INCIDENCE OF STUNTING AND OBESITY IN PRIMARY SCHOOL STUDENTS OF LAHORE

Main Article Content

Saleem Ahmed
Qazi Mumtaz Ahmad
Tazeem Akhtar
Noorulain Mehak
Muhammad Usman
Masood Nizam Tabassum

Keywords

Obesity, Stunting, Primary school

Abstract

Objective: To investigates the prevalence of stunting in primary school children of Lahore


Method: A cross-sectional study was conducted in four government primary schools of Lahore. Sample size of 530 was calculated using WHO calculator. A purposive convenient sampling technique was used. The study was approved by The Ethics Research Committee of High Institute. Descriptive statistics in the form of number and percentage were used to represent qualitative data. Chi square test was used to detect significant difference between groups.


Results: The prevalence rate of obesity and overweight were least at 6-7 years (grade 2) (9.3%, 4.4% respectively) and significantly increased with age to be the highest at the age of 8-9 years (grade 4) (P=0.003). Higher rates were found between girls (12.5%, 8.8% respectively) than boys (9.8%, 7.5% respectively) (p <0.0001). Rate of overweight and obesity was significantly observed between children whose mothers had low to middle level of education, and of high to moderate socioeconomic level, while thinness rates was higher among children from low educated mothers and low socioeconomic level.


Conclusion: The overall prevalence of overweight and obesity among children aging from 5 to12 years (11%, 8.2%)

