OBESITY, AN EMERGING EPIDEMIC IN PAKISTAN-A REVIEW OF EVIDENCE
AbstractBackground: In Pakistan, the disease pattern is facing a huge changeover from acute and communicable diseases to the non-communicable diseases. Moreover, an emerging epidemic of obesity is still under recognized in Pakistan. A detailed review and dissemination of the existing knowledge to determine the extent of burden of obesity can help understand this important public health issue. Methods: A detailed literature review was conducted through PubMed search engines, regarding obesity burden in Pakistan. The original peer reviewed research articles, reports of WHO in English language, non-government organizations reports were included in the review. “Obesity AND Pakistan” were used as a search terms. Results: Pakistan is suffering from epidemic of obesity, affecting all age groups. Urban population, particularly women shows considerable higher burden of obesity as compared to men and women from rural population. However, among children and adolescents there is variation in prevalence of obesity. Girls from all age groups are predominantly more obese as compared to boys. Most of the studies have estimated child obesity among school going children of different age groups and need careful interpretation. Conclusion:Pakistan is currently suffering from an emerging epidemic of obesity. The rising burden of obesity is widespread among adults (man and women) and children. The burden of obesity is higher among females in all age groups as compare to males. Effective interventions are required at population level to prevent and control this emerging public health issue.Keywords: Obesity; Malnutrition; Epidemic, Pakistan
James PT, Leach R, Kalamara E, Shayeghi M. The worldwide obesity epidemic. Obes Res 2001;9(S11):228S–33S.
Swinburn BA, Sacks G, Hall KD, McPherson K, Finegood DT, Moodie ML, et al. The global obesity pandemic: shaped by global drivers and local environments. Lancet 2011;378(9793):804–14.
Campos P, Saguy A, Ernsberger P, Oliver E, Gaesser G. The epidemiology of overweight and obesity: public health crisis or moral panic? Int J Epidemiol 2006;35(1):55–60.
Global Prevalence of Adult Obesity - Country Rankings 2010. [Internet]. [cited 2013 May 13]. Available from: http://www.allcountries.org/ranks/global_prevalence_of_adult_obesity.html
Hossain P, Kawar B, El Nahas M. Obesity and diabetes in the developing world--a growing challenge. N Engl J Med 2007;356(3):213–5.
Dennis B, Aziz K, She L, Faruqui AM, Davis CE, Manolio TA, et al. High rates of obesity and cardiovascular disease risk factors in lower middle class community in Pakistan: the Metroville Health Study. J Pak Med Assoc 2006;56(6):267–72.
Nanan DJ. The obesity pandemic-implications for Pakistan. J Pak Med Assoc 2002;52(8):342–6.
Pakistan Medical Research Council. National Health Survey of Pakistan. Health profile of the people of Pakistan 1990–94. Islamabad: Network publication service. 1998.
National Institute of Population Studies (NIPS) [Pakistan] and ICF International. 2013. Pakistan Demographic and Health Survey 2012-13. Islamabad, Pakistan, and Calverton, Maryland, USA: NIPS and ICF International.
Khan MH, Khan H, Sarwar G, Iftikhar B. Study of obese persons profile at Di Khan, NWFP, Pakistan. Gomal J Med Sci. 2004;6(2):77–80.
Shah SM, Nanan D, Rahbar MH, Rahim M, Nowshad G. Assessing obesity and overweight in a high mountain Pakistani population. Trop Med Int Health 2004;9(4):526–32.
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 2009;59(1):35–8.
Saxena S, Ambler G, Cole TJ, Majeed A. Ethnic group differences in overweight and obese children and young people in England: cross sectional survey. Arch Dis Child 2004;89(1):30–6.
Sharma A, Sharma K, Mathur KP. Growth pattern and prevalence of obesity in affluent schoolchildren of Delhi. Public Health Nutr 2007;10(5):485–91.
Wickramasinghe VP, Lamabadusuriya SP, Atapattu N, Sathyadas G, Kuruparanantha S, Karunarathne P. Nutritional status of schoolchildren in an urban area of Sri Lanka. Ceylon Med J 2004;49(4):114–8.
Bener A, Kamal AA. Growth patterns of Qatari school children and adolescents aged 6-18 years. J Health Popul Nutr 2005;23(3):250–8.
Ayatollahi SM, Mostajabi F. Prevalence of obesity among schoolchildren in Iran. Obes Rev 2007;8(4):289–91.
Kosti RI, Panagiotakos DB. The epidemic of obesity in children and adolescents in the world. Cent Eur J Public Health 2006;14(4):151–9.
Stanner S. Health survey for England 1999: The health of minority ethnic groups. Nutr Bull 2001;26(3):227–30.
Chinn S, Rona RJ. Prevalence and trends in overweight and obesity in three cross sectional studies of British children, 1974-94. BMJ 2001;322(7277):24–6.
Reilly JJ, Dorosty AR, Emmett PM. Prevalence of overweight and obesity in British children: cohort study. BMJ 1999;319(7216):1039.
Rudolf MC, Sahota P, Barth JH, Walker J. Increasing prevalence of obesity in primary school children: cohort study. BMJ 2001;322(7294):1094–5.
Haq I, Siddiqui TS, Jan MA. Prevalence of obesity in schoolchildren of Hazara division. J Ayub Med Coll Abbottabad 2010;22(4):50–2.
Aekplakorn W, Suwan ML. Prevalence of obesity in Thailand. Obes Rev 2009;10(6):589–92.
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.
Sawaya AL, Dallal G, Solymos G, Sousa MH, Ventura ML, Roberts SB, et al. Obesity and malnutrition in a shantytown population in the city of Sao Paulo, Brazil. Obes Res 1995;3(Suppl 2):107s–15.