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Shuvo SD, Biswas BK. The degree of association between overweight and obesity with the use of electronic media among Bangladeshi adolescents. PLoS One 2023; 18:e0280544. [PMID: 36662815 PMCID: PMC9858059 DOI: 10.1371/journal.pone.0280544] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/02/2021] [Accepted: 01/03/2023] [Indexed: 01/21/2023] Open
Abstract
BACKGROUND Electronic media usage is recently considered a modifiable risk factor for overweight and obesity among adolescents. The purpose of this present study was to evaluate the association of electronic media (EM) usage with overweight and obesity among school-going adolescents. METHODS This cross-sectional study was conducted from October to December 2019 among school-going adolescents (14-16 years old) residing in the Jashore Sadar Upazila, Jashore district of Bangladesh. A standardized questionnaire was used to collect information regarding the socio-economic status, time spent watching television, video games playing, computer, and smart mobile phone use through face-to-face interviews. Age- and sex-specific body mass index (BMI) cut-off values for overweight and obesity were determined for Asian adolescents by the International Obesity Task Force (IOTF). Multinomial logistic regression analysis was carried out to determine the association between electronic media use with overweight and obesity. FINDINGS The findings suggest that the overall prevalence of overweight and obesity was 13.5% and 25.2%, respectively. Among the total adolescent students, about 49.1% highly (above 3 hours per day) spent their time on EM use whereas 30.6% moderately (≥121 to 180 min/day) use EM. The regression analysis showed that spending high time using total screen-based electronic devices, television viewing, video game playing, computer use, and smartphone use were significantly associated with overweight (RRR: 7.36, 95% CI: 3.64-11.54; RRR: 4.58, 95% CI: 1.46-7.95; RRR: 4.45, 95% CI: 2.75-6.12; RRR: 3.18, 95% CI: 1.87-4.70; RRR: 2.15, 95% CI: 1.23-3.51) and obesity (RRR: 8.72, 95% CI: 4.64-12.54; RRR: 2.89, 95% CI: 1.31-5.21; RRR: 3.88, 95% CI: 1.74-5.13; RRR: 3.08, 95% CI: 1.32-4.86; RRR: 1.19, 95% CI: 0.93-1.48) in adolescents, respectively. CONCLUSION The results support the total time spent using electronic media was associated with an increased risk of being overweight and obesity. Finally, this study strongly suggests the proper use of electronic media may be necessary to reduce the risk of being overweight and obesity in early adolescents.
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Affiliation(s)
- Suvasish Das Shuvo
- Department of Nutrition and Food Technology, Jashore University of Science and Technology, Jashore, Bangladesh
| | - Biplob Kumar Biswas
- Department of Nutrition and Food Technology, Jashore University of Science and Technology, Jashore, Bangladesh
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Tanveer M, Hohmann A, Roy N, Zeba A, Tanveer U, Siener M. The Current Prevalence of Underweight, Overweight, and Obesity Associated with Demographic Factors among Pakistan School-Aged Children and Adolescents-An Empirical Cross-Sectional Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:11619. [PMID: 36141896 PMCID: PMC9517235 DOI: 10.3390/ijerph191811619] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 08/03/2022] [Revised: 08/26/2022] [Accepted: 09/12/2022] [Indexed: 06/16/2023]
Abstract
Purpose: This study investigated the most recent estimates of underweight, overweight, and obesity prevalence in Pakistani school-aged children and adolescents. Methods: A cross-sectional study was conducted using a convenience random clustered sampling approach with 3,551 Pakistani school children aged 9 to 17 years from 52 schools throughout seven districts in central Punjab province. The CDC US 2000 was used to define underweight (BMI < 5th percentile), overweight (85th ≤ BMI < 95th percentile), and obesity (95th percentile ≤ BMI) for different school grade cohorts (primary, middle, secondary, and higher secondary schools). As a trend test, the Chi-square test was used. A Spearman correlation analysis (r) was used to determine the correlations between demographic variables and weight status. A regression analysis was conducted to explore the predictive power of demographic factors in relation to body weight. Results: In Pakistani school-aged children and adolescents, the prevalence of underweight, normal weight, overweight, and obesity was 21.9%, 66.9%, 5.8%, and 5.4%, respectively. Significant correlations with body weight status were shown for individual demographic parameters (age, gender, school type, and school grade). Children in urban areas were more likely to be underweight, overweight, or obese than those in rural areas. Boys were found to have a lower BMI than girls. Accordingly, more boys than girls were underweight (odds ratio (OR) = 1.57, 95% CI: 1.33-1.85) and more girls had a higher risk of obesity than boys (OR = 1.39, 95% CI: 1.03-1.86). Lower grades showed more underweight (OR = 1.66, 95% CI: 1.39-1.99) whereas higher grades showed a higher risk of obesity (OR = 1.91, 95% CI: 1.41-2.57). Conclusions: In Pakistani school-aged children and adolescents, underweight, overweight, and obesity were prevalent. Compared with studies from 2011, the risk of overweight and obesity in Pakistan has decreased. However, this may also be due to the fact that students in Pakistan have a lower BMI compared to other countries. This issue has also been seen in the present study and is confirmed here by the high number of cases of underweight students. Future research studies should look into additional weight status correlates and factors. To evaluate the association between weight status and behavioral and other health variables, future research should use longitudinal or interventional designs.
