Obesity prevalence and contributing factors among adolescents in secondary schools in Pemagatshel district, Bhutan
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Wang Norbu
Abstract
Background
The prevalence of obesity has increased globally, with childhood and adolescent obesity being more common in developed countries. There has been no study on teenage obesity in Bhutan. In this study, we aimed to assess the prevalence of obesity in Bhutan for the first time in order to provide a baseline for future researchers.
Methods
The investigation, which included 392 adolescents, aimed to identify the prevalence of overweight and obesity and its contributing factors. Anthropometric measurements, food recall and knowledge, attitude, behaviour and environment questionnaires were administered. The body mass index (BMI) cut-off points for adolescents matched with those of the US Centers for Disease Control and Prevention.
Results
The prevalence of overweight and obesity among the participants were 7.1% and 1.5%, respectively. The prevalence of obesity was 1.0% in females and 0.5% in males (p < 0.001). There were significant (p < 0.001) correlations between BMI and other variables; however, Pearson’s χ2 test uncovered no significant associations. BMI also had no significant associations with attitude, behaviour, environment and distance travelled to school. Food recall results revealed the following findings for average food consumption: total energy intake, 3522.6 kcal; fat, 47.6 g; carbohydrate, 690.2 g; protein, 90.5 g; fibre, 20.3 g; and sodium, 12.5 g.
Conclusion
The results of this study clarified the prevalence of obesity among adolescents in Bhutan, who require appropriate strategies for combating overweight and obesity.
Acknowledgement
We would like to thank HRH Princess Maha Chakri Sirindhorn, Thailand and Dean Moru for financial support.
Funding source: Dean Moru, Faculty of Tropical Medicine, Mahidol University.
Conflict of interest: The authors have no conflicts of interest.
References
[1] Li L, Chen J, Wang J, Cai D. Prevalence and risk factors of diabetic peripheral neuropathy in Type 2 diabetes mellitus patients with overweight/obese in Guangdong province, China. Prim Care Diabetes. 2015;9:191–5.10.1016/j.pcd.2014.07.006Suche in Google Scholar
[2] Wang YC, McPherson K, Marsh T, Gortmaker SL, Brown M. Health and economic burden of the projected obesity trends in the USA and the UK. Lancet. 2011;378:815–25.10.1016/S0140-6736(11)60814-3Suche in Google Scholar
[3] Ng M, Fleming T, Robinson M, Thomson B, Graetz N, Margono C, et al. Global, regional, and national prevalence of overweight and obesity in children and adults during 1980–2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet. 2014;384:766–81.10.1016/S0140-6736(14)60460-8Suche in Google Scholar
[4] Cheng TO. Thomas Wakley and the Lancet. Int J Cardiol. 2012;162:1–3.10.1016/j.ijcard.2012.07.016Suche in Google Scholar PubMed
[5] Davey TM, Allotey P, Reidpath DD. Is obesity an ineluctable consequence of development? A case study of Malaysia. Public Health. 2013;127:1057–62.10.1016/j.puhe.2013.09.008Suche in Google Scholar PubMed
[6] In-Iw S, Biro FM. Adolescent women and obesity. J Pediatr Adolesc Gynecol. 2011;24:58–61.10.1016/j.jpag.2010.08.017Suche in Google Scholar PubMed
[7] Arkes J. How the economy affects teenage weight. Soc Sci Med. 2009;68:1943–7.10.1016/j.socscimed.2009.03.021Suche in Google Scholar PubMed
[8] Zangmo U, de Onis M, Dorji T. The nutritional status of children in Bhutan: results from the 2008 National nutrition survey and trends over time. BMC Pediatr. 2012;12:1–7.10.1186/1471-2431-12-151Suche in Google Scholar PubMed PubMed Central
[9] Bray G, Gray DS. Obesity. Part 1- Pathogenesis. West J Med. 1988;149:429–41.Suche in Google Scholar
[10] Abdel-Aziz EA, Hamza RT, Youssef AM, Mohammed FM. Health related quality of life and psychological problems in Egyptian children with simple obesity in relation to body mass index. Egypt J Med Hum Genet. 2014;15:149–54.10.1016/j.ejmhg.2014.01.002Suche in Google Scholar
[11] Fidelix YL, Silva DA, Pelegrini A, Silva AF, Petroski EL. Insatisfação com a imagem corporal em adolescentes de uma cidade de pequeno porte: associação com sexo, idade e zona de domicílio. Rev Bras Cineantropom Desempenho Hum. 2011;13:202–7.10.5007/1980-0037.2011v13n3p202Suche in Google Scholar
[12] Serdula MK, Ivery D, Coates RJ, Freedman DS, Williamson DF, Byers T. Do obese children become obese adults? A review of the literature. Prev Med. 1993;22:167–77.10.1006/pmed.1993.1014Suche in Google Scholar PubMed
[13] Atay Z, Bereket A. Current status on obesity in childhood and adolescence: prevalence, etiology, co-morbidities and management. Obes Med. 2016;3:1–9.10.1016/j.obmed.2016.05.005Suche in Google Scholar
