PREVALENCE AND PREDICTING RISK FACTORS OF OVERWEIGHT AND OBESITY AMONG PRIMARY SCHOOL PUPILS IN RAMADI, IRAQ

  • Ahmed K. Al-Delaimy Department of Family and Community Medicine, Medical College, Anbar University, Iraq
  • Mahasin Ali Al-Taha Department of Family and Community Medicine, Medical College, Anbar University, Iraq
  • Mustafa Ali Mustafa Al-Samarraie Department of Family and Community Medicine, Medical College, Anbar University, Iraq
Keywords: Obesity, prevalence, risk factors, pupils

Abstract

Childhood obesity is increasing at a dramatic rate that it can be considered a pandemic. The aim of this study is to address the prevalence of obesity among primary pupils in Ramadi City and to determine different risk factors associated with obesity among these children. A cross-sectional study was carried out and random selections of three primary schools were taken at the center of Ramadi City. A total of 512 pupils were included in this study (232 male and 280 female) to include all eligible children age 6 to 12 years. The study period was during the study year 2018-2019. Anthropometric measurements of height and body weight were carried out using standardized methods.The prevalence of overweight was 15.4% (85-97th percentile) and obese (=≥ 97th percentile) was 13.3%. The Mean BMI percentile of pupils was 17.8±3.9, range (11.3-37.5). Risk factors highly associated with overweight and obesity (P>0.05) were gender, increased age, mother education, taking breakfast and fruits, sitting in front of the TV. While daily vegetable intake and type of feeding at first 6 months after delivery were not found to be significantly associated with overweight and obesity in our study.The prevalence of overweight and obesity primary school children in this study are at an alarming level and the disease trends are growing in this country. Preventive pupils' health action is required for this age group.

References

Kimm SY, Obarzanek E. Childhood obesity: a new pandemic of the new millennium. Pediatrics. 2002 Nov 1;110(5):1003-7.

Musa DI, Toriola AL, Monyeki MA, Lawal B. Prevalence of childhood and adolescent overweight and obesity in Benue State, Nigeria. Tropical Medicine & International Health. 2012 Nov;17(11):1369-75.

Musaiger AO. Overweight and obesity in the eastern Mediterranean region: prevalence and possible causes. Journal of obesity. 2011 Sep 18;2011.

Musa TH, Ali EA, Musa HH, Khan A. Anthropometric parameters of malnutrition in children 5-15 years old in Khartoum State, Sudan. Journal of Public Health and Epidemiology. 2013 Aug 31;5(8):313-8.

Batiha AM, Daradkeh S, ALBashtawy M, Aloush S, Al-Natour A, Al Qadire M, Alrimawi I, Khatatbeh M, Al-Awamreh K, Alhalaiqa F. The relationship between physical activity and diet, and overweight and obesity, in young people. Nursing children and young people. 2020 May 6;32(3).

Adetunji AE, Adeniran KA, Olomu SC, ‘et al’. Socio-demographic factors associated with overweight and obesity among primary school children in semi-urban areas of mid-western Nigeria. PloS one. 2019 Apr 3;14(4):e0214570.

Ortega FB, Ruiz JR, Castillo MJ, Sjöström M. Physical fitness in childhood and adolescence: a powerful marker of health. International journal of obesity. 2008 Jan;32(1):1-1.

Epstein LH, Roemmich JN, Robinson JL, ‘et al’. A randomized trial of the effects of reducing television viewing and computer use on body mass index in young children. Archives of pediatrics & adolescent medicine. 2008 Mar 1;162(3):239-45.

Alkhawaldeh A, Khatatbeh M, ALBashtawy M, Al-Awamreh K, Al Qadire M, ALOmari O, Khasawneh B, ALBashtawy B, Alshakh H. Behavioural approaches to treating overweight and obesity in adolescents. Nursing children and young people. 2017 Nov 7;29(9):44-6.

