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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

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Determinants of overweight and obesity among urban school-going children and adolescents: a case-control study in Bangladesh

Mohammad Morshad AlamORCID iD: https://orcid.org/0000-0002-5579-5651 / Mohammad Delwer Hossain HawladerORCID iD: https://orcid.org/0000-0002-1443-6257 / Abrar Wahab / Md. Delowar Hossain / Shajeda Akter Nishat / Sanjana Zaman / Gias Uddin Ahsan
Published Online: 2019-05-09 | DOI: https://doi.org/10.1515/ijamh-2018-0034



Childhood overweight and obesity is a major public health concern all over the world. Overweight or obese children have a higher risk of becoming obese in adulthood and are at higher risk of associated chronic diseases.


The aim of this study was to determine the risk factors associated with overweight and obesity among urban school children and adolescents in Bangladesh.

Materials and methods

A case-control study was conducted among students aged 10–16 years in 10 schools of Dhaka city. A structured questionnaire was used to collect socio-demographic information and students’ exposure to various risk factors. Data were analyzed by using SPSS 23.


Family income (p = 0.000), mother’s weight (p = 0.036), school activity (p = 0.046), total physical activity (p = 0.008), sedentary activities (p = 0.014), eating fast food (0.008) and cakes/biscuits (p = 0.018) were found as potential determinants of overweight and obesity of children and adolescents. A multiple logistic regression revealed family income >50,000 per month [adjusted odds ratio (AOR) = 3.07, p = 0.001], no physical activity (AOR = 38.3, p = 0.004), more than 4 h of sedentary activities (AOR = 4.84, p = 0.02), regular consumption of fast food (AOR = 3.05, p = 0.042) are risk factors associated with childhood overweight/obesity. Whereas, having a normal weight mother (AOR = 0.51, p = 0.037) and eating cakes/biscuits less than 3 days a week (AOR = 0.33, p = 0.02) were found as protective factors.


Findings from this study will be very useful for public health professionals to increase awareness regarding risk factors of overweight and obesity, in order to reduce the future burden of obesity-associated chronic diseases.

Keywords: Bangladesh; children and adolescents; obesity; overweight; risk factors


About the article

Received: 2018-02-08

Accepted: 2018-05-08

Published Online: 2019-05-09

Funding: This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors.

Competing interests: The authors declare that they have no competing interests.

Authors’ contribution: MMA designed the study, helped in data collection, performed statistical analysis and drafted the manuscript. AW helped with data collection and drafted the manuscript. MDH and SAN collected and extracted data. MDHH revised the manuscript and provided comments and suggestions. SZ and GUA reviewed the manuscript. All authors read and approved the final version.

Citation Information: International Journal of Adolescent Medicine and Health, 20180034, ISSN (Online) 2191-0278, DOI: https://doi.org/10.1515/ijamh-2018-0034.

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