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Affiliation(s)
- Moazzam Tanveer
- School of Physical Education and Sport Training, Shanghai University of Sport, Shanghai 200438, China
| | - Andreas Hohmann
- Department of Training and Movement Science, BaySpo—Bayreuth Center of Sport Science, University of Bayreuth, 95447 Bayreuth, Germany
| | - Nadeem Roy
- School of Physical Education, Shanxi University, Taiyuan 030006, China
| | - Asifa Zeba
- Department of Education, International Islamic University, Islamabad 44000, Pakistan
| | - Umar Tanveer
- Department of Mass Communication, University of Lahore, Lahore 54000, Pakistan
| | - Maximilian Siener
- Department of Training and Movement Science, BaySpo—Bayreuth Center of Sport Science, University of Bayreuth, 95447 Bayreuth, Germany
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Haghjoo P, Siri G, Soleimani E, Farhangi MA, Alesaeidi S. Screen time increases overweight and obesity risk among adolescents: a systematic review and dose-response meta-analysis. BMC PRIMARY CARE 2022; 23:161. [PMID: 35761176 PMCID: PMC9238177 DOI: 10.1186/s12875-022-01761-4] [Citation(s) in RCA: 13] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/13/2022] [Accepted: 06/03/2022] [Indexed: 01/03/2023]
Abstract
BACKGROUND Adolescence is a critical period in human life, associated with reduced physical activity and increased sedentary behaviors. In this systematic review and dose-response meta-analysis, we evaluated the association between screen time and risk of overweight/obesity among adolescents. METHODS A systematic search in electronic databases, including PubMed, Embase, and Scopus was performed up to September 2021. All published studies evaluating the association between screen time and risk of overweight/obesity among adolescents were retrieved. Finally, a total of 44 eligible studies were included in the meta-analysis. RESULTS The results of the two-class meta-analysis showed that adolescents at the highest category of screen time were 1.27 times more likely to develop overweight/obesity (OR = 1.273; 95% CI = 1.166-1.390; P < 0.001; I-squared (variation in ES attributable to heterogeneity) = 82.1%). The results of subgrouping showed that continent and setting were the possible sources of heterogeneity. Moreover, no evidence of non-linear association between increased screen time and risk of overweight/obesity among adolescents was observed (P-nonlinearity = 0.311). CONCLUSION For the first time, the current systematic review and meta-analysis revealed a positive association between screen time and overweight/obesity among adolescents without any dose-response evidence. TRIAL REGISTRATION The protocol of the current work has been registered in the PROSPERO system (Registration number: CRD42021233899 ).
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Affiliation(s)
- Purya Haghjoo
- Urology Research Center, Razi Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran
| | - Goli Siri
- Department of Internal Medicine, Amir Alam Hospital, Tehran University of Medical Sciences, Tehran, Iran
| | - Ensiye Soleimani
- Student Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran
| | | | - Samira Alesaeidi
- Rheumatology Research Center, Tehran University of Medical Sciences, Tehran, Iran
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Bai G, Parkash A, Kumar V, Kumari M, Kumari S, Das K. Trends in Weight Gain Among Breastfed Infants Versus Bottle-Fed Infants at a Tertiary Care Hospital in Karachi, Pakistan. Cureus 2022; 14:e23459. [PMID: 35494905 PMCID: PMC9038507 DOI: 10.7759/cureus.23459] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/23/2022] [Indexed: 11/05/2022] Open
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Qaisar R, Karim A. BMI status relative to international and national growth references among Pakistani school-age girls. BMC Pediatr 2021; 21:535. [PMID: 34852819 PMCID: PMC8638413 DOI: 10.1186/s12887-021-03017-z] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/18/2020] [Accepted: 11/22/2021] [Indexed: 12/17/2022] Open
Abstract
Background A sizable proportion of school-going children from developing countries has abnormal growth parameters, often not standardized with international reference values. We aimed to assess the prevalence of underweight, overweight, and obesity in the schoolgirls of Punjab according to international and local references. Methods In this population-based cross-sectional study, 10,050 school-going girls aged 8–16 years from 12 districts of northern, central, and southern Punjab were recruited. Estimates of normal weight, underweight, overweight and obesity were calculated in the girls according to three international BMI references including centers for disease control (CDC) 2000, the international obesity task force (IOTF) 2012 and world health organisation (WHO) 2007 in addition to a local reference for the population under study. We used Cohen’s kappa statistics to analyse the agreement of our data with reference values. Results There was marked overestimation of underweight (23.9%, 14.5%, 15.2% and 4.37%), slight underestimation of overweight (5.3%, 7.3%, 7.9% and 8.97%) and moderate underestimation of obesity (1.9%, 1.5%, 2.2% and 5.67%) according to CDC, IOTF, WHO and local reference, respectively. When the weight status of the study cohort was compared with the local data, we found comparable results in all four weight categories. Conclusion We recommend population-wide further studies to estimate the prevalence of weight status in school-age girls for devising appropriate references and for planning strategies for public health policy and management.
