Manandhar Shraddha, Suksaroj Thunwadee Tachapattaworakul, Rattanapan Cheerawit
ASEAN Institute for Health Development, Mahidol University, Thailand.
Int J Occup Environ Med. 2019 Jan;10(1):1-10. doi: 10.15171/ijoem.2019.1425.
Childhood overweight and obesity is a major health problem in many low- and middle-income countries such as Nepal. There is evidence indicating a significant association between health and access to green space.
To estimate the prevalence of childhood overweight and obesity, and to identify its association with green space among primary school children in Kathmandu metropolitan city, Nepal.
A cross-sectional study was conducted on 440 (195 male and 245 female) students studying in selected primary schools of Kathmandu metropolitan city. Mothers/caretakers of the participating children were also studied.
Of the 440 children, 13.2% were overweight; 6.8% were obese. 4 of 16 studied variables that had significant associations with overweight/obesity in bivariate analyses, were found independent predictors of overweight/obesity after being adjusted for confounders. They included mode of transportation to school (aOR 2.08, 95% CI 1.12 to 3.88), consumption of sugary snack (aOR 2.57, 95% CI 1.12 to 5.91) and salty/savory snack (aOR 4.13, 95% CI 1.71 to 9.96), and the distance of a green space from child's residence (aOR 27.46, 95% CI 6.10 to 123.54).
One-fifth of the children in urban schools were found to be overweight or obese. The distance to a green space was identified as the most significant factor influencing childhood overweight/obesity.
儿童超重和肥胖是尼泊尔等许多低收入和中等收入国家的一个主要健康问题。有证据表明健康与绿色空间的可达性之间存在显著关联。
估计尼泊尔加德满都都会区小学生超重和肥胖的患病率，并确定其与绿色空间的关联。
对加德满都都会区选定小学的440名（195名男生和245名女生）学生进行了横断面研究。还对参与研究儿童的母亲/照顾者进行了研究。
在440名儿童中，13.2%超重；6.8%肥胖。在二元分析中与超重/肥胖有显著关联的16个研究变量中，有4个在调整混杂因素后被发现是超重/肥胖的独立预测因素。它们包括上学交通方式（调整后比值比2.08，95%置信区间1.12至3.88）、含糖零食的消费（调整后比值比2.57，95%置信区间1.12至5.91）和咸/香零食的消费（调整后比值比4.13，95%置信区间1.71至9.96），以及绿色空间与儿童居住地的距离（调整后比值比27.46，95%置信区间6.10至123.54）。
城市学校中五分之一的儿童被发现超重或肥胖。绿色空间的距离被确定为影响儿童超重/肥胖的最显著因素。