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References

1. Hooshmand SA and Udipi Hooshmand SH 2014. Anthropometric measurements determinant nutritional status of urban primary school children in selected areas of Iran and India: A comparative study. International Journal of Nutrition and Food Sciences; 3(5): 455-461. Published online September 30, 2014
2. (http://www.sciencepublishinggroup.com/j/ijnfs) doi: 10.11648/j.ijnfs.20140305.24 ISSN: 2327-2694 (Print); ISSN: 2327-2716 (Online).
3. Global status report on non-communicable diseases 2010.Geneva,World Health Organization,2011.
4. http://www.who.int/nmh/publications/ncd_report2010/en/.
5. Adenuga WU, Obembe TA, Odebunmi KO, and Asuzu MC. prevalence and determinants of stunting among primary school children in rural and urban communities in obafemiowode local government area, southwestern nigeria. Ann Ibd. Pg. Med 2017; Vol.15(1): 7-15
6. Repositioning nutrition as central to development a strategy for large-scale action. Washington, DC, World Bank, 2006 (World Bank Nutrition Strategy Paper).
7. Ministry of Health and Population, Egypt. El-Zanaty and Associates [Egypt], and ICF International. 2015. Egypt Demographic and Health Survey 2014. Cairo, Egypt and Rockville, Maryland, USA: Ministry of Health and Population and ICF International.
8. Eastern Meditranean Regional Office (EMRO) WHO 2018. http://www.who.int/mediacentre/factsheets/fs311/en. http://www.emro.who.int/health-education/prevention- and-control-of-childhoodoverweight/prevention-and- control-of-childhood-overweight-and-obesity.html.
9. Syahrul AB, Rumiko KI, Tsuda AK, Susanto TA, Saito RU, Fithria AH Prevalence of underweight and overweight among school-aged children and it's association withchildren's sociodemographic and lifestyle in Indonesia international journal of nursing science 2016;3:169-177. Available at:
10. http://www.elsevier.com/journals/internationaljournal-of- nursing sciences/2352-0132.
11. O. Abdelkarim, Ammar A, Soliman A, Hökelmann A. Prevalence of overweight and obesity associated with the levels of physical fitness among primary school age children in Assiut city Egyptian Pediatric Association Gazette 2017;65 :43–48.
12. Hadhood, S.E.S.A., Ali, R.A.E., Mohamed, M.M. and Mohammed, E.S. Prevalence and Correlates of Overweight and Obesity among School Children in Sohag, Egypt. Open Journal of Gastroenterology 2017;7:75- 88.https://doi.org/10.4236/ojgas.2017.72009.
13. Taha AA, Marawan HM. Socio-behavioral Determinants of Overweight and Obesity in Egyptian Primary School Children. J Child Adolesc Behav 2015;3: 236. doi:10.4172/2375-4494.1000236.
14. El-Shafie A, Hogran H, Dohein A. Prevalence of obesity in primary school children living in Alexandria governorate. Menoufia Med J 27: 529–532.
15. Badawi N, Barakat A, El Sherbini S, Fawzy H. Prevalence of overweight and obesity in primary school children in Port Said city. Egyptian Pediatric Association Gazette 2013; 61:31–36.
16. Gibson RS. Principles of Nutritional Assessment. 2nd ed. Oxford: Oxford University Press; 2005.
17. De Onis M et al. National Center for Health Statistics reference and the growth of Indian adolescent boys. American journal of clinical nutrition, 2001, 74(2): 248–53.
18. Institute of Medicine (IOM). Early Childhood Obesity Prevention Policies. Washington, DC: The National Academies Press, 2011.
19. Khasnutdinova SL, Grjibovski AM. Prevalence of stunting, underweight, overweight and obesity in adolescents in Velsk district, north-west Russia: A cross-sectional study using both international and Russian growth references. Public Health. Elsevier.Ltd; 2010; 124(7): 392–397.
20. Ramires EK, Menezes RC Oliveira JS, Oliveira MA and Temoteo TL, Vanessa SáLeal GI, Costa EC, Askura LE. Nutritional status of children and adolescents from a town in the semiarid Northeastern Brazil. Pedriatria (English Edition) Volume 32, Issue 3, September 2014, Pages 200- 20.
21. Al-Saffar AJ. Stunting among primary-school children: a sample from Baghdad, Iraq. Eastern Mediterranean Health Journal, 2009; Vol. 15(2): 322- 329.
22. Mazengia AL and Biks GA. Predictors of Stunting among School-Age Children in Northwestern Ethiopia. J Nutr Metab. 2018; 2018: 7521751.Published online 2018 Sep 20. Doi: 10.1155/2018/7521751PMCID: PMC6171210, PMID: 30327729.
23. Friedman et al. Progression of stunting and its predictors among school-aged children in western Kenya. European journal of clinical nutrition, 2005, 59(8): 914–22.
24. Khuwaja S, Selwyn BJ, Shah SM. Prevalence and correlates of stunting among primary school children in rural areas of southern Pakistan. Journal of tropical pediatrics, 2005, 51(2): 72–7.
25. Aboussaleh Y. A diversified diet may reduce school age children stunting in North Western Morocco. Asia Pacific journal clinical nutrition, 2004, 13(Suppl.): S116.
26. Ogunba BO. Diet Diversity in Complementary Feeding and Nutritional Status of Children Aged 0 to 24 Months in Osun State, Nigeria. ICAN Infant, Child, Adolesc Nutr. 2010; 2(6):330–335.
27. Biswas S, Bose K. Sex differences in the effect of birth order and parents’ educational status on stunting: a study on Bengalee preschool children from eastern India. Homo. 2010; 61(4): 271–276.
28. Opara KN, Udoidung NI, Opara DC. The impact of intestinal parasitic infections on the nutritional status of rural and urban school-aged children in Nigeria. Int J MCH AIDS. 2012; 1(1): 73–82.
29. Bin Zaal AA, Musaiger AO, Souza RD. Dietary habits associated with obesity among adolescents in Dubai, United Arab of Emirate. Nutr Hosp 2009; 24(4): 437–44.
30. EL-bayoumy I, Shady I, Lotfy H. Prevalence of obesity among adolescents (10–14 years) in Kuwait. Asia Pac J Public Health. 2009; 21: 153–9.
31. Khader Y, Irshaidat O, Khasawneh M, Amarin Z, Alomari M, Batieha A. Overweight and obesity among school children in Jordan: prevalence and associated factors. Matern Child Health J 2008.
32. http://dx.doi.org/10.1007/s10995-800-0362-0.
33. Mak TN, Prynne CJ, Cole D, Fitt E, Bates B, Stephen AM. Patterns of sociodemographic and food practice characteristics in relation to fruit and vegetable consumption in children: results from the U.K. National Diet and Nutrition Survey Rolling Programme (2008e2010). Public Health Nutr 2013; 16(11): 1912e23.
34. El Mouzan MI, Foster PJ, Al Herbish AS. Prevalence of overweight and obesity in Saudi children and adolescents. Ann Saudi Med 2010; 30: 203–8.
35. Talat MA, El Shaha EM. Prevalence of overweight and obesity among preparatory school adolescents in Urban Sharkia Governorate, Egypt. Egyptian Pediatric Association Gazette (2016) 64, 20–25.
36. Naidu BM, Mahmud SZ, Ambak R, Sallehuddin SM, Mutalip HA, Saari R, et al. Overweight among primary school-age children in Malaysia. Asia Pac J Clin Nutr2013; 22:408e.
37. Shashaj B, Graziani MP, Contoli B, Ciuffo C, Cives C, Facciolini S, et al. Energy balance-related behaviors, perinatal, sociodemographic, and parental risk factors associated with obesity in Italian preschoolers. J Am Coll Nutr 2016:1e10.
38. Gopinath B, Baur LA, Burlutsky G, Robaei D, Mitchell P. Socioeconomic, familial and perinatal factors associated with obesity in Sydney schoolchildren. J Paediatr Child Health. 2012; 48(1): 44e51.
39. Alis C‚ Ir H, Karac¸am Z. The prevalence of overweight and obesity in primary schoolchildren and its correlation with sociodemographic factors in Aydin, Turkey. Int J Nurs Pract 2011; 17: 166e7

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