Jump to ContentJump to Main Navigation
Show Summary Details
More options …

International Journal of Adolescent Medicine and Health

Editor-in-Chief: Merrick, Joav

Editorial Board: Birch, Diana ML / Blum, Robert W. / Greydanus, MD, Dr. HC (Athens), Donald E. / Hardoff, Daniel / Kerr, Mike / Levy, Howard B / Morad, Mohammed / Omar, Hatim A. / de Paul, Joaquin / Rydelius, Per-Anders / Shek, Daniel T.L. / Sher, Leo / Silber, Tomas J. / Towns, Susan / Urkin, Jacob / Verhofstadt-Deneve, Leni / Zeltzer, Lonnie / Tenenbaum, Ariel


CiteScore 2018: 0.79

SCImago Journal Rank (SJR) 2018: 0.350
Source Normalized Impact per Paper (SNIP) 2018: 0.476

Online
ISSN
2191-0278
See all formats and pricing
More options …
Volume 29, Issue 3

Issues

Predictors of overweight and obesity among school going adolescents of Vadodara city in Western India

Jayprakash I. Macwana / Kedar G. Mehta
  • Corresponding author
  • Department of Community Medicine (PSM), 1st Floor, College Building, GMERS Medical College, Gotri, Vadodara, Gujarat, India
  • Email
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ Rajendra K. Baxi
  • Department of Preventive and Social Medicine (PSM), Baroda Medical College, Vadodara, Gujarat, India
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
Published Online: 2016-01-20 | DOI: https://doi.org/10.1515/ijamh-2015-0078

Abstract

Background: Obesity among adolescents is escalating as a global epidemic which is associated with various lifestyle disorders in later life.

Objective: To assess the factors influencing overweight and obesity among school going adolescents of Vadodara city in Western India.

Methods: The study was carried out among 1050 school going adolescents from 15 schools selected by systematic random sampling after taking written informed consent from the participants. A predefined pretested semi-structured questionnaire was used to collect dietary information and physical activity. Anthropometric measurements such as height, weight, triceps skin fold thickness, waist and hip circumferences was measured using standard techniques. Adolescents were classified as overweight (>+1SD) and obese (>+2SD) with respect to their age and sex by using WHO reference charts. Factors found to be statistically significant in bivariate analysis were considered in the multiple logistic regression model.

Results: Among 1050 school going adolescents, 7.8% were overweight and 2.7% were obese, making the combined prevalence of overweight and obesity as 10.5%. Among socio-demographic predictors: early and mid adolescence, male gender, English medium of instruction, positive family history of obesity were found to be the significantly associated with overweight/obesity among the study population. Whereas consumption of outside food, meal skipping habit, infrequent consumption of staple healthy food items were found to be significant diet related predictor variables for overweight/obesity. Among the physical activity predictors: sedentary activities, less outdoor games and sleep deprivation were also found to be significant predictors of overweight/obesity.

Conclusion: Adolescents should be motivated to take adequate amount of healthy staple food like dal-rice at home and to engage in outdoor sports related activity to prevent overweight and obesity.

Keywords: adolescents; obesity; overweight; predictors; Western India

References

  • 1.

    Obesity: Preventing and managing the global epidemic. Report of a WHO consultation. World Health Organ Tech Rep Ser 2000;894:i–xii, 1–253.Google Scholar

  • 2.

    Popkin BM. The nutrition transition and obesity in the developing world. J Nutr 2001;131:871–3.Google Scholar

  • 3.

    Obesity: Preventing and managing the global epidemic. Report of a WHO consultation on Obesity. 1998:231–47.Google Scholar

  • 4.

    Adolescent nutrition: A review of the situation in selected South-East Asian countries WHO regional office for South-East Asia, 8–15 March 2006.Google Scholar

  • 5.

    Kapil U, Singh P, Pathak P, Dwivedi SN, Bhasin S. Prevalence of obesity among affluent adolescent school children in Delhi. Indian Paediatr 2002;39:449–52.CrossrefGoogle Scholar

  • 6.

    Khadilkar V, Khadilkar A. Prevalence of obesity in affluent school boys in Pune. Indian Pediatr 2004;41:857–8.Google Scholar

  • 7.

    Fauci A, Kasper D, Longo D, Braunwald E, Hauser S, et al. Harrison’s principles of internal medicine. New York: Mc Graw Hill, McGraw-Hill Medical Publishing Division, 2012;17:1462–70.Google Scholar

  • 8.

    Chhatwal J, Verma M, Riar SK. Obesity among pre-adolescent and adolescents of a developing country (India). Asia Pac J Clin. Nutr 2004;13:231–5.Google Scholar

  • 9.

    Khadilkar VV, Khadilkar AV. Revised Indian Academy of Pediatrics 2015 growth charts for height, weight and body mass index for 5–18-year-old Indian children. Indian J Endocrinol Metab 2015;19:470–6.Google Scholar

  • 10.

    Jagadesan S, Harish R, Miranda P, Unnikrishnan R, Anjana RM, et al. Prevalence of overweight and obesity among school children and adolescents in Chennai. Indian Pediatr 2014;51:544–9.Web of ScienceGoogle Scholar

  • 11.

