu10111626.

Provenzano S, Santangelo OE, Catalano R, et al.. Determinants associated with obesity and physical activity in the public and private schools of the city of Palermo. Acta Med Mediterr 2018;34:443–8.

Prasad, V. P., Bazroy, J., & Singh, Z. (2016). Prevalence of overweight and obesity among adolescent students in Pondicherry , South India. 72–75. https://doi.org/10.4103/2231-0738.179966

Seema, S., Rohilla, K. K., Kalyani, V. C., & Babbar, P. (2021). Prevalence and contributing factors for adolescent obesity in present era : Cross ‑ sectional Study. 1890–1894. https://doi.org/10.4103/jfmpc.jfmpc

Shabu, S. A. (2019). Prevalence of overweight / obesity and associated factors in adults in Erbil , Iraq : A household survey. 23(1).

Shah, B., Cost, K. T., Fuller, A., Birken, C. S., & Anderson, L. N. (2020). Sex and gender differences in childhood obesity : contributing to the research agenda. 387–390. https://doi.org/10.1136/bmjnph-2020-000074

Sulaiman, S. J. (2020). PREVALENCE OF OBESITY AND PHYSICAL ACTIVITY AMONG PRIMARY. 8(1). https://doi.org/10.33899/mjn.2020.164353

Wajihah, S., Id, W., & Ghazalli, R. (2020). Association between the school environment and children ’ s body mass index in Terengganu : A cross sectional study. (2006), 1–16. https://doi.org/10.1371/journal.pone.0232000

WHO, “Global Strategy on Diet, Physical Activity and Health,” October 2014, http://www.who.int/dietphysicalactivity/factsheetadults/en/.

Yu, Z. M., Declercq, V., Cui, Y., Forbes, C., Grandy, S., Keats, M., … Dummer, T. J. B. (2018). Fruit and vegetable intake and body adiposity among populations in Eastern Canada : the Atlantic Partnership for Tomorrow ’ s Health Study. 1–9. https://doi.org/10.1136/bmjopen-2017-018060

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Published

2023-08-05

How to Cite

Kadim, M.A., Abdulrasol, Z.A., Obaid, A.F., Abbas, Y.A., & Latif, N.A. (2023). Prevalence and Associated Factors of Overweight and Obesity among Adolescents students: A Cross-Sectional Study in a Developing country. South Asian Journal of Social Sciences and Humanities, 4(2), 133–150. https://doi.org/10.48165/sajssh.2023.4208