Asiegbu U V, Asiegbu O G, Onyire B N, Ikefuna A N, Ibe B C
Department of Paediatrics, Federal Teaching Hospital, Abakaliki, Ebonyi, Nigeria.
Department of Obstetrics and Gynecology, Federal Teaching Hospital, Abakaliki, Ebonyi, Nigeria.
Niger J Clin Pract. 2017 Jun;20(6):693-699. doi: 10.4103/1119-3077.208952.
Obesity and overweight are emerging major health problems in developing countries in the background of undernutrition. These have been linked to a substantial increase in mortality and morbidity.
This cross-sectional survey was aimed at determining the prevalence of underweight, overweight, and obesity using body mass index (BMI) in primary school pupils in Abakaliki metropolis of Ebonyi State, south-east Nigeria.
Eight hundred and four participants aged 6-12 years, from four public and four private primary schools had their weights and heights measured using standard methods. BMI value was calculated for each subject and compared with BMI for age and sex from World Health Organisation (WHO 2007) reference standard. Socioeconomic status was determined using method proposed by Oyedeji.
Out of 804 subjects, 426 (53.0%) were from public schools, whereas 378 (47%) were from private schools (P ≤ 0.01). Four hundred and fifteen (51.6%) were males and 389 (48.4%) were female (P = 0.88). The prevalence of underweight, overweight, and obesity using BMI were 4.5% and 1.2%, 0% in public schools and 1.1%, 5.0%, and 3.0% in private schools, (P < 0.001). The socioeconomic class significantly affected the prevalence of underweight, overweight, and obesity as more subjects with overweight and obesity belonged to upper social class, whereas more underweight subjects belonged to lower social class.
Overweight and obesity are emerging in a background of undernutrition, showing ''double burden'' of nutritional disorder.
在营养不足的背景下，肥胖和超重正成为发展中国家主要的新出现的健康问题。这些问题与死亡率和发病率的大幅上升有关。
本横断面调查旨在使用体重指数（BMI）确定尼日利亚东南部埃邦伊州阿巴卡利基市小学生中体重过轻、超重和肥胖的患病率。
来自四所公立和四所私立小学的804名6至12岁参与者使用标准方法测量了体重和身高。为每个受试者计算BMI值，并与世界卫生组织（WHO 2007）参考标准中按年龄和性别的BMI进行比较。使用Oyedeji提出的方法确定社会经济地位。
在804名受试者中，426名（53.0%）来自公立学校，而378名（47%）来自私立学校（P≤0.01）。415名（51.6%）为男性，389名（48.4%）为女性（P = 0.88）。使用BMI得出的体重过轻、超重和肥胖的患病率在公立学校分别为4.5%、1.2%和0%，在私立学校分别为1.1%、5.0%和3.0%（P < 0.001）。社会经济阶层显著影响体重过轻、超重和肥胖的患病率，因为更多超重和肥胖的受试者属于社会上层阶级，而更多体重过轻的受试者属于社会下层阶级。
在营养不足的背景下，超重和肥胖正在出现，显示出营养紊乱的“双重负担”。
