Impact of eating habits in adolescent obesity-A case control study
DOI:
https://doi.org/10.70066/jahm.v13i5.1971Keywords:
Key words: adolescent, BMI, food frequency index, obesity, school childrenAbstract
INTRODUCTION: Obesity refers to increased adiposity in the body. Obesity in children gained the status of epidemics in recent years. It is an issue of concern even in developing countries like India owing to swift economic transition, lifestyle changes and globalization of food. Obesity children and adolescents may persist in later life and can be mapped to childhood onset metabolic syndromes and non-communicable disorders. This study aimed at assessing impact of eating habits in adolescents on obesity. Thus, early identification of obesity in children and interventions can pave way for healthier community.
Methods: A case control study was conducted in 111 obese and 488 non-obese adolescent high school children aged between 14 to 17 years. Body mass index (BMI) was used assess and children with BMI >30 were considered as obese (WHO). The data was collected using a structured case report form (CRF) incorporating food frequency index and the data set was analyzed using MS office Excel and SPSS soft ware version 20.
Results: Prevalence of obesity was 18.5% in high school children. The prevalence was more in higher grade students, upper middle class and females were more affected. Butter was major dietary risk factor. Higher intake of calorie dense, fatty, sugar foods like laddu (p ≈ 0.019), jalebi (p ≈ 0.011), and kajukatli (p ≈ 0.013) and Ice cream (p ≈ 0.00003) was associated with obesity. Conclusion: obesity prevalence alarmingly increased. There is an urgent need to educate parents and children dietary habits and impact of adolescent obesity on health through intensive community health campaigns through all effective media with an emphasis on preventive strategies.
Key words: adolescent, BMI, food frequency index, obesity, school children
References
World Health Organization (WHO). Adolescent health. [cited 27th October 2021]. Available from: https://www.who.int/health-topics/adolescent-health#tab=tab_1 [last accessed on May 20, 2025]
Ranjani H, Mehreen TS, Pradeepa R, Anjana RM, Garg R, Anand K, Mohan V. Epidemiology of childhood overweight & obesity in India: A systematic review. The Indian journal of medical research. 2016;143(2):160. https://doi.org/10.4103/0971-5916.180203 [last accessed on May 20,2025]
Panda BK, Mog M, Dhillon P. Double burden of malnutrition among adolescents in India: Evidence from large scale surveys. Demography India. 2021;50(1):85-98. https://www.researchgate.net/publication/352440500_Double_burden_of_malnutrition_among_adolescents_in_India_Evidence_from_large_scale_surveys [last accessed on May 20,2025]
Daley SF, Balasundaram P. Obesity in Pediatric Patients. In: StatPearls. StatPearls Publishing, Treasure Island (FL); 2025. PMID: 34033388.Available from: https://europepmc.org/article/nbk/nbk570626 [last accessed on May 20,2025]
Gautam S, Jeong HS. Childhood obesity and its associated factors among school children in Udupi, Karnataka, India. Journal of LifeSchwimmer JB, Burwinkle TM, Varni JW. Health- related quality of life of severely obese children and adolescents. Jama. 2003;289(14):1813-9.style Medicine. 2019 Jan;9(1):27. pmid:309188316. https://doi.org/10.15280/jlm.2019.9.1.27 [last accessed on May 20,2025]
McPherson K. Reducing the global prevalence of overweight and obes May A.L., Freedman D., Sherry B., Blanck H.M., Centers for Disease Control and Preven Obesity United States, 1999–2010. [(access on 30 July 2022)]; MMWR Surveill Summ. 201 Back 62:120-128. Available from: https://doi.org/10.3390/nu14173621 [last accessed on May 20,2025]
Mandoura N, Al-Raddadi R, Abdulrashid O, Shah HB, Kassar SM, Hawari AR, Jahhaf JM, Usman HB. Factors associated with consuming junk food among Saudi adults in Jeddah City. Cureus. 2017;9(12): e2008. Available from: https://doi.org/10.7759/cureus.2008 [last accessed on May 20,2025]
Schwimmer JB, Burwinkle TM, Varni JW. Health-related quality of life of severely obese children and adolescents. JAMA. 2003;289(14):1813-9. Available from: https://doi.org/10.1001/jama.289.14.1813 [last accessed on May 20,2025]
CDC. Defining adult overweight & obesity. 2023. Available from: https://www.cdc.gov/bmi/adult-calculator/bmi-categories.html [last accessed on May 20,2025]
