PREVALENCE OF OBESITY AMONG THE SCHOOL-GOING CHILDREN OF LAHORE AND ASSOCIATED FACTORS
Abstract
Objective: To determine the prevalence of obesity among the school- going children (6th and 7thgrade) of Lahore and ascertain the associated factors. Method: A descriptive study with sample
size of 293 children conducted over a period of four months in two private sector schools of
Lahore. Information was gathered by the help of a pre designed questionnaire after getting formal
consent from parents. Children included in the study were healthy with no reported chronic illness.
Body weight was measured in minimal clothing using a weight scale; body height was measured
in erect posture without shoes using a stadiometer. Obesity, underweight and overweight were
defined by plotting BMI against age (in months and years) on WHO BMI-for-age (5-19 years
[percentiles]) charts. Results: Out of 293 children 11.9% were obese (more than 97th percentile)
while 21.8% were overweight (85th-97th percentile). Among obese children 74.3% were found to
watch TV for 1-2 hours daily while 25.7% watch TV for 3-4 hours. 48.6% of obese children did
not participate in any field sports while 34.3% have less than 3 hours participation in field sports.
Among parents of obese children, 60% were found to have little or no influence on their children's
food intake at school whereas 22.9% parents of obese children never advise them against eating
junk food. Parents think that ban on advertisements promoting unhealthy foods (75.1%) and use of
popular media characters in promoting healthy foods (83.6%) and exercise can help in preventing
obesity in children. Conclusion: This study shows that high prevalence of obesity and overweight
among children in private schools has direct relationship with decreased physical activity and
other factors like watching TV, role of media and lack of diet control by parents.
Keywords: obesity, children, school age, parents, physical activity
References
World Health Organization. Obesity and overweight (2008).
WHO. Available from: http://www.who.int/mediacentre/
factsheets/fs311/en/index.html.
Garrow JS. Obesity and related diseases. London: Churchill
Livingstone; 1988.
Joint WHO/FAO Expert Consultation on Diet Nutrition and the
Prevention of Chronic Diseases. Diet, nutrition and the prevention
of chronic diseases: report of a joint WHO/FAO expert
consultation. Geneva: WHO 28 January-1 February 2002.
National Institute of Diabetes and Digestive and Kidney Diseases.
Statistics related to obesity and overweight. Rockville, MD:
National Institutes of Health July 1, 1996.
Troiano RP, Flegal KM. Overweight children and adolescents:
description, epidemiology, and demographics. Pediatrics
;101(3 Pt 2):497-504.
Troiano RP, Flegal KM, Kuczmarski RJ, Campbell SM, Johnson
CL. Overweight prevalence and trends for children and
adolescents. The National Health and Nutrition Examination
Surveys, 1963-1991. Arch Pediatr Adolesc Med
;149(10):1085-91.
Jung RT. Obesity as a disease. Br Med Bull 1997;53(2):307-21.
Abraham S, Collins G, Nordsieck M. Relationship of childhood
weight status to morbidity in adults. HSMHA Health Rep
;86(3):273-84.
World Health Organization. Growth reference 5-19 years BMIfor-age percentiles: girls. Available from: http://www.who.int/
growthref/cht_bmifa_girls_perc_5_19years.pdf.
World Health Organization. Growth reference 5-19 years BMIfor-age percentiles: boys. Available from: http://www.who.int/
growthref/cht_bmifa_boys_perc_5_19years.pdf
de Onis M, Onyango AW, Borghi E, Siyam A, Nishida C,
Siekmann J. Development of a WHO growth reference for
school-aged children and adolescents. Bull World Health Organ.
Sep;85(9):660-7.
World Health Organization. Growth reference 5-19 years BMIfor-age with Labels: boys. Available from: http://www.who.int/
growthref/bmifa_boys_z_5_19_labels.pdf.
World Health Organization. Growth reference 5-19 years BMIfor-age with Labels: girls. Available from: http://www.who.int/
entity/growthref/bmifa_girls_z_5_19_labels.pdf
Rodgers A, Vaughan P, Prentice T, Edejer T, Evans D, Lowe J.
The World Health Report 2002: reducing risks, promoting
healthy life. Geneva, Switzerland: World Health Organization
Kuczmarski RJ, Flegal KM, Campbell SM, Johnson CL.
Increasing prevalence of overweight among US adults. The
National Health and Nutrition Examination Surveys, 1960 to
JAMA 1994;272(3):205-11.
Jafar TH, Qadri Z, Islam M, Hatcher J, Bhutta ZA, Chaturvedi N.
