Prevalence and Associated Factors of Adolescent Obesity among Rural School Adolescents in Nepal: A Cross-Sectional Study.

IF 1.1 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Global Health Epidemiology and Genomics Pub Date : 2023-09-29 eCollection Date: 2023-01-01 DOI:10.1155/2023/2957278
Deekshanta Sitaula, Aarati Dhakal, Nimesh Lageju, Amisha Silwal, Samjhana Kshetri Basnet, Niki Shrestha, B C Anup Bikram, Niraj Phoju
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引用次数: 0

Abstract

Background: Overweight and obesity are major risk factors for chronic diseases and are the leading cause of mortality worldwide. Obesity during adolescence is strongly associated with adulthood obesity leading to increased morbidities and mortality. As a developing country undergoing rapid urbanization, Nepal is in a transitional phase where undernutrition coexists with obesity; however, there is a dearth of literature on the status of adolescent obesity in the rural section of Nepal. The aim of this study was to determine the prevalence of adolescent obesity in a rural district of Nepal and find out its associated factors.

Methods: An institution-based cross-sectional study was conducted among the adolescent students studying in classes 8, 9, and 10 in four secondary schools of Gosaikunda rural municipality of Rasuwa district, Nepal. Total enumerative sampling was used, and Global School-based Health Survey (GSHS) standard questionnaires were used in collecting the information. Height and weight measurements were taken, and the body mass index was classified according to Asia-Pacific criteria. The collected data were analyzed using "SPSS" version 22. Logistic regression analysis was used to evaluate the associated factors, and a p value of ≤0.05 was considered statistically significant.

Results: Out of 267 adolescents, 14.6% were obese and 14.6% were overweight. Of the female participants, 39.6% were either obese or overweight, while 12.6% of the male adolescents were overweight/obese. Among the total participants, 16.5% were underweight, including 14.0% females and 20.4% males. Female adolescents were about five times (AOR: 5.2, 95% CI (2.5-10.9), p < 0.01) more likely of being overweight/obese than male adolescents.

Conclusions: More than one-quarter of the adolescents were found to be obese/overweight, and the prevalence was significantly more among female adolescents. It emphasizes the necessity of school-based programs promoting a healthy lifestyle among students to maintain healthy weight status.

Abstract Image

尼泊尔农村学校青少年肥胖患病率及相关因素:一项横断面研究。
背景:超重和肥胖是慢性病的主要危险因素,也是全球死亡的主要原因。青少年时期的肥胖与成年后的肥胖密切相关,导致疾病和死亡率增加。作为一个正在快速城市化的发展中国家,尼泊尔正处于营养不良与肥胖并存的过渡阶段;然而,关于尼泊尔农村地区青少年肥胖状况的文献却很少。本研究的目的是确定尼泊尔农村地区青少年肥胖的患病率,并找出其相关因素。方法:对尼泊尔Rasuwa区Gosaikunda农村市四所中学8、9和10班的青少年学生进行了一项基于机构的横断面研究。采用全计数抽样,并采用全球学校健康调查(GSHS)标准问卷收集信息。测量了身高和体重,并根据亚太地区的标准对体重指数进行了分类。使用“SPSS”22版对收集的数据进行分析。Logistic回归分析用于评估相关因素,p值≤0.05被认为具有统计学意义。结果:267名青少年中,14.6%肥胖,14.6%超重。在女性参与者中,39.6%的人肥胖或超重,而12.6%的男性青少年超重/肥胖。在所有参与者中,16.5%的人体重不足,其中女性14.0%,男性20.4%。女性青少年约为5倍(AOR:5.2,95%CI(2.5-10.9),p 结论:超过四分之一的青少年被发现肥胖/超重,女性青少年的患病率明显更高。它强调了学校项目的必要性,促进学生的健康生活方式,以保持健康的体重状况。
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来源期刊
Global Health Epidemiology and Genomics
Global Health Epidemiology and Genomics PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
1.40
自引率
0.00%
发文量
10
审稿时长
20 weeks
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