Sadoh W E, Israel-Aina Y T, Sadoh A E, Uduebor J E, Shaibu M, Ogonor E, Enugwuna F C
Department of Child Health, University of Benin Teaching Hospital, PMB 1111, Benin City, Edo State, Nigeria.
Department of Paediatrics, Delta State University Teaching Hospital, Oghara, Delta State, Nigeria.
Niger J Clin Pract. 2017 Jul;20(7):839-846. doi: 10.4103/1119-3077.212445.
Overweight and obesity in children, and adolescents is on the rise globally. Affected children are prone to cardio-metabolic problems later in life, especially hypertension. The prevalence of obesity/overweight may differ depending on school type. Private schools are attended mostly by children of the affluent, while public schools are attended predominantly by those in the low and middle socio-economic classes.
To compare the prevalence of overweight, obesity and elevated blood pressure (BP) in pupils attending public and private primary schools in an urban community in Nigeria.
In this cross sectional study, the BMI and BP of pupils in public and private primary schools, recruited by multistage sampling method, were measured. Their nutritional status was categorized using their BMI percentiles. Analysis was by SPSS.
A total of 1466 pupils were recruited, 814(55.5%) were in public schools and 722(49.2%) were males. The prevalence of overweight and obesity was higher in private schools 11.8% and 11.7% compared to public schools 3.3% and 0.9%. The mean systolic BP of pupils in public schools 96.8 ± 12.5 mmHg was higher than that in private schools 95.5 ± 10.2 mmHg, p = 0.032. Distribution of pupils with prehypertension and hypertension between private and public schools was not significantly different.
The prevalence of overweight and obesity is higher in pupils attending private schools compared to those in public school. Urgent measures are needed to stem this tide through education, weight reduction and physical activity programs, especially in pupils attending private schools.
儿童和青少年超重及肥胖问题在全球范围内呈上升趋势。受影响的儿童在日后生活中更容易出现心血管代谢问题，尤其是高血压。肥胖/超重的患病率可能因学校类型而异。私立学校大多招收富裕家庭的孩子，而公立学校主要招收社会经济地位较低和中等的家庭的孩子。
比较尼日利亚一个城市社区公立和私立小学学生超重、肥胖及血压升高（BP）的患病率。
在这项横断面研究中，通过多阶段抽样方法招募公立和私立小学的学生，测量其体重指数（BMI）和血压。根据BMI百分位数对他们的营养状况进行分类。采用社会科学统计软件包（SPSS）进行分析。
共招募了1466名学生，其中814名（55.5%）在公立学校，722名（49.2%）为男性。私立学校超重和肥胖的患病率较高，分别为11.8%和11.7%，而公立学校分别为3.3%和0.9%。公立学校学生的平均收缩压为96.8±12.5毫米汞柱，高于私立学校的95.5±10.2毫米汞柱，p = 0.032。私立学校和公立学校之间高血压前期和高血压学生的分布没有显著差异。
与公立学校的学生相比，私立学校学生超重和肥胖的患病率更高。需要采取紧急措施，通过教育、减重和体育活动计划来遏制这一趋势，尤其是在私立学校的学生中。