    Bhave S, Bavdekar A, Otiv M. IAP National Task force for childhood prevention of adult diseases: Childhood obesity. Indian Pediatr 2004;41:559–75.Google Scholar

  • 12.

    Lwanga SK, Lemeshow S. Sample size determination in health statistics – a practical manual. Geneva: WHO, 1991.Google Scholar

  • 13.

    Jelliffe DB. Assessment of the Nutritional status of the community. Geneva: WHO, 1966.Google Scholar

  • 14.

    WHO. WHO Techincal Report Series 854, Physical status: The use and interpretation of anthropometry. Geneva, Switzerland, 1995.Google Scholar

  • 15.

    Centers for Disease Control and Prevention (CDC). BMI for children and teens. [02-07-2012]. Available at: http://www.cdc.gov/healthyweight/assessing/bmi/childrens_bmi/about_childrens_bmi.html/.

  • 16.

    de Onis M, Onyango AW, Borghi E, Siyam A, Nishida C, et al. Development of a WHO growth reference for school-aged children and adolescents. Bull World Health Organ 2007;85:660–7.Web of ScienceGoogle Scholar

  • 17.

    Stang J, Story M. Textbook on adolescent growth and development. Minneapolis, MN: School of Public Health, University of Minnesota, 1987.Google Scholar

  • 18.

    Prasad BG. Changes proposed in the social classification of Indian families. J Indian Med Assoc 1970;55:189–99.Google Scholar

  • 19.

    Midha T, Nath B, Kumari R, Rao YK, Pandey U. Childhood obesity in India: A meta-analysis. Indian J Pediatr 2012;79:945–8.Web of ScienceGoogle Scholar

  • 20.

    Goyal RK, Shah VN, Saboo BD, Phatak SR, Shah NN, et al. Prevalence of overweight and obesity in Indian adolescent school going children: its relationship with socioeconomic status and associated lifestyle factors. J Assoc Physicians India 2010;58:151–8.Google Scholar

  • 21.

    Iyer U, Elayath N, Akolkar A. Magnitude and determinants of overweight and obesity in 6–12 year old school children of Vadodara City. Current Pediatric Research 2011;11:105–9.Google Scholar

  • 22.

    Laxmaiah A, Nagalla B, Vijayaraghavan K, Nair M. Factors affecting prevalence of overweight among 12- to 17-year-old urban adolescents in Hyderabad, India. Obesity 2007;15:1384–90.Web of ScienceGoogle Scholar

  • 23.

    Goyal J, Kumar N, Parmar I, Shah V, Patel B. Prevalence of overweight and obesity in affluent adolescent girls in Surat city, western India. Int J Med Sci Public Health 2012;1:2–4.Google Scholar

  • 24.

    Kotian MS, Kumar G, Kotian SS. Prevalence and determinants of overweight and obesity among adolescent school children of South Karnataka, India. Indian J Community Med 2010;35:176–8.Google Scholar

  • 25.

    Singhal N, Misra A, Shah P, Gulati S. Effects of controlled school-based multi-component model of nutrition and lifestyle interventions on behavior modification, anthropometry and metabolic risk profile of urban Asian Indian adolescents in North India. Eur J Clin Nutr 2010;64:364–73.Web of ScienceGoogle Scholar

About the article

Corresponding author: Kedar G. Mehta, Assistant Professor, Department of Community Medicine (PSM), 1st Floor, College Building, GMERS Medical College, Gotri, Vadodara, Gujarat, India, Phone: +09879036835


Received: 2015-08-03

Accepted: 2015-10-17

Published Online: 2016-01-20


Contributors: JM contributed in conceptualization of the research topic. RB and KM helped in designing the study. All three authors contributed in data management and manuscript related processes.


Citation Information: International Journal of Adolescent Medicine and Health, Volume 29, Issue 3, 20150078, ISSN (Online) 2191-0278, ISSN (Print) 0334-0139, DOI: https://doi.org/10.1515/ijamh-2015-0078.

Export Citation

©2017 Walter de Gruyter GmbH, Berlin/Boston.Get Permission

Citing Articles

Here you can find all Crossref-listed publications in which this article is cited. If you would like to receive automatic email messages as soon as this article is cited in other publications, simply activate the “Citation Alert” on the top of this page.

[1]
Erica C. Jansen, Galit Levi Dunietz, Maria-Efstratia Tsimpanouli, Heidi M. Guyer, Carol Shannon, Shelley D. Hershner, Louise M. O’Brien, and Ana Baylin
Current Nutrition Reports, 2018
[2]
Nicole D. Ford, Shivani A. Patel, and K.M. Venkat Narayan
Annual Review of Public Health, 2017, Volume 38, Number 1, Page 145
[3]
Samiksha Tarun, Monika Arora, Tina Rawal, and Sara E. Benjamin Neelon
BMC Public Health, 2017, Volume 17, Number 1

Comments (0)

Please log in or register to comment.
Log in