Anuradha R K, Sathyavathi R B, Reddy T Muneeswara, Hemalatha R, Sudhakar G, Geetha P, Reddy K Kodanda
Department of Home Science, Sri Venkateswara University, Tirupati, Andhra Pradesh, India.
Department of Adult Education, Sri Venkateswara University, Tirupati, Andhra Pradesh, India.
Indian J Endocrinol Metab. 2015 Mar-Apr;19(2):283-7. doi: 10.4103/2230-8210.131765.
Overweight and obesity among children and adolescents is a public health concern.
To assess the prevalence of overweight and obesity and its association with social and environmental determinants among the adolescent school children of Tirupati town of Andhra Pradesh, India.
Data was collected by interviewer-administered method from school children aged between 12 to 16 years. The sample consisted of 2258 subjects (1097 boys and 1161 girls). Overweight and obesity were defined by body mass index (BMI) based on the current method recommended by the Centre for Disease Control and Prevention 2000. Data on social and environmental determinants were collected by using a pre-tested and validated questionnaire.
In the present sample, 11.2 percent and 4.8 percent of boys and 10.3 percent and 4.8 percent of girls were overweight and obese. The literacy level of parents, family income and child sleep duration significantly associated with overweight. Parental level of education was a risk factor for overweight (Mother: 1.570; 95% CI: 1.048-2.354). Similarly increase in family income (OR = 1.529; 95% CI: 1.089-2.148) and child sleep duration <7 hrs per day (OR = 2.006; 95% CI: 1.194-3.371) raised children's association in gaining weight.
Our study reinforces the burgeoning prevalence of overweight and obesity among the adolescents. Interventional measures taken should consider family, school and physical environment to check the problem of overweight/obesity.
儿童和青少年超重与肥胖是一个公共卫生问题。
评估印度安得拉邦蒂鲁伯蒂镇青少年在校儿童超重与肥胖的患病率及其与社会和环境决定因素的关联。
采用访谈员管理法收集12至16岁在校儿童的数据。样本包括2258名受试者（1097名男孩和1161名女孩）。根据疾病控制与预防中心2000年推荐的现行方法，通过体重指数（BMI）定义超重与肥胖。使用经过预测试和验证的问卷收集社会和环境决定因素的数据。
在本样本中，11.2%的男孩和4.8%的男孩超重与肥胖，10.3%的女孩和4.8%的女孩超重与肥胖。父母的识字水平、家庭收入和儿童睡眠时间与超重显著相关。父母的教育水平是超重的一个危险因素（母亲：1.570；95%可信区间：1.048 - 2.354）。同样，家庭收入增加（比值比 = 1.529；95%可信区间：1.089 - 2.148）和儿童每天睡眠时间<7小时（比值比 = 2.006；95%可信区间：1.194 - 3.371）增加了儿童体重增加的关联。
我们的研究强化了青少年中超重与肥胖迅速增长的患病率。所采取的干预措施应考虑家庭、学校和物理环境，以控制超重/肥胖问题。