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Affiliation(s)
- Rizwan Qaisar
- Department of Basic Medical Sciences, College of Medicine, University of Sharjah, Sharjah, UAE
| | - Asima Karim
- Department of Basic Medical Sciences, College of Medicine, University of Sharjah, Sharjah, UAE. .,Department of Physiology & Cell Biology, University of Health Sciences, Lahore, Pakistan.
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Baniissa W, Radwan H, Rossiter R, Fakhry R, Al-Yateem N, Al-Shujairi A, Hasan S, Macridis S, Farghaly AA, Naing L, Awad MA. Prevalence and determinants of overweight/obesity among school-aged adolescents in the United Arab Emirates: a cross-sectional study of private and public schools. BMJ Open 2020; 10:e038667. [PMID: 33310793 PMCID: PMC7735131 DOI: 10.1136/bmjopen-2020-038667] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/15/2022] Open
Abstract
OBJECTIVES To estimate the prevalence and predictors of obesity among adolescents in the United Arab Emirates. DESIGN Cross-sectional study. SETTING Private and public secondary schools. PARTICIPANTS Adolescents aged 13-19 years; 434 (46.6%) from private schools and 498 (53.4%) from public schools. MEASURES Self-report questionnaires were used to assess adolescents' sociodemographic factors, fruit/vegetable (F/V) intake and physical activity. Participants' weight, height, waist circumference (WC), hip circumference and body fat percentage (%BF) were measured, and waist-to-height ratio (WHtR), waist-to-hip ratio (WHR) and body mass index (BMI) were calculated. Overweight/obesity was determined by BMI ≥85th percentile for age, abdominal obesity (AO) (WC, WHtR and WHR) and %BF. RESULTS A total of 34.7% of participants were overweight/obese (BMI ≥85th percentile) and 378 (40.6%) had high %BF. AO was noted in 47.3%, 22.7% and 27.1% of participants, based on WC, WHR and WHtR, respectively. Significantly more participants from public schools were overweight/obese (37.8% vs 31.1%) and had greater AO (based on WC, WHR, WHtR) compared with those from private schools. Predictors of obesity based on BMI were: consuming less than five servings of F/V (adjusted OR (AOR) 2.41, 95% CI: 1.73 to 3.36), being physically inactive (AOR 2.09, CI: 1.36 to 3.22) and being men (AOR 3.35, 95% CI: 2.20 to 5.10). Predictors of AO were being men (WC: AOR 1.42, 95% CI: 1.01 to 2.00; WHtR: AOR 2.72, 95% CI: 1.81 to 4.08); studying at public school (WHR: AOR 1.67, 95% CI: 1.06 to 2.66); being Emirati (WHR: AOR 0.62, 95% CI: 0.43 to 0.90); consuming less than five servings of F/V (WC: AOR 1.71, 95% CI: 1.27 to 2.30; WHtR: AOR 1.46, 95% CI: 1.05 to 2.03), and being physically inactive (WC: AOR 1.63; 95% CI: 1.13 to 2.35). CONCLUSIONS Focused interventions are needed to combat obesity while considering AO indicators and BMI to diagnose obesity in adolescents.
