Correlates of body mass index among primary school children in Ho Chi Minh City, Vietnam

Pham, N K; Sepehri, Ardeshir; Le, Thu; Tran, Van Thuan

doi:10.1016/j.puhe.2019.12.007

Cited by 11 publications

(14 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Our study supports the findings of other global quantitative and qualitative studies identifying the contributors to child obesity-excessive feeding and insufficient physical activity-with factors at the child, family and community levels 19,20 . Our findings also support other studies from Vietnam on the local dietary and physical activity risk factors for child obesity 21,22,23,24 . In particular, our study supports research from Vietnam on parents' and caregivers' control of feeding practices-both encouraging children to eat more, and also restricting certain foods-may contribute to child obesity 25,26,27 .…”

Section: Discussionsupporting

confidence: 91%

“…Similarly, a study of pre-school children in Hanoi found the prevalence of overweight and obesity to be 16.7% and 4.5%, respectively 11 . Rates of childhood obesity in Vietnam have been found to be higher amongst boys from wealthier families living in urban areas 12 . Additionally, risk factors associated with higher rates of obesity were diets with high-calorie foods and reduced physical activity 13 .…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Key informants’ perspectives on childhood obesity in Vietnam: A qualitative study

Trat

Tieu

et al. 2021

Preprint

View full text Add to dashboard Cite

Background: Vietnam’s postwar globalization, economic development, and urbanization have contributed to a nutrition transition from traditional diets to highly-processed diets, and increased prevalence of childhood overweight and obesity. There is a need to understand the attitudes and behaviors driving this epidemic. Methods: This qualitative study focused on the perspectives and practices of Vietnamese parents, schoolteachers and doctors. Semi-structured interviews were conducted with a convenience sample of twelve regarding the historical, social, and cultural influences contributing to childhood overweight and obesity. Audio-recorded interviews were translated and transcribed, then analyzed using modified ground theory to identify themes and representative quotes. Results: Five themes were identified: 1) Change in diet between generations, 2) Preference for rounder children, 3) Unhealthy feeding practices, 4) Reduced physical activity, and 5) Increasing awareness of childhood obesity. A conceptual map detailed the shift from wartime to postwar economic environment and psycho-social context for raising children to be large, safe and academically-successful. Conclusion: We found globalization, urbanization and economic development—in the context of historical, social and cultural attitudes—may contribute to increasing child obesity in Vietnam. Reduction through public health and educational institutions should involve policies and programs for healthy eating and exercise, tailored to address parental figures’ concerns.

show abstract

Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Key informants’ perspectives on childhood obesity in Vietnam: A qualitative study

Trat

Tieu

et al. 2021

Preprint

View full text Add to dashboard Cite

show abstract

“…The key physical activity risk factors for ow/ob were motor vehicle transportation to school, and having two or more televisions in the home. This study's findings of the prevalence of ow/ob, and the associated sociodemographic and behavioral factors, are consistent with findings of other cross-sectional studies in Vietnam [17,18,32,33] and other LMICs [34][35][36]. In LMICs, higher rates of child ow/ob for families with greater wealth, particularly in urban areas, are likely attributable to globalization, economic growth and marketing-driven changes in child feeding practices (consumption of a greater quantity and frequency of Fig.…”

Section: Discussionsupporting

confidence: 88%

“…A 2016 survey of 2677 children age 3-6 years old in Hanoi shows the prevalence of ow/ob to be 16.7 and 4.5%, respectively [27]. In the same year, a survey of children ages 7-9 years in Ho Chi Minh City using International Obesity Task Force cutoffs found the prevalence of overweight to be 30% and obesity to be 12.3% [18]. Ho Chi Minh City and Hanoi are both metropolitan areas, which may explain the higher rates of ow/ob in these studies.…”

Section: Discussionmentioning

confidence: 99%

“…This is also seen in Vietnam, along with other factors that have been linked to childhood obesity, including decreased physical activity due to greater availability of motor vehicle transportation, and increased sedentary screen-based entertainment [14,15]. These economic and behavioral changes, and increasing child obesity, predominately impact urbanized areas and higher social economic strata [16][17][18].…”

Section: Introductionmentioning

confidence: 96%

See 1 more Smart Citation

Early childhood factors associated with obesity at age 8 in Vietnamese children: The Young Lives Cohort Study

et al. 2021

View full text Add to dashboard Cite

Background Over recent decades, Vietnam has experienced rapid economic growth, a nutrition transition from the traditional diet to highly-processed and calorie-dense foods and beverages, and an increasing prevalence of childhood overweight/obesity (ow/ob). The goal of this study is to describe the patterns of ow/ob in a longitudinal sample of Vietnamese children from ages 1 to 8, and the sociodemographic and behavioral factors associated with ow/ob at age 8. Methods This study is a secondary data analysis of a geographically-representative, longitudinal cohort of 1961 Vietnamese children from the Young Lives Cohort Study from 2002 to 2009. Thirty-one communities were selected with oversampling in rural communities, and children age 1 were recruited from each community using simple random sampling. Surveys of families and measurements of children were collected at child ages 1, 5, and 8. Our specified outcome measure was childhood ow/ob at age 8, defined by the World Health Organization’s thresholds for body-mass-index (BMI) for age Z-scores. Associations between early and concurrent socio-behavioral factors, childhood nutrition and physical activity variables were analyzed using STATA 15. Bivariate and multivariable analyses were completed utilizing logistic regression models. Results The prevalence of ow/ob increased from 1.1% in both sexes at age 1 to 7% in females and 13% in males at age 8. Bivariate analyses show greater likelihood of ow/ob at age 8 was significantly associated with early life sociodemographic factors (at age 1), male sex (OR = 2.2, 1.6–3.1), higher wealth (OR = 1.1–1.4), and urban residence (OR = 4.3, 3–6). In adjusted analyses, ow/ob at age 8 was associated with early nutrition practices at age 5, including frequent consumption of powdered milk (OR = 2.8, 1.6–4.6), honey/sugar (OR = 2.7, 1.8–4.1), prepared restaurant/fast foods (OR = 4.6, 2.6–8.2), and packaged sweets (OR = 3.4, 2.3–4.9). In addition, breastfeeding for 6 months or longer was protective against obesity at age 8 (OR = 0.3, 0.1–0.9). Conclusions We found that increased consumption of powdered milk, honey/sugar, packaged sweets, and prepared restaurants/fast foods are associated with childhood ow/ob. In contrast, breastfeeding for 6 months or longer was protective against childhood ow/ob. These findings suggest that public health programs and campaigns aimed to prevent childhood ow/ob in Vietnam should target early feeding practices.

show abstract

Key Informants’ Perspectives on Childhood Obesity in Vietnam: A Qualitative Study

Trat

Tieu

et al. 2022

Matern Child Health J

View full text Add to dashboard Cite

Objectives Vietnam’s post-war globalization, economic development, and urbanization have contributed to a nutrition transition from traditional diets to highly-processed diets, and increased prevalence of childhood overweight and obesity. Our study aims to explore the attitudes and behaviors driving this epidemic. Methods This qualitative study focused on the perspectives and practices of Vietnamese parents, schoolteachers and doctors. Semi-structured interviews were conducted with a convenience sample of 12 regarding the historical, social, and cultural influences contributing to childhood overweight and obesity. Audio-recorded interviews were translated and transcribed, then analyzed using modified ground theory to identify themes and representative quotes. Results Five themes were identified: (1) Change in diet between generations, (2) Preference for rounder children, (3) Unhealthy feeding practices, (4) Reduced physical activity, and (5) Increasing awareness of childhood obesity. A conceptual map detailed the shift from war-time to post-war economic environment and psycho-social context for raising children to be large, safe and academically-successful. Conclusions for Practice We found that globalization, urbanization and economic development—in the context of historical, social and cultural attitudes—may contribute to increasing child obesity in Vietnam. Obesity prevention through public health and educational institutions should involve policies and programs for healthy eating and exercise, tailored to address parental figures’ concerns.

show abstract

Correlates of body mass index among primary school children in Ho Chi Minh City, Vietnam

Cited by 11 publications

References 27 publications

Key informants’ perspectives on childhood obesity in Vietnam: A qualitative study

Key informants’ perspectives on childhood obesity in Vietnam: A qualitative study

Early childhood factors associated with obesity at age 8 in Vietnamese children: The Young Lives Cohort Study

Key Informants’ Perspectives on Childhood Obesity in Vietnam: A Qualitative Study

Contact Info

Product

Resources

About