Prevalence of overweight and obesity and associated demographic and health factors in India: Findings from Comprehensive National Nutrition Survey (CNNS)

IF 2.7 3区医学 Q1 PEDIATRICS

Pediatric Obesity Pub Date : 2024-02-07 DOI:10.1111/ijpo.13092

Vani Sethi, Shalini Bassi, Deepika Bahl, Abhishek Kumar, Tashi Choedon, Neena Bhatia, Arjan de Wagt, William Joe, Monika Arora

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Abstract

Background

Childhood obesity (5–9 years) in India is likely to contribute 11% to the global burden by 2030.

Methods

Data from India's Comprehensive National Nutrition Survey (CNNS, 2016–2018) was used to assess the prevalence and key associated factors of overweight and obesity. Multivariable logistic regression models were applied to identify potential determinants associated with being overweight and obese.

Results

Overweight prevalence (including obesity) varied from 1.6% (0–4 years) to 4.8% (10–19 years). The majority of states reported a higher proportion of adolescents overweight and obese, than younger age group 5–9 years. A significantly higher prevalence of children and adolescents with obesity was reported in higher wealth quintiles and residents of urban areas. The prevalence of overweight and obesity and associated demographic and health factors in India included: the presence of NCD risk factor (adolescents: 1.68, 95% CI [1.31–2.14]), micronutrient deficiency (5–9 years children: 1.72, 95% CI [1.30–2.28]), mother's education (5–9 years children: 4.84, 95% CI [2.92–8.03]; adolescents: 2.17, 95% CI [1.42–3.32]), wealth (adolescents: 1.92, 95% CI [1.16–3.19]), place of residence (5–9 years children: 1.68, 95% CI [1.39–2.03]; adolescents: 1.39, 95% CI [1.16–1.66]), child age (5–9 years children: 1.64, 95% CI [1.40–1.93], and screen-time (adolescents: 1.63, 95% CI [1.22–2.19].

Conclusion

The findings set out policy and research recommendations to pave the path for curtailing the increasing prevalence of overweight and obesity and achieving the World Health Assembly's Global Nutrition target of ‘no increase in childhood overweight (Target 4) by 2025’.

查看原文本刊更多论文

印度超重和肥胖流行率及相关人口和健康因素：全国营养综合调查（CNNS）结果。

背景：到 2030 年，印度儿童肥胖症（5-9 岁）可能占全球负担的 11%：方法：利用印度全国营养综合调查（CNNS，2016-2018 年）的数据来评估超重和肥胖的发生率及主要相关因素。采用多变量逻辑回归模型来确定与超重和肥胖相关的潜在决定因素：超重率（包括肥胖）从 1.6%（0-4 岁）到 4.8%（10-19 岁）不等。大多数州报告的青少年超重和肥胖比例高于 5-9 岁年龄组。据报告，在财富五分位数较高的地区和城市居民中，儿童和青少年的肥胖率明显较高。印度超重和肥胖的发生率以及相关的人口和健康因素包括：存在非传染性疾病风险因素（青少年：1.68，95% CI [1.31-2.14]）、微量营养素缺乏（5-9 岁儿童：1.72，95% CI [1.30-2.28]）、母亲受教育程度（5-9 岁儿童：4.84，95% CI [1.30-2.28]）：4.84，95% CI [2.92-8.03]；青少年：2.17，95% CI [1.42-3.32]）、财富（青少年：1.92，95% CI [1.16-3.19]）、居住地（5-9 岁儿童：1.68，95% CI [1.39-2.03]；青少年：1.39，95% CI [1.39-2.03]）：1.39，95% CI [1.16-1.66]）、儿童年龄（5-9 岁儿童：1.64，95% CI [1.40-1.93]）和屏幕时间（青少年：1.63，95% CI [1.16-3.19]）：1.63, 95% CI [1.22-2.19]：研究结果提出了政策和研究建议，为遏制超重和肥胖症的日益普遍以及实现世界卫生大会提出的 "到 2025 年儿童超重不再增加（目标 4）"的全球营养目标铺平了道路。

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来源期刊

Pediatric Obesity PEDIATRICS-

CiteScore

7.30

自引率

5.30%

发文量

117

审稿时长

6-12 weeks

期刊介绍： Pediatric Obesity is a peer-reviewed, monthly journal devoted to research into obesity during childhood and adolescence. The topic is currently at the centre of intense interest in the scientific community, and is of increasing concern to health policy-makers and the public at large. Pediatric Obesity has established itself as the leading journal for high quality papers in this field, including, but not limited to, the following: Genetic, molecular, biochemical and physiological aspects of obesity – basic, applied and clinical studies relating to mechanisms of the development of obesity throughout the life course and the consequent effects of obesity on health outcomes Metabolic consequences of child and adolescent obesity Epidemiological and population-based studies of child and adolescent overweight and obesity Measurement and diagnostic issues in assessing child and adolescent adiposity, physical activity and nutrition Clinical management of children and adolescents with obesity including studies of treatment and prevention Co-morbidities linked to child and adolescent obesity – mechanisms, assessment, and treatment Life-cycle factors eg familial, intrauterine and developmental aspects of child and adolescent obesity Nutrition security and the "double burden" of obesity and malnutrition Health promotion strategies around the issues of obesity, nutrition and physical activity in children and adolescents Community and public health measures to prevent overweight and obesity in children and adolescents.