Rise in childhood obesity with persistently high rates of
undernutrition among urban school-aged Indo-Asian children.
Arch Dis Child 2008;93(5):373-8.
Jafar TH, Chaturvedi N, Pappas G. Prevalence of overweight and
obesity and their association with hypertension and diabetes
mellitus in an Indo-Asian population. CMAJ 2006;175(9):1071-7.
Aziz S, Noorulain W, Zaidi UE, Hossain K, Siddiqui IA.
Prevalence of overweight and obesity among children and
adolescents of affluent schools in Karachi. J Pak Med Assoc
;59(1):35-8.
Warraich HJ, Javed F, Faraz-Ul-Haq M, Khawaja FB, Saleem S.
Prevalence of obesity in school-going children of Karachi. PLoS
One 2009;4(3):e4816.
Ramzan M, Ali I, Khan AS. Body mass status of school children
of Dera Ismail Khan, Pakistan. J Ayub Med Coll Abbottabad
;20(4):119-21.
Sharma A, Sharma K, Mathur KP. Growth pattern and prevalence
of obesity in affluent schoolchildren of Delhi. Public Health Nutr
;10(5):485-91.
J Ayub Med Coll Abbottabad 2010;22(4)
http://www.ayubmed.edu.pk/JAMC/PAST/22-4/Adeel.pdf
Rehman T, Rizvi Z, Siddiqui U, Ahmad S, Sophie A, Siddiqui M,
et al. Obesity in adolescents of Pakistan. J Pak Med Assoc
;53:315-9.
Bascetta CA. Childhood Obesity: Most Experts Identified
Physical Activity And the Use of Best Practices As Key to
Successful Programs. Washington, D.C: DIANE Publishing;
Schlicker SA, Borra ST, Regan C. The weight and fitness status
of United States children. Nutr Rev 1994;52(1):11-7.
American Heart Association. Exercise (Physical Activity) and
Children. November 24, 2009; Available from:
http://www.americanheart.org/presenter.jhtml?identifier=4596.
Robinson TN. Television viewing and childhood obesity. Pediatr
Clin North Am 2001;48(4):1017-25.
Kunkel D. Television and children. In: Singer DG, Singer JL,
editors. Handbook of children and the media. Thousand Oaks,
CA: Sage Publications; 2001. p. 375-93.
Borzekowski DL, Robinson TN. The 30-second effect: an
experiment revealing the impact of television commercials on
food preferences of preschoolers. J Am Diet Assoc
;101(1):42-6.
Donahue T, Meyer T, Henke L. Black and white children:
Perceptions of television commercials. Journal of Marketing
;42 (4):34-40.
Center for Science in the Public Interest. Pestering Parents: How
Food Companies Market Obesity to Children. Washington, DC:
Center for Science in the Public Interest November 10, 2003.
Boutelle K, Neumark-Sztainer D, Story M, Resnick M. Weight
control behaviors among obese, overweight, and nonoverweight
adolescents. J Pediatr Psychol 2002;27(6):531-40.
Dwyer JT, Evans M, Stone EJ, Feldman HA, Lytle L, Hoelscher
D, et al. Adolescents' eating patterns influence their nutrient
intakes. J Am Diet Assoc 2001;101(7):798-802.
Keski-Rahkonen A, Kaprio J, Rissanen A, Virkkunen M, Rose
RJ. Breakfast skipping and health-compromising behaviors in
adolescents and adults. Eur J Clin Nutr 2003;57(7):842-53.
Jones SJ, Jahns L, Laraia BA, Haughton B. Lower risk of
overweight in school-aged food insecure girls who participate in
food assistance: results from the panel study of income dynamics
child development supplement. Arch Pediatr Adolesc Med
;157(8):780-4.
Aarnio M, Winter T, Kujala U, Kaprio J. Associations of health
related behaviour, social relationships, and health status with
persistent physical activity and inactivity: a study of Finnish
adolescent twins. Br J Sports Med 2002;36(5):360-4.
Cohen B, Evers S, Manske S, Bercovitz K, Edward HG.
Smoking, physical activity and breakfast consumption among
secondary school students in a southwestern Ontario community.
Can J Public Health 2003;94(1):41-4.
Casey PH, Szeto K, Lensing S, Bogle M, Weber J. Children in
food-insufficient, low-income families: prevalence, health, and
nutrition status. Arch Pediatr Adolesc Med 2001;155(4):508-14.
Magnusson MB, Hulthen L, Kjellgren KI. Obesity, dietary pattern
and physical activity among children in a suburb with a high
proportion of immigrants. J Hum Nutr Diet 2005;18(3):187-94.
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