Amin Tarek Tawfik, Al-Sultan Ali Ibrahim, Ali Ayub
Department of Family and Community Medicine, College of Medicine, King Faisal University-Al Hassa, Saudi Arabia.
Indian J Community Med. 2008 Jul;33(3):172-81. doi: 10.4103/0970-0218.42058.
To assess the magnitude of obesity and overweight among male primary school children, and to find the possible association between obesity/overweight and dietary habits and sociodemographic differentials among them.
A cross-sectional descriptive study, including 1139 Saudi male children enrolled in the 5(th) and 6(th) grades in public primary schools in Al Hassa, Kingdom of Saudi Arabia (KSA), was conducted. The test included a multistage random sampling technique, based on interview using Youth and Adolescent Food Frequency Questionnaire, gathering data regarding dietary intake, dietary habits, followed by anthropometric measurements with the calculation of body mass index (BMI), the interpretation of which was based on Cole's tables for the standard definition of overweight and obesity. Sociodemographic data were collected through a parental questionnaire from. Data analysis was performed using the SPSS 12 software (SPSS Inc. Chicago, IL, USA); both univariate and multivariate analyses were performed.
The age of the school children ranged from 10-14 years. The prevalence of overweight among the subjects was 14.2%, while that of obesity was 9.7%; the prevalence was more in the urban, older age students. The mothers of obese and overweight children were less educated and more working. Missing and or infrequent intake of breakfast at home, frequent consumption of fast foods, low servings per day of fruits, vegetables, milk and dairy products, with frequent consumption of sweets/candy and carbonated drinks were all predictors of obesity and overweight among the schoolchildren studied.
The prevalence of childhood obesity is escalating and approaching figures that have been reported till now from the developed countries. Less healthy dietary habits and poor selection of food may be responsible for this high prevalence.
评估男小学生肥胖和超重的程度,并找出肥胖/超重与他们的饮食习惯及社会人口统计学差异之间的可能关联。
开展了一项横断面描述性研究,纳入了沙特阿拉伯王国(KSA)哈萨地区公立小学五、六年级的1139名沙特男童。该测试采用多阶段随机抽样技术,基于使用青少年食物频率问卷进行的访谈,收集有关饮食摄入、饮食习惯的数据,随后进行人体测量并计算体重指数(BMI),其解读依据科尔关于超重和肥胖标准定义的表格。社会人口统计学数据通过家长问卷收集。使用SPSS 12软件(美国伊利诺伊州芝加哥市SPSS公司)进行数据分析;同时进行单变量和多变量分析。
学童年龄在10至14岁之间。受试者中超重患病率为14.2%,肥胖患病率为9.7%;城市和年龄较大的学生中患病率更高。肥胖和超重儿童的母亲受教育程度较低且工作的更多。在家不吃或很少吃早餐、经常食用快餐、每天水果、蔬菜、牛奶和乳制品摄入量少、经常食用糖果和碳酸饮料都是所研究学童肥胖和超重的预测因素。
儿童肥胖患病率正在上升,接近目前发达国家所报告的数字。不太健康的饮食习惯和食物选择不当可能是导致这种高患病率的原因。