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Affiliation(s)
- Wegdan Baniissa
- College of Health Sciences, Department of Nursing, Research Institute of Medical and Health Sciences, University of Sharjah, Sharjah, UAE
| | - Hadia Radwan
- College of Health Sciences, Clinical Nutrition and Dietetics, University of Sharjah, Research Institute of Medical and Health Sciences, Sharjah, UAE
| | - Rachel Rossiter
- School of Nursing, Midwifery and Indigenous Health, Faculty of Science, Charles Sturt University, Orange, New South Wales, Australia
| | - Randa Fakhry
- College of Health Sciences, Department of Nursing, Research Institute for Medical and Health Sciences, University of Sharjah, Sharjah, UAE
| | - Nabeel Al-Yateem
- College of Health Sciences, Department of Nursing, Research Institute for Medical and Health Sciences, University of Sharjah, Sharjah, UAE
| | - Arwa Al-Shujairi
- Research Institute for Medical and Health Sciences, University of Sharjah, Sharjah, UAE
| | - Sanah Hasan
- Department of Clinical Sciences, College of Pharmacy and Health Sciences, Ajman University, Ajman, UAE
| | - Soultana Macridis
- Centre for Active Living, Faculty of Kinesiology, Sport and Recreation, University of Alberta, Edmonton, Alberta, Canada
| | - Abeer A Farghaly
- Department of Cardiology and Geriatric Physical Therapy, Faculty of Physical therapy, Cairo University, Cairo, Egypt
| | - Lin Naing
- PAPRSB Institute of Health Sciences, Universiti Brunei Darussalam, Brunei, Darussalam
| | - Manal A Awad
- College of Dental Medicine-Department of Preventive and Restorative Dentistry, Research Institute for Medical and Health Sciences, University of Sharjah, Sharjah, UAE
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Rincón-Pabón D, Urazán-Hernández Y, González-Santamaría J. Association between the time spent watching television and the sociodemographic characteristics with the presence of overweight and obesity in Colombian adolescents (secondary analysis of the ENSIN 2010). PLoS One 2019; 14:e0216455. [PMID: 31063492 PMCID: PMC6504084 DOI: 10.1371/journal.pone.0216455] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2018] [Accepted: 04/22/2019] [Indexed: 11/18/2022] Open
Abstract
OBJECTIVE To determine the association between the time spent watching television and the sociodemographic characteristics with the presence of overweight and obesity in Colombian adolescents. MATERIALS AND METHODS Secondary analysis of the information obtained in the National Survey of the Nutritional Situation 2010 of Colombia, in a probabilistic sample of 18177 adolescents with an age range between 13 and 17 years. The time spent watching television and / or videogames and sociodemographic factors was determined. Anthropometric markers and body composition were recorded. Associations were established through logistic regression models. RESULTS The prevalence of overweight was 13.0% (95% CI 12.4-13.8) and obesity was 3.0% (95% CI 2.8-3.3). The prevalences of overweight and obesity were higher in adolescent women [16.6% (95% CI 15.8-17.5) and 3.4% (95% CI 3.1-3.7), respectively]. Overweight and obesity were associated with being female [OR 1.94 (95%CI 1.77-2.12) and OR 1.29 (95%CI 1.09-1.53), respectively], high socioeconomic level [OR 1.22 (95%CI 1.10-1.36) and OR 1.47 (95%CI 1.19-1.81), respectively], reside in urban area [OR 1.13 (95%CI 1.03-1.24) and OR 1.47 (95%CI 1.21-1.79), respectively]. Being indigenous was associated with being overweight [OR 1.25 (95%CI 1.10-1.42)], while being Afro-Colombian was associated with obesity [OR 1.33 (95%CI 1.05-1.69)]. Watching television and / or video games for two or more hours a day [OR1.17 (95%CI 1.06-1.30)] was associated with being overweight; whereas watching television every day of the week was associated with obesity [OR 1.66 (95%CI 1.13-2.43)]. CONCLUSIONS The population studied has a significant prevalence of overweight and obesity, being overweight is associated with being a woman, a high socioeconomic status, residing in an urban area, having an indigenous ethnicity, watching television for three days during the week and looking at more than two hours of television in a day; Obesity is associated with being a woman, a medium-high and high socioeconomic status, residing in an urban area, Afro-Colombian ethnicity, watching television at least once in the last week and watching television every day during the last week.
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Affiliation(s)
- David Rincón-Pabón
- ZIPATEFI—Zona de Investigaciones de Posgrados de la Andina, Fundación Universitaria del Área Andina. Pereira, Colombia
| | - Yeraldin Urazán-Hernández
- ZIPATEFI—Zona de Investigaciones de Posgrados de la Andina, Fundación Universitaria del Área Andina. Pereira, Colombia
| | - Jhonatan González-Santamaría
- ZIPATEFI—Zona de Investigaciones de Posgrados de la Andina, Fundación Universitaria del Área Andina. Pereira, Colombia
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