Janssen, I., Craig, W. M., Boyce, W. F., & Pickett, W. (2004). Associations between overweight and obesity with bullying behaviors in school-aged children. Pediatrics, 113(5), 1187-1194.

Pengpid S, Peltzer K. Overweight and obesity and associated factors among school-aged adolescents in six pacific island countries in Oceania. International journal of environmental research and public health. 2015 Nov;12(11):14505-18.

Kuczmarski RJ, Ogden CL, Grummer-Strawn LM, ‘et al’. CDC growth charts: United States advance data from vital and health statistics, no. 314. Hyattsville, MD: National Center for Health Statistics. 2000.

Kuczmarski RJ, Ogden CL, Guo S, Grummer SL, Flegal K, Mei Z. CDC growth charts for the United States: Methods and Development 2000.

Alredainy, R., & Al Lami, F. Overweight and Obesity in A Sample of Primary School Children in Baghdad. Iraqi Academic Scientific Journal 2016; 15(4), 452-458.

Zekavat OR, Makarem AR, Shayan Z, Shojaee M, Karami MY. Obesity and overweight among primary school children in Iran. Minerva pediatrica. 2014 Dec;66(6):579-84.

Grummer-Strawn L, Krebs NF, Reinold CM. Use of World Health Organization and CDC growth charts for children aged 0-59 months in the United States.

Muthuri SK, Onywera VO, Tremblay MS, ‘et al’. Relationships between parental education and overweight with childhood overweight and physical activity in 9–11 year old children: Results from a 12-country study. PloS one. 2016 Aug 24;11(8):e0147746.

Ruiz M, Goldblatt P, Morrison J, ‘et al’. Impact of low maternal education on early childhood overweight and obesity in Europe. Paediatric and perinatal epidemiology. 2016 May;30(3):274-84.

Vázquez-Nava F, Treviño-Garcia-Manzo N, Vázquez-Rodríguez CF, Vázquez-Rodríguez EM. Association between family structure, maternal education level, and maternal employment with sedentary lifestyle in primary school-age children. Jornal de pediatria. 2013 Apr;89(2):145-50.

Oddy WH. Infant feeding and obesity risk in the child. Breastfeeding review. 2012 Jul;20(2):7.

Estévez-González MD, Del Pino AS, Henríquez-Sánchez P, Peña-Quintana L, Saavedra-Santana P. Breastfeeding during the first 6 months of life, adiposity rebound and overweight/obesity at 8 years of age. International Journal of Obesity. 2016 Jan;40(1):10.

Rosiek A, Maciejewska NF, Leksowski K, Rosiek-Kryszewska A, Leksowski Ł. Effect of television on obesity and excess of weight and consequences of health. International journal of environmental research and public health. 2015 Aug;12(8):9408-26.

Graf C, Koch B, Dordel S, Schindler-Marlow S, Icks A, Schüller A, Bjarnason-Wehrens B, Tokarski W, Predel HG. Physical activity, leisure habits and obesity in first-grade children. European Journal of Cardiovascular Prevention & Rehabilitation. 2004 Aug;11(4):284-90.

Cesani MF, Luis MA, Torres MF, Castro LE, Quintero FA, Luna ME, Bergel ML, Oyhenart EE. Overweight and obesity in schoolchildren from Brandsen and its relationship with socio-environmental characteristics of residence. Archivosargentinos de pediatria. 2010 Aug 1;108(4):294-302.

BANIS HT, Varni JW, Wallander JL, ‘et al’. Psychological and social adjustment of obese children and their families. Child: care, health and development. 1988 May;14(3):157-73.

Published
2020-12-31
How to Cite
Al-Delaimy, A. K., Al-Taha , M. A., & Al-Samarraie , M. A. M. (2020). PREVALENCE AND PREDICTING RISK FACTORS OF OVERWEIGHT AND OBESITY AMONG PRIMARY SCHOOL PUPILS IN RAMADI, IRAQ. Malaysian Journal of Public Health Medicine, 20(3), 20-26. https://doi.org/10.37268/mjphm/vol.20/no.3/art.544