Food and Agriculture Organization of the United Nations (FAO). Dietary assessment: A resource guide to method selection and application in low resource settings. Rome: FAO; 2018.p.116–144.Available from: https://openknowledge.fao.org/server/api/core/bitstreams/3dc75cfc-9128-4f29-9d76-8d1f792078f0/content [last accessed on May 20,2025]
Gupta N, Goel K, Shah P, Misra A. Childhood obesity in developing countries: Epidemiology, determinants, and prevention. Endocr Rev 2012;33:48-70. Available from: https://doi.org/10.1210/er.2010-0028 [last accessed on May 20,2025]
Jain Taran S, Ojha S, Kosta S, Kumar R. Prevalence of obesity in school children and its association with parental obesity in central India. Int J Child Adolesc Health 2016;9:377-85. Available from: https://doi.org/10.4103/jfmpc.jfmpc_2334_20 [last accessed on May 26,2025]
World Health Organization. Obesity and overweight. Updated on 1 April 2020. Available from: www.who.int/ news-room/fact-sheets/detail/obesity. Available from: https://www.who.int/health-topics/obesity/obesity [last accessed on May 26,2025]
Kavita HS, Ashok NC. Prevalence of obesity among primary school children and its association with parental obesity and Journal of Family Medicine and Primary Care socio- economic status. Medica Innovatica 2013;2:26-31. Available from: https://www.medicainnovatica.org/2013-July%20Issue/5.pdf [last accessed on May 26,2025]
Misra A, Shah P, Goel K, Kishor D, Gupta HR, Seth P, et al. The high burden of obesity and abdominal obesity in urban Indian schoolchildren: A multicentric study of 38,296 children. Ann Nutr Metab 2011;58:203-11. Available from: https://doi.org/10.1159/000329431 [last accessed on May 26,2025]
Pathak S, Modi P, Labana U, Khimyani P, Joshi A, Jadeja R, et al. Prevalence of obesity among urban and rural school going adolescents of Vadodara, India: A comparative study. Int J Contemp Pediatr 2018;5:1355-9. Available from https://doi.org/10.18203/2349-3291.ijcp20182480 [last accessed on May 26,2025]
Premanath M, Basavanagowdappa H, Shekar MA, Vikram SB, Narayanappa D. Mysore childhood obesity study. Indian Pediatr 2010;47:171-3. Available from https://doi.org/10.1007/s13312-010-0027-0 [last accessed on May 26,2025]
Grace GA, Edward S, Gopalakrishnan S. Dietary habits and obesity among adolescent school children: A case control study in an urban area of kancheepuram district. Indian Journal of Community Medicine. 2021;46(4):637-40. DOI: https://doi.org/10.4103/ijcm.ijcm_1013_20. [last accessed on May 26,2025]
Giugliano R, Carneiro EC: Factors associated with obesity in school children. J Pediatr (Rio J). 2004;80: 17-22. Available from https://doi.org/10.2223/jped.1128 [last accessed on May 26,2025]
Mozaffari H, Nabaei B. Obesity and related risk factors. The Indian Journal of Pediatrics. 2007;74:265-7. Available from https://doi.org/10.1007/s12098-007-0041-y [last accessed on May 26,2025]
Bhuiyan MU, Zaman S, Ahmed T. Risk factors associated with overweight and obesity among urban school children and adolescents in Bangladesh: a case–control study. BMC pediatrics. 2013;13:1-6. Available from https://doi.org/10.1007/s12098-007-0041-y [last accessed on May 26,2025]
Choudhary K, Mathur P, Garg M, Gupta PP. Prevalence of overweight and obesity amongst adolescents and identification of risk factors. Int J Contemp Pediatr 2017;4:1153-9. Available from http://dx.doi.org/10.18203/2349-3291.ijcp20171729 [last accessed on May 26,2025]
Aggarwal T, Bhatia RC, Singh D, Sobti PC. Prevalence of obesity and overweight in affluent adolescents from Ludhiana, Punjab. Indian Pediatr 2008;45:500 2.
Niemeier HM, Raynor HA, Lloyd-Richardson EE, Rogers ML, Wing RR: Fast food consumption and breakfast skipping: predictors of weight gain from adolescence to adulthood in a nationally representative sample. J Adolesc Health. 2006, 39: 842-849. 10.1016/j.jadohealth.2006.07.001. Available from https://doi.org/10.1016/j.jadohealth.2006.07.001 [last accessed on May 26,2025]
Rathi N, Riddell L, Worsley A. Food consumption patterns of adolescents aged 14–16 years in Kolkata, India. Nutrition journal. 2017;16:1-2. Available from https://doi.org/10.1186/s12937-017-0272-3 [last accessed on May 26,2025]
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