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北卡纳塔克邦城市学龄儿童超重和肥胖的患病率及其相关危险因素

Prevalence of Overweight and Obesity and Their Associated Risk Factors in School-Going Children in North Karnataka City.

作者信息

Pandey Anjali, Todalabagi Pooja

机构信息

Community Medicine, Maharshi Vishwamitra Autonomous State Medical College, Ghazipur, IND.

Community Medicine, Shri B. M. Patil Medical College, BLDE (Deemed to be University), Vijayapura, IND.

出版信息

Cureus. 2024 Sep 1;16(9):e68356. doi: 10.7759/cureus.68356. eCollection 2024 Sep.

Abstract

Background Malnutrition presents threats to human health, including undernutrition and overweight. Obesity is becoming a worldwide problem affecting all levels of society. Therefore, it is described as a global epidemic with a more pronounced impact in developing countries undergoing rapid epidemiological transitions. An increase in the prevalence of childhood obesity is associated with potential medical complications of obesity in adulthood. The purpose of the study is to estimate the prevalence of obesity and risk factors associated with obesity in school-going children of north Karnataka city. Methods This cross-sectional study was conducted in schools in north Karnataka city on 1330 school-going children 10-17 years of age. The overweight and obesity groups were considered using an updated BMI reference of children from two to 18 years ago, according to the International Obesity Task Force (IOTF), and a structured questionnaire was used to assess the socio-demographic characteristics. Chi-square test was used to find out the association between risk factors and overweight and obesity and p value of less than 0.05 was deemed statistically significant. Results The prevalence of obesity in this study was 6.5%. It was found that 64 (22.9%) of the children who were obese or overweight were 14 years of age. Eighty (16.6%) obese children belonged to class 4 socio-economic class and 140 (22.0%) obese children used motorized means of transport. The eating habits of obese children were assessed, and it was found that 151 (19.4%) children had mixed diets, 210 (18.5%) obese children consumed junk food, and 183 (19.3%) obese children drank carbonated drinks. Conclusion This study suggest that the prevalence of overweight and obesity varies remarkably with different socio-demographic factors. Prevention of childhood obesity is necessary because it is nearly impossible to get children to lose weight and maintain it. Preventive interventions are needed at the individual level to adopt healthy lifestyle behavior and policy-making levels to tackle the obesity problem in the country.

摘要

背景

营养不良对人类健康构成威胁,包括营养不足和超重。肥胖正成为一个影响社会各阶层的全球性问题。因此,它被描述为一种全球流行病,在经历快速流行病学转变的发展中国家影响更为显著。儿童肥胖患病率的增加与成年期肥胖的潜在医学并发症相关。本研究的目的是估计北卡纳塔克邦市学龄儿童的肥胖患病率及与肥胖相关的危险因素。

方法

本横断面研究在北卡纳塔克邦市的学校对1330名10至17岁的学龄儿童进行。根据国际肥胖特别工作组(IOTF)的标准,采用更新后的2至18岁儿童BMI参考值来确定超重和肥胖组,并使用结构化问卷评估社会人口学特征。采用卡方检验来找出危险因素与超重和肥胖之间的关联,p值小于0.05被认为具有统计学意义。

结果

本研究中肥胖患病率为6.5%。发现64名(22.9%)肥胖或超重儿童年龄为14岁。80名(16.6%)肥胖儿童属于社会经济等级4级,140名(22.0%)肥胖儿童使用机动交通工具。对肥胖儿童的饮食习惯进行了评估,发现151名(19.4%)儿童饮食混杂,210名(18.5%)肥胖儿童食用垃圾食品,183名(19.3%)肥胖儿童饮用碳酸饮料。

结论

本研究表明,超重和肥胖的患病率因不同的社会人口学因素而有显著差异。预防儿童肥胖很有必要,因为让儿童减肥并维持体重几乎是不可能的。需要在个体层面采取预防性干预措施以采用健康的生活方式行为,并在政策制定层面解决该国的肥胖问题。

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