[14] Kantanista A, Osiński W, Borowiec J, Tomczak M, Król-Zielińska M. Body image, BMI, and physical activity in girls and boys aged 14–16 years. Body Image. 2015;15:40–3.10.1016/j.bodyim.2015.05.001Suche in Google Scholar PubMed
[15] Maor M. Fat women: The role of the mother-daughter relationship revisited. Women Stud Int Forum. 2012;35:97–108.10.1016/j.wsif.2012.03.001Suche in Google Scholar
[16] Wu YK, Chu NF, Huang YH, Syu JT, Chang JB. BMI, body fat mass and plasma leptin level in relation to cardiovascular diseases risk factors among adolescents in Taitung. Obes Res Clin Pract. 2015;4:432–41.10.1016/j.orcp.2015.08.009Suche in Google Scholar PubMed
[17] Winston GJ, Caesar-Phillips E, Peterson JC, Wells MT, Martinez J, Chen X, et al. Knowledge of the health consequences of obesity among overweight/obese Black and Hispanic adults. Patient Educ Couns. 2014;94:123–7.10.1016/j.pec.2013.09.022Suche in Google Scholar PubMed PubMed Central
[18] Yan R, Bastian ND, Griffin PM. Association of food environment and food retailers with obesity in US adults. Health Place. 2015;33:19–24.10.1016/j.healthplace.2015.02.004Suche in Google Scholar PubMed
[19] Talbot G. Developing food products for customers with low fat and low saturated fat requirements: dairy and meat products A2. In: Morley W, Osborn S, editors. Developing food products for consumers with specific dietary needs. Cambridge: Woodhead Publishing, 2016:107–24.10.1016/B978-0-08-100329-9.00006-2Suche in Google Scholar
[20] Sofer S, Stark A, Fink G, Madar Z. A diet with carbohydrates eaten primarily at dinner: an innovative, nutritional approach to end the vicious cycle of abdominal obesity A2. In: Watson RR, editors. Nutrition in the prevention and treatment of abdominal obesity. San Diego: Academic Press, 2014:401–14.10.1016/B978-0-12-407869-7.00035-0Suche in Google Scholar
[21] Baudrand R, Lian CG, Lian BQ, Ricchiuti V, Yao TM, Li J, et al. Long-term dietary sodium restriction increases adiponectin expression and ameliorates the proinflammatory adipokine profile in obesity. Nutr Metab Cardiovasc Dis. 2014;24:34–41.10.1016/j.numecd.2013.07.004Suche in Google Scholar PubMed PubMed Central
[22] Vaidya A, Underwood PC, Annes JP, Sun B, Williams GH, Forman JP, et al. The influence of sodium- and calcium-regulatory hormone interventions on adipocytokines in obesity and diabetes. Metabolism. 2013;62:539–47.10.1016/j.metabol.2012.10.001Suche in Google Scholar PubMed PubMed Central
[23] Yang SJ, Kim S, Park H, Kim SM, Choi KM, Lim Y, et al. Sex-dependent association between angiotensin-converting enzyme insertion/deletion polymorphism and obesity in relation to sodium intake in children. Nutrition. 2013;29:525–30.10.1016/j.nut.2012.09.001Suche in Google Scholar PubMed
[24] Isken F, Klaus S, Osterhoff M, Pfeiffer AF, Weickert MO. Effects of long-term soluble vs. insoluble dietary fiber intake on high-fat diet-induced obesity in C57BL/6J mice. J Nutr Biochem. 2010;21:278–84.10.1016/j.jnutbio.2008.12.012Suche in Google Scholar PubMed
[25] Moyano G, Sáyago-Ayerdi SG, Largo C, Caz V, Santamaria M, Tabernero M. Potential use of dietary fibre from Hibiscus sabdariffa and Agave tequilana in obesity management. J Funct Foods. 2016;21:1–9.10.1016/j.jff.2015.11.011Suche in Google Scholar
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- Original Articles
- Is there a link between self-perceived stress and physical activity levels in Scottish adolescents?
- Does verruca vulgaris affect social anxiety and self-esteem in adolescents?
- Smart phone usage and addiction among dental students in Saudi Arabia: a cross sectional study
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- Health policy making for street children: challenges and strategies
- Original Articles
- Menarche as a predictor of risk-taking behavior in a sample of Hungarian adolescent girls
- Level of Internet use among Greek adolescents with type 1 diabetes
- Clinical outcomes of an inpatient pediatric obesity treatment program in the USA
- Obesity prevalence and contributing factors among adolescents in secondary schools in Pemagatshel district, Bhutan
- Contraception usage among young adult men of a Nigerian university
- Monitoring screen use: a qualitative exploration of family strategies in Swiss homes
- Proposed model for the cultural adaptation of an Internet-based depression prevention intervention (CATCH-IT) for Arab adolescents
- Physical fitness and obesity levels during an academic year followed by summer holidays: an issue of insufficient time for physical activity
- Differences in physical activity, eating habits and risk of obesity among Kuwaiti adolescent boys and girls: a population-based study
- Cardiac anomalies and associated comorbidities in a